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The platform

The whole trip, in one system.

The platform for non-emergency medical transportation (NEMT): dispatch, claims, compliance, and oversight in one system, from the first booking to a checked, billable claim.

A four-step walkthrough of the Nexo Access operations software. Step one, schedule: composing a wheelchair trip for the sample member J. Sample. Step two, assign: assigning it only to a driver whose credentials are current, since drivers with expired credentials are blocked from assignment. Step three, complete: advancing the trip through validated status changes to a final, tamper-evident completed record. Step four, bill: running the resulting claim through four automated scrubbing checks and seven adjudication checks before it is billed to the plan that covered the member.

Nexo Access · DispatchSample data
Dispatch

One validated path for every trip.

From booking to a locked, completed record, the system holds the trip to a single path.

  • Every trip follows a validated state machine. Completed, cancelled, and no-show are final.
  • Drivers and vehicles with lapsed credentials are blocked from assignment, checked live at dispatch.
  • Two dispatchers can’t overwrite each other: the losing write is rejected, and every turnback or restore carries a logged reason.
  • Outbound and return trips scheduled around the appointment, including will-call returns.
Assign driverSample data
M. RiveraReady · credentials current
D. OkaforBlocked · license expired
Assigned to M. Rivera
Claims & billing

Clean claims, by construction.

The checks run before submission, and the record can’t be quietly changed after.

  • Four automated scrubbing checks before a claim can be submitted.
  • Seven adjudication checks route every claim to approve, review, or deny.
  • Thirteen fields frozen at submission into a tamper-evident record.
  • A database constraint makes double-paying a claim impossible.
  • A two-level appeal ladder: appeals provable from the platform’s own records overturn automatically.
  • Every claim bills the plan that covered the member on the trip date.
  • Timely-filing deadlines warn before they lapse.
Claim reviewSample data
CLM-3390Trip NX-1042
Signature on file
Driver match
Vehicle match
Mileage source
7/7 adjudication checks passed
13 fields frozen · tamper-evident
Denied? A two-level appeal, provable from the records, overturns automatically.
Compliance

Isolation and audit, enforced in the database.

These controls are constraints the platform can’t skip, not entries in a policy binder.

  • Credentials tracked for drivers, vehicles, and providers. Expiry blocks assignment automatically.
  • Providers only receive the service levels they’re formally approved for, enforced at the database level.
  • An immutable audit trail on the records that matter.
  • Row-Level Security on every table, for per-organization isolation.
  • Built for HIPAA compliance
CredentialsSample data
M. RiveraCurrent
A. BelloExpiring · 12 days
D. OkaforExpired · blocked
Row-Level Security · per-organization isolation
Oversight & reporting

Exceptions get a person, not a rubber stamp.

The claims that need judgment wait for it; the rest keep moving.

  • Flagged claims are held out of automatic payment until a person reviews them.
  • Exception review with a full decision trail.
  • Pattern reports by rule, driver, and provider.
  • CSV / Excel exports for program reporting.
Exception queueSample data
CLM-5120Held for review
Held out of automatic payment
In review · assigned to a reviewer
Pattern report · by rule, driver, provider

See it with your own trips in mind.

A walkthrough with your programs, your providers, and your claims.