Product · Software · Healthcare

NEMT Pilot

Non-emergency medical transportation gets people to dialysis, chemo and checkups. The companies that do it juggle three broker portals, a dispatch system and a payroll spreadsheet, and the profit sits in trips someone was too busy to grab. So we built the office that never gets tired: it plans the day, watches for trips, pays the drivers and keeps patient data locked down.

RoleProduct design, build, security, infrastructure
StackTypeScript · Node · AWS · Chrome add-on · iPhone app
StatusRunning in production
Year2026

Behind the button: a real NEMT Pilot screen, from the demo company. Riders and drivers are made up. Open nemtpilot.com ↗

The problem

Our first customer, a working NEMT company, already paid for dispatch software. It stored the trips but didn't run the day. The office still built every run by hand, refreshed broker marketplaces hoping to catch a good trip before a competitor did, and worked out driver pay in a spreadsheet at the end of each week.

The cost wasn't the software. It was the trips nobody had time to take, the drivers paid wrong, and the license that expired without anyone noticing.

What we built

  1. A schedule that plans itself Auto-schedule fills runs with as many trips as fit, or only the profitable ones, and sends the plan back to the company's dispatch system with one click.
  2. A watcher on the broker marketplace A Chrome add-on watches the marketplace page, checks every new trip against the day's runs, and alerts the office the moment one fits. A person still presses Accept.
  3. A live on-time watch Runs refresh every few minutes, and the office is warned before a pickup goes late, not after the complaint.
  4. Driver pay, worked out Pay comes from the runs actually driven, the owner approves it, and drivers download their own statements.
  5. Built for patient data Every company's data kept apart, two-step sign-in, team roles down to look-only, regular backups, and security testing before every release.

A day inside it

From 5 AM to payday

nemtpilot.com/schedule
Schedule with runs and a route map Auto-schedule all Earnings per run
Dashboard with on-time percentages and late trips Live on-time Late, flagged early
One driver's day stop by stop Pay so far today Next stop at risk
Pay run waiting for owner approval Owner approves Export for payroll
Demo company · made-up riders and drivers

Where it landed

3 minBetween a change in dispatch and NEMT Pilot knowing about it
1 clickTo send a planned day back to dispatch
4Team roles, from Owner to look-only Viewer
The trip that pays for the month is usually the one nobody had time to look at.

Before / after

The jobBeforeWith NEMT Pilot
Building runsBy hand, from one dispatcher's memoryAuto-schedule, reviewed, sent in one click
Broker marketplaceRefreshing the page and hopingWatched for you, alert when a trip fits
Late pickupsFound out from the complaintFlagged while there's still time
Driver payA spreadsheet every weekWorked out from completed trips
Driver documentsA folder nobody checksReminders before anything expires

Built for patient data

NEMT riders are patients, so their trips are health information. We designed for that from the first line of code, not as a feature added later.

Walls between companiesEach company's trips, riders and drivers are kept apart.
Two-step sign-inPassword plus a phone code, or Google. No shared logins.
Roles that limit accessA look-only Viewer never sees rider details or money.
Logged and backed upA record of who changed what, and regular backups.
Hosted in the USOn AWS. Patient data stays on the server, never in email or texts.
Tested before releaseSecurity and load tests run before changes go live.

How we built it

01

Go in

We sat in a working NEMT office and watched a full day: dispatch, broker portals, payroll.

02

Find the drag

Trips lost to faster companies, runs built from memory, pay checked by hand.

03

Build it

One problem at a time, each shown as a mockup first and shipped in days, tested on real days.

04

Run it

Live on our own servers, with monitoring, and a product other NEMT companies can now sign up for.

More screens

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