Medical Billing Services in Texas
In Texas — from Houston and San Antonio to Dallas and Plano — medical billing starts the moment a patient visit ends. We turn your visit notes into clean claims and move them through Blue Cross and Blue Shield of Texas, Texas Medicaid (TMHP), and Medicare the right way, so your practice gets paid faster and stops losing revenue to denials.
- Claim preparation, submission & payment posting
- Denial management & aggressive AR follow-up
- Texas payer expertise — Blue Cross and Blue Shield of Texas, TMHP, Novitas Solutions
- Pay only when you get paid — no in-house billing staff
About medical billing services in Texas
Whether the visit happens at an independent practice in Houston or within a larger Texas health network, the billing work starts once the clinical side is done. Around here, claims move to payers like Medicare, Texas Medicaid (TMHP), and Blue Cross and Blue Shield of Texas — so the billing flow has to be clean from the very first step.
Patient & charge capture
We gather charts, encounter forms, and provider documentation from your Texas office or EHR.
Insurance eligibility verification
Real-time checks against Blue Cross and Blue Shield of Texas, Texas Medicaid (TMHP), Medicare, and commercial plans before the claim goes out.
Accurate coding & claim preparation
Certified coders assign correct CPT/ICD-10 codes to cut denials and audit risk.
Electronic claim submission & scrubbing
Claims are scrubbed and filed fast for a high first-pass acceptance rate.
Payment posting & reconciliation
Payments are posted and reconciled so your books always match the money in.
Denial resolution & appeals
We find the root cause of Texas payer denials, fix it, and win appeals — not just resubmit.
Reporting & growth support
Transparent monthly financials so you always see where your revenue stands.
We know Texas’s payer landscape
Getting paid in Texas means knowing each payer’s rules — not generic billing.
Blue Cross and Blue Shield of Texas
The dominant commercial payer for Texas practices. We manage its portal workflows, timely-filing windows, and prior authorizations so claims don’t stall.
Texas Medicaid (TMHP)
We handle Texas Medicaid billing through TMHP, including enrollment, managed-care plan rules, and re-credentialing.
Medicare — Novitas Solutions
Texas Medicare Part A/B is administered by Novitas Solutions under Jurisdiction H. We work its edits, LCDs, and appeals to keep Medicare revenue moving.
Commercial & ACA plans
UnitedHealthcare, Aetna, Cigna, Humana, and Texas marketplace plans — full eligibility checks, clean submission, and denial follow-up on each one.
Your one-stop billing & RCM partner in TX
One team for the entire revenue cycle — no in-house billing staff to hire, train, or replace.
Claims & scrubbing
Clean claims filed fast with a 98% first-pass acceptance rate.
Denial management
Root-cause fixes and won appeals, not blind resubmissions.
AR follow-up
Proactive aging-AR work so money doesn’t sit past timely filing.
Medical coding
Certified coders — accurate CPT/ICD-10, lower audit risk.
Provider credentialing
CAQH, TMHP enrollment, Novitas Solutions & commercial payer setup.
Patient billing & reports
Clear statements and transparent monthly financials.
Serving practices across Texas
Remote, HIPAA-compliant billing for solo providers, groups, and clinics statewide.
Texas billing questions
Do you handle Texas Medicaid billing?
Yes. We bill Texas Medicaid (TMHP) through TMHP and each managed-care plan, including provider enrollment and re-credentialing.
Can you bill Blue Cross and Blue Shield of Texas and the major commercial payers?
Absolutely — Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, Humana, and Texas marketplace plans. We manage each payer’s portals, prior-auth, and timely-filing rules.
Do you do provider credentialing in Texas?
Yes — CAQH, TMHP enrollment, Medicare (Novitas Solutions) enrollment, and commercial payer credentialing so you can start billing sooner.
Do I need an office in a specific Texas city to work with you?
No. Our billing is fully remote and HIPAA-compliant, so we support practices anywhere in Texas — from Houston and San Antonio to rural TX.
How does your pricing work?
Performance-based — you pay a percentage only when you get paid. No large upfront cost and no in-house billing salaries.
Get a free Texas billing audit
We’ll review your current claims, denials, and AR — and show you exactly where your Texas practice is leaving money on the table.