![Operr Billing [USA]](assets/images/project/operr_billing_project.webp)
Operr Billing [USA]
A cloud-based NEMT billing and revenue recovery platform built for Operr Inc. in New York — powered by the industry's first Look-Back billing algorithm that scans trip history to recover overlooked and underpaid invoices. Operating on a no-recovery, no-fee model, OSB consistently recovers 10–20% more funds than traditional billing services. Licensed by the New York State Department of Health.
Complete Billing Modules
Everything an NEMT provider needs to maximise billing recovery — from the Look-Back algorithm and eligibility verification to denial management, multi-broker compliance, and real-time reporting.
Look-Back Billing Algorithm
The industry's first Look-Back billing algorithm scans your entire trip history to identify overlooked, underpaid, and unbilled invoices — recovering funds most billing services miss entirely.
Eligibility Verification
Automatic patient eligibility checks before service delivery ensure every trip is billable before the vehicle leaves — eliminating claim rejections caused by coverage gaps.
Automated Claims Compilation
All trip data, documentation, and billing codes are automatically compiled into clean, submission-ready claims — removing manual data entry and reducing errors at source.
Claims Resubmission
Denied and rejected claims are automatically flagged, corrected, and resubmitted through the right channels — maximizing recovery without requiring manual follow-up from your team.
Document Management
All billing records, trip documentation, and compliance files are automatically organised and stored — providing a clean audit trail and instant access for any review or dispute.
Multi-Broker Compliance
Full compliance with MAS, LogistiCare, and other major NEMT brokers built in — with rules automatically applied per broker so submissions always meet each platform's requirements.
Denial Management
Denied claims are tracked, categorised by denial reason, and queued for appeal — with automated workflows that pursue every recoverable dollar without manual effort.
Recovery Reporting
Detailed recovery reports by period, broker, and claim type give management clear visibility into billing performance, recovered amounts, and outstanding opportunities.
Trip Audit
Historical trip data is audited against broker payment records to surface underbilled, miscoded, or completely missed invoices — the foundation of the Look-Back recovery engine.
Billing Dashboard
A real-time dashboard gives a live view of submission status, recovery progress, pending claims, and cash flow — putting billing performance at management's fingertips.
Regulatory Compliance
Built-in compliance with New York State Department of Health regulations and NEMT billing standards — with automated rule enforcement to keep every submission fully compliant.
Secure Cloud Platform
All billing data is stored on an encrypted, cloud-based infrastructure with role-based access control — meeting HIPAA standards and protecting sensitive patient and trip records.
End-to-End Recovery Workflow
OSB takes a transportation provider from initial trip audit through eligibility verification, claims submission, and denial management — all the way to full recovery reporting and reconciliation.
What Makes It Stand Out
OSB isn't just a billing service — it's a revenue recovery engine built specifically for the NEMT industry, with a proprietary Look-Back algorithm, zero-risk pricing, and multi-broker compliance that no traditional billing service can match.
Industry-First Look-Back Algorithm
No other NEMT billing service offers a Look-Back algorithm. It scans years of trip history to surface missed and underpaid invoices that would otherwise be permanently lost.
No-Recovery, No-Fee Model
If no recoverable funds are found, there is no charge. OSB only earns when clients earn — a risk-free arrangement that aligns the billing team's incentive with the client's outcome.
10–20% More Recovery
Clients switching to OSB consistently recover 10–20% more funds than with their previous billing service — a direct result of the Look-Back engine and automated denial management.
Licensed by NY State DOH
OSB is licensed by the New York State Department of Health (ID#05191346) — providing clients with a regulated, credentialed billing partner that meets the highest compliance standards.
Zero In-House Billing Overhead
Full-service billing removes the need for in-house billing staff, training, and software — replacing a costly internal function with a performance-based external service.
Multi-Broker Network Support
Native support for MAS, LogistiCare, and other major brokers means compliance is automatic — no manual rule switching, no missed submissions, no format-related rejections.
Full-Service Billing Operations
12 integrated modules covering every stage of the NEMT billing lifecycle — from trip auditing and eligibility to denial management, compliance, and secure cloud storage.
Technology Stack
A secure, scalable stack built for high-volume claims processing, encrypted data handling, and real-time billing operations across the full NEMT billing lifecycle.
What the Client Says
"We had no idea how much money we were leaving on the table until OSB ran their Look-Back audit. The numbers were staggering — trips we had written off, invoices that had been underpaid, denials we never followed up on. Within the first cycle, they recovered more than our entire previous billing team had in six months. The no-fee model made it a complete no-risk decision for us."
