Case study: A-Life Medical Transport

Results

Less reconciliation, fewer no-shows, a board that builds itself.

Reconciliation99.6%of broker trips matched to cost

2,562 of 2,571 SafeRide trips completed May–August 2026 were matched to the broker’s cost automatically, leaving 9 for a person to review. The import also closed out 25 rides the broker had completed but the board still showed open.

Errors3.6% → 2.9%no-show rate, first two weeks of confirmations

Day-before text confirmations went live mid-August. In their first two weeks 57% of riders replied, and the no-show rate fell from 3.6% to 2.9% against the first half of the month. Of the riders who said no, most rides were cancelled ahead of time — seats freed, not driven to.

Dispatch labor25+operating days on a self-built schedule (Jul–Aug)

On at least 25 operating days in July and August, A-Life’s dispatchers approved a schedule UltraNavis built itself — reviewing a finished board instead of assembling one ride by ride.

Growth+40%completed rides per month, May → August

Completed rides rose from 620 in May to 868 in August 2026 while the operation ran on UltraNavis.

DeadheadMeasuredloaded vs. total miles, every week

GPS mileage is now set against loaded ride miles for every driver, every week — the baseline empty-mile routing is judged against.

Figures from A-Life’s production system through 31 August 2026. September is excluded until its broker reconciliation is complete.

The transformation

From a board built by hand to a company that runs on its own.

Before

Tomorrow’s board built by hand, every evening
Riders confirmed by phone — or not at all
Broker payments accepted without being checked against cost
Pre-trip checks on paper, defects found late

On UltraNavis

The whole board assigns itself every morning — zone-locked, wheelchair-matched
Every rider texted the day before; a “no” cancels the ride and frees the seat
Every broker payment reconciled against what the ride cost, nightly
A 25-point pre-trip on the driver’s phone that gates the day’s schedule
Maintenance cycles and defects tracked before a van goes off the road
AI desks handling marketing, ad spend and confirmation calls

A day at A-Life Medical Transport

What runs without anyone touching it

Overnight

Yesterday’s broker trips are reconciled against what each ride actually cost, and anything paid short is flagged with the arithmetic.

Before the first van leaves

The whole day is assigned in one pass — every driver inside their zone, every wheelchair ride on a ramp van — and pushed to each driver’s phone. Each driver clears a 25-point pre-trip before their schedule opens.

During the day

Changes land on the live board and the affected drivers’ phones. Wait time at clinics is logged from the driver app, so it is billed and costed rather than lost.

The evening before

Every rider on tomorrow’s board is confirmed by text. A “no” cancels the ride and frees the seat — the van never runs empty to a door that will not open.

How one of Nebraska’s leading NEMT providers runs on its own.