Non-Emergency Transportation Trip Log

Form Template

The Non-emergency trip transportation logs app generates an easy to use form that any transportation provider can access from any smartphone or tablet.

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Use the Non-emergency trip transportation logs app when transporting patients to an appointment or when providing non-emergency medical transportation to a different facility. The medical transportation company can customize the app to ensure it meets the requirements of the business.

The non-emergency medical transportation app covers all of the important details that the provider needs to keep track of for reimbursement purposes and for their own records. Transportation providers can use the form to track client information, pick-up and delivery addresses, date of request, prior authorization details and more. Once completed, the driver contractor or medical transportation provider can sign off on the form electronically.

Transportation companies can use the Non-Emergency Transportation Trip Log mobile app with a smartphone or tablet to complete a non-emergency transportation trip log and capture the driver’s signature and client signature for authorization of transport.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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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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