Transportation Providers FAQ

Access2Care is committed to treating our providers with respect. We value and recognize the importance of your role, and we believe in creating and maintaining long-term partnerships with our network. The rates we pay are based on many market factors, and are agreed upon by the providers. 

Access2Care believes in winning opportunities based on our merits, not on the backs of the transportation provider community. The vicious cycle of brokers constantly lowering provider reimbursement to win business is a failed business model. Access2Care believes that we are best positioned to help providers increase profitability by lowering overhead expenses, improving cash-flow, and using a rational trip distribution methodology.  

As a contracted provider, you will submit claims electronically which ensures prompt payment.

Access2Care is committed to prompt payments to our providers. More than 95% of our provider claims are submitted electronically via the Provider Portal, as mentioned above, and are auto-adjudicated. 99% of these auto adjudicated claims are paid in under 21 days. We issue payments every week.

Access2Care provides Automatic Fund Transfers if you wish, which allows us to directly deposit your payments into your bank account rather than requiring you to wait for checks to be mailed, deposited, and cleared. Access2Care complies with all state prompt payment regulations. 

• Access2Care has developed a Provider Portal from which all transactions occur, including:
  • Trip assignment and trip acceptance
  • Electronic trip billing back to Access2Care
  • Credentialing data upload by the provider (virtual credentialing)
• Federally mandated OIG checks are processed by Access2Care
• Dedicated provider phone lines
• Effective geocoded trip allocation to ensure subcontractors provide efficient services in their agreed upon regions

Our scheduling system uses pre-defined criteria to determine the most appropriate transportation provider to meet the timeliness and physical and cognitive needs of the member. Once determined, the system automatically refers the member’s trip to that provider for rapid assignment. Our system automatically geocodes pick-up locations, destination addresses and public transportation routes using a nationally accepted mapping software and our detailed database of provider capabilities and availability to best determine the most appropriate LOS and transport provider.

For scheduled trips, we do not set a specific pick up time, but rather establish a pick up window. The transport provider has one hour prior to the member’s appointment to pick them up at their home. Conversely, they have one hour from the time the member calls for their return ride, to pick them up from their appointment.

All Access2Care contracted and credentialed providers receive access to our secure Provider Portal. Your designated staff will be able to view your new and available trips, clear completed trips, and view pending payments. Full trip information is available on the Provider Portal so you will have an electronic record of each transport. For any urgent, short-notice trips, you will be contacted via phone by an Access2Care Contact Center Associate.

You would call to notify us of this before transporting the member. We would ask that you let us know why you believe an upgrade or downgrade in the LOS is appropriate. We must be informed before a transport has begun if a LOS change is appropriate.