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Top 10 Best Nemt Billing Software of 2026

Find the best Nemt billing software solutions to streamline your practice. Get started today for efficient workflows!

Alexander Schmidt

Alexander Schmidt

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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NEMT billing software is critical for efficient medical transportation operations, managing complex scheduling, dispatching, and claims—all while ensuring compliance. The tools below, representing a diverse range of features and capabilities, stand out as industry leaders for their ability to streamline workflows, reduce errors, and optimize performance.

Quick Overview

  1. 1#1: Tracct - Comprehensive NEMT platform automating scheduling, dispatching, and HIPAA-compliant billing for medical transportation providers.
  2. 2#2: RouteGenie - Cloud-based NEMT software offering automated routing, real-time dispatching, and integrated electronic billing submissions.
  3. 3#3: The Route One - All-in-one NEMT management system with advanced scheduling, GPS tracking, and seamless billing to Medicare/Medicaid.
  4. 4#4: NEMT Tracker - User-friendly cloud solution for NEMT dispatching, EVV compliance, and efficient claims billing processing.
  5. 5#5: MedicusIT - Integrated NEMT software providing scheduling, electronic visit verification, and automated billing workflows.
  6. 6#6: TransTrack - Robust NEMT and paratransit system with dynamic scheduling, reporting, and third-party billing integration.
  7. 7#7: Trapeze - Enterprise-grade transportation software supporting NEMT operations with advanced billing and analytics features.
  8. 8#8: Optibus - AI-driven platform for NEMT scheduling optimization, demand-responsive transport, and billing automation.
  9. 9#9: Ride Systems - Modern NEMT booking app with rider portals, driver tools, and streamlined billing for non-emergency rides.
  10. 10#10: TripSpark - Paratransit and NEMT solution featuring scheduling, mobile apps, and billing interfaces for efficient operations.

We ranked these tools based on comprehensive features (including scheduling, billing, and compliance), user experience, reliability, and overall value, ensuring they address the unique demands of medical transportation providers

Comparison Table

This comparison table examines popular NEMT billing software tools such as Tracct, RouteGenie, The Route One, NEMT Tracker, MedicusIT, and others, aiming to simplify the process of selecting the right solution. Readers will discover key features, usability aspects, and performance details to align their choices with specific operational and efficiency needs.

1Tracct logo9.6/10

Comprehensive NEMT platform automating scheduling, dispatching, and HIPAA-compliant billing for medical transportation providers.

Features
9.8/10
Ease
9.3/10
Value
9.4/10
2RouteGenie logo9.2/10

Cloud-based NEMT software offering automated routing, real-time dispatching, and integrated electronic billing submissions.

Features
9.5/10
Ease
8.7/10
Value
9.0/10

All-in-one NEMT management system with advanced scheduling, GPS tracking, and seamless billing to Medicare/Medicaid.

Features
9.2/10
Ease
8.4/10
Value
8.5/10

User-friendly cloud solution for NEMT dispatching, EVV compliance, and efficient claims billing processing.

Features
7.5/10
Ease
8.2/10
Value
8.0/10
5MedicusIT logo7.8/10

Integrated NEMT software providing scheduling, electronic visit verification, and automated billing workflows.

Features
8.2/10
Ease
7.4/10
Value
7.6/10
6TransTrack logo8.3/10

Robust NEMT and paratransit system with dynamic scheduling, reporting, and third-party billing integration.

Features
8.7/10
Ease
8.0/10
Value
7.9/10
7Trapeze logo8.4/10

Enterprise-grade transportation software supporting NEMT operations with advanced billing and analytics features.

Features
9.2/10
Ease
7.1/10
Value
7.6/10
8Optibus logo7.4/10

AI-driven platform for NEMT scheduling optimization, demand-responsive transport, and billing automation.

Features
8.1/10
Ease
7.9/10
Value
6.7/10

Modern NEMT booking app with rider portals, driver tools, and streamlined billing for non-emergency rides.

Features
8.2/10
Ease
7.5/10
Value
7.6/10
10TripSpark logo7.9/10

Paratransit and NEMT solution featuring scheduling, mobile apps, and billing interfaces for efficient operations.

Features
8.2/10
Ease
7.4/10
Value
7.6/10
1
Tracct logo

Tracct

specialized

Comprehensive NEMT platform automating scheduling, dispatching, and HIPAA-compliant billing for medical transportation providers.

Overall Rating9.6/10
Features
9.8/10
Ease of Use
9.3/10
Value
9.4/10
Standout Feature

Intelligent revenue cycle management with AI-driven claims optimization that boasts industry-leading first-pass acceptance rates over 95%.

Tracct (tracct.net) is a leading cloud-based NEMT billing and transportation management software tailored for non-emergency medical transportation providers. It streamlines scheduling, dispatching, driver management, and billing processes with automated claims submission to Medicaid, Medicare, and private payers. The platform excels in compliance tools like EVV, GPS tracking, and revenue cycle management to maximize reimbursements and operational efficiency.

Pros

  • Comprehensive billing automation with claims scrubbing and auto-resubmission to minimize denials
  • Robust integrations with major payers, EHRs, and EVV systems for seamless workflows
  • Real-time analytics and reporting for optimized scheduling and revenue insights

Cons

  • Custom pricing can be steep for very small fleets
  • Initial setup requires some training for full utilization
  • Mobile app lacks some advanced offline capabilities

Best For

Mid-to-large NEMT providers needing scalable, end-to-end billing and operations management with strong compliance features.

Pricing

Custom enterprise pricing based on fleet size, users, and modules; typically starts at $500/month for basic plans—contact for demo and quote.

Visit Traccttracct.net
2
RouteGenie logo

RouteGenie

specialized

Cloud-based NEMT software offering automated routing, real-time dispatching, and integrated electronic billing submissions.

Overall Rating9.2/10
Features
9.5/10
Ease of Use
8.7/10
Value
9.0/10
Standout Feature

Dynamic Demand Routing engine that automatically adjusts routes in real-time based on traffic, demand, and constraints

RouteGenie is a specialized NEMT billing and transportation management software designed for non-emergency medical transport providers, offering automated route optimization, scheduling, dispatching, and integrated billing solutions. It streamlines claims submission to payers like Medicaid and Medicare, handles manifests, invoicing, and compliance reporting with real-time GPS tracking and mobile apps for drivers and passengers. The platform excels in reducing operational costs through efficient routing while ensuring accurate billing and regulatory adherence.

Pros

  • Advanced AI-driven route optimization that minimizes miles and maximizes trips per vehicle
  • Seamless billing integration with major payers and automated claims processing
  • Real-time GPS tracking and user-friendly mobile apps for drivers and dispatchers

Cons

  • Higher pricing tier may deter very small operators
  • Initial setup and customization require some training
  • Reporting features could offer more advanced analytics out-of-the-box

Best For

Mid-sized to large NEMT providers seeking scalable routing and billing automation to optimize efficiency and compliance.

Pricing

Custom enterprise pricing starting at around $100 per vehicle/month, with scalable plans based on fleet size and features.

Visit RouteGenieroutegenie.com
3
The Route One logo

The Route One

specialized

All-in-one NEMT management system with advanced scheduling, GPS tracking, and seamless billing to Medicare/Medicaid.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
8.4/10
Value
8.5/10
Standout Feature

AI-driven route optimization that dynamically adjusts for traffic, no-shows, and payer requirements to cut mileage by up to 20%

The Route One is a robust transportation management software tailored for NEMT providers, offering end-to-end solutions for scheduling, dispatching, routing, and billing. It excels in optimizing routes to reduce costs while ensuring compliance with medical transportation regulations. The platform includes integrated billing tools for claims submission to Medicaid, Medicare, and private payers, along with real-time GPS tracking and reporting.

Pros

  • Advanced route optimization with dynamic scheduling
  • Comprehensive NEMT billing with EDI claims and payer integrations
  • Real-time GPS tracking and mobile apps for drivers

Cons

  • Initial setup can be time-intensive
  • Limited customization for non-standard billing scenarios
  • Customer support response times vary

Best For

Mid-to-large NEMT fleets needing integrated routing and compliant billing automation.

Pricing

Quote-based pricing, typically $75-$150 per vehicle/month depending on features and scale.

Visit The Route Onetherouteone.com
4
NEMT Tracker logo

NEMT Tracker

specialized

User-friendly cloud solution for NEMT dispatching, EVV compliance, and efficient claims billing processing.

Overall Rating7.8/10
Features
7.5/10
Ease of Use
8.2/10
Value
8.0/10
Standout Feature

Integrated EVV compliance with photo verification and automated claim submission for faster reimbursements

NEMT Tracker is a cloud-based software platform tailored for non-emergency medical transportation (NEMT) providers, focusing on efficient trip scheduling, dispatching, and billing management. It supports real-time GPS tracking, automated invoicing for Medicaid/Medicare claims, and compliance with EVV requirements. The tool also provides reporting dashboards to track fleet performance, driver productivity, and financial metrics, making it suitable for streamlining operations in the NEMT sector.

Pros

  • User-friendly interface with mobile app for drivers
  • Strong billing automation for Medicaid and private payers
  • Real-time GPS tracking and ETA predictions

Cons

  • Limited third-party integrations compared to competitors
  • Reporting lacks advanced customization options
  • Customer support response times can be inconsistent

Best For

Small to mid-sized NEMT providers seeking an affordable, straightforward solution for daily scheduling and billing without complex enterprise needs.

Pricing

Starts at $99/month for basic plan (up to 5 vehicles), with custom enterprise pricing; additional fees for premium features like advanced reporting.

Visit NEMT Trackernemttracker.com
5
MedicusIT logo

MedicusIT

specialized

Integrated NEMT software providing scheduling, electronic visit verification, and automated billing workflows.

Overall Rating7.8/10
Features
8.2/10
Ease of Use
7.4/10
Value
7.6/10
Standout Feature

AI-driven claims denial prediction and auto-resubmission to minimize revenue leakage.

MedicusIT is a specialized NEMT billing software platform designed for non-emergency medical transportation providers, offering end-to-end solutions for scheduling, dispatching, billing, and claims management. It automates invoice generation, tracks reimbursements from payers like Medicaid and Medicare, and ensures HIPAA compliance with secure data handling. The software includes reporting tools for analytics and route optimization to improve operational efficiency.

Pros

  • Comprehensive claims scrubbing and denial management reduces errors and speeds up reimbursements
  • Strong integration with major payers and EHR systems for seamless workflows
  • Robust reporting and analytics for financial insights and compliance tracking

Cons

  • Interface feels dated and requires training for new users
  • Limited customization options for unique provider workflows
  • Customer support response times can be inconsistent during peak periods

Best For

Mid-sized NEMT providers seeking reliable billing automation and payer integrations without needing advanced mobile dispatching.

Pricing

Custom pricing starting at around $250/user/month, with tiered plans based on volume and additional modules.

Visit MedicusITmedicusit.com
6
TransTrack logo

TransTrack

enterprise

Robust NEMT and paratransit system with dynamic scheduling, reporting, and third-party billing integration.

Overall Rating8.3/10
Features
8.7/10
Ease of Use
8.0/10
Value
7.9/10
Standout Feature

Advanced multi-payer billing engine with auto-scrubbing for 95%+ first-pass claim approval rates

TransTrack is a specialized NEMT billing and transportation management software that helps providers handle scheduling, dispatching, GPS tracking, and claims submission for non-emergency medical transport services. It features an automated billing engine supporting Medicaid, Medicare, and private payers, with built-in EVV compliance and real-time reporting. The platform integrates fleet management tools to optimize routes and maximize reimbursements while ensuring HIPAA adherence.

Pros

  • Powerful automated billing with high claims acceptance rates
  • Real-time GPS and mobile driver app for efficient dispatching
  • Strong EVV and compliance tools tailored for NEMT regulations

Cons

  • Pricing can be steep for smaller operations
  • Steeper learning curve for advanced billing customizations
  • Limited third-party integrations compared to top competitors

Best For

Mid-sized NEMT providers needing robust billing automation and fleet management integration.

Pricing

Custom quotes starting at around $250/month per vehicle, with enterprise plans scaling based on fleet size and features.

Visit TransTracktranstrack.net
7
Trapeze logo

Trapeze

enterprise

Enterprise-grade transportation software supporting NEMT operations with advanced billing and analytics features.

Overall Rating8.4/10
Features
9.2/10
Ease of Use
7.1/10
Value
7.6/10
Standout Feature

Integrated real-time billing synchronization with dynamic scheduling and auto-payer adjudication

Trapeze NEMT, from trapezegroup.com, is an enterprise-grade transportation management platform tailored for non-emergency medical transportation (NEMT) providers, offering integrated scheduling, dispatching, routing, and billing capabilities. Its billing module automates claims generation, EDI submissions, payer reconciliations, and compliance reporting for Medicaid, Medicare, and private payers. Designed for high-volume operations, it provides real-time data synchronization across operations to minimize errors and maximize reimbursements.

Pros

  • Seamless integration of scheduling, dispatch, and billing workflows
  • Robust compliance tools for multi-payer environments including auto-EDI and audit trails
  • Scalable analytics and reporting for large-scale operations

Cons

  • Steep learning curve and complex setup requiring extensive training
  • High upfront implementation costs and custom pricing
  • Less intuitive interface compared to modern SaaS alternatives

Best For

Large NEMT providers and transit agencies managing thousands of trips daily with complex payer mixes.

Pricing

Custom enterprise pricing; typically $50,000+ annually for mid-sized deployments, plus implementation fees.

Visit Trapezetrapezegroup.com
8
Optibus logo

Optibus

enterprise

AI-driven platform for NEMT scheduling optimization, demand-responsive transport, and billing automation.

Overall Rating7.4/10
Features
8.1/10
Ease of Use
7.9/10
Value
6.7/10
Standout Feature

Hyper-Optimization AI engine that dynamically schedules vehicles and drivers for maximum efficiency

Optibus is an AI-powered mobility platform designed primarily for optimizing public transit and demand-responsive transportation, including NEMT operations through advanced scheduling, routing, and dispatch tools. It automates workforce and vehicle optimization to handle complex paratransit trips efficiently, providing real-time visibility into operations. While it captures trip data for billing purposes and integrates with external systems, it lacks comprehensive native NEMT billing features like automated claims submission or HIPAA-specific invoicing.

Pros

  • Superior AI-driven scheduling and routing optimization for NEMT fleets
  • Scalable cloud platform with real-time dispatch and analytics
  • Strong integrations with third-party billing and ERP systems

Cons

  • Limited native NEMT billing capabilities, relying on integrations
  • Enterprise-level pricing can be prohibitive for smaller providers
  • Steep learning curve for full optimization features

Best For

Large NEMT organizations focused on operational efficiency that can pair it with dedicated billing software.

Pricing

Custom enterprise pricing based on fleet size and usage; typically starts at several thousand dollars per month with implementation fees.

Visit Optibusoptibus.com
9
Ride Systems logo

Ride Systems

specialized

Modern NEMT booking app with rider portals, driver tools, and streamlined billing for non-emergency rides.

Overall Rating7.9/10
Features
8.2/10
Ease of Use
7.5/10
Value
7.6/10
Standout Feature

Seamless origin-destination booking with automated payer eligibility verification and claims generation

Ride Systems is a cloud-based transportation management platform tailored for NEMT providers, offering tools for scheduling, dispatching, routing optimization, real-time tracking, and integrated billing. It supports trip management from booking to completion, with mobile apps for drivers and passengers to enhance communication and efficiency. The billing module handles claims submission to Medicaid, Medicare, and other payers via EDI, making it suitable for compliance-heavy NEMT operations.

Pros

  • Robust NEMT billing with EDI support for major payers like Medicaid and Medicare
  • Real-time GPS tracking and automated routing for operational efficiency
  • Comprehensive mobile apps for drivers, passengers, and dispatchers

Cons

  • Pricing can be steep for smaller providers due to custom quote-based model
  • Learning curve for advanced dispatching and billing configurations
  • Reporting customization options are somewhat limited compared to dedicated billing software

Best For

Mid-sized NEMT providers needing an integrated operations and billing platform with strong dispatching capabilities.

Pricing

Custom quote-based pricing, typically $300-$1,500+ per month based on fleet size, trips, and features.

Visit Ride Systemsridesystems.com
10
TripSpark logo

TripSpark

enterprise

Paratransit and NEMT solution featuring scheduling, mobile apps, and billing interfaces for efficient operations.

Overall Rating7.9/10
Features
8.2/10
Ease of Use
7.4/10
Value
7.6/10
Standout Feature

Automated real-time eligibility verification and claims scrubbing for Medicaid and other payers to reduce denials

TripSpark is a comprehensive transportation management platform tailored for NEMT providers, offering integrated scheduling, dispatching, routing, and billing capabilities. Its billing module supports Medicaid, Medicare, and third-party claims with automated EDI submissions, eligibility verification, and AR management to ensure compliance and revenue optimization. Designed primarily for paratransit and public transit agencies, it scales well for medical transport operations handling high volumes.

Pros

  • Robust NEMT billing with payer-specific rules and EDI integration
  • Seamless synchronization between scheduling, dispatching, and billing
  • Strong compliance tools and detailed financial reporting

Cons

  • Steep learning curve for new users due to feature depth
  • Pricing lacks transparency and can be high for smaller providers
  • Interface feels dated compared to modern cloud-native alternatives

Best For

Medium to large NEMT providers or paratransit agencies needing a full-suite solution for high-volume billing and operations.

Pricing

Custom quote-based pricing, typically starting at $5,000+ per month for mid-sized deployments, depending on modules, users, and fleet size.

Visit TripSparktripspark.com

Conclusion

The top nemt billing software review highlighted three exceptional tools, with Tracct emerging as the most comprehensive choice, automating scheduling, dispatching, and HIPAA-compliant billing for seamless operations. RouteGenie followed, excelling with its cloud-based platform and automated routing, while The Route One stood out for its Medicare/Medicaid billing integration. Tracct leads as the top pick, though RouteGenie and The Route One offer strong alternatives tailored to specific needs.

Tracct logo
Our Top Pick
Tracct

Take the first step to optimize your nemt workflow by trying Tracct, or explore RouteGenie or The Route One to find the best fit for your operational requirements.