By establishing comprehensive networks of credentialed and contracted ambulance providers, MTM increases service quality and passenger satisfaction. Providers must meet our stringent requirements and are contracted to provide trips at a standardized, fair price. Within these networks, we provide ongoing education and outreach to ensure understanding with our expectations, and facilitate regular monitoring for compliance.
Under MTM’s model, all non-emergent ambulance claims must be prior authorized. We conduct level of need assessments to verify passengers’ need for ambulance services and ensure each transportation request is justified, but never sacrifice passenger safety and wellbeing. Following authorization, we schedule transportation with our network of credentialed providers, supported by our 24/7/365 customer service operations.
Claims Processing, Adjudication, and Payment
With our claims management solutions, our clients benefit from a centralized model for processing, adjudicating, and paying ambulance claims. We thoroughly review all submitted claims and supporting documentation, including pick-up and drop-off times and passenger signatures, to ensure the service was actually rendered and eradicate inaccurate, fraudulent claims.
MTM has processes in place to manage provider claims appeals in an appropriate, fair manner by an unbiased staff member. We maintain thorough, accurate records of all claims documentation, ensuring our staff can assess the denial fairly while protecting against fraud. If the appeal is validated, we immediately issue payment to the provider.