The trips are the easy part.
The hard part is the authorization that was not on file, the trip that aged past its filing window while nobody was looking, and the remittance six weeks later with a reason code on it.
Seven checks, and the one that costs the most is a date.
Six of them are simply: is this filled in? The seventh compares the pickup date to the filing window and tells you how many days over you are.
Anything missing shows as a warning on that trip, in words. Submitting raises a confirmation listing every one, and you have to accept it. Then it lets you send anyway. Because sometimes you know something the system does not — the authorization is on paper, the payer agreed on the phone. Software that locks that button is overruling the person holding the evidence.
The one thing it will not send is a claim with no insurance-billable lines. A flat private fee on a payer trip is a $0 claim, and a $0 claim gets rejected on arrival.
A private invoice gets none of those checks.
Not one. They are all claim fields, and there is no claim. A system that warns you about a missing authorization on a private-pay run is not being careful — it is being noisy, and noisy is how people learn to click past warnings.
The limits, on the page, before you ask.
Every competitor in this market implies full integration. Here is exactly where ours stops.
The 837 downloads. You upload it.
It builds the claim file and hands it to you, and you put it into Office Ally or Availity yourself. There is no pipe to your clearinghouse and we are not going to imply there is one.
Payments are posted by hand.
No ERA ingestion yet. When money lands you mark it paid. The ageing is real; the posting is a human.
It will not tell you a payer will accept something.
It does not contact a payer and it adjudicates nothing. It tells you what is missing before you find out the slow way.
Onboarding is guided, not self-serve.
We configure your rates, service area and payers with you. That is a deliberate choice at this stage, not a signup form we have not built.
Built by someone running one.
Axiom Ops is run by an operator who owns a transportation business and is building an NEMT operation of his own. The paperwork problems in this product are the ones he has.
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A workflow conversation is a structured look at how work enters, moves through, and leaves your operation. No software commitment — just clarity on what to build first.