Why everything happens per leg
Payers price and pay legs, not days or riders: a base rate for each leg by space type plus its loaded miles. Each leg has its own pickup time, window, driver, signatures and status, and the two legs of one trip are often driven by different vans.
A leg moves through a set of events, each with a scheduled time, an estimate and the actual time and place: the van starts toward the pickup, arrives, the rider boards, the van arrives at the drop-off and the rider gets off. A leg can also end as a no-show, a cancel at the door or a dry run.
Round trips and same-day repeats in Medi-Cal
Fee-for-service Medi-Cal lets a round trip go on one claim line with two units or on two lines. When the same member rides more than once on the same day, the claim must show the time and destination of each trip, or the second one can be denied as a duplicate.
The B leg
Return times are often unknown when the trip is booked. A B leg with no fixed time is a will-call: the rider calls when the appointment ends.
Related terms
- Will-callA will-call is a return leg booked without a pickup time.
- Run (route)A run, also called a route, is the ordered list of pickups and drop-offs one van and driver will do in a shift.
- Standing orderA standing order, also called a subscription or recurring trip, is a trip that repeats on a pattern, such as dialysis every Monday, Wednesday and Friday.
- Pickup windowThe pickup window is the span of time around a scheduled pickup that counts as on time, for example 15 minutes before to 15 minutes after.
- Loaded milesLoaded miles are the miles a vehicle drives with the rider on board, from pickup to drop-off.
Sources
Checked on . Rules change: check the current version with the payer before you bill.