Billing Bottlenecks Delaying Trip Scheduling

$1,000–$5,000 per month in unrealized LTC-funded trips and inefficient deployment of staff and vehicles. • $10,000–$40,000 per month in lost revenue from unbooked or delayed trips, write-offs from missed billing windows and duplicate/denied claims, plus excess labor costs for manual billing and rework. • $15,000–$60,000 per month when delayed Medicaid submissions and denials translate into constrained trip throughput, idle vehicles, and write-offs past timely filing limits.

Billers keep separate spreadsheets for different payers or programs, manually pull trip and rider info from dispatch notes, and coordinate via email and hallway conversations about who is working which batch of claims for disabled riders. • Billers log into multiple MA plan portals, copy-paste member and trip data, and keep parallel spreadsheets of benefit limits and utilization; they email or message schedulers when they discover trips that may not be covered. • Billing specialists call or log into LTC insurer portals, store pre-auth numbers in notes and spreadsheets, then manually build invoices and track remaining trip or dollar limits in custom Excel trackers.