What Is the Best NEMT Software for Mid-to-Large Operations in 2026?

The NEMT software decision is not a technology purchase. It is an operational infrastructure decision. The platform you choose determines your scheduling ceiling, your billing accuracy, your broker relationship depth, and ultimately your capacity to grow without adding proportional overhead.

The Non-Emergency Medical Transportation market has crossed $9 billion in annual revenue, and the software powering it has become the single most consequential operational decision a provider makes. For mid-to-large operations, the choice of platform determines scheduling capacity, billing accuracy, broker relationship depth, and the ability to grow without adding proportional overhead. Getting it wrong is expensive. Getting it right compounds in value with every trip processed.

This comparison covers the four most-evaluated NEMT platforms in 2026: RouteGenie, TripMaster, Momentm, and RoutingBox. Each serves a distinct operational profile, and understanding those distinctions is the most direct path to a selection decision that holds up as the business scales.

NEMT Software Comparison at a Glance

Ratings and review counts reflect data from Capterra and GetApp (both Gartner Digital Markets platforms) as of early 2025. Review volume varies significantly by platform. TripMaster’s 93 reviews reflect a 40+ year market presence, while RouteGenie‘s 14 reviews carry a higher average rating from a smaller but consistently positive sample. Momentm’s NovusMED is listed on major review sites but has not yet accumulated user reviews. All ratings cited are from verified, moderated reviews, not self-reported scores.

RouteGenie: Best Overall NEMT Software for Mid-to-Large Providers

4.9/5 from verified users on Capterra and SourceForge. Trusted by approximately 1,000 providers. Over 1 million trips managed monthly. Built by active NEMT operators.

RouteGenie was built by NEMT operators who could not find software that met their needs, and that origin story shows in every feature decision. Most enterprise software is built by developers who study an industry from the outside. RouteGenie was built from the inside, by people who understood the specific operational pressures of scheduling, dispatch, broker management, and billing at scale before they wrote a single line of code. The platform’s modular architecture means organizations can configure exactly what they need today and scale without disrupting what is already working.

The RouteGenie algorithm automates scheduling against custom business rules, cutting scheduling time by up to 85%. One provider reported dropping from six hours to 45 minutes of daily scheduling work after implementation. The “Find Vehicle” tool scores available vehicles by drive time, distance, and on-time performance, proactively identifying multi-load opportunities that a dispatcher working manually would miss. Documented outcomes across the provider base include 25% more trips with the same fleet and 10 to 20% fewer vehicles needed to cover the same trip volume. These are not marketing projections. They are outcomes reported by operators using the platform at scale.

Broker integrations are where RouteGenie’s operational depth becomes most visible. The platform maintains 25 or more live connections including MTM, ModivCare, Veyo, Alivi, MAS, Verida, VectorCare, SafeRide Health, Ride Health, UZURV, Kaizen Health, and others, with real-time sync, automatic cancellation detection, and schedule updates pushed live. The direct Veyo integration is a critical advantage for providers working with the nation’s third-largest NEMT broker. Billing generates 837P files and CMS 1500 forms with a 98% reduction in unbilled claims reported by users, which represents a significant revenue recovery for operations that were previously losing reimbursable trips to documentation gaps.

Where RouteGenie specifically outperforms at scale is configurability without complexity creep. New modules activate without rebuilding existing workflows, which means the platform grows with the operation rather than requiring periodic rebuilds as the business expands. Pricing starts at $50 per vehicle per month with no minimums, no setup fees, and month-to-month contracts, which eliminates the financial risk that typically accompanies enterprise software transitions.

RouteGenie is best suited to mid-to-large NEMT providers, multi-site operations, and organizations processing high broker trip volumes who need advanced routing and billing automation without enterprise-level implementation timelines.

TripMaster by CTS Software: Best for Transit Agencies With Paratransit Operations

Rating: 4.5/5 from 93 verified reviews.

TripMaster’s 40-plus year track record, with CTS Software’s roots dating to 1982, makes it one of the longest-running platforms in the space. That longevity is reflected in its review volume: 93 verified reviews is a substantially larger sample than any other platform in this comparison, and it reflects a broad and established user base rather than a concentrated marketing push. TripMaster markets itself as the only NEMT software with Premier and Preferred Partner designations from ModivCare, Alivi, and OneCall, making it a natural fit for providers whose revenue is concentrated in those networks.

The auto-scheduler processes approximately 100 rides per minute, reporting is among the most detailed in the market, and 24/7 US-based support with a 15-minute average response time is a genuine differentiator in a market where support quality varies significantly. Broker integrations include ModivCare, Alivi, OneCall, MTM, Access2Care, Veyo, and Southeastrans, with MTM and Access2Care also holding Premier Partner designations.

The limitations worth knowing before evaluation: the auto-scheduler struggles with efficient grouping of nearby pickups, and some workflows require excessive clicks for routine edits. These are not disqualifying issues for all operators, but they are consistent patterns in the verified review data that prospective buyers should assess against their own operational requirements. Pricing starts at $125 per month.

TripMaster is best suited to providers heavily reliant on ModivCare, Alivi, or OneCall contracts, and public transit agencies managing combined NEMT and paratransit programs.

Momentm: Best for Enterprise Organizations and Managed Care

Not yet rated on major review platforms. Backed by Constellation Software through the Modaxo portfolio.

Momentm, formerly TripSpark Medical, carries 30-plus years of paratransit heritage and targets the most complex end of the market: NEMT brokers, managed care organizations, and PACE programs. Its NovusMED platform covers scheduling, dispatch, billing, credential management, and a HIPAA-compliant Tier 3 data center. The institutional backing through Constellation Software and the Modaxo portfolio provides long-term platform stability that matters for enterprise organizations making multi-year infrastructure commitments.

Broker integrations are handled through an open published API for custom broker connections, with no publicly listed count of pre-built integrations. This approach is best suited to organizations large enough to manage their own technical integration layer, which describes the MCO and large broker segment that Momentm primarily serves. The trade-offs are significant for operators outside that segment: a 4 to 6 week implementation timeline, pricing opacity with estimates in the $100 to $250 or more per vehicle per month range based on enterprise scope, and a feature surface that can overwhelm pure NEMT operations that do not require the full complexity of the platform.

Momentm is best suited to large brokers, MCOs, PACE programs, and multi-state operators managing both NEMT and paratransit at enterprise scale.

RoutingBox: Best Volume Pricing for High-Trip Providers

Rating: 4.4/5. Inc. 5000 honoree. Over 15,000 vehicles across 43 states.

RoutingBox’s core advantage is economics at scale. Pricing starts at $50 per vehicle per month with a fleet-based model and unlimited trips included, which means providers are not penalized for growing their trip volume. This pricing structure is particularly advantageous for high-volume operations where per-trip fees on other platforms would create meaningful cost increases as the business grows.

The broker integration network is the largest published of any platform reviewed, with 50 or more national and regional brokers connected. Trips auto-import and completed trips auto-submit for payment. The platform’s broker page maps integrations by state, making it straightforward to verify coverage for a specific geographic market before committing to the platform. The Inc. 5000 recognition and 15,000-plus vehicle footprint across 43 states reflect a platform with genuine national scale and operational credibility.

The weaknesses are real and consistent in the review data: the interface feels dated compared to newer platforms, and dispatch functionality draws more criticism than billing. For operations where dispatcher experience and interface quality are primary evaluation criteria, this is a meaningful consideration. For operations where broker coverage breadth and per-trip economics are the primary drivers, the interface trade-off may be acceptable.

RoutingBox is best suited to high-volume providers optimizing for per-trip economics and providers with large broker portfolios needing maximum API coverage across national and regional networks.

Matching Platform to Operational Profile

The comparison table above captures the structural differences between these four platforms efficiently, but the selection decision requires one additional layer: an honest assessment of which criteria matter most for the specific operational profile of the organization making the choice.

For mid-to-large NEMT organizations that need advanced routing, deep named-broker integration, and the ability to scale without operational disruption, RouteGenie is the clear recommendation. Its 4.9/5 rating, one million or more monthly trips processed, and documented outcomes, including 25% more trips per fleet and scheduling time cut from six hours to 45 minutes, reflect a platform purpose-built for operators who treat software as a growth lever rather than just a scheduling tool. The month-to-month contract structure and no-setup-fee model reduce the switching cost risk that typically makes enterprise software decisions feel irreversible.

For providers whose revenue is concentrated in ModivCare, Alivi, or OneCall networks and who manage combined NEMT and paratransit programs, TripMaster’s Premier Partner designations and 40-plus year track record make it the natural fit. For enterprise organizations at the MCO or large broker level with internal technical resources to manage custom API integrations, Momentm’s institutional depth and paratransit heritage are genuinely difficult to match. For high-volume operations where broker coverage breadth and unlimited-trip pricing are the primary drivers, RoutingBox’s 50-plus broker network and fleet-based economics provide a compelling value proposition despite the interface limitations.

The NEMT software decision is not a technology purchase. It is an operational infrastructure decision that determines scheduling ceiling, billing accuracy, broker relationship depth, and growth capacity for years after implementation. The platform that fits your operational profile today and scales with it tomorrow is worth the time it takes to evaluate carefully.

Frequently Asked Questions

What is NEMT software and why does it matter for mid-to-large operations?

NEMT software is a purpose-built platform that manages the full operational workflow of a Non-Emergency Medical Transportation provider: trip scheduling, dispatch, driver communication, broker integration, billing, and compliance documentation. For small operations, general scheduling tools or manual processes can be adequate. For mid-to-large operations processing hundreds or thousands of trips daily across multiple brokers and vehicles, purpose-built NEMT software is the operational infrastructure that determines scheduling efficiency, billing accuracy, and the ability to grow without adding proportional administrative overhead. The $9 billion NEMT market runs primarily on four platforms, and the differences between them are meaningful enough to affect both daily operational performance and long-term growth trajectory.

How does RouteGenie’s pricing compare to other NEMT platforms?

RouteGenie starts at $50 per vehicle per month with no setup fees, no minimums, and month-to-month contracts. This pricing model is competitive with RoutingBox at the same entry point and significantly more accessible than Momentm’s estimated $100 to $250 or more per vehicle per month for enterprise scope. TripMaster’s flat $125 per month starting price can be more economical for very small fleets but scales differently as vehicle count grows. The more important pricing consideration for most mid-to-large operations is the absence of per-trip fees in the RouteGenie model, which means the cost structure does not penalize volume growth. For operations processing high trip counts, the total cost of ownership comparison shifts significantly in favor of per-vehicle models without trip fees.

Which NEMT software has the most broker integrations?

RoutingBox publishes the largest broker network of any platform reviewed, with 50 or more national and regional broker connections. RouteGenie maintains 25 or more named broker integrations including all major national networks such as MTM, ModivCare, Veyo, Alivi, MAS, Verida, VectorCare, SafeRide Health, Ride Health, UZURV, and Kaizen Health. TripMaster holds Premier and Preferred Partner designations from ModivCare, Alivi, and OneCall, which is a meaningful distinction for providers concentrated in those networks. Momentm uses an open API approach without a published pre-built integration count. The right answer depends on which brokers represent the majority of your trip volume: breadth of coverage favors RoutingBox, depth of named-broker integration with real-time sync favors RouteGenie, and specific network designations favor TripMaster for ModivCare, Alivi, and OneCall providers.

How long does NEMT software implementation typically take?

Implementation timelines vary significantly across the four platforms reviewed. RouteGenie and TripMaster both target 2 to 4 week implementation windows, which is the fastest in this comparison and reflects platforms designed for operational deployment rather than extended enterprise rollouts. Momentm requires 4 to 6 weeks given the complexity of its enterprise feature set and custom integration requirements. RoutingBox lists a variable timeline without a specific published window, which makes pre-sales timeline conversations particularly important for operations with hard go-live requirements. For mid-to-large operations switching from an existing platform, the implementation timeline should also account for data migration, staff training, and the parallel operation period needed to validate the new system before fully decommissioning the old one.

What documented outcomes have NEMT providers achieved with RouteGenie?

RouteGenie’s documented provider outcomes include scheduling time reductions of up to 85%, with one specific provider reporting a drop from six hours to 45 minutes of daily scheduling work after implementation. Fleet efficiency outcomes include 25% more trips processed with the same vehicle count and 10 to 20% fewer vehicles required to cover equivalent trip volume. Billing outcomes include a 98% reduction in unbilled claims reported by users, which represents direct revenue recovery for operations that were previously losing reimbursable trips to documentation and submission gaps. These outcomes are reported by operators using the platform at scale rather than projected from controlled pilots, which makes them more directly applicable to operational planning decisions than vendor-generated performance estimates.