Bookkeeping for non-emergency medical transport providers
NEMT companies drive all week and get paid on broker schedules, trip by trip, with denials and adjustments mixed in. Drivers and vehicles cost money every day regardless of when remittances land. Mispar reconciles broker payments, trip records and payroll so the miles you drive and the money you collect stay connected. Plans start at $229/mo.
Best for: Non-emergency medical transportation companies, ambulette services, wheelchair transport providers and new NEMT owners building their first clean close.
Reconciled
Brokers
Visible
Denials
Tracked
Fleet costs
Monthly
Cash flow
Where non-emergency medical transport company books usually go wrong
- Payer payments not matched to trips.
- Driver pay and vehicle costs not tied to routes.
- Fuel and maintenance spread without a vehicle view.
How Mispar keeps your NEMT books clean
Industry-specific accounts and categorization, with the reporting scope agreed before work starts.
Broker remittances
Match transportation broker payments to trip records where records allow, and keep adjustments separate from real trip revenue.
Denied and short-paid trips
Keep denials and underpayments visible on their own lines, so follow-up value is clear instead of written off silently.
Driver payroll and per-diem
Reconcile payroll-provider records and organize driver compensation under the structure agreed for your company.
Vehicle and fleet costs
Track fuel, insurance, inspections, repairs and financing per category, so each vehicle's cost is visible before it eats the trip margin.
Credentialing and compliance costs
Keep licensing, credentialing, drug testing and training costs on their own lines, separate from operating costs.
Private pay and facility contracts
Record private-pay trips and facility invoices apart from broker work, so contracted revenue is visible on its own.
Reports a medical transport company can use
- Receivables by payer.
- Cost per vehicle and per trip.
- Driver pay by week.
A simple, predictable process
From kickoff to your first clean close, here is exactly what happens.
Review trip and broker reports
We start from the records you already have: broker portals and remittance reports, trip logs, payroll records and bank feeds.
Map revenue and fleet costs
Broker revenue, private pay and vehicle costs are mapped to an agreed chart of accounts with opening balances reviewed.
Reconcile payments and payroll
Remittances, deposits and payroll records are reconciled to the bank each month.
Close monthly books
Monthly statements with an exceptions list and the reporting agreed for your company.
Illustrative example
A broker remittance pays most trips but denies a handful for documentation reasons. We record the payment, keep the denied trips visible for correction and rebilling, and reconcile the deposit to the bank so driven work never disappears into one lump number. This is an illustration of the method, not a customer case or a guarantee.
NEMT Providers bookkeeping — your questions
How do you handle broker payments that bundle hundreds of trips?
We reconcile remittances to trip records where records allow and keep adjustments visible, so the difference between trips driven and trips paid stays explainable.
Can you keep denied trips visible for rebilling?
Yes. Denials and short payments are tracked on their own lines, so corrected claims and their recovery value stay on the radar.
How are vehicle costs organized?
Fuel, insurance, repairs and financing are tracked by category, so the fleet's true cost per period is visible against trip revenue.
What records do you need from me?
Broker remittance reports, trip logs, payroll records and bank statements. We start from what you already have and agree on a routine from there.
Can you track receivables by payer?
Yes. Payments are matched to payer and period.
Does the $229 starting plan cover a growing NEMT company?
The final plan and scope depend on trip volume, drivers and accounts. We agree that scope before starting; catch-up work is discussed separately.
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