Smarter patient logistics. Better outcomes. Lower costs.
Streamline non-emergency transport across your network. VectorCare gives payers a single, centralized platform to manage non-emergency medical transportation (NEMT). Enforce medical necessity, monitor benefit usage, and ensure provider compliance – all while reducing administrative overhead.
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Why it matters
Non-emergency medical transportation (NEMT) plays a critical role in access to care – but without the right controls, it becomes costly, fragmented, and opaque. VectorCare gives payers full visibility and control over the entire member journey, turning a historically unmanaged service into a strategic asset.
- Create custom policies and workflows to enforce benefit usage
- Manage global authorizations and transportation allotments
- Restrict access to only approved network providers
- Gain accurate reporting and performance visibility with Insights
- Reduce inbound calls to benefits and claims teams
Key capabilities for payers
Enforce medical necessity protocols
- Design workflows with logic-based eligibility checks
- Approve only transportation that meets your defined medical criteria
- Route requests that don’t meet criteria to alternate services
Manage global authorizations & allotments
- Set ride limits per member, plan, or condition
- Track allowed verse used units automatically
- Send threshold alerts to hospitals and providers when limits are near
Invite and manage healthcare systems at scale
- Grant access to thousands of hospitals and clinics
- Enable self-scheduling within defined protocols
- Eliminate faxes and inbound calls to your benefits team
Control approved provider access
- Ensure hospitals see only your approved provider network
- Control costs, improve service consistency, and mitigate fraud
- Expand or regionalize your network using analytics
Turn Insights into Action
- Track ride usage by member, purpose, or plan
- View cost and performance data by vendor, region, and service level
- Use analytics to inform contract renegotiations and network strategy
Designed for real-world challenges
Dialysis & chronic care transportation
- Auto-schedule recurring rides with built-in allotment tracking and medical necessity checks
SNF discharge authorization
- Ensure transport is only covered when SNF stay and discharge criteria are met
Utilization monitoring
- Proactively manage members nearing ride limits with real-time alerts
High-volume systems coordination
- Let high-volume hospitals book directly – within your defined policies
Proven ROI for payers
Fewer unnecessary or out-of-scope rides
Medical necessity protocols ensure members get the right ride – avoiding overuse of high-cost ambulances.
Reduced call volume
Hospitals self-schedule directly in the platform, eliminating the need to call for verification or approval.
Lower admin overhead
Global authorizations and smart alerts reduce touchpoints, claim disputes, and denials.
Better network oversight
Insights into ride volume, service levels, and vendor performance help drive smarter contracting decisions.
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