EMS Revenue Cycle Platform

Every claim, auto‑coded. Every narrative, auto‑written. Every NEMSIS field, on time.

Emcentra is the one platform that runs the EMS revenue cycle end-to-end — from 911 dispatch through NEMSIS submission, billing, and collection — with AI doing the drudgework so your billers can think.

Book a 30-min demo → Watch the lifecycle ►
NEMSIS 3.5 native HIPAA-aligned 12 state ruleset packs SOC 2 in progress
emcentra.com/dashboard
Executive Dashboard
Last 30 days
Collections
$1.24M
↑ 12.4%
First-pass
99.4%
↑ 1.8 pts
Denial %
3.1%
↓ 28%
30-day Collections Trend
↓ real-time KPIs
by the numbers

Agencies using Emcentra see real movement on the numbers that matter

avg denial reduction 0%
auto-code a claim in 0s
state NEMSIS packs 0
first-pass submission 0%
what's inside

One platform. Every piece of the EMS revenue cycle.

No more stitching a NEMSIS vendor to a clearinghouse to a coding tool to a BI dashboard. Emcentra does the whole arc.

Clinical Capture

Native NEMSIS 3.5 ePCR, multi-state rulesets, vitals & narrative, signature capture, state-specific custom fields.

ePCR · NEMSIS · Dispatch · Fleet

AI Acceleration

Autocoder (HCPCS + ICD-10), Narrative Builder, EMS Friend, Denial Predictor, Insurance Discovery — AI that actually understands EMS.

Autocoder · Narrative · EMS Friend · Discovery

Revenue Ops

837P/835 EDI, ERA auto-posting, clean-claim scrubber, AR worklist, aged-receivables, payer analysis, denial management.

837P · 835 · AR · Denials · BI
✨ AI Autocoder

Stop guessing HCPCS. Let the model read the run.

The Autocoder reads your ePCR narrative, vitals, chief complaint, and disposition — then recommends the exact HCPCS, ICD-10 chain, and modifiers your payer expects. Every suggestion comes with a confidence score and the evidence that drove it.

  • BLS / ALS1 / ALS2 / SCT with supporting rationale
  • Chained ICD-10 in correct sequence
  • Modifier logic for mileage, secondary transport, MSP scenarios
  • Coder always has the last word — review, edit, approve
See it on your data →
emcentra.com/autocoder/run/R-2026-0012
Run R-2026-0012
Autocode Suggestion
 94% confidence 
Chief complaint: chest pain with diaphoresis, radiating to left arm
HCPCS A0427 ALS emergency
Primary
ICD-10 R07.9 Chest pain, unspecified
Dx 1
ICD-10 R09.89 Other symptoms involving circulatory/respiratory
Dx 2
Modifier QN Emergency transport
Mod
Mileage (HCPCS) A0425 12.4 loaded miles
Line 2
94% confidence  
📝 Narrative Builder

SOAP narratives that read like your best paramedic wrote them.

Tap the vitals, the chief complaint, the dispatch notes, and the interventions — and the Narrative Builder drafts a full SOAP note in your agency's voice. Paramedics review, add color, sign. No more blank-page syndrome at end of shift.

  • Four panels: Subjective, Objective, Assessment, Plan
  • Pulls directly from ePCR structured fields
  • Signals medical necessity language for billing
  • Editable every word, trackable changes
Show me a sample →
emcentra.com/narrative-builder/R-2026-0012
SOAP Narrative — AI draft
Draft
Subjective
62-year-old male presenting with substernal chest pain onset 40 minutes prior to EMS arrival. Pain rated 8/10, radiating to left arm. Patient reports diaphoresis and nausea. No prior cardiac history reported.
Objective
GCS 15, alert and oriented x4. Skin pale, diaphoretic. BP 148/92, HR 104, RR 22, SpO2 94% on room air. Lung sounds clear bilaterally. 12-lead ECG obtained en route.
Assessment
Acute chest pain with concern for acute coronary syndrome. Hemodynamically stable at time of report.
Plan
Oxygen 4 L via nasal cannula. IV access established, 18g left AC. Aspirin 324mg PO administered. ALS transport to St. Johns ED, Code 3, cardiac alert initiated per protocol.
← drafted in 4s
💬 EMS Friend

A grounded AI that answers billing questions from your data.

EMS Friend is your agency's chat assistant — grounded in your claims, denials, payer rules, and NEMSIS submissions. Ask it anything: "Why did CLM-00487 deny?" or "Which payer has the worst first-pass rate this month?" and get cited, specific answers.

  • Trained on your agency's real billing data
  • Cites the claim, run, or denial that drives every answer
  • Never hallucinates a member ID or CARC code
  • Every question + answer logged for HIPAA audit
Try a sample chat →
emcentra.com/ems-friend
🔍 EMS Friend
You: Why was CLM-2026-00487 denied?
Emmy: CLM-2026-00487 was denied by Medicare on 2026-04-12 with CARC CO-50 (non-covered service).

The run (R-2026-0429) was billed as A0427 (ALS1 emergency), but the narrative documents vitals within normal limits and no ALS interventions. Medicare flags this as inconsistent with the ALS designation.

Suggested action: downcode to A0429 (BLS emergency) and resubmit. Open claim →
grounded in YOUR data
🔍 Insurance Discovery

The patient had no card. We found their coverage anyway.

Submit basic demographics — name, DOB, state — and Emcentra pings every major payer directory to find the coverage that the patient didn't remember, didn't have, or couldn't communicate. Results land within 24 hours with confidence scores and primary/secondary/tertiary suggestions.

  • Medicare MBI · Medicaid · Commercial · TRICARE · Workers' Comp
  • Primary / Secondary / Tertiary COB auto-resolved
  • One-click accept → posts to patient_insurances
  • Queued submission with per-agency dashboard
Walk through a queue →
emcentra.com/discovery/DISC-2026-00187
Discovery Results
Brown, Betty · DOB 1979-06-25
Completed · 2 matches
Medicare Part B (Novitas)
Member 1EG4-TE5-MK73 · Eff 2026-01-01
primary
94%
Illinois Medicaid (HFS)
Case CASE-MK7352 · Dual-eligible
secondary
78%
🏥 NEMSIS Engine

Valid XML on first try. Every state. Every time.

Emcentra's built-in NEMSIS engine generates v3.5.0-compliant XML, validates against XSD and national Schematron, and applies state-specific rulesets for 12 states out of the box. You see violations ranked and auto-fixable ones highlighted — before you submit to the state repository.

  • Multi-state: IL, CA, TX, NY, FL, PA, OH, GA, NC, MI, CO, WA
  • XSD + national + state Schematron pipeline
  • Time-ordering invariants enforced (eTimes.06 ≤ .07 ≤ .09)
  • Submission tracking + ACK/NACK per state
Run validation on my file →
emcentra.com/nemsis/submissions/NEMSIS-A3F29D81
NEMSIS-A3F29D81 · IL · v3.5.0
Validation Report
 Accepted 
✓ XSD schema — EMSDataSet.xsd (IL v3.5.0) — no violations
✓ National Schematron — N-001 through N-021 — all clean
✓ IL state Schematron — IL.01, IL-REQ-eProcedures.03, IL-REQ-eMedications.03 — passed
⚠ IL-EXT data quality — 2 advisories · auto-fixable
0 errors ✨
business intelligence

Every metric that matters to a CFO. Drawn for you.

Eight purpose-built EMS dashboards — revenue cycle, aged receivables, payer analysis, denial trends, transport analytics, predictive forecasting, and more. Real-time, drillable, exportable.

📊 Executive Dashboard

the 30,000-ft view
Collections$1.24M
DSO28d
Net collection94.1%
AR 90+11%
Denial %3.1%
First pass99.4%

⏱ Aged Receivables

buckets by age
$420k
$180k
$94k
$38k
0–3031–6061–9090+

💳 Payer Analysis

mix this month
$1.24M collections
🟦 Medicare36%
🟥 Commercial26%
🟨 Medicaid20%
🟩 Self-pay18%

🚫 Denial Management

trending ↓ 28%
CO-50 (non-covered)18
CO-16 (missing info)12
CO-4 (modifier)9
CO-197 (prior auth)4

💰 Revenue Cycle Funnel

dollars through the pipe
Billed$1.48M
Accepted$1.36M
Allowed$1.29M
Paid$1.24M
Net collected94.1%

🔮 Predictive Analytics

60-day forecast
Next 30d forecast$1.38M
Confidence±4.2%

🗺 Transport Analytics

density by region
911 calls1,284
Interfacility342
Avg miles / run12.8
Peak hour14:00

⚡ Collection Efficiency

how fast the dollars move
94% efficiency
Avg days to pay28d
% paid < 30d71%
end to end

One platform. Call to collection.

Walk the full revenue cycle in 15 guided steps — from a 911 call to a posted payment. Every step wired to the others, every transition audited.

1
911 Dispatch
2
ePCR / Run
3
Patient & Insurance
4
Eligibility
5
QA Review
6
Coding & Charges
7
CMS-1500 Claim
8
EDI 837P
9
NEMSIS Submit
10
ERA 835 Posting
11
Denial Management
12
AR Follow-up
13
Isolator
14
Task Assignment
15
Reports
the whole toolbox

Twelve modules. One platform. Zero duct tape.

🚑

ePCR / Runs

NEMSIS 3.5 native patient care reports.

🏥

NEMSIS Engine

XSD + Schematron + state rulesets.

🤖

Autocoder

AI-driven HCPCS & ICD-10.

📝

Narrative Builder

SOAP notes in seconds.

💬

EMS Friend

Grounded chat on your data.

🔍

Insurance Discovery

Find coverage from basic demographics.

✅

Eligibility

Real-time 270/271 checks.

🧹

Claim Scrubber

Pre-submission edits.

📉

Denial Predictor

Flag risky claims before you send.

💰

AR Priority

Worklist sorted by dollar impact.

📊

BI & Analytics

8 dashboards out-of-the-box.

🔀

HL7/FHIR

Hospital interop for follow-ups.

built for your agency type

Every EMS agency is different. Emcentra adapts.

Private Ambulance

For 10–500 unit operations running 911 + interfacility transports, with complex payer mixes.

  • Contract & fee-schedule management
  • Medicare crossover + workers' comp
  • Standing order billing workflows
  • Fleet + crew scheduling integrated

Fire / Municipal EMS

For city and county fire-based EMS with public funding, subscription programs, and government reporting.

  • Subscription / membership billing
  • State EMS compliance reporting
  • Cost recovery dashboards
  • Uninsured write-off controls
1

Hospital Transport

For hospital-owned fleets running interfacility and discharge transports with HL7/FHIR back to the EMR.

  • HL7 ADT + results feedback
  • Payer coordination with hospital billing
  • Clinical chart linking to ePCR
  • Quality metrics for Joint Commission
pricing

Plans that scale with your agency.

Annual contracts, no per-claim fees, everything-included pricing. Enterprise plans include SSO, dedicated CSM, and custom integrations.

Basic

$Contact sales

Up to 3 agencies · 25 users

  • ePCR + NEMSIS 3.5
  • Autocoder + Narrative Builder
  • Eligibility checks
  • 837P generation
  • BI dashboards (executive + aging)
  • Email support
Talk to sales
most popular

Professional

$Contact sales

Up to 10 agencies · 50 users

  • Everything in Basic
  • EMS Friend AI chat
  • Insurance Discovery
  • Denial Predictor
  • AR Priority worklist
  • All 8 BI dashboards
  • Phone + email support
Get Professional

Enterprise

Custom

Unlimited agencies · users

  • Everything in Professional
  • SSO (SAML / OIDC)
  • Dedicated CSM
  • Custom integrations
  • BAA + SOC 2 documentation
  • SLA & white-glove onboarding
  • 24/7 priority support
Talk to sales
what customers say

Billers, chiefs, and CFOs — all saying similar things.

“We cut denials from 11% to 3% in one quarter. The autocoder catches things my senior coder used to miss.”

SK
Sarah K.
Billing Manager · Regional EMS

“My paramedics stopped hating end-of-shift. The narrative builder drops them into a near-final SOAP — they just sign and go.”

JM
James M.
EMS Chief · County Fire
faq

Questions billers actually ask.

How do you handle NEMSIS state variants?
We ship ruleset packs for 12 states (IL, CA, TX, NY, FL, PA, OH, GA, NC, MI, CO, WA) with per-state XSD + Schematron. Additional states added quarterly. Generated XML is validated against the destination state's ruleset before submission.
Which clearinghouses do you support?
Emcentra integrates with Waystar, Availity, Change Healthcare, and pVerify via standard X12 over SFTP or direct API. ERA 835 auto-posting works with all of them.
What's your multi-tenant data isolation model?
Organization → Agency → User. Every database query is scoped by the authenticated user's agency. RBAC policies enforce read/write boundaries. Platform admins can explicitly select "All agencies" for cross-agency work; standard users cannot see outside their agency.
Is Emcentra HIPAA-compliant?
Yes. We sign BAAs with all customers and cloud providers. PHI is encrypted at rest (AES-256) and in transit (TLS 1.2+). Audit logs capture every access to patient data with 6-year retention. SOC 2 Type II is in progress.
Do you offer on-prem deployment?
Yes, on Enterprise plans. We deploy into your AWS/GCP/Azure account or on-prem Kubernetes. Support for air-gapped deployments for government agencies.
How does migration work from my current system?
Our migration team handles data extraction, mapping, and cutover. Most agencies migrate in 4–8 weeks. We support parallel-run periods so your team validates Emcentra before retiring the old system.
Do you have an API?
Yes — REST API with OAuth2. Documented OpenAPI spec covering runs, claims, payments, eligibility, and NEMSIS. Webhooks for event-driven integrations (ERA posted, denial received, NEMSIS submitted).
What does pricing actually look like?
We price by agency and user count, not per-claim. Annual contracts. Professional tier typically lands in the mid-four-figure range per month for a 5-agency operation. Enterprise is custom. Schedule a demo and we'll share specifics.
ready when you are

See Emcentra run your agency's cycle.

Book a 30-minute demo. We'll load 10 of your actual NEMSIS files into a sandbox and show you what happens when AI meets your revenue cycle.

Book a demo → Client Login
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