Medical Billing Services in Texas
Built for BCBSTX & Texas Medicaid
Texas practices lose real revenue to one preventable mistake: missing the state's 95-day claims filing deadline. Mediknocx provides medical billing services built around that deadline, from claims submission and scrubbing to payment posting and denial follow-up, so Texas physicians, clinics, and small practices get paid for the care they already delivered.
HIPAA Compliant
Your data stays secure
Faster Payments & Fewer Denials
Improve cash flow
Higher Reimbursement
Get the revenue you deserve
Texas Billing Compliance Experts
State-specific payer knowledge
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Find out how much revenue your practice could be recovering with expert medical billing support. No obligation, just real insights.
Professional Medical Billing Services in Texas: The 95-Day Filing Deadline
Texas holds providers to a hard 95-day claims filing window. Under 1 Texas Administrative Code §354.1003, Texas Medicaid claims processed through the Texas Medicaid & Healthcare Partnership (TMHP) must reach HHSC within 95 days of the date of service, or 95 days from discharge for inpatient hospital claims. Miss it, and the claim is denied outright. There's no soft landing.
The same 95-day standard applies on the commercial side. Texas Department of Insurance rule 28 TAC §133.20 requires providers to submit claims to TDI-regulated health plans within 95 days of the service date, and TDI fee-dispute rulings consistently uphold denials once that window closes, with narrow exceptions only for documented catastrophic events under Texas Labor Code §408.0272. Mediknocx tracks date-of-service against the 95-day clock from day one, not after a denial shows up.
Expertise
Built for local care models
Deadline Tracking
We flag at-risk claims early
Fewer Denials
Correct coding, less revenue loss
What's Included in Our Texas Medical Billing Services
- Claims creation, scrubbing, and submission (Medicaid and commercial)
- Real-time filing-deadline tracking to catch at-risk claims before day 95
- Payment posting and reconciliation
- Denial identification and resubmission coordination
- Patient statement and billing inquiry support
- Monthly reporting on claim status, denials, and days in A/R
From Audit toFaster Payments in 4 Steps
A simple, proven process to streamline your revenue cycle and maximize reimbursements in Texas.
Free Billing Audit
We review your current claims performance, denial patterns, and coding accuracy. No cost, no commitment.
Custom Billing Plan
We build a billing plan for your practice with specific targets, covering denial reduction, faster payment posting, and lower days in A/R.
Seamless Transition
Our onboarding team connects with your existing EHR or practice management system. No billing interruption, no lost data.
Ongoing Reporting + Recovery
Monthly reporting on denial trends, claim status, and days in A/R, plus continued coding review to catch new denial patterns early.
Get Your FreeMedical Billing Audit Report
Uncover hidden revenue opportunities.
Improve accuracy. Ensure compliance.
What Makes Our Texas
Medical Billing Services Different
Texas's billing environment looks different from most states, and our approach reflects that.
Texas-Specific Payer Intelligence
Mediknocx builds Texas claims workflows around the payers that decide reimbursement here, including Texas Medicaid, Blue Cross Blue Shield of Texas, and UnitedHealthcare Community Plan. That means payer-specific documentation, not one generic process for every claim.
Dedicated Account Management
You get one dedicated billing specialist who knows your practice, your payers, and your priorities. No rotating reps, no ticket queues, no voicemail loop standing between you and an answer.
Compliance-First Infrastructure
HIPAA-compliant systems, secure data handling, and documentation built to hold up during payer audits, including CMS Recovery Audit Contractor (RAC) reviews, an increasingly common part of billing in Texas.
Full Audit Before We Take Over
Onboarding starts with a review of your current billing performance and denial patterns. You know exactly what's being missed before Mediknocx takes over your claims, not months after.
Built Around Your Specialty
Coding and claims work is handled by a team trained across all 75+ specialties Mediknocx supports, from cardiology to pain management, so claims are built correctly for your specialty from the start.
Reporting You Can Actually Use
Monthly reporting on denial trends, claim status, and days in A/R keeps you informed on where your Texas billing stands, without needing to chase down a status update yourself.
Specialty Expertise That Works for You
Every specialty bills differently. A cardiology practice deals with a different denial pattern than a dermatology office, and a behavioral health provider works through a different prior-authorization process than an orthopedic surgeon. Mediknocx staffs Texas accounts with billers who already know these differences, covering all 75+ specialties Mediknocx supports nationwide, from cardiology and dermatology to more specific areas like pain management and sleep medicine. The result is fewer coding-related denials and claims that move faster because they were built correctly the first time.
How Does Mediknocx Ensure Compliance
With Texas Medical Billing Regulations?
No Surprises Act Compliance
For out-of-network services, Mediknocx's billing specialists follow the federal No Surprises Act's billing and disclosure requirements, so patients aren't left with the kind of unexpected balance bill the law was written to prevent.
Texas 95-Day Timely Filing Compliance
Texas requires claims, Medicaid and TDI-regulated commercial alike, to reach the payer within 95 days of the date of service. Mediknocx tracks that deadline against every claim from day one.
Texas Billing Transparency & Itemization
Texas law requires hospitals and health care facilities to disclose standard charges and provide patients with itemized billing information on request. Mediknocx's patient statements are itemized and in plain language, not a single vague "balance due" line.
Payer-Specific Guidelines
Mediknocx bills according to the specific requirements of Medicare, Texas Medicaid (through HHSC and TMHP), and major Texas commercial payers such as Blue Cross Blue Shield of Texas (BCBSTX) and UnitedHealthcare Community Plan, rather than one generic claims format across every payer.
Healthcare Billing Services Across Texas Cities
Mediknocx works with practices in Houston, San Antonio, and Dallas, along with providers across the rest of the state. Each market has its own hospital-system and payer mix, but the same 95-day filing clock and HHSC/TDI compliance rules apply everywhere in Texas.
- Houston
- San Antonio
- Dallas
- Fort Worth
- Austin
Nationwide Medical Billing Services
Texas is one of 50 states where Mediknocx provides medical billing services, including Florida, California, New Jersey, New York, Delaware, Illinois, Ohio, Georgia, Arizona, and Pennsylvania. Each state page reflects that state's own claims-filing rules and payer landscape rather than one national template.
Frequently Asked Questions
Find answers to the most common questions about our medical billing services in Texas.
