The best medical billing companies in Texas for 2026, scored out of 100, are One O Seven RCM, Transcure, Right on Time Billing, Paymedics, MediBill RCM, Vigilant Medical Group, Holmes Medical Billing, Plutus Health, MediBillMD, and Right Medical Billing. Each one lists a Texas street address.
We read every company’s own website on October 7, 2026, and its Google rating on October 7 or 8, then scored each one on the same seven factors. You’ll find every score in the table below. Numbers a company publishes about itself carry the label “company-reported,” since we found no outside audit of them.
We also cover the 2026 Texas billing rules, the cost of medical billing services in Texas, and 10 questions to ask before you sign. A solo therapist and a manager comparing quotes for a 20-provider group can both use it.
Disclosure: One O Seven RCM, a Texas medical billing company in Fulshear, publishes this guide and appears on the list. We scored ourselves on the same rubric, and we explain where we lost points in the scoring section below. No company paid for a spot, and we don’t link to any competitor.
Key Takeaways
- Texas addresses verified: all 10 medical billing companies in Texas listed here show a Texas street address (October 7, 2026).
- Published prices: five of the 10 post a rate, from 1.99% (with a $500 floor) to 5% of collections (company sites, October 7, 2026).
- Filing deadline: Texas Medicaid fee-for-service and state-regulated HMO and PPO plans require claims within 95 days; self-funded plans vary (TMHP; TDI).
- Prompt pay: state-regulated plans must pay or deny clean electronic claims within 30 days and paper claims within 45 (TDI).
- Deposits: Medicare sends electronic payments to an account in the practice’s name (CMS-588), so ask each biller who controls it.
The table below puts all 10 side by side.
Top 10 Medical Billing Companies in Texas at a Glance
One O Seven RCM scores 81 out of 100, Transcure 80, and Right on Time Billing 75.5, the top three of the 10 listed here. The next section shows each of the seven factors and its point values.
Scores, prices, and terms for the 10 companies, checked October 7 and 8, 2026 (sources: company websites, public review profiles, and company press releases where named)
| # | Company | Texas HQ | Score (out of 100) | Published price | Contract terms | Best for | Reviews |
|---|---|---|---|---|---|---|---|
| 1 | One O Seven RCM | Fulshear | 81 | 3% of monthly collections | Month-to-month, 30-day notice, no setup fee | Full-service RCM plus credentialing from $107 per payer | 4.6 from 21 Google reviews |
| 2 | Transcure | Farmers Branch | 80 | 5% of monthly collections | No setup cost; “easy exit” | A published 5% rate and a Dallas-Fort Worth office | 4.8 from 19 Google reviews |
| 3 | Right on Time Billing | Houston | 75.5 | 1.99% of collections or $500, whichever is higher | Free trial; length differs by page | Low entry pricing for small practices | 5.0 from 15 Google reviews |
| 4 | Paymedics | Richardson | 70 | 2.99% of monthly collections | No setup fee; cancel when needed | A published 2.99% rate in Dallas-Fort Worth | 5.0 from 4 Google reviews |
| 5 | MediBill RCM | Houston | 69.5 | 3% | Not published | Billing, coding, and credentialing at one rate | 4.0 from 3 Trustpilot reviews; no Google profile found |
| 6 | Vigilant Medical Group | Mesquite | 68 | Quote on request | Not published | TMHP and Texas prompt-pay know-how | 5.0 from 27 Google reviews |
| 7 | Holmes Medical Billing | Spring Branch | 65 | Not published | Not published | A U.S.-only team in the Hill Country | 5.0 from 11 Google reviews |
| 8 | Plutus Health | Dallas | 61.5 | Base fee plus performance bonus, no rate | Not published | Larger behavioral health, surgery center, and ER groups | 5.0 from 6 Google reviews |
| 9 | MediBillMD | Dallas | 61 | Not published | Not published | Dallas practices that want a large Trustpilot review count | 4.3 from 55 Trustpilot reviews |
| 10 | Right Medical Billing | Katy | 55.5 | Not published | Not published | Freestanding ERs and urgent care | 4.7 from 49 Google reviews |
We read the company sites on October 7, 2026, and the Google review counts on October 7 and 8, 2026. None of the 13 sites we read publishes an audited clean claim rate, so we left performance figures out of the table. Of the 10 companies listed, only One O Seven RCM publishes its contract length, notice period, and setup fee together.
How We Scored the Best Medical Billing Companies in Texas
We scored each company out of 100 on seven factors a Texas practice can check before signing: Texas presence, pricing, contract terms, services, client reviews, accuracy, and specialties. Each point rests on a public page we read, and the table below lists what earns points in each factor.
Scoring rubric (100 points)
| Factor | Points | What earns points |
|---|---|---|
| Texas presence | 20 | 10 for a Texas street address on its own site. 4 more when Texas is its only or main headquarters. 6 more for Texas payer content (TMHP, Texas Medicaid, BCBSTX, or Texas billing rules), or 3 when it names Texas cities, regions, or Texas client work without payer content. |
| Pricing | 15 | 15 for an exact rate on its own site. 8 when its own pages give conflicting rates. 4 for a fee model with no rate. 0 for no pricing. |
| Contract terms | 10 | 10 when it publishes term length (or month-to-month status), cancellation notice, and setup fee. 5 for one or two of the three. 0 for none. |
| Services | 15 | 2.5 each for eligibility and prior authorization, coding, claim submission, payment posting, denials and accounts receivable (AR) follow-up, and credentialing, when its own site names the service. |
| Client reviews | 15 | Its largest client review count with a 4.0 or higher rating on Google, Trustpilot, GoodFirms, or Clutch: 50 or more earns 15, 20 to 49 earns 12, 10 to 19 earns 9, 5 to 9 earns 6, 1 to 4 earns 3. A rating under 4.0 earns half. |
| Accuracy | 15 | Starts at 15 and loses 3 for each conflict between its own pages or statements, each claim a primary source contradicts, and any offshore staff that third-party evidence shows but its site doesn’t disclose. The floor is 3. |
| Specialties | 10 | 10 for six or more named specialties with a consistent count. 5 for an inflated or conflicting count. 0 for none named. |
Of the 27 companies we checked, only those with a Texas street address on their own website could make our list of medical billing companies in Texas. Thirteen qualified, including us, and we list the top 10 here. The rest follow later, except one firm with no street address on its site.
On October 7, 2026, we read the About, Contact, and Services pages of all 13 Texas medical billing companies, each Pricing page we could open, and press releases where we cite one. We also checked medical billing reviews on Trustpilot, GoodFirms, and Clutch, plus Google on October 7 and 8, counting client reviews and ignoring employee ratings and self-posted testimonials.
Our own score is 81. Two of our pages show 2.99% against 3% elsewhere, a conflict that cost 7 pricing points. Accuracy lost 9, 3 for each figure our pages give two ways: price, clean claim rate, and days in AR. Our 21 Google reviews earn 12 of 15.
None of the 13 sites backs its figure with an outside audit, so we didn’t score clean claim rates, collection rates, or days in AR. Several sites contradict themselves. Ask each vendor for those numbers on your own claims, using the questions later in this guide.
If you compare RCM companies in Texas, TMA’s RCM comparison tool gives a second view. The Texas Medical Association (TMA) lets vendors self-report its information and endorses none of them. For billing firms outside Texas, see our national billing comparison.
Each quarter, we re-check every company and log each change in the change log at the end of this page. The first five profiles follow, in score order.
Texas Medical Billing Companies Ranked 1 to 5
The top five medical billing companies in Texas are One O Seven RCM (81), Transcure (80), Right on Time Billing (75.5), Paymedics (70), and MediBill RCM (69.5), out of 100. Every profile uses the same fields, in the same order.
1. One O Seven RCM: Best Overall (81/100)
Best for: One O Seven RCM fits Texas practices that want full RCM at a published 3% of monthly collections, month-to-month.
One O Seven RCM is a full-service medical billing company in Fulshear, in the Houston metro. Its billing and coding services cover eligibility and prior authorization, claim submission, payment posting, denial management, and AR follow-up, all inside the EHR a practice already uses.
A Texas psychiatry practice’s monthly collections rose from a $1,800 to $3,000 range to $3,500 to $6,000 within about a year (company-reported, client unnamed). Read the Texas psychiatry case study for the payers involved. Payer credentialing has its own fee, with credentialing at $107 per payer as the starting price.
- Texas HQ: 27120 Fulshear Bend Dr, Ste 900-11, Fulshear; serves practices in all 50 states
- Founded: 2022, per GoodFirms
- Pricing: 3% of monthly collections, no setup fee, no monthly retainer
- Contract: Month-to-month, 30-day notice, no cancellation penalties
- Services: Full RCM plus credentialing, inside the practice’s EHR
- Specialties: 75+ listed, including behavioral health, psychiatry, and urgent care
- Reviews: 4.6 from 21 reviews on Google (October 7, 2026); none yet on GoodFirms or Trustpilot
- Team location: Fulshear HQ; its Terms allow staff inside or outside the U.S. under HIPAA agreements
- Watch-out: Its small-practice and Alamo pages still show 2.99% against the 3% homepage rate, so get the rate in writing; 21 reviews is a small sample.
2. Transcure: Best for a Published 5% Rate (80/100)
Best for: Transcure suits practices that want a published rate of 5% of monthly collections, no setup cost, and a Dallas-area office.
Transcure is a billing and RCM company with an office in Farmers Branch, near Dallas. Its About page names Dallas and Woodbridge, New Jersey, as headquarters. Coverage spans 40+ specialties, and its homepage says its coders apply state rules for Texas and four other states.
Transcure works with Epic, athenahealth, AdvancedMD, eClinicalWorks, NextGen, and Tebra. It promises “no up-front setup cost” and a “flexible agreement with easy exit” on its pricing page but names no notice period. Company-reported figures include a 98% first-pass clean claim rate and 24 days in AR.
- Texas HQ: 12100 Ford Rd b115, Farmers Branch; also an office in Woodbridge, NJ
- Founded: “Since 2002” on its site; GoodFirms and Clutch list 2013
- Pricing: 5% of monthly collections (homepage)
- Contract: No up-front setup cost; “easy exit”; no notice period published
- Services: Billing, coding, eligibility, credentialing, audits, and RCM
- Specialties: 40+, including OB/GYN, neurology, orthopedics, and psychiatry
- Reviews: 4.8 from 19 reviews on Google (October 8, 2026), 5.0 from 6 on GoodFirms, and 3.6 from 4 on Trustpilot (October 7)
- Team location: Not stated beyond its U.S. offices
- Watch-out: Review platforms list Woodbridge, New Jersey, as its headquarters, and Transcure gives no number on its pricing page.
3. Right on Time Billing: Best for Low Entry Pricing (75.5/100)
Best for: Right on Time Billing suits small Houston practices that want pricing from 1.99% of collections or $500, whichever is higher.
Right on Time Billing is a Houston billing company that says it has run since 2015, a year GoodFirms also lists. Its team handles billing, coding, insurance verification, prior authorization, denials, AR, and credentialing. Named specialties include home health, hospice, behavioral health, cardiology, chiropractic, and pediatrics.
Right on Time Billing lists a Silver tier at $500 or 1.99% of collections, whichever is higher, and a Gold tier at $1,000 or 2.99% on its pricing page. Credentialing costs $200 per insurance payer. It works with CureMD, Tebra, ModMed, eClinicalWorks, SimplePractice, and WellSky.
- Texas HQ: 1120 E NASA Pkwy #103, Houston
- Founded: 2015 (its site and GoodFirms)
- Pricing: From $500 or 1.99% of collections, whichever is higher
- Contract: Free trial; setup fee and term not published
- Services: Billing, coding, verification, prior authorization, denials, AR, and credentialing
- Specialties: Six named, plus “90+” more claimed
- Reviews: 5.0 from 15 reviews on Google (October 8, 2026) and 3.8 from 2 on Trustpilot (October 7)
- Team location: Not stated on its site
- Watch-out: Its free trial runs one month on the pricing page and three months on the homepage, and five About-page figures match another billing company’s homepage, so ask for results on your own claims.
4. Paymedics: Best for a Published 2.99% Rate in Dallas-Fort Worth (70/100)
Best for: Paymedics suits Dallas-Fort Worth (DFW) practices that want a published rate of 2.99% of monthly collections and no setup fee.
Paymedics is a billing company in Richardson, north of Dallas, that describes itself as physician-owned and AI-powered. Its services cover billing, coding, credentialing, denials, AR, audits, and a virtual medical assistant. It works with eClinicalWorks, Epic, athenahealth, NextGen, AdvancedMD, and ModMed.
Paymedics charges “2.99% of your monthly collections” and no setup fee. Clients can “extend or cancel the contract as per their requirements,” though no notice period appears. It reports a “99% First-pass Claim Acceptance Rate” on its homepage and a “99.9% clean claim rate” on its About page (company-reported).
- Texas HQ: 100 N Central Expressway, Suite 710, Richardson
- Founded: Not stated on its site; directories list 2015, 2022, and 2023
- Pricing: 2.99% of monthly collections
- Contract: No setup fee; cancel as needed; no notice period published
- Services: Billing, coding, credentialing, denials, AR, and audits
- Specialties: Six named, including neurosurgery and dermatology
- Reviews: 5.0 from 4 reviews on Google (October 8, 2026) and 3.8 from 2 on Trustpilot (October 7)
- Team location: Not stated on its site
- Watch-out: It claims “more than 200+ specialities,” so ask which ones it bills for today; directories give three founding years.
5. MediBill RCM: Best for a Bundled 3% Rate (69.5/100)
Best for: MediBill RCM suits small practices that want billing, coding, and credentialing bundled at a published 3%.
MediBill RCM is a Houston billing and RCM company. Its About page says it started with clients in Houston, Dallas, Austin, San Antonio, and Fort Worth. Services run from eligibility and pre-authorization through coding, denials, AR, credentialing, and virtual scribe support.
MediBill RCM advertises billing, coding, and credentialing “for Just 3%” on its homepage without naming the base, so ask whether the fee applies to collections or charges. It doesn’t publish contract terms, and its pricing page returned an error on October 7, 2026.
- Texas HQ: 1880 S Dairy Ashford Rd #207, Houston
- Founded: Not stated on its site
- Pricing: “Just 3%” (homepage)
- Contract: Not published
- Services: Billing, coding, credentialing, eligibility, denials, and AR
- Specialties: Mental health, ambulatory surgery, pain management, cardiology, OB/GYN, and urology
- Reviews: 4.0 from 3 reviews on Trustpilot (October 7, 2026); no Google Business Profile found (October 8)
- Team location: Not stated on its site
- Watch-out: Its site claims both “10 years” and “8 years” of experience, and it still lists Kareo, now named Tebra.
Ranks 6 to 10 scored lower, since none publishes an exact rate or its contract terms. Several still fit a specific kind of practice.
Texas Medical Billing Companies Ranked 6 to 10
The five companies ranked 6 to 10 among medical billing companies in Texas lost points on prices and contract terms. A Hill Country clinic, a large behavioral health group, or a freestanding ER may still find the right medical billing firm here.
6. Vigilant Medical Group: Best for TMHP and Texas Prompt-Pay Know-How (68/100)
Best for: Vigilant Medical Group suits small Texas practices wanting a biller whose site covers TMHP and prompt-pay rules; 40+ specialties.
Despite the name, Vigilant Medical Group is a billing company. Its site lists a Mesquite address and gives 2017 as its founding year. Vigilant writes about Texas Medicaid’s TMHP requirements, Texas Department of Insurance (TDI) clean-claim standards, and Texas prompt pay on its homepage, plus city pages such as Austin.
Pricing options on its homepage include “percentage-based, flat monthly, or hybrid,” with no rates. Its services cover billing, coding, RCM, credentialing, denial management, and billing software management across “40+ Specialties Supported,” including anesthesia and mental health.
- Texas HQ: 1809 Possum Fire Trail, Mesquite
- Founded: 2017 (About page)
- Pricing: Behind a form; percentage, flat monthly, or hybrid options mentioned
- Contract: Not published
- Services: Billing, coding, RCM, credentialing, denials, and billing software management
- Specialties: “40+”; six named
- Reviews: 5.0 from 27 reviews on Google (October 8, 2026); no Trustpilot page and no reviews on GoodFirms or Clutch (October 7)
- Team location: Not stated on its site
- Watch-out: Its homepage gives a company-reported 99.4% clean claim rate and its About page gives 99%, and it puts prices behind a form.
7. Holmes Medical Billing: Best for a U.S.-Only Team (65/100)
Best for: Holmes Medical Billing suits Hill Country practices wanting a U.S.-only team and in-person visits within 50 miles of Comal County.
Holmes Medical Billing is one of the small medical billing companies on this list. Owner Matthew Smith founded it in 2020 in the Texas Hill Country, and its office is in Spring Branch. Its About page says it’s important to “keep our company and employees an all American company.”
Holmes charges a percentage of insurance collections, with a minimum fee for practices collecting under $10,000 a month, and publishes no rates. Its services cover billing and coding, claim scrubbing, aged claims, reports, and credentialing. Named specialties include orthopedics, chiropractic, and physical therapy.
- Texas HQ: 785 Fawn River Drive, Spring Branch
- Founded: 2020 (About page)
- Pricing: Percentage of insurance collections, with a minimum fee under $10,000 a month; no rate published
- Contract: Not published
- Services: Billing and coding, claim scrubbing, aged claims, reports, and credentialing
- Specialties: Six named, including orthopedics, dermatology, and family medicine
- Reviews: 5.0 from 11 reviews on Google (October 8, 2026); none found on Trustpilot, GoodFirms, or Clutch (October 7)
- Team location: U.S. only (company-stated)
- Watch-out: Its site footer still reads 2023 and its focus is local, so confirm it can handle your claim volume.
8. Plutus Health: Best for Larger Behavioral Health, ASC, and ER Groups (61.5/100)
Best for: Plutus Health suits larger behavioral health, ambulatory surgery center (ASC), and freestanding ER groups; it reports 1,700 RCM specialists (company-reported).
Plutus Health is a Dallas RCM company that says it was “Founded in 2008 in Dallas, Texas.” Its services include eligibility, prior authorization, coding, denial management and appeals, AR, credentialing, and No Surprises Act independent dispute resolution (IDR). It works with CentralReach, AdvancedMD, Tebra, ModMed, NextGen, and eClinicalWorks.
Plutus describes its fee model as “Base + performance kicker” and publishes no rate. Company-reported figures include a 98% net collection ratio and a 97% clean claim rate. It made the Inc. 5000 for a second straight year in 2025, per a company press release.
- Texas HQ: 16633 N Dallas Pkwy, Suite 456, Dallas
- Founded: 2008 (About page)
- Pricing: “Base + performance kicker”; no rate published
- Contract: Not published
- Services: Eligibility, prior authorization, coding, billing, denials, AR, credentialing, and IDR
- Specialties: Applied behavior analysis (ABA), psychiatry, substance use disorder (SUD), ASC, orthopedic and spine, freestanding ER, cardiology, and GI
- Reviews: 5.0 from 6 reviews on Google (October 8, 2026); none found on Trustpilot, GoodFirms, or Clutch (October 7)
- Team location: “three global delivery centers,” with countries not named on its site; Built In lists U.S. and India offices
- Watch-out: Its About page pairs a 2008 founding with “20+ years” and “15+ years,” and its site doesn’t show a fee rate.
9. MediBillMD: Best for Review Volume (61/100)
Best for: MediBillMD suits Dallas-area practices that weigh client review volume, with 4.3 from 55 Trustpilot reviews as of October 7, 2026.
MediBillMD is a Dallas billing and RCM company, and its press release and G2 both date it to 2023. Its services cover billing, coding, credentialing, denial management, old AR recovery, and RCM. Named specialties include anesthesiology, cardiology, and oncology.
MediBillMD doesn’t post a rate on its own site. An October 2024 press release described 1% for the first month, then 2% to 5% depending on monthly collections, so ask for today’s rate in writing. Company-reported figures include a 97% first pass ratio and under 30 days in AR.
- Texas HQ: 701 Commerce Street, Dallas
- Founded: 2023 (press release and G2)
- Pricing: Not published on its site
- Contract: Not published
- Services: Billing, coding, credentialing, denials, old AR recovery, and RCM
- Specialties: “45+” claimed; six named
- Reviews: 4.3 from 55 reviews on Trustpilot (October 7, 2026) and 3.9 from 18 on Google (October 8)
- Team location: Not stated on its site
- Watch-out: Its 2024 press release says it “holds HIPAA and ISO certifications,” and HHS says it doesn’t “recognize private organizations’ ‘certifications'” for the HIPAA Security Rule.
10. Right Medical Billing: Best for Freestanding ERs and Urgent Care (55.5/100)
Best for: Right Medical Billing suits Texas freestanding ERs and urgent cares needing out-of-network and IDR help; it cites “over 25 years.”
Right Medical Billing is a Katy billing company led by Humaira Qureshi. Its services span billing and coding, AR, credentialing and contracting, out-of-network negotiation, prior and retro authorization, eligibility, chart auditing, and IDR. An Indeed company profile says it specializes in freestanding ER and urgent care billing.
Right Medical Billing doesn’t publish a price or contract terms. Its homepage claims “100+ Medical Specialties” but names care settings such as emergency rooms, urgent cares, and imaging centers. It also lists a “99.9% claim acceptance rate” (company-reported), and Sevocity lists it as an EHR integration partner.
- Texas HQ: 21617 Provincial Blvd, Suite A, Katy
- Founded: Not stated on its site; it cites “over 25 years” in billing
- Pricing: Not published
- Contract: Not published
- Services: Billing, coding, AR, credentialing, out-of-network negotiation, authorizations, and IDR
- Specialties: “100+” claimed; care settings named instead
- Reviews: 4.7 from 49 reviews on Google (October 8, 2026); none found on Trustpilot, GoodFirms, or Clutch (October 7)
- Team location: Not stated on its site; Indeed employee reviews list Rawalpindi, Pakistan
- Watch-out: Its site doesn’t say where staff work, so ask who works your claims, and where, before you sign.
None of the five publishes contract terms, so get each one’s term length, notice period, and setup fee in writing.
Before you call anyone on this list, find out why your own claims stall. Our free 90-day claims review includes a denial cause and revenue leak audit, so you can hold every proposal up against your own numbers.
Several firms that market to Texas practices didn’t make the list, and we explain why next.
Other Billing Companies and Software Texas Practices Compare
Another 16 names show up on lists of medical billing companies in Texas. Three are Texas firms that scored below our top 10, 10 are billing companies based in other states, and three are software vendors. Each appears below with its headquarters and one fact you can check.
Texas firms ranked 11 to 13 (scored October 7 and 8, 2026)
| Rank | Company | Texas HQ | Score (out of 100) | Main reason it missed the top 10 |
|---|---|---|---|---|
| 11 | Capline Healthcare Management | Houston | 53 | Posts no price, terms, or specialty list; its site and July 2026 press release give different client counts; it earns full review points (4.8 from 227 Google reviews) but lost 6 on accuracy |
| 12 | IntelliMedx | Plano | 41.5 | Posts no price or terms; it lists 70 specialties on one page and 24 on another |
| 13 | Gold Star Medical Business Services | Horseshoe Bay | 37 | Focuses on chiropractic and behavioral health; its billing page returned an error, so we couldn’t read price or terms |
None of the three had a readable price or contract terms on its site, so each lost 25 of the 100 rubric points on those two factors.
Out-of-state billing companies and software vendors in Texas searches (company sites, filings, and directories, October 7, 2026)
| Company | Headquarters | Type | One fact a Texas practice should know |
|---|---|---|---|
| MedCare MSO | Irvine, CA (contact page) | Billing service with its own EHR | Lists no Texas address on its Texas page |
| BillingParadise | Atlanta, GA | Billing service | Advertises “Pricing Starts at 2.69%” on its homepage and rates from 2.99% on its pricing page |
| Precision Practice Management | St. Louis, MO (directories) | Billing service | Vee Healthtek, based in Plano, bought it in September 2025 |
| R1 RCM | Murray, UT | Large-scale RCM | TowerBrook and Clayton, Dubilier & Rice (CD&R) took it private on November 19, 2024 |
| GeBBS Healthcare Solutions | East Haven, CT | Large-scale billing and coding | EQT agreed to buy it in September 2024; it runs delivery centers in India, the Philippines, and the Dominican Republic |
| CareCloud | Somerset, NJ | Software plus billing service | Trades on Nasdaq (CCLD); its 10-K reports a percentage fee with a monthly minimum and a setup fee |
| HMS USA | Reston, VA | Billing service | Posts “as low as 2.25%” of monthly collections |
| iSolve RCM | Edison, NJ | Billing service | Posts “as low as 2.99%” of monthly collections |
| Medical Billers and Coders | Wilmington, DE | Billing service | Lists a Dallas address that the BBB shows as a private mailbox, so it didn’t meet our Texas office rule; quotes custom pricing |
| Credex Healthcare | Jacksonville, FL | Credentialing first, billing added | Puts credentialing first in its headline, then billing and licensing |
| AdvancedMD | South Jordan, UT | Software with its own billing service | Says typical RCM services run about 4% to 8% of monthly collections and posts no rate of its own; Francisco Partners bought it in December 2024 |
| athenahealth | Boston, MA | Software with bundled billing work | Prices athenaOne as a percentage of collections and posts no rate |
| Tebra | Corona Del Mar, CA | Software | Refers practices to outside billing partners through its Managed Billing program |
A software subscription doesn’t make a vendor a Texas medical billing company. Tebra (formerly Kareo) refers practices to independent billers through its Managed Billing program, and athenahealth sells software with billing work built in.
Physician billing companies that do the claim work belong in your comparison, wherever they’re based. Compare software vendors apart from healthcare billing companies, since one sells software and the other does the claim work. Any firm that bills Texas payers, scored or not, works under the same state rules.
Texas Medical Billing Rules Every Company Must Handle in 2026
Medical billing companies in Texas work under five sets of rules: 95-day filing and prompt pay for state-regulated plans, Texas Medicaid and its managed care plans, prior authorization (gold carding and WISeR), workers’ comp, and patient billing and privacy law. The table below lists each deadline with its source.
Texas billing deadlines at a glance (sources in the last column)
| Rule | Deadline | Applies to | Source |
|---|---|---|---|
| Claim filing, state-regulated HMO | 95 days after the service | Physicians and providers | Texas Insurance Code Sec. 843.337 |
| Claim filing, state-regulated PPO | 95 days after the service | Physicians and providers | Texas Insurance Code Sec. 1301.102 |
| Prompt pay, clean claims | 30 days electronic, 45 days paper | HMOs and insurers | Texas Insurance Code Secs. 843.338 and 1301.103 |
| Late-pay penalties | Tiers up to $200,000, plus 18% annual interest from day 91 late | HMOs and insurers | Texas Insurance Code Secs. 843.342 and 1301.137 |
| Texas Medicaid fee-for-service filing | Claims must reach TMHP within 95 days of each date of service | Medicaid fee-for-service providers | Texas Medicaid Provider Procedures Manual (TMPPM), Vol. 1, Sec. 6.1.4 |
| Medicare filing | One calendar year after the date of service | Medicare providers | 42 CFR 424.44 |
| Workers’ comp bills | 95 days from the date of service, with few exceptions | Providers treating injured workers | Texas Labor Code Sec. 408.027 |
| Patient bill | By the first day of the 11th month after service | Providers billing patients | Civil Practice and Remedies Code Sec. 146.002 |
| Itemized bill | Before any debt collection | Providers billing patients | Health and Safety Code Sec. 185.002 (SB 490, 2023; HB 216, 2025) |
95-Day Filing and Prompt Pay for State-Regulated Plans
Texas law gives physicians 95 days to file claims with state-regulated HMOs and PPOs. Those plans must pay, pay in part, or deny a clean claim within 30 days electronic or 45 days paper, as the Texas Department of Insurance (TDI) explains in its TDI prompt pay FAQ.
A physician who files a PPO claim after day 95 “forfeits the right to payment” (Sec. 1301.102(d)). The payer returns it as a timely filing denial; see our guide to CO-29 timely filing denials.
Late payers owe penalties under Insurance Code Sec. 1301.137. Up to 45 days late, the penalty is the lesser of 50% of the difference between billed and contracted charges or $100,000.
From 46 to 90 days late, it’s the lesser of 100% or $200,000. After 90 days late, 18% annual interest comes on top.
Your AR team has to watch the day 30 or day 45 deadline on each clean claim, the daily work of payer AR follow-up.
The 95-day and prompt-pay rules cover state-regulated plans. Self-funded employer plans fall under the federal Employee Retirement Income Security Act (ERISA) and the U.S. Department of Labor, and they’re exempt from state law, per TDI on self-funded plans.
Texas Medicaid: TMHP, STAR Programs, and Managed Care Plans
The Texas Medicaid and Healthcare Partnership (TMHP) processes Texas Medicaid fee-for-service claims, and providers must get each one to TMHP within 95 days of the date of service, per the TMHP claims filing manual. TMHP’s free TexMedConnect tool takes those claims online.
HHSC, the Texas Health and Human Services Commission, runs Medicaid and CHIP managed care through STAR, STAR+PLUS, STAR Kids, STAR Health, and CHIP. HHSC’s 2024 Reference Guide reported 16 contracted managed care organizations (MCOs), each with its own claim rules.
Blue Cross and Blue Shield of Texas (BCBSTX) encourages providers to check eligibility in “Availity Essentials or their preferred vendor.” Our guide to BCBS Texas enrollment changes covers its 2026 updates. Baylor Scott & White (RightCare) and FirstCare left STAR on August 31, 2026 (HHSC).
Prior Authorization in 2026: Gold Carding, WISeR, and New CMS Timelines
HB 3812, effective September 1, 2025, updated Texas’s gold card law (HB 3459 of 2021). A physician skips a state-regulated plan’s prior authorization for a service when the plan approved at least 90% of their eligible requests for it, with at least five requests.
Plans now run that evaluation at least once a year over 12 months, per the TDI gold card FAQ.
The Centers for Medicare and Medicaid Services (CMS) WISeR Model adds prior authorization for selected Original Medicare services from January 1, 2026, to December 31, 2031, in six states, Texas included, per the CMS WISeR model page.
Under the CMS-0057-F rule, Medicare Advantage, Medicaid, and CHIP plans must decide urgent prior authorization requests within 72 hours and standard ones within seven calendar days, starting January 1, 2026, per the CMS fact sheet. The rule doesn’t cover Original Medicare, and the Prior Authorization API follows on January 1, 2027.
Practices that buy Medicare billing services in Texas should ask how the vendor handles WISeR requests. A missed authorization still ends in a denial; see our guide to CO-197 prior auth denials.
Workers’ Compensation and Nonsubscriber Employers
Texas workers’ comp bills go to the insurance carrier within 95 days of the date of service, with few exceptions (Labor Code Sec. 408.027). TDI’s Division of Workers’ Compensation (DWC) spells this out in its Texas DWC billing rules.
Texas also lets private employers skip workers’ comp coverage, and the 2024 DWC Biennial Report counted 24% of employers as nonsubscribers. Confirm the employer’s coverage before choosing which rules to bill under.
Patient Billing, Privacy, and Who Regulates Billing in Texas
TDI, HHSC, CMS, the Texas Medical Board, the attorney general, HHS, and the U.S. Department of Labor each regulate part of Texas billing, as the table below shows.
Providers must bill patients by the first day of the 11th month after service (Civil Practice and Remedies Code Sec. 146.002) and must send an itemized bill before debt collection (Health and Safety Code Sec. 185.002). Missing that date bars collecting what the patient’s plan would have paid (Sec. 146.003).
SB 1264 protects patients in state-regulated plans from balance billing in covered out-of-network cases, for services on or after January 1, 2020. Disputes go to TDI mediation for facilities and arbitration for providers. The federal No Surprises Act adds good faith estimates for uninsured and self-pay patients.
HB 300 (Health and Safety Code Chapter 181) requires privacy training within 90 days of hire. The Texas attorney general can seek civil penalties up to $5,000 per negligent violation and up to $250,000 for knowing or intentional use of health information for financial gain (Sec. 181.201).
For a licensed provider, the attorney general can seek civil penalties only after the licensing agency refers the case. Practices comparing medical billing services in Texas should confirm the vendor builds these patient-billing deadlines into its patient statements.
Who regulates billing in Texas
| Agency | What it oversees | Rule or program |
|---|---|---|
| Texas Department of Insurance (TDI) | State-regulated HMO and PPO plans, prompt pay, surprise-billing disputes | Insurance Code Chs. 843 and 1301; SB 1264 |
| TDI Division of Workers’ Compensation | Workers’ comp medical bills | Labor Code Sec. 408.027 |
| HHSC and TMHP | Texas Medicaid and CHIP | TMPPM; Human Resources Code Sec. 32.063 |
| CMS and Novitas Solutions (claims contractor) | Medicare in Texas (Jurisdiction H) | 42 CFR 424.44 |
| Texas Medical Board | Physicians’ billing conduct | 22 TAC Sec. 180.1(3)(F) |
| Texas Attorney General | State medical privacy law | Health and Safety Code Sec. 181.201 |
| HHS Office for Civil Rights | HIPAA | HIPAA Privacy and Security Rules |
| U.S. Department of Labor | Self-funded employer plans | ERISA |
SB 1264 is the Texas surprise-billing law (TDI), and the No Surprises Act is federal. The 95-day filing rule covers state-regulated HMO and PPO plans, and self-funded employer plans are exempt from state law (TDI). Prompt-pay deadlines bind HMOs and insurers (Insurance Code Sec. 843.338). STAR and STAR+PLUS are Medicaid programs; MCOs are the plans that run them (HHSC).
If lapsed authorizations drive your Texas denials, our prior authorization services team identifies coverage gaps, plan exclusions, and prior authorization requirements before claim submission.
Once you know the rules a vendor has to follow, the next question is what you’ll pay for that work.
How Much Do Medical Billing Services in Texas Cost?
Five of our 10 Texas billing companies post a rate on their own sites, from 1.99% of collections (or $500, whichever is higher) to 5% of monthly collections, as of October 7, 2026. The other five post no rate, so you’ll need a quote from each.
Fee models Texas billing companies publish (company sites, October 7, 2026)
| Model | How it works | Published on our list | Ask before signing |
|---|---|---|---|
| Percentage of collections | A set share of what the vendor collects each month | One O Seven RCM 3%; Paymedics 2.99%; Transcure 5% (homepage) | Which collections count (patient payments, old AR) |
| Flat posted rate | One posted percentage covering billing, coding, and credentialing | MediBill RCM 3% (homepage, base not stated) | What the rate applies to |
| Percentage with a monthly floor | The higher of a percentage or a fixed amount | Right on Time Billing: $500 or 1.99%, and $1,000 or 2.99%, whichever is higher; Holmes Medical Billing: a minimum fee for practices collecting under $10,000 a month | When the floor applies |
| Base fee plus performance | A fixed fee plus a bonus tied to results | Plutus Health (“Base + performance kicker”) | How the vendor measures the bonus |
| Add-on fees | Per-task charges outside the main fee | Credentialing: One O Seven RCM from $107 per payer; Right on Time Billing $200 per insurance payer | What the fee includes and what costs extra |
Among medical billing companies in Texas posting a straight percentage, rates run 2.99% to 5%. Out of state, HMS USA posts “as low as 2.25%” and AdvancedMD cites about 4% to 8% as typical. We found no public MGMA or HFMA billing fee benchmark, so question any vendor’s “industry average.”
Minimums change the math for small practices. At $10,000 a month in collections, Right on Time Billing’s $500 floor works out to 5%, the same as Transcure’s posted rate. Ask each vendor for a sample monthly fee statement.
Full medical billing and collection services in Texas should include eligibility checks, coding review, claim submission, payment posting, denial work, and AR follow-up. Credentialing and patient statements often carry their own price, and two vendors in the table above charge extra for credentialing. Get the list of inclusions in writing.
Before you hire a medical biller, price the role. Texas billing and posting clerks earned a mean $22.71 an hour ($47,230 a year) in May 2025, per Occupational Employment and Wage Statistics (BLS Texas wage estimates). Medical records specialists, who often handle coding, earned $25.42 an hour ($52,880).
Benefits, software, and clearinghouse fees add to the wages of in-house medical billing specialists. Take a practice collecting $50,000 a month. At 3%, it pays $1,500 a month, or $18,000 a year, before add-ons. One billing clerk at the Texas mean wage costs $47,230 a year and still needs backup for vacations, coding, and denials.
The HHS Office of Inspector General (OIG) warned in its 1998 guidance that percentage billing arrangements “may increase the risk of upcoding,” per the OIG billing company guidance. Medicare and Medicaid also limit percentage pay for a billing agent that receives a practice’s payments (42 CFR 424.73 and 447.10).
Those limits target the agent that receives the money, so start with the first question in our checklist below. Affordable medical billing services come down to total cost per collected dollar once monthly minimums and add-ons count, so compare each full fee against your last 12 months of collections.
Texas taxes insurance claims processing, but since January 1, 2022, the coding, eligibility checks, and claim filing a vendor completes before a claim’s original submission fall outside the tax (Tax Code Sec. 151.0039; Texas Comptroller ruling 202106003L). Resubmissions and appeals may still be taxable, so ask your tax advisor.
One O Seven RCM prices medical billing at 3% of monthly collections, with no setup fee, no monthly retainer, and 30-day notice. Credentialing starts at $107 per payer.
A fair price matters only after a vendor gives straight answers to a few basic questions.
How to Choose a Medical Billing Company in Texas: 10 Questions
Put the same 10 questions to all the medical billing companies in Texas on your shortlist, and get each answer in writing before you sign. Together, the questions cover revenue cycle management services in Texas from end to end: your money, your data, Medicaid access, denials, reports, and the exit.
- Do payers deposit into an account in our practice’s name? Medicare sends electronic funds transfer (EFT) payments to an account in the provider’s or entity’s name, per the CMS-588 EFT form. That keeps your money under your control.
- Do you hold an HHSC contract to file Texas Medicaid claims? A third-party billing vendor can’t submit Texas Medicaid claims without one, under Human Resources Code Sec. 32.063. TMHP also requires billing agents to complete EDI testing (Texas Medicaid Provider Procedures Manual, Sec. 3.7).
- Will you sign a business associate agreement before you touch our data? HHS lists billing as a business associate activity in its HHS business associate guidance. Texas HB 300 adds a second duty: privacy training for employees within 90 days of hire, under Health and Safety Code Chapter 181.
- Where do your staff and subcontractors work, and who supervises them? Several vendors we reviewed don’t say where their staff work. You need that answer to plan for time zones, access controls, and what your agreement must cover.
- Who tracks the 95-day filing limits and prompt-pay deadlines for us? A good vendor flags claims nearing day 95 and payers past day 30 or day 45. Compare its dates with the deadlines table above.
- Who owns denials and appeals, and how fast do you file them? Ask who writes each appeal, how many days it takes, and how you’ll see the result. Then compare the answers with our approach to denial management and appeals.
- What does the fee include, and what costs extra? Credentialing, patient statements, and old AR are the usual extras, so compare each vendor’s inclusions against the fee table above.
- Which reports do we get, how often, and on what numbers? Ask medical billing experts in Texas for clean claim rate, days in AR, and net collection rate on your own claims each month.
- What are the term, the notice period, and the exit steps? Confirm who keeps your data and open claims after you leave, how fast the vendor returns them, and in what format.
- Which systems and payer portals do your billers use every day? Look for TexMedConnect for Texas Medicaid, Availity for BCBSTX, and Novitasphere for Medicare in Texas, the common portals for medical claims billing services here.
Before you pick a medical billing partner, watch for red flags among medical billing companies in Texas: “HIPAA certified” badges, which HHS doesn’t recognize (HHS on HIPAA certification); 99.9% claim figures with no source; and no Texas street address. Also watch for prices that differ from page to page (two of ours still do) and no named leader.
In its 1998 guidance, the OIG named billing for items or services “not actually documented,” unbundling, and upcoding as risk areas for billing companies to watch.
Put these 10 questions to us too, and judge our answers the way you’d judge anyone else’s. Our end-to-end revenue cycle management page lists the services we’d cover.
Good answers also depend on what kind of practice you run.
Best Fit by Practice Type and Specialty
Among medical billing companies in Texas, the right fit depends on your practice size, specialty, and payer mix more than on any overall score. A solo therapist, a 20-provider group, and a freestanding ER need different strengths, so we based each match below on what that company publishes.
Which listed companies match which practices (company sites, October 7, 2026)
| Practice type | Look for | Matches on our list |
|---|---|---|
| Solo and small practices | A published rate you can check against your collections | One O Seven RCM, Transcure, Paymedics, Right on Time Billing |
| Multi-provider groups | Credentialing for new providers | All 10 name credentialing; ask how many new providers each enrolls a month |
| Behavioral and mental health | Psychiatry, mental health, or behavioral health as a stated specialty | One O Seven RCM, Transcure, MediBill RCM, Right on Time Billing, Plutus Health, Vigilant Medical Group |
| Freestanding ER and urgent care | Out-of-network and IDR experience | Right Medical Billing, Plutus Health |
| Home health and hospice | Home health and hospice as stated specialties | Right on Time Billing, One O Seven RCM |
| In-person service in the Texas Hill Country | Local, in-person visits | Holmes Medical Billing |
| Medicaid-heavy practices | Texas Medicaid content on the vendor’s own site | Vigilant Medical Group, Transcure |
Solo physicians should compare cost per collected dollar and any minimum fee, then ask who covers eligibility checks at the front desk. Vendors that don’t post a rate leave you guessing. You can see how we work with solo offices on our private practice billing page.
Medical practice billing services for groups start with credentialing. Each new provider needs it before the first claim, and partners often want results by provider. Ask whether one team covers each location and specialty. Our group practice billing page shows how we set that up.
Any mental health billing company in Texas has to handle time-based psychotherapy codes, such as 90834 and 90837, and STAR managed care plans alongside commercial payers. The behavioral health RCM guide on our site covers what to ask about authorizations and session limits.
Emergency medical billing companies in Texas need out-of-network and IDR experience for surprise-billing disputes. Urgent care runs on walk-ins, so urgent care billing services in Texas have to verify eligibility on the day of the visit.
For a home health billing company in Texas, hands-on home health claim work matters most. Our specialty medical billing page lists the specialties we cover.
Location matters too, because Texas Medicaid plans change from one metro to the next, so ask which plans in your county the vendor already bills.
Billing Companies in Houston, Dallas, San Antonio, and Austin
Eleven of the 13 medical billing companies in Texas we scored sit in the Houston or Dallas-Fort Worth (DFW) metros. Billing companies in Texas also serve practices far from their home city, so check which Medicaid plans your vendor already bills in your service area.
Medical Billing Companies in Houston
Four Houston-area firms made our top 10: One O Seven RCM in Fulshear, MediBill RCM and Right on Time Billing in Houston, and Right Medical Billing in Katy. Capline Healthcare Management, also in Houston, ranked 11.
Practices buying medical billing services in Houston bill the Harris service area plans on the HHSC service area map, which HHSC revised in January 2026. STAR plans there are Community Health Choice, Molina, Texas Children’s, United, and Wellpoint, and STAR+PLUS plans are Community Health Choice, Molina, and United.
Medical Billing Companies in Dallas and Fort Worth
Five Dallas-Fort Worth firms made our top 10: Transcure in Farmers Branch, Paymedics in Richardson, MediBillMD and Plutus Health in Dallas, and Vigilant Medical Group in Mesquite. IntelliMedx in Plano ranked 12.
A vendor offering medical billing services in Dallas and Fort Worth works across the Dallas and Tarrant service areas. Dallas STAR plans are Molina, Parkland, and Wellpoint, and its STAR+PLUS plans are Molina, Superior, and United. Tarrant STAR plans are Aetna, Cook Children’s, and Wellpoint, with Molina and United for STAR+PLUS.
Medical Billing Companies in San Antonio
None of our top 10 lists a San Antonio office. Holmes Medical Billing offers in-person service within 50 miles of Comal County lines, and MediBill RCM says it started with clients in cities including San Antonio. IntelliMedx, ranked 12, names San Antonio, Austin, and El Paso on its homepage.
In the Bexar service area, STAR plans are Aetna, Community First, Superior, and Wellpoint. Community First, Molina, and United run STAR+PLUS there, so you’ll want to ask a San Antonio vendor which of those it already bills.
Medical Billing Companies in Austin, El Paso, and the Rio Grande Valley
No top-10 medical billing firm lists an office in Austin, El Paso, or the Rio Grande Valley. Vigilant Medical Group runs an Austin city page, and MediBill RCM lists Austin among its first client cities.
Travis STAR plans are Blue Cross and Blue Shield of Texas, Superior, and Dell Children’s Health Plan, with Superior and United for STAR+PLUS. El Paso STAR plans are El Paso Health, Molina, and Superior, with El Paso Health and Molina for STAR+PLUS.
In the Hidalgo service area in the Rio Grande Valley, STAR plans are Driscoll, Molina, Superior, and United. Superior, Molina, and United run STAR+PLUS there.
Medical Billing Companies in Texas: FAQs
Texas practices search these 11 questions on Google and Bing, and each answer draws on the sourced sections above.
What are the best medical billing companies in Texas?
By our 100-point score, the top three are One O Seven RCM (81), Transcure (80), and Right on Time Billing (75.5). Each lists a Texas street address and a published price. Specialty, size, and payer mix decide the right fit, so compare the profiles and the fit table. We lead by one point on our rubric, so check the math.
What are the top medical billing companies in Texas?
In score order, the top 10 are One O Seven RCM, Transcure, Right on Time Billing, Paymedics, MediBill RCM, Vigilant Medical Group, Holmes Medical Billing, Plutus Health, MediBillMD, and Right Medical Billing. We scored each on seven factors from its own site and review profiles, checked October 7 and 8, 2026. That’s one rubric for every firm, us included.
What are medical billing services in Texas?
In Texas, medical billing turns patient visits into payments: eligibility and prior authorization, coding, claim submission, payment posting, denials and accounts receivable (AR) follow-up, and credentialing. Texas adds its own rules, such as the 95-day Medicaid fee-for-service filing limit at the Texas Medicaid and Healthcare Partnership (TMHP). A good vendor handles both, so you don’t track deadlines yourself.
What are the medical billing laws in Texas?
Texas gives physicians 95 days to file with state-regulated HMO and PPO plans, which must pay or deny clean claims in 30 days (45 for paper). Medicaid fee-for-service allows 95 days, and providers must bill patients by the first day of the 11th month. Providers can’t collect before an itemized bill (SB 490), and SB 1264 limits surprise balance billing.
Who regulates medical billing in Texas?
At least five agencies split the work, so there’s no single regulator. The Texas Department of Insurance (TDI) covers state-regulated plans and workers’ comp; the Health and Human Services Commission runs Medicaid. Medicare claims go to contractor Novitas Solutions. The Texas Medical Board polices physicians’ billing, and HHS’s Office for Civil Rights and the Texas attorney general cover privacy.
Should you outsource medical billing in Texas?
Outsourcing can make sense when your in-house cost passes a vendor’s fee, or when your team can’t keep up with denials. Texas billing and posting clerks earned a mean $47,230 a year in May 2025 (Bureau of Labor Statistics), before benefits and software. At a sample 4% fee on $50,000 in monthly collections, a vendor costs $24,000 a year.
What does an RCM company do?
A revenue cycle management (RCM) company runs the money side of a practice, from eligibility checks to final payment. Revenue cycle management services in Texas also cover Texas Medicaid and Healthcare Partnership (TMHP) claims, STAR Medicaid managed care plans, and the 30-day and 45-day prompt-pay deadlines. That’s three sets of rules, so ask how the vendor tracks each.
Are there privately owned healthcare RCM companies in Texas?
Yes. One O Seven RCM in Fulshear is privately held, per the company. Per their own sites, founder Thomas John leads Plutus Health in Dallas, and owner Matthew Smith founded Holmes Medical Billing in the Texas Hill Country in 2020. A private medical billing company sets its own terms, so ask who signs the contract and who you’ll call.
What are some managed care companies in Texas?
Texas Medicaid plans on the Health and Human Services Commission’s January 2026 map include Superior, Molina, United, Wellpoint, Aetna, Texas Children’s, Cook Children’s, Driscoll, and Blue Cross and Blue Shield of Texas. The commission contracted with 16 managed care organizations (MCOs) in 2024. Baylor Scott & White (RightCare) and FirstCare left STAR on August 31, 2026, so lists aren’t fixed.
How much do medical billers make in Texas?
Texas billing and posting clerks earned a mean $22.71 an hour, or $47,230 a year, in May 2025, per the Bureau of Labor Statistics (BLS). Medical records specialists, who often handle coding, earned $25.42 an hour, or $52,880. If you’re weighing an in-house biller against a vendor, add benefits, software, and vacation coverage to those wages.
Who is responsible for medical billing errors?
For Medicare, the practice stays responsible for claims under its billing number, even when a vendor submits them. For electronic claims, the EDI enrollment agreement makes the provider “responsible for all Medicare claims submitted … by itself, its employees, or its agents” (Medicare Claims Processing Manual, Ch. 24, Sec. 30.2). That’s why your contract should say who owns errors.
Get a Second Look Before You Sign
The right medical billing company in Texas for your practice is the one that answers the 10 questions well, using your own claims. Ask each medical billing partner on your shortlist to show its plan for your top three denial reasons before you sign.
We re-check these medical billing companies in Texas every quarter and log each change below, so the scores stay current when you come back.
Ask us for a free billing audit of your last 90 days of claims. You’ll see what any new biller would inherit, at no cost and with no obligation.
Sources and Methodology
Scoring method: seven factors worth 100 points in total, set out in the scoring section above. Company facts come from each company’s own website and press releases; review profiles on Google, Trustpilot, GoodFirms, and Clutch; and, where named, G2, Built In, Indeed, the BBB, and SEC filings, all checked October 7, 2026, except Google profiles, which we checked October 7 and 8.
Texas sources:
- Texas Department of Insurance, Prompt Pay FAQ (updated October 1, 2025)
- Texas Insurance Code Chapter 1301 (accessed October 2026)
- TDI, Who can help me with my health plan? (fully insured and self-funded plans) (updated December 17, 2025)
- TDI, Balance billing and independent dispute resolution (updated August 6, 2026)
- TDI, Gold card FAQ (HB 3459 and HB 3812) (accessed October 2026)
- TDI Division of Workers’ Compensation, Medical billing (accessed October 2026)
- TDI DWC Biennial Report 2024
- TMHP, Texas Medicaid Provider Procedures Manual, Claims Filing (accessed October 2026)
- TMHP, Texas Medicaid Provider Procedures Manual, Electronic Data Interchange (October 2026)
- HHSC, Managed care service areas map (revised January 2026)
- HHSC, Texas Medicaid and CHIP Reference Guide, 15th edition (2024)
- Texas Human Resources Code Sec. 32.063 (accessed October 2026)
- Texas Health and Safety Code Chapter 181 (accessed October 2026)
- Texas Health and Safety Code Chapter 185 (accessed October 2026)
- Texas Civil Practice and Remedies Code Chapter 146 (accessed October 2026)
- Texas Comptroller, STAR ruling 202106003L
- Blue Cross and Blue Shield of Texas, Eligibility and benefits (accessed October 2026)
- Texas Medical Association, RCM comparison tool (accessed October 2026)
Federal sources:
- CMS, WISeR Model (accessed October 2026)
- CMS, Interoperability and Prior Authorization Final Rule (CMS-0057-F) fact sheet
- CMS-588 Electronic Funds Transfer Authorization Agreement
- Medicare Claims Processing Manual, Chapter 24
- CMS, No Surprises Act key responsibilities for providers
- 42 CFR 424.44, 42 CFR 424.73, and 42 CFR 447.10 (eCFR, accessed October 2026)
- HHS, Business associates guidance
- HHS, FAQ on HIPAA compliance certification
- HHS OIG, Compliance Program Guidance for Third-Party Medical Billing Companies (1998)
- BLS, Occupational Employment and Wage Statistics, Texas (May 2025 data, released May 15, 2026)
