Advanced Route Optimization for NEMT & Paratransit Dispatch

Create reliable schedules for non-emergency medical transportation and house calls. Ensure patients are matched with right drivers/vehicles and streamline patient pick-ups and drop-offs on the same route.

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Join the Ranks: Startups to Enterprises Trust Our Routing and Navigation Platform.

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Non-emergency medical transportation made easy with routes that require no editing or detours.

Efficiently Match Appointments

With more than 50 routing constraints, our system ensures patients are paired with healthcare professionals who have the necessary skills. Manage patient pickups and drop-offs efficiently on the same journey, all within set time constraints.

Sophisticated Scheduling & Sequencing

From complex task sequencing (e.g., pick-up → drop-off → wait → pick-up → drop-off) to unique vehicle requirements (e.g., wheelchair access), manage all with our sophisticated algorithm.

Minimize Time Spent in the Vehicle

Generate dispatch-ready routes that accounts for driver location, availability, skills and more to minimize time spent by patients in the vehicle and maximize asset utilization.

Curbside Support

Reduce passenger wait times and ensure patients can easily access the vehicless with the curbside support feature. For drivers, the feature eases the patient boarding and disembarking process.

Capacity and Load Optimization

With capacity management constraints, account for the specific requirements of NEMT services, such as wheelchair space and equipment load.

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Efficiently schedule and route healthcare
professionals for house calls.

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On-Demand Patient Transportation

Respond to immediate transport requests with real-time dispatching, ensuring quick and reliable service for last-minute appointments.

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Scheduled Patient Transportation

Manage regular patient appointments with optimized routes that accommodate multiple pickups and drop-offs.

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Adaptive Patient Transportation

Adjust transportation schedules dynamically to accommodate sudden changes in patient appointments.

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Wheelchair Accessible Transportation

Specialize in routes and vehicles equipped for wheelchair-bound patients, ensuring comfortable and compliant transport options.

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See NEMT routing API tutorials

Learn how to solve common NEMT routing & scheduling problems with NextBillion.ai API tutorials.

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Tutorial 1

Patients with Special Needs

Accurately match patients with special needs to the right vehicle for transporting them.

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Tutorial 2

Adhering to Strict Appointment Schedules

Ensure patients reach individual hospitals in time to make their appointments.

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Tutorial 3

Minimize travel time for Patients

Ensure patient’s comfort by limiting the time that a patient spends in a vehicle.

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Tutorial 4

Capacity Planning for Patient’s special needs

Leverage vehicle’s capacity as per patient needs for the day.

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Tutorial 5

Accommodate Last-Minute Schedule changes

Accommodate last minute schedule changes and re-optimize for new schedule.

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Tutorial 6

Efficient Routing for Patients in Rural Areas

Generate efficient routes for patient pickup in rural areas.

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Tutorial 7

Billing & Compliance Reporting

Regenerate accurate data for completed trips for easier billing and compliance reporting.

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Tutorial 8

Enabling Emergency Reassignments

Locate nearby vehicles and re-assign ongoing trips in case of disruptions.

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Tutorial 9

Planning trips for multiple patients

Determine ETAs and distances between multiple locations for easy trip planning.

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Tutorial 10

Curbside Pick-up and Drop-off for patients

Generate routes which always arrive on curbside for patient pick-ups and drop-offs.

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Tutorial 11

Flexible schedules for patient pickup or drop-off

Leverage flexible patient pick-up and drop-off schedules for efficient routing plans.

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Tutorial 12

Avoid Road Closures and Congested Areas

Easily generate custom routes to avoid road closures and traffic congestion.

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Tutorial 13

Custom POIs for Accurate routing

Add custom POIs and places for accurate routing.

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Spend less time tweaking routes, estimating
costs and waiting for help.

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End-to-End
Solutions

From scheduling to dispatch and tracking, manage all aspects of NEMT and paratransit in one platform.

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Customizable
pricing

We offer asset-based, usage-based and custom pricing options. Pick the one that works best for your business.

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Exceptional
support

Our product support team will assist you through every phase, from testing and integration to deployment and production.

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Easily integrate with existing systems

No need for complex setups – just connect your current TMS, ERP and telematics platforms. Easy for developers to use, test and deploy.

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CASE STUDY

Learn how NEMT businesses improve operational KPIs with NextBillion.ai

Preventive Care

40%

Reduction in
scheduling time

Paratransit Services

40%

API costs
savings

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The only building blocks you need for NEMT
and paratransit schedule optimization.

Explore the NextBillion.ai APIs, SDKs and tools that work together to form our NEMT & paratransit solution.

Distance Matrix API Distance Matrix API

Route Optimization API

Optimize routes with 50+ constraints and custom objectives.
Distance Matrix API Distance Matrix API

Distance Matrix & Directions API

Reliable ETAs, distances and directions at scale for two-wheelers, cars and trucks.
Distance Matrix API Distance Matrix API

Navigation API & SDK

Regulation-compliant, adaptive, turn-by-turn navigation guidance.

Integrate Seamlessly With
Top Enterprise Clouds, ERPs and CRMs

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Frequently asked questions

Vehicle & Fleet Type

Our Route Optimization API supports multi-dimensional capacity constraints, meaning ambulatory vans, wheelchair vans, stretcher vans, or multi-rider vehicles can all be modeled accurately. The system ensures patients are matched to vehicles with the right space and equipment, preventing overbooking while maximizing utilization.

Yes. NextBillion.ai allows vehicles to be tagged with accessibility attributes (e.g., wheelchair lifts, stretcher tie-downs), and patients are automatically assigned only to vehicles that meet their medical or mobility needs. This guarantees compliance, safety, and patient comfort on every trip.

Our platform enables multi-capacity ride-sharing, ensuring up to 2–6 riders can share a vehicle when appropriate. The API accounts for time windows, medical needs, and vehicle type, grouping trips to reduce costs and mileage while still meeting patient care requirements.

Absolutely. NextBillion.ai supports mixed fleet models, where core NEMT vehicles operate alongside non-dedicated fleets such as taxis, ride-hail, or subcontracted providers. The optimization engine prioritizes in-house assets first and taps into non-dedicated vehicles only when needed, controlling costs while meeting all service commitments.

The Route Optimization API can incorporate maintenance schedules, maximum working hours, and vehicle availability into routing decisions. This ensures vehicles are not overused, maintenance windows are respected, and fleet utilization remains balanced—keeping operations efficient and compliant.

Service Frequency & Scheduling

Recurring trips (like dialysis, chemotherapy, or physical therapy) can be set up as standing orders. With NextBillion’s Route Optimization API, these recurring trips are automatically scheduled, aligned with clinic hours, and re-optimized if any session is rescheduled.

Missed trips can be quickly re-dispatched in real time. The system reassigns the nearest available vehicle, ensuring minimal disruption while keeping provider schedules intact.

Yes. The API supports on-demand dispatching and will-call pickups (where the patient requests a ride after treatment). Routes are dynamically adjusted so vehicles can be redirected efficiently without delaying other passengers.

During peak demand, the system scales by factoring in seasonal trip volumes. This ensures vehicle capacity is balanced, wait times are minimized, and additional trips are automatically redistributed across the fleet.

For trips like home → clinic → pharmacy → home, the API sequences all stop logically. It accounts for appointment windows, pharmacy wait times, and return schedules, ensuring the patient’s journey is smooth and efficient.

Pickup Type & Methods

The Route Optimization API distinguishes between curb-to-curb and door-to-door service. For frail or mobility-impaired patients, drivers can be routed closer to the entrance, ensuring safe access while still optimizing fleet efficiency.

Yes. Trips can be mapped with mobility constraints such as alleys, narrow driveways, or required right-side drop-offs. The routing engine ensures compliant paths so patients are picked up and dropped off safely, without vehicle access issues.

When discharge times are unpredictable, the API enables will-call scheduling. Vehicles can be dynamically dispatched once the patient is ready, minimizing idle time while still maintaining efficient routes.

The system supports facility clustering, grouping patients from nursing homes, dialysis centers, or rehab facilities into shared trips. This reduces vehicle mileage, improves on-time arrivals, and lowers costs.

For door-through-door service, routes account for additional handling time and accessibility needs. The API ensures schedules remain realistic, with buffer times built in for assisted pickups and safe transfers.

Transportation Service Offering

Each patient type requires different vehicle configurations. The Route Optimization API ensures the right vehicle, whether wheelchair-accessible vans, stretcher transport units, or standard ambulatory vehicles is assigned, while still optimizing for capacity and time windows.

Yes. Multi-rider grouping is possible, but it respects mobility and equipment constraints. For example, wheelchair users can share rides if securement points are available, while stretcher trips are usually dedicated due to space and handling requirements.

Trips are scheduled with HIPAA-compliant workflows, ensuring patient data confidentiality. Behavioral health transports can include special routing considerations (e.g., fewer shared riders, faster response times), while Medicaid vs. private pay trips can be tracked for billing and reporting compliance.

Route Optimization Strategy & Constraints

With multi-depot fleet routing and dynamic zone routing, trips are evenly distributed to prevent overloading one zone or depot while others sit idle. This ensures drivers cover the shortest, most efficient paths while maintaining service quality across the entire service area.

Yes. The Route Optimization API supports dynamic re-sequencing—rebalancing trips instantly when cancellations or no-shows occur. Vehicles can be reassigned in real time, reducing empty miles and keeping schedules efficient.

Recurring trips (like dialysis or PT) and facility clusters (multiple patients from the same nursing home or dialysis center) are grouped together automatically. This minimizes redundant trips, lowers costs, and improves on-time arrival rates.

By factoring in time-window compliance (clinic appointment slots) and wait-time optimization, routes are planned to minimize idle time for both patients and drivers. Multi-leg trips (e.g., clinic + pharmacy) are sequenced to reduce delays. The route optimization API can handle 50+ soft and hard constraints and allow routes to accommodate the required constraints.

The routing logic accounts for restricted zones, one-way streets, and seasonal/weather conditions like snow or storms. This ensures safe, compliant routes while still delivering patients to appointments on time.

Commercial & Institutional

The Route Optimization API supports facility-based clustering, so multiple patients from the same center can be grouped into shared rides. This reduces vehicle mileage, improves punctuality, and ensures smoother coordination with facility staff.

Yes. Routes are optimized for appointment synchronization with therapy, dialysis, or discharge schedules. The API also accounts for gated facility access, adding buffer times for security check-ins or staff coordination.

The platform tracks cost per trip and per patient by factoring in fuel usage, driver hours, vehicle wear, and no-shows. This helps providers identify unprofitable routes and make data-driven decisions on pricing or service models.

By minimizing deadhead miles and optimizing return trips, the system ensures vehicles stay productive. Multi-leg chaining (e.g., clinic → pharmacy → home) reduces fuel costs and increases fleet utilization, boosting overall margins.

Safety, Compliance & Labor

All trip scheduling and routing are done through HIPAA-compliant workflows, ensuring patient data is encrypted, securely stored, and only accessible to authorized personnel. This protects sensitive health information while coordinating rides.

Drivers must meet DOT/CDL requirements, maintain Hours of Service (HOS) logs, and pass background checks. Vehicles undergo daily pre-trip inspections and continuous safety monitoring, ensuring passengers travel in safe, reliable conditions.

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The Complete Guide to Route Optimization