Payer setup
Add brokers, Medicaid Direct, custom payers, and facilities, and build the rate sheets that price your trips.
Last updated July 19, 2026
Settings → Payers is where you define who pays for trips and at what rates. Only company admins can manage payers. The page has two sections: Payers (brokers, Medicaid Direct, and other contracted billing entities) and Facilities (nursing homes, day programs, clinics — each can carry its own rate sheet).
Payer types
When you add a payer you pick one of three types:
- Broker — a transportation broker. Broker payers can be connected to a live data integration (see Broker Integrations); their trips bill as electronic claims.
- Medicaid Direct — state Medicaid billed directly, with a rate sheet.
- Custom — any other contracted payer.
Facilities aren't added here as a "type" — manage them in the Facilities section below, where setting up billing creates the linked payer for you. Trips with no payer at all are Private Pay and bill to the member's billing contact.
Adding a payer
- Click add in the Payers section and choose the Payer type.
- Enter the Name.
- For a Broker, pick which broker it is from the list. The Data connections box shows what's available for that broker — a live API integration and/or File import (uploading files manually). Manual trip creation is always available regardless.
- For Medicaid Direct or Custom, choose the Billing method: Per mile (computed from rate tiers) or Flat rate (fixed amount per trip).
- Add contact details — Contact email, Contact phone, Address, Notes — and leave Active on.
- Build the Rate sheet (below) and click Save.
Rate sheets
The rate sheet is a set of mileage bands that price each trip:
- Each tier has From mile, To mile, a Flat $ amount, and a $ / mile rate. The first band's flat amount is your base rate.
- Leave the last band's "To mile" blank to make it open-ended ("and up").
- Use + Add tier to add bands, and the built-in Sample bill calculator to sanity-check: enter a trip distance and see the computed charge.
Note: A payer with no rate sheet shows "No rate sheet — bills compute to $0.00 until tiers are added." Set rates before you start billing.
Facilities
In the Facilities section, each facility row shows its type and billing state. Use Set up billing to attach billing (and optionally a rate sheet) to a facility, Edit to change details, or Archive to retire it. Facility-billed trips generate invoices to the facility — typically batched monthly from the payer's Invoices action (see Invoices for private pay and payers).
Housekeeping
- Inactive payers are hidden from the trip-creation dropdown but keep their history.
- Archive removes a payer from new-trip selection while preserving existing billing records. ZeitRide warns you if the payer is linked to a broker integration.
- Member insurance plans (the dropdown on member profiles) are managed separately under Settings → Insurance plans, where each plan has a name and payer ID.
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