Transportation Providers Frequently Asked Questions
- Q: What kind of rates does Access2Care pay to the providers in their network?
A: 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.
- Q: How will my claims be submitted?
A: As a contracted provider, you will submit claims electronically which ensures prompt payment.
- Q: When will I receive payment for my claims?
A: 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.. Access2Care complies with all state prompt payment regulations.
- Q: How will Acces2Care reduce providers' administrative burden of NEMT?
A:
- 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.
- Q: How is a transportation provider assigned?
A: 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 level of service and transport provider.
- Q: How are transportation pick-up times determined?
A: For scheduled trips, we do not set a specific pick-up time, but rather establish a pick-up window. The transportation provider has one hour prior to the member's appointment to pick them up at their home and the transportation provider has one hour from the time the member calls for their return ride, to pick them up from their appointment.
- Q: How will I receive requests for service?
A: 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.
- Q: What do I do if I arrive, and the patient requires a higher level of service than what was ordered?
A: 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 level of service is appropriate. We must be informed before a transport has begun if a level of service change is appropriate.
- Q: What kind of rates does Access2Care pay to the providers in their network?
A: 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.
- Q: How will my claims be submitted?
A: As a contracted provider, you will submit claims electronically which ensures prompt payment.
- Q: When will I receive payment for my claim?
A: 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. Payments are issued 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. Access2Care complies with all state prompt payment regulations.
- Q: How will Access2Care reduce providers' administrative burden of NEMT?
A: 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
- Q: How is a transportation provider assigned?
A: 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 level of service and transport provider.
- Q: How are transportation pick-up times determined?
A: The transportation provider must drop off the member no less than 15 minutes but no more than 60 minutes prior to their appointment time. Will-call return rides must be completed within 60 minutes of the initial request. Pre-scheduled return rides must be completed within 15 minutes of the scheduled pick-up time.
- Q: How will I receive requests for service?
A: 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 agent.
- Q: What do I do if I arrive, and the patient requires a higher level of service than what is initially ordered?
A: Please call Access2Care to notify us of this before transporting the member. Access2Care asks that you let us know why you believe an upgrade or downgrade in the level of service is appropriate. We must be informed before a transport has begun if a level of service change is appropriate.