Non-Emergency Medical Transportation Trip Log

Form Template

The Non-emergency medical transportation logs app makes it easy for medical transportation providers to complete trip log details and capture the driver's signature electronically.

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Designed for non-emergency ambulance and transportation providers, the Non-emergency medical transportation logs app is accessible from any smartphone or tablet. Non-emergency transportation provider companies can customize the form to meet their covered services.

The non-emergency ambulance transportation app can be used to track each transportation request and covers details about the clients, facility they were transported to, agency name and other important client data. This information can be used to for reimbursement from the medical provider, Medicaid services or for payment directly from the client.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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