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Component 03 of the NEMT Scaling Framework

The daily loop

Trips in, plan the day, run the day, get paid. One loop, six days a week. The test of a good one is that the days are boring.

What this component covers

The daily loop is building a day that runs the same way whoever is working it. Its four stages are one loop rather than four departments, and most expensive problems sit in the handoffs between them.

01Trips inEvery trip landing in one place, and accepted on a check rather than by default.
02Plan the dayTomorrow finished the evening before, confirmed, and runnable by someone else.
03Run the dayDeciding the common exceptions before they happen, and keeping riders and facilities told.
04Get paidSame-day billing, and what the driver captures at the curb.
  1. 01

    Trips in

    Daily · Intake

  2. Handoff check: Only checked trips go on the board
  3. 02

    Plan the day

    The evening before · Dispatch

  4. Handoff check: Plan finished and riders confirmed the evening before
  5. 03

    Run the day

    Daily · Dispatch

  6. Handoff check: Signature, times and odometer captured at the curb
  7. 04

    Get paid

    Daily · Billing

  8. Handoff check: Claim out the same day, and the money closes the loop↑ Back to trips in

Trips in

Daily · Intake

The problem

“There’s no simple way to take in a trip.”

Trips arrive through broker portals, emailed files, facility phone calls and texts to a dispatcher’s own phone. A plan built from four inboxes is missing a trip that nobody has noticed yet. Getting every trip to land in one place is the highest-return change available in the loop.

Then make accepting a trip a decision rather than a default. Before it goes on the board, check that it is authorized, that the rate clears the floor from Vision, and that it fits the day you already have. A standing order is worth more than a single trip, so price it that way.

A ninety-second check at intake saves a surprise at billing weeks later, after the trip has been run, the driver paid and the fuel burned.

Check itTrips this week that reached billing without being checked at intake.

Plan the day

Daily, before the day ends · Dispatch

The problem

“Tomorrow’s plan is a scramble at 6 am.”

Ask what time tomorrow is finished. If the answer is “in the morning”, the day starts already reacting, and the first cancellation lands on a plan that is still being built.

Finish it the evening before. Every trip has a driver and a time, built on real drive times rather than habit, and every rider gets a confirmation call the day before. Confirmation calls catch cancellations and wrong addresses while there is still time to fix the route.

Then check that someone other than the person who built the plan could run it. A route that depends on what one driver knows, like which building has its entrance at the back, works until that driver is out.

Check itThe time tomorrow’s plan was finished, every day this week.

Run the day

Daily · Dispatch

The problem

“No-shows and will-calls burn my day.”

By nine in the morning some of the plan is wrong: a dialysis run cancels, a driver calls out, a discharge runs two hours long. That is a normal day, and rebuilding routes by hand is slow. At Ride Well, rebuilding one route after a cancellation took 10 to 20 minutes.

So decide the common exceptions before the day starts, with a name against each decision:

WhenDecide in advance
A trip cancelsWhether the route closes up or the driver waits, and who makes that call
A driver calls outWhich routes get covered, which get split, and which trips you hand back early in the morning rather than mid-morning
A will-call comes inWho owns the return, and what pickup time the facility is promised
A rider is a no-showHow long the driver waits, what gets recorded at the curb, and who tells the facility

Keep riders and facilities told as the day changes. A call with an updated pickup time takes a minute. A facility left chasing its rides starts looking for another provider.

Done this way, a well-run day is boring. The cancelled run gets absorbed, and nobody raises their voice.

Check itExceptions this week handled by the written default rather than a call to you.

Get paid

Daily · Billing

The problem

“A missing signature means a denied claim.”

Every claim has a resubmission window, so each day you wait to submit comes out of the time you have to fix a denial. Submit the same day and a denial comes back while the driver still remembers the trip. Submit at month end and much of the window is already gone.

That puts the weight on what the driver captures at the curb: the signature or attestation, the odometer, the actual pickup and drop-off times, and anything unusual about the trip. None of it can be honestly rebuilt on Friday.

The days between a trip completing and its claim going out are the ones you control, which is why the Scoreboard measures days to payment from completion rather than from submission.

Check itDays between a trip completing and its claim going out.

Putting it in place

Who does what, and when

Daily

Every working day

  • The loop: trips in, plan the day, run the day, get paidDispatch
  • Tomorrow’s riders called to confirmIntake · the day before
  • Tomorrow’s plan finished by a named timeDispatch · before the day ends
  • Completed trips documented and submittedBilling

Monthly

12 times a year

  • Exception playbook checked against what actually happenedOwner and dispatch

Quarterly

4 times a year

  • Intake channels audited: is everything landing in one placeOwner

Act early when

If

The morning starts with building the plan

Then the plan is late by definition, and the day is already reacting. Move the deadline to the evening before, even if the first versions are rough.

If

Billing finds a trip that was never authorized

Intake accepted it without checking. Move the check upstream today, because that discovery is arriving six weeks after the money was spent.

If

Two days pass between a trip completing and its claim

You are spending the resubmission window before you know whether you need it. The days at the front are free to fix; the ones at the back are not.

Download the daily loop sheet

PDF, two pages, no email required.

Next

04 · Fleet and tools

Cost per mile, and what it buys.

All six components

03 of 6 · The daily loop