- Texas Medical Billing & RCM Experts
Texas Medical Billing &
RCM Experts
Texas Medical Billing That Gets Providers Paid Faster
End-to-end billing and revenue cycle management for Texas practices built around TMHP deadlines, Prompt Pay rules, and STAR managed care routing so every claim goes out clean the first time.
Provider
Information
Credentialing and licensing support to keep providers enrolled and ready to bill.
Accurate
Coding
Accurate, compliant coding to reduce denials and support proper reimbursement.
Compliance
Support for TMHP, Prompt Pay, and STAR requirements to keep billing compliant.
Commercial
Payers
Accurate claim submission and follow-up for commercial insurance payers.
Managed
Care (STAR)
STAR plan billing support to verify benefits and meet managed care requirements.
TMHP
Medicaid
TMHP Medicaid billing support, from eligibility checks to claim submission.
Clean Claim Rate
A/R Reduction
First-Pass Resolution
Rate
Specialties Supported
Texas Regulatory Pillars
Texas Compliance & Regulatory
Oversight Built Into Every Claim
State filing windows, prompt-pay clocks, and managed care routing are tracked claim by claim, not left to memory.
95-Day TMHP Filing Deadline Management
Every Medicaid claim is dated from service and tracked against the TMHP window before it can age out.
Texas Prompt Pay Act (30-Day Electronic / 45-Day Paper Rules)
Late clean claims are flagged for prompt-pay penalty interest and escalated with the payer.
SB 1264 & Independent Dispute Resolution (IDR)
Out-of-network underpayments are documented and taken through state IDR with the supporting file.
Texas Medicaid Managed Care (STAR / STAR+PLUS / STAR Kids) Track Routing
Each member is matched to the right plan and program so claims reach the correct MCO first.
End-to-End RCM Workflow
Complete Billing & Revenue
Cycle Services
Patient Intake & Demographic Capture
Clean demographics and insurance details captured once, before the visit.
Eligibility & Benefits Verification
Coverage, copays, and Medicaid plan assignment confirmed ahead of service.
Prior Authorizations & Pre-Certifications
Auth requests submitted, tracked, and matched to the procedures billed.
Point-of-Service Collections
Patient responsibility estimated and collected at check-in.
Claim lifecycle
#TX-40218 · BCBS Texas
Sep 02 · Active PPO
99214-25 · 20610 · 0 edits
Sep 03 · Accepted 277CA
Day 18 of 30 · ERA expected
Expected reimbursement
Medical Coding & Claim Scrubbing
Accurate ICD-10, CPT, and modifier coding with claim validation to reduce errors before submission.
Claims Submission & Payer Follow-Up
Electronic claim submission, status tracking, and proactive payer follow-ups to resolve outstanding claims.
Denial Management & Appeals
Identify denial trends, correct claim issues, and submit timely appeals to recover lost revenue.
Payment Posting & A/R Management
Post payments and adjustments accurately, reconcile ERAs/EOBs, and manage aging receivables to improve collections.
Claim lifecycle
#TX-40218 · BCBS Texas
Sep 02 · Active PPO
99214-25 · 20610 · 0 edits
Sep 03 · Accepted 277CA
Day 18 of 30 · ERA expected
Expected reimbursement
Compatibility Matrix
EHR Interoperability &
Texas Payer Network
Texas Payers We Bill
EHR Integrations
+ other certified EHR and practice management systems
Zero Software Migration Required
We work inside the EHR and clearinghouse your practice already uses. No new system, no data transfer, no retraining.
- TEXAS COVERAGE
Medical Billing Services
Across Major Texas Cities
We deliver state-specific billing expertise across Texas, aligning with payer rules, Medicaid programs, and compliance laws.
Explore your city for tailored details.
Aligned with Texas payer rules & regulations.
Up-to-date with Medicaid programs & compliance laws.
Personalized solutions for your local needs.
Improved reimbursements with expert billing.
Specialty & Geographic Scope
Specialty Expertise &
Texas Service Areas
Proof Bar
Client Success & Trust Factors
What Texas Providers Say About Working With Us
Average reduction in denials for clients
Performance Pricing
You Pay Only When
You Get Paid
One percentage of collected revenue. Our incentive is the same as yours: more clean claims, paid faster.
Percentage of Collections Model
Fee applies only to money actually collected
Per-claim fees
Zero Upfront Setup Fees
No onboarding, implementation, or exit charges
Setup fee
Transparent Reporting & Analytics Included
Monthly KPI dashboard: A/R, denials, collections
Paid add-on
FAQ
Frequently Asked
Questions
Texas-specific answers on filing, prompt pay, routing, integration, and pricing.
Talk to a Texas billing specialist.
What are the Texas Medicaid filing windows?
TMHP generally requires claims within 95 days of the date of service. Corrected claims and appeals may follow different timelines, while managed care plans can apply their own filing limits.
How do you enforce Texas Prompt-Pay rules?
We track applicable payment deadlines, follow up on overdue claims, and pursue eligible penalties or interest.
How do you route MCO vs. Fee-for-Service claims?
We verify coverage for the service date and submit claims to the correct MCO or Fee-for-Service payer.
What does the EHR integration process look like?
We review your EHR, configure secure access or data exchange, and test the billing workflow before launch.
How is pricing and the percentage structure set?
Free Texas Billing Audit
Find Out What Your
Practice Is Leaving
Unpaid
We review your last 90 days of claims, denials, and A/R, then show you where revenue is slipping. No cost, no obligation.
Request Your Free Audit
- HIPAA-conscious intake. We never share your data.