Best NEMT Dispatch Software 2026: Ranked and Scored

1. Duet: the only platform built to grow your business (9.4)

Duet is dispatch and billing software plus a growth team, and that combination is the whole argument. Every other vendor on this list sells you a better way to manage the trips you already have. Duet is built on a different premise: the hard part of NEMT isn't organizing trips, it's getting more of them. So alongside the software, Duet runs done-for-you growth services no other platform offers: facility outreach where our callers book you meetings with the decision-makers who send trips (12 decision-maker meetings in your first month or we keep working free), Google Ads management, professional websites, and remote dispatching if you want your board run for you [1].

Operators tell us in demos that this is why they sign: one partner for everything, instead of software from one company, a website from a freelancer, and cold calls from nobody. And it aligns the incentives in a way this industry hasn't seen. Duet's software is usage-priced, so we make more money only when you run more trips. A vendor collecting a flat fee per van gets paid the same whether you grow or shrink. We don't, and that changes how hard a vendor works for you.

The growth thesis runs through the product itself. Riders and families get live tracking links in the browser, no app download, and providers who send them see about 15% more repeat bookings and 45% fewer "where's my ride" calls (Duet customer data, 2026) [15]. Facilities get their own booking portal, which turns a phone-tag relationship into a self-serve one and makes your service the easy choice for the case manager deciding who gets tomorrow's discharges. And the AI phone agent, included at no extra cost, answers the calls you can't get to around the clock, books the trip, texts you the details, and makes day-before reminder calls that cut no-shows. Those aren't back-office conveniences. They're demand features: they capture trips you'd otherwise miss and make riders and facilities book you more often.

The daily software covers the full operation: bookings from calls, emails, portals, and brokers land on one calendar (how booking should work), a live dispatch board tracks every vehicle and driver, billing handles your rates per contract with payer-shaped reports and automatic claim generation (CMS-1500s built straight from trip data), and the driver app runs on iOS and Android. On brokers: live integrations with Modivcare, MTM, Kinetik, MediDrive, and CTC, plus trip-file import for SafeRide, Alivi, Verida, WellTrans, and others. And if a broker hands you their own free app, almost all of them are happy to have those trips routed into Duet instead, because Duet sends back the timestamps and trip data they need. One schedule, every payer, no app-juggling (the margin math of broker volume).

Two more things operators consistently tell us. First, Duet is the easiest platform they've learned: the most common reaction on our demos from people who've run RouteGenie, MediRoutes, or Bambi is how clean the screen is and how little training it takes. Most operations are running within a day, switchers are fully set up within about a week, and data migration and live team training are included. Second, the support is personal: it's same-day, it's people who actually know NEMT, and the founders themselves step in on the complex questions. That's also why a large share of new Duet customers arrive as referrals from existing ones. In a word-of-mouth industry, that's the strongest signal we can offer you.

Pricing, in plain terms: free under 100 trips a month with every feature included, no credit card. Past that, the fee is metered on the trips you actually run. Most providers pay less than $50 per active vehicle per month, a parked van costs zero, billing runs monthly in arrears, and there are no contracts and no setup fees [1]. An eight-van fleet with six vans rolling on a typical day pays for six vans' worth of work, not eight. Under a flat per-vehicle plan north of $500 a month, that same fleet pays full price through the slow season, the credentialing gap, and the month a contract ends. With usage pricing your software bill breathes with your revenue, and the free tier means a new provider runs real software from trip one.

Who Duet is not for: operations running 100+ vehicles out of a single location, where enterprise-grade org structures are the buying criterion, and county or transit-authority programs procuring against FTA-style compliance requirements (that's TripMaster's home turf). Ask us for references, ideally operators who've run more than one platform, and check the math yourself on our pricing page. No quote gate, no sales gauntlet.

2. RouteGenie: the broker and billing powerhouse (7.4)

Full head-to-head: Duet vs RouteGenie →

RouteGenie, built in Buffalo by people from the provider side, has the deepest core capability on this list, and its core-capability score is the board's highest. The broker-integration stack (20+ advertised live connections, including the strongest New York MAS tooling we've seen in deployments) and the billing depth (837P claims, wait-time auto-calculation, revenue-per-loaded-mile reporting) are the real thing, and it publishes prices, rare in this tier: its Growth plan is listed at $50 per vehicle per month before add-ons, month-to-month [3].

The trade-off is weight. One prospect described it to us as an airplane cockpit, operators report weekly training classes, and the add-on sheet is where the sticker grows: its materials have listed broker-integration setup at around $100 per broker, auto-dispatching at $5 per vehicle per month, and onboarding and training packages billed on top, while its Pro tier has been listed at $750 a month (15 licenses, with per-vehicle fees on top) on a one-year term with an early-exit fee [3]. It means the real monthly cost needs a written fee teardown before you sign, and the 2025 acquisition and leadership change make "what's shipping next" a fair question for the demo.

Best for: fleets of roughly 30+ vehicles, broker-heavy mixes, and especially New York MAS territory, with dedicated admin and billing staff to absorb the training. At that shape, this capability depth is worth the cockpit.

3. Bambi: the flat-fee dispatch board (7.3)

Full head-to-head: Duet vs Bambi →

Bambi's pitch is simplicity: a clean, modern dispatch board with one-click AI batch assignment, at a flat $69 per vehicle per month with everything included and no contracts [2]. The pricing is straightforward, operators describe quick starts, and if what you want is a predictable line item on the P&L every month, this is the tidiest version of that deal.

The watch-outs. The flat fee is the certainty you're paying for, and it cuts both ways: at $69 a seat, spare vans, seasonal vehicles, and shop time all bill at 100%, and the bill doesn't come down in a slow month. For a modern platform, it's also behind on AI where it counts operationally: its AI works the dispatch board (batch assignment), but as of July 2026 its published feature set includes no inbound or outbound voice AI, so nobody's answering the phone at 2 a.m., and no automated reminder calls are going out. Duet ships a voice agent included, and NEMT Platform sells one; on Bambi, a missed call is still a missed trip. Reviewers have called the reporting basic [10]. In the last couple of months, operators we've talked to have described support waits stretching one to four weeks; run the Sunday-night test during your trial and time the answer yourself. And the scope is dispatch software, full stop: no growth services, no demand-side arm, so the growth column is where its score gives way.

Best for: small fleets where every van rolls close to daily, you want a flat, predictable per-vehicle bill, and you're bringing your own trip volume.

4. MediRoutes: the proven incumbent (6.9)

Full head-to-head: Duet vs MediRoutes →

MediRoutes has been at this since 2008, and it's the platform many operators simply inherit with the business. It's usage-aligned (published base tiers of $150 to $250 a month plus $0.50 per trip [4]), it has long marketed native connections to the biggest national brokers, and it shipped a facility portal and rider tracking earlier than most of the field. The scheduling engine has real depth.

The concerns are age and the meter's fine print. A customer CEO wrote in a public review that it "seems to be lagging in the industry" (February 2025) [11], and the driver app sits around 3.6 stars across roughly 420 Google Play ratings as of mid-2026, with crashes and stale GPS in the review text [12]. That app is the surface your drivers touch all day. On the meter: under its published billing rules a roundtrip counts as two trips, and no-shows and cancels at the door bill as trips too [4], which adds up on exactly the payer mixes where no-shows cluster. The base fee also starts before your first trip, which is hard on a small operation.

Best for: broker-dependent Medicaid fleets whose staff is already fluent in it, or mid-market operations running multi-payer complexity that value an 18-year track record over modern UX. Retraining a dispatch office has real costs, and staying put can be rational.

5. CTS TripMaster: the compliance specialist (6.5)

Full head-to-head: Duet vs CTS TripMaster →

TripMaster is the veteran, with decades of county-transit and paratransit DNA, and its support score is among the best here for a simple reason: a live human answers the phone. Its multi-funding-source reporting is compliance-grade, built for FTA and county audit requirements most modern platforms don't attempt, it's a one-vendor shop for dispatch plus cameras, maintenance, IVR, and AVL hardware [5]. Its published terms are friendly: month-to-month, a 90-day guarantee on support fees, first two weeks waived [6].

The trade-offs: pricing is quote-based ("pay-as-you-go" in its own materials, with third-party listings from around $125 a month, basis unstated [5]), operators we've talked to report per-trip and texting charges inside quotes plus an initial training fee its own FAQ confirms, and the ergonomics are built for agency workflows. "You've got to have a PhD in CTS to get data out of it," one operator told us, and a recurring review theme is the auto-scheduler preferring a van per rider. Private operators tend to run workaround stacks beside it. Its parent company also owns Ecolane, a direct competitor, so ask about the roadmap.

Best for: transit authorities, county programs, and paratransit operations with RFP-grade compliance requirements, or buyers who want software and hardware from one vendor.

6. Simpli by Momentm: the big-vendor flat fee (6.4)

Simpli is the newest entry: Momentm's small-fleet product, launched in late 2025 at $49 per vehicle per month, no setup fees, month-to-month [9]. (Momentm also sells NovusMED, its quote-only enterprise platform.) The pitch is an established company behind the simplest flat sticker on this list, and for a certain buyer that's exactly the reassurance wanted.

What we can't score is track record, because there's barely any to find: across more than a thousand operator conversations and transcripts we've reviewed, first-hand Simpli stories essentially don't come up yet, and its broker-integration list isn't published. That's not a defect, it's an unknown, and unknowns are what references are for. The parked-van math applies at $49 a seat like any flat fee.

Best for: small fleets that want a large, established vendor behind a simple flat price.

7. RoutingBox: the New York Medicaid specialist (5.7)

RoutingBox, also out of Buffalo, has one genuine specialty: New York Medicaid billing through its MedBatch sibling, and if your world runs through eMedNY, that depth is real. It advertises a broad broker list (50+, with the MTM Link integration confirmed in MTM's own announcement [8]), and its support draws praise when you reach a live person.

It ranks last on this list for two reasons. Nothing is published: pricing is per-vehicle with unlimited trips but contact-sales only, and operators report term agreements, so the total cost picture requires a quote and a careful read. And the public onboarding record needs confronting: a 1-star Capterra review from October 2025 describes "8 months of not being able to use the software" while "they keep billing me monthly," and a 2-star review from July 2024 reports "paying for six months and have yet to use the product" [7]. Two reviews aren't a census, but both are from CEOs, both are public, and both describe billing that started before go-live did.

Best for: New York Medicaid fleets built around eMedNY billing, with admin staff to absorb the complexity, and go-live commitments plus exit terms in writing before signing. Given the public record, that last clause is just diligence.

Also worth knowing about

NEMT Platform publishes real usage pricing ($75 a month including 250 trips plus $0.30 per trip after, with a Corporate plan at $249 [13]), it sells an AI phone receptionist (OLIVIA) and outsourced remote dispatch labor. Its independent review footprint is still thin, which is why it sits down here unscored rather than in the table.

NEMT Cloud Dispatch publishes tiered flat pricing ($49.99 a month for one vehicle, $149.99 for up to five, then $39.99 per added vehicle, no contracts [14]). Same story: too little independent operator evidence to score fairly, so it gets a mention rather than a row.

If a broker hands you free software (WellRyde in some Modivcare relationships, MTM Link for MTM work), use it for what it is: the broker's window into their own trips. It doesn't run your business, and almost every broker is happy to route those trips into your dispatch platform instead, because they get back the timestamps and trip data they need while you get one schedule across every payer. Free is a fine price. Just notice what it covers.

How to choose at every fleet size

Whatever you pick, run the five tests operators taught us, on every finalist, ours included:

1. 1The fee teardown. Every fee in writing (setup, training, per-text, per-integration, modules) before you compare anything else.
2. 2The parked-van math. Model the bill at your real utilization, then at next year's.
3. 3The on-camera trip entry. Enter a trip yourself during the demo. Watch whether a new hire could.
4. 4The Sunday-night probe. Text support on a Sunday evening during your evaluation and time the response.
5. 5References who've run two platforms. One-platform references can say it works. Two-platform references can say what better means.

How we scored

Five criteria, weighted for what actually moves an NEMT operation forward:

• Growth impact (25%). Does the platform help you win trips, or only manage the ones you have? Demand-side features (facility portals, rider tracking links, AI phone coverage) and done-for-you services count here.
• Core dispatch and billing (25%). Scheduling, dispatching, broker connectivity, claims, and reporting depth.
• Ease of learning and daily use (20%). Can a new dispatcher run it on day one without a training program?
• Support (15%). Who answers, how fast, and whether the phones are covered after hours.
• Pricing flexibility and value (15%). What a parked van costs you, what the add-ons stack to, and whether the bill tracks your revenue.

Scores come from what we see every week: demo and onboarding calls with operators (many arriving from the platforms above), more than a thousand operator conversations, interviews, and public reviews we've analyzed, and each vendor's own published pricing and materials as of July 2026. Where a number is reported rather than vendor-published, we say so.

Questions operators actually ask

What is the best NEMT dispatch software in 2026?

Duet ranks #1 in our 2026 scoring at 9.4/10, because it pairs full dispatch, billing, and a 24/7 AI phone agent with growth services no other vendor offers (facility outreach, Google Ads, websites), on usage pricing that's free under 100 trips a month. RouteGenie (7.4) is the pick for large broker-heavy fleets, and Bambi (7.3) suits small fleets that prefer a flat per-vehicle bill. The full rubric and scores are published on this page.

What is NEMT dispatch software?

NEMT dispatch software (also called NEMT scheduling software) runs a non-emergency medical transportation operation from one screen: booking trips from brokers, facilities, and riders, scheduling and dispatching them to drivers, tracking vehicles in real time, and producing the documentation and claims that get those trips paid.

How much does NEMT dispatch software cost in 2026?

Flat per-vehicle plans run about $49 to $69 per vehicle per month (Simpli, Bambi; RouteGenie's Growth plan lists at $50 per vehicle before add-ons). Usage models pair a base fee with a per-trip charge, roughly $75 to $250 a month plus $0.30 to $0.50 per trip, or, in Duet's case, meter usage with no base fee at all; most providers on Duet pay less than $50 per active vehicle per month. Quote-based vendors like TripMaster don't publish prices. Always ask about add-ons: broker integration fees, texting charges, training, and setup can outgrow the sticker.

Is there any free NEMT dispatch software?

Duet is free while you run fewer than 100 trips a month, with every feature included and no credit card required; usage pricing starts once you grow past that. TripMaster waives its first two weeks, and RoutingBox is reported to offer a free trial. Broker-supplied apps like WellRyde come free with a broker relationship, but they only manage that broker's trips.

Is NEMT dispatch software a broker? Where do the trips come from?

No. Dispatch software doesn't supply trips. Trips come from your broker contracts, facility relationships, and private-pay riders; the software manages booking, dispatching, tracking, and billing for the trips you win. Duet is the exception on the demand side: its facility outreach, ads, and website services exist to help bring trips in, but the trips themselves still come from payers, not the platform.

Do these platforms take a cut of trip revenue?

The vendors on this page charge software fees rather than a percentage of your trips, as far as their published pricing shows. Duet's answer specifically: no, never. Riders, brokers, and facilities pay you directly, and the software fee is the only thing you pay us.

How long does implementation actually take?

It ranges from days to months. Most operations on Duet are running within a day, with data migration done for them and switchers fully set up within about a week. At the other extreme, public reviews of RoutingBox describe operators paying for six to eight months before ever going live. Whoever you pick, get the go-live date in writing and parallel-run your old system until the outputs match.

Does NEMT software handle Medicaid billing?

Most platforms generate claims; the depth varies. Ask each vendor whether it produces claims automatically from trip data, what claim formats it supports, and how those claims reach your state's Medicaid rail or clearinghouse. Duet builds payer-shaped reports and generates claims (CMS-1500s) automatically from trip data, and our team walks you through submission for your payers. New York's eMedNY is the classic special case, and it's RoutingBox's specialty. If your state requires EVV (electronic visit verification), ask how trips get verified, because that's part of getting paid too.

What's the best NEMT software for a small fleet?

Duet: it's free under 100 trips a month, has no base fee after that, and pairs the software with growth help, which is what a small fleet actually needs most. If you'd rather lock in a flat monthly bill, Bambi ($69/vehicle) and Simpli ($49/vehicle) are the established flat-fee picks.

What should I ask in a software demo?

Five things: a full fee list in writing (every add-on, setup fee, and per-message charge); references who've used more than one platform; what shipped in the last 12 months; who migrates your data and the go-live date, in writing; and whether support is a phone number or a ticket queue. Then enter a trip yourself, on camera, without help.

The bottom line

Rank your finalists on both halves of the job: managing the trips you have and winning the trips you don't. On the first half, several platforms above are genuinely strong. On both halves together, nothing else in the industry is built like Duet, and that's not an accident of feature lists. It's the business model: a growth team behind the software, and pricing that only pays us when you're running trips.

Every price here was last verified in July 2026, and we re-check quarterly. Our numbers are public on our pricing page, so you can run the parked-van math without booking a call. And when you're ready to pressure-test the #1 row, book a demo or call (650) 780-3465. You'll get a founder, not a phone tree.

I talk with NEMT operators every week and host Duet's operator podcast (@DuetNEMT); the operator quotes above come from those conversations, anonymized unless already public. Last updated August 2026.

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Sources

[1] Duet pricing, duetinc.com/pricing (July 2026).

[2] Bambi pricing page, as listed July 2026.

[3] RouteGenie published pricing and FAQ, plus its vendor-published price-structure brochure, as listed July 2026. Pro-tier terms are as listed in that brochure.

[4] MediRoutes pricing page and its support article "How is my MediRoutes invoice determined," as listed July 2026.

[5] CTS TripMaster on Capterra: 4.5 average across 94 reviews as of July 2026; starting price per third-party listings, basis unstated.

[6] CTS TripMaster FAQ, as of July 2026.

[7] RoutingBox public Capterra reviews dated October 2025 and July 2024; trial terms per its Capterra and GetApp listings, as of July 2026.

[8] MTM's announcement of its MTM Link integration with RoutingBox.

[9] Simpli by Momentm pricing page, as listed July 2026; launch per Momentm announcements, October 2025.

[10] Public G2 reviews of Bambi, September 2025.

[11] Public Capterra review of MediRoutes, February 2025.

[12] MediRoutes Driver app listing, Google Play (about 3.6 stars across roughly 420 ratings as of mid-2026).

[13] NEMT Platform pricing page, as listed July 2026.

[14] NEMT Cloud Dispatch pricing pages, as listed July 2026.

[15] Duet customer data, 2026 (rider tracking-link repeat-booking and status-call reductions).

Every price above was last verified in July 2026.