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TEXAS

Medical Billing & RCM Services in Texas

Texas is home to more independent physician practices than almost any other state — and to RCMEasy's own headquarters in Austin. That combination means Texas isn't just a market RCMEasy serves remotely; it's the state where the team lives and works day to day. Texas has also seen rapid growth in urgent care clinics across its major metros. From the Rio Grande Valley to Dallas-Fort Worth, RCMEasy provides full-service medical billing, coding, and revenue cycle management built around Texas's specific Medicaid structure, payer mix, and prompt-pay rules.

  • Texas Medicaid: STAR and STAR+PLUS
  • Texas's Prompt-Pay Law and Mediation Process

Serving independent practices across Texas.

Medicaid & Managed Care in Texas

Texas Medicaid: STAR and STAR+PLUS

Texas Medicaid is delivered through managed care programs administered by the Texas Health and Human Services Commission (HHSC) — primarily STAR for most Medicaid enrollees and STAR+PLUS for enrollees who also qualify for long-term services and supports. Each managed care organization contracted under these programs has its own claims portal, authorization requirements, and timely-filing rules, and getting them wrong is one of the most common reasons Texas practices see Medicaid claims denied or delayed. RCMEasy's billing team works within both programs directly.

Payers We Bill in Texas

The Payers We Work With in Texas

Blue Cross Blue Shield of Texas is the state's largest commercial payer, and RCMEasy bills it daily alongside UnitedHealthcare, Cigna, Aetna, and the state's Medicaid managed care organizations. Because Texas is home to RCMEasy's headquarters, the team has direct, ongoing experience with how these payers actually behave in practice — not just how their policies read on paper.

Regulatory Landscape

Texas's Prompt-Pay Law and Mediation Process

Texas has its own prompt-pay statute — the Texas Prompt Pay Act, regulated by the Texas Department of Insurance — which requires HMOs and PPOs to pay clean claims within 45 days, with financial penalties for late payment. Texas also created its own mediation and arbitration process for out-of-network billing disputes (SB 1264) years before the federal No Surprises Act existed. RCMEasy tracks both processes closely, since a missed prompt-pay deadline is recoverable money left on the table if no one is watching for it.

Frequently Asked Questions

Does RCMEasy provide medical billing services in Texas?

Yes — Texas is RCMEasy's home state. The company is headquartered in Austin and provides full-service medical billing, coding, and revenue cycle management to independent practices across Texas, including STAR and STAR+PLUS Medicaid managed care billing.

Can I meet with the RCMEasy team in person?

Practices in the Austin area can meet with the RCMEasy team directly at its Austin headquarters; practices elsewhere in Texas and nationwide are served remotely with the same dedicated billing team.

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