MediRoutes: NEMT Scheduling & Multi-Payer Billing Software
MediRoutes leans hardest into billing depth and multi-payer complexity. Here is what that means for day-to-day operations and cost.
Visit MediRoutes's official siteWhat NEMT operators are working with in MediRoutes
Phoenix, Arizona
Headquarters
Published tiers around $150 or $250/month plus $0.50 per managed trip leg, with unlimited vehicles; separate card (3.5%) and check ($35) processing fees, ACH free
Pricing
Cloud-based (SaaS), web app at app.mediroutes.com plus driver and desktop applications and an open API
Deployment
Established NEMT providers and PACE programs juggling several payers and brokers who need billing depth as much as dispatch
Best fit for
Brokers MediRoutes Connects To
MediRoutes names these brokers directly in its own integration documentation.
6 Steps to Get Running on MediRoutes
MediRoutes has been running since 2008, which makes it one of the longer-tenured platforms in NEMT software, predating the current wave of cloud-native competitors. The company, based in Phoenix, Arizona, built its reputation on billing: denial management, HCPCS code mapping, and multi-payer claim processing that larger fleets and PACE programs need once their payer mix gets complicated.
That billing focus is also the clearest way to tell MediRoutes apart from lighter dispatch-first tools like Tobi or Bambi. Operators comparing MediRoutes against Traumasoft or TripSpark are usually weighing similar territory: fleets that have outgrown a simple scheduling tool and need audit-grade billing to match.
MediRoutes' team walks through your funding sources, broker relationships, and vehicle count to recommend a pricing tier and confirm which broker partner pages apply to you.
Existing client records, funding source setups, and trip history get imported so billing continuity is not lost at cutover.
Live connections to brokers like ModivCare, MTM, Verida, or Kinetik get configured, using MediRoutes' published partner integrations where available.
Rate tables, HCPCS codes, and payer-specific claim rules get set up so the billing module can generate accurate claims from day one.
Field staff get access to the driver app for manifests and navigation, while office staff use the desktop and web apps for dispatch and billing review.
MediRoutes support walks dispatch and billing staff through the workflow before cutover and stays available through the first billing cycles.
MediRoutes in Numbers
What you're working with before you book a demo.
MediRoutes says its platform processes over 60,000 trips a day across its NEMT provider base.
The company cites more than 150 million total trips managed since launch, a reflection of how long it has run production billing workflows.
MediRoutes maintains published partner pages for over 15 NEMT brokers, including ModivCare, MTM, Verida, and Kinetik.
Features, Pricing, Integrations & Reputation
MediRoutes groups its product into trip coordination (intake and scheduling), live dispatch (real-time routing and fleet visibility), and billing compliance (claims processing and revenue tracking). The company markets billing as its main differentiator, with denial management, HCPCS code mapping, multi-payer processing, and audit-grade reporting built for the kind of claim complexity that simpler dispatch tools were not designed to handle.
Real-time GPS tracking and a driver app round out the day-to-day dispatch side, and the platform's API lets larger operations connect it to other internal systems rather than relying only on prebuilt integrations.
MediRoutes publishes a pricing structure that most competitors keep behind a sales call: roughly $150 or $250 per month plus $0.50 per managed trip leg, with unlimited vehicles included. A round trip counts as two managed legs. Payment processing carries its own fees on top, a 3.5% card fee and a $35 check fee, while ACH transfers are free. Fleets with high trip volume should model the per-leg fee carefully, since it can outweigh the base subscription at scale.
MediRoutes maintains individual, publicly documented partner pages for a long list of brokers, including ModivCare, MTM Health, Verida, Kinetik Brokerage, SafeRide, MAS, Call The Car, and Alivi, among others. That level of published detail is unusual in this category and makes it easier for a fleet to confirm, before signing anything, whether their specific broker relationships are supported out of the gate.
Payment processing integrates through Coast Pay, and the platform's open API supports additional connections for operations with in-house development resources.
Reviewers describe MediRoutes support as generally responsive, with staff who jump into billing or dispatch issues directly rather than routing through tiers of ticketing. Given the platform's billing depth, onboarding tends to weight heavily toward getting payer rules and rate tables correct, since that is where most of the platform's long-term value shows up.
Positive reviews consistently mention ease of scheduling, real-time GPS visibility, and responsive support, with several users noting the system handles high trip volume without much manual effort. Recurring complaints include pricing increases that arrive without much advance notice, occasional lag when the system is under heavy load, and gaps like limited file attachment support in client and patient records. As with most vendors in this space, treat any single review site's rating as a rough signal rather than a definitive score, since sample sizes vary widely across platforms.
MediRoutes: Strengths & Limitations
Publishes real pricing instead of requiring a sales call for basic numbers
Billing depth built for complex, multi-payer claim environments
Unusually transparent, individually documented broker partner pages
Long operating history with production billing workflows since 2008
Per-trip-leg fees can climb quickly for high-volume fleets
Some reviewers report price increases with little advance communication
Occasional performance lag reported during high trip volume
MediRoutes Can Bill Your Trips Correctly. It Cannot Bring New Ones In.
Strong billing software gets you paid for the trips you already run. It does nothing to put your fleet in front of new facility case managers or private-pay families searching online. That gap is what MedFlow Digital's NEMT websites and local SEO close.
3 Mistakes Operators Make With MediRoutes
The most common, and most avoidable, missteps we see.
The $150-250 monthly base looks affordable until the $0.50 per-leg fee gets applied to your actual trip volume. Run the real math on your monthly leg count, including round trips counted twice, before comparing cost to competitors.
MediRoutes publishes integration detail for each broker it supports. Skipping that research and assuming generic broker support is a common way fleets get surprised by manual workarounds after go-live.
MediRoutes is built around billing complexity. Fleets that only need basic scheduling without multi-payer claim handling may find the platform is more than they need and should compare it against lighter-weight options first.
Who MediRoutes Fits Best
MediRoutes fits operations where billing complexity, not just trip scheduling, is the daily challenge.
Established multi-payer NEMT providers
Fleets billing several Medicaid managed care organizations, brokers, and private payers benefit most from the denial management and HCPCS mapping built into the billing module.
PACE program coordinators
Programs coordinating trips across multiple funding sources and providers get dedicated support for the reporting and compliance demands PACE requires.
Growing fleets outgrowing a basic scheduling tool
Operations that started with a simple dispatch app and now need audit-grade billing reporting are a natural fit as they scale up payer complexity.
Frequently asked questions
How much does MediRoutes cost?
What is a 'managed trip' in MediRoutes pricing?
Which NEMT brokers does MediRoutes integrate with?
Is MediRoutes good for billing complex Medicaid claims?
How long has MediRoutes been in business?
How MediRoutes Compares
Direct, category-by-category comparisons against other platforms on this list.
Other NEMT Software to Know
Most fleets compare at least two or three platforms before signing. See how MediRoutes stacks up.
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