Billing

Billed the way each payer pays.

Every performed leg is priced from the payer's own rate card and its own loaded miles. A leg missing proof waits, with the reason. The rest goes out as the payer's trip sheet or invoice, and the payer's answer comes back onto the leg.

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Esperanza Ruiz · leg AWCPerformed

IEHP · Tue, Oct 13 · Van 12 · Rosa

7:26 AM1420 N Rancho Ave, Coltonwindow 7:15–7:45
7:51 AMColton Dialysis Centerappt 8:00

Loaded miles

Routed

7.6 mi

GPS trail

7.8 mi

IEHP bills this

Odometer

8 mi

Price breakdownIEHP · wheelchair

Wheelchair van, per leg1 × $25.00$25.00
Loaded mileage7.8 mi × $2.00$15.60

Charge$40.60

INVOICEINV-1013-04 · IEHP · Oct 1–15line 1 of 4

DateServiceQtyRateAmount

Oct 13Esperanza Ruiz, leg A · wheelchair$25.00 + 7.8 mi × $2.001$40.60$40.60

Prepared with MileCall

Sample data on this page: Inland Care Transit, its riders, payers and rates are made up.

Payer rates

Rates the way each payer writes them.

Per leg, per loaded mile, per minute of wait, per attendant; by space type, time of day and date. And miles the way the payer counts them: routed, the GPS trail, the odometer or imported, with its rounding and caps.

app.milecall.com/settings/payers/iehp/rates

IEHPRates · effective Jul 1, 2026Miles: GPS trail

Item	Code	Rate	Unit	For	When
Wheelchair van	A0130	$25.00	per leg	WC	Any time
Ambulatory	—	$18.00	per leg	AMB	Any time
Loaded mileage	A0380	$2.00	per mile	All	GPS trail, rounded to 0.1 mi, capped at 40 mi a leg
Wait time	—	$0.50	per minute	All	After the first 15 minutes
Attendant	—	$10.00	per attendant	All	Any time
After hours	—	+$8.00	per leg	All	6:00 PM to 6:00 AM, Saturday and Sunday

Loaded miles come from the GPS trail for IEHP, rounded to 0.1 mi and capped at 40 mi a leg. Sample Health Plan is set to the odometer instead; a broker file can bring its own.

$57.20

Dolores Vega’s Saturday-evening leg with her attendant: four of IEHP’s items apply, and the leg shows each one.

Dolores Vega · leg AWCPerformed

Sat, Oct 17 · pickup 6:05 PM · 7.1 loaded mi · 1 attendant

Wheelchair van, per leg1 × $25.00$25.00
Loaded mileage7.1 mi × $2.00$14.20
Attendant1 × $10.00$10.00
After hours, Saturday1 × $8.00$8.00

Chargeno wait time billed$57.20

Ready to bill

Nothing goes out with a hole in it.

A leg missing a signature, an odometer reading, a GPS fix, an authorization or a rate is held back with the reason in words. The rest bills. Fix the leg and it joins the next batch.

5 held · 2 ready

app.milecall.com/billing

Ready to billOct 13 · any payer5 need attention

Rider	Space	Miles	Proof	Billing	Payer
Hector Morales · ADriver Luis	AMB	11.4	Rider signature missing	Held	Sample Health Plan
Gloria Ibarra · BDriver Rosa	WC	6.2	Drop-off odometer missing	Held	IEHP
Dolores Vega · BDriver Tuan	WC	7.1	No GPS fix at the pickup	Held	IEHP
Walter Price · ADriver Mateo	AMB	5.4	No authorization on file for Oct 13	Held	IEHP
Frank Lowe · ADriver Mateo	STR	9.8	No stretcher rate with this payer	Held	Sample Health Plan
Teresa Lu · ADriver Rosa	WC	4.6	Complete	Ready	IEHP
Esperanza Ruiz · ADriver Rosa	WC	7.8	Complete	Ready	IEHP

5 held · 2 ready · 7 legs

app.milecall.com/billing

Ready to billOct 13

Hector Morales · A
Rider signature missing
Held
Gloria Ibarra · B
Drop-off odometer missing
Held
Dolores Vega · B
No GPS fix at the pickup
Held
Walter Price · A
No authorization on file for Oct 13
Held
Frank Lowe · A
No stretcher rate with this payer
Held
Teresa Lu · A
WC · 4.6 mi · IEHP
Ready
Esperanza Ruiz · A
WC · 7.8 mi · IEHP
Ready

Hector Morales · leg AHeld

Rider signature missing.

Driver Luis, Sample Health Plan. The leg bills once the signature is on file.

Invoices and proof of service

Paper a payer can check.

An invoice per payer and period, numbered, with the payments posted against it and the balance. Behind every line, one page of proof per leg: times against the window, GPS, odometers, signatures and the trail on a map.

Invoice · INV-1013-04 · IEHP · Oct 1–15

Inland Care Transit

1450 E Valley Blvd
Colton, CA 92324
(909) 555-0142

INVOICE

INV-1013-04
Date Oct 16, 2026
Due Nov 15, 2026 (Net 30)

Bill to

IEHP

Service period
Oct 1–15, 2026

DateServiceQtyRateAmount

Oct 13Esperanza Ruiz, leg A · wheelchair$25.00 + 7.8 mi × $2.001$40.60$40.60
Oct 13Esperanza Ruiz, leg B · wheelchair$25.00 + 7.8 mi × $2.001$40.60$40.60
Oct 13Teresa Lu, leg A · wheelchair$25.00 + 4.6 mi × $2.001$34.20$34.20
Oct 13Kenji Sato, leg A · wheelchair$25.00 + 11.3 mi × $2.001$47.60$47.60

Total$163.00Paid Oct 28 · 835 remit-1021−$70.60Balance due$92.40

Non-emergency medical transportation. Please reference the invoice number with your payment. Questions: (909) 555-0142.Prepared with MileCall

Proof of service · one page per leg

PROOF OF SERVICE

Inland Care Transit

Trip 88213 · leg A
Tuesday, October 13, 2026

Esperanza RuizIEHP member 9123 4567 · wheelchair · IEHP

Pickup

1420 N Rancho Ave, Colton, CA 92324

Window: 7:15–7:45 AM
Arrived: 7:22 AM
Picked up: 7:26 AM
GPS: 34.0739, −117.3137
Odometer: 48,207

Drop-off

Colton Dialysis Center, 1900 E Washington St

Appointment: 8:00 AM
Arrived: 7:49 AM
Dropped off: 7:51 AM
GPS: 34.0581, −117.2894
Odometer: 48,215

Miles

Routed7.6GPS trail7.8Odometer8Billed, GPS trail7.8

Rider signature

Esperanza Ruiz · 7:26 AM

Facility staff signature

J. Alvarez, RN · 7:51 AM

Driver Rosa M. · Van 12 · wheelchair van

Page 1 of 1Prepared with MileCall

Sample data. Both print as PDF with “Prepared with MileCall” at the foot, as run manifests do. Invoices e-mail themselves once an e-mail provider is connected; until then you download and send them.

Trip sheets and 835 posting

Out in the payer's columns, back with the payer's answer.

Trip sheets export in each payer's own columns as CSV or Excel. When the payer's 835 remittance comes back, upload it: every leg posts as paid, partly paid or denied, with the reason in plain words, and the invoice's balance moves with it.

iehp-trips-2026-10-13.xlsxCSV · Excel

Member ID	Trip ID	DOS	PU	DO	LOS	Miles	Charge
91234567	88213	10/13/2026	07:26	07:51	WC	7.8	40.60
91238810	88102	10/13/2026	08:10	08:31	WC	4.6	34.20
91230042	88120	10/13/2026	09:02	09:40	WC	11.3	47.60

Columns as IEHP asks for them. Sample Health Plan gets its own layout; each is set once per payer.

3 of 3 posted.

remit-1021.835IEHP · received Oct 28Matched 3 legs on INV-1013-04

Esperanza Ruiz · A
Paid in full
Paid
Billed$40.60
Paid$40.60
Teresa Lu · A
PR 3 · Co-payment: $4.20 is the rider's share
Partly paid
Billed$34.20
Paid$30.00
Kenji Sato · A
CO 15 · Authorization number missing, invalid or not for this service
Denied
Billed$47.60
Paid$0.00

Billed $122.40Paid $70.60Open $51.80

INV-1013-04: $70.60 posted as a payment, $92.40 still open. The co-payment and the denial keep their reasons on the leg, and Esperanza’s leg B waits for the next file.

Also in billing

The rest of the month-end.

Authorizations: Units and date ranges per rider and payer. The trip form checks them, a leg without one is held, and you are warned before an authorization runs out or expires.
QuickBooks: A QuickBooks-ready CSV of invoices and payments, so the books match what was billed.
Payroll: Hours per driver-day from recorded shifts and breaks, checked against the yard, as a payroll export.
Invoice e-mail: Built in; it switches on once an e-mail provider is connected to your account.
Claims: Claims go out as trip sheets or invoices today.

See your payers' rates priced on your own legs.

Bring a rate sheet and a week of trips. We'll show you the holds, the invoice and the proof of service for each leg, and what moving your billing over would take.

Book a demo sales@milecall.com