From Uptown clinics to multi-site groups in Plano and Frisco, we keep claims clean and payments moving. One Texas billing team, working inside the systems you already use.
Supported by our team in Austin, Texas
Prime Medical Revenue delivers medical billing services Dallas practices use to shorten the time between a visit and a payment. We check eligibility before the visit, file clean claims, post every ERA and work each denial until it is closed.
We answer within one business day by phone or Microsoft Teams. Our team is based in Austin, a short trip down I-35, and serves practices from Uptown to Fort Worth and in all 50 states.
North Texas practices often run several locations and deal with a busy commercial payer mix. We keep billing consistent across every site, so each location follows the same rules and reports the same way.
15%
Of private payer claims denied at first (Premier)
54.3%
Of those denials later overturned and paid
$43.84
Average cost to fight one denial
45
Days a Texas payer has to pay a clean paper claim
Many Dallas medical billing companies sell one fixed bundle. We let you start with one service or hand over the whole revenue cycle. Follow each link for the full details.
Groups with offices in Plano, Frisco and Fort Worth need one process at every site. Our revenue cycle management solutions run the full cycle across all of your locations, with reports for each site.
When front desk staff change, eligibility checks slip first. Our insurance verification services confirm coverage, benefits and authorizations before each visit, so claims start clean.
Some specialists near the Southwestern Medical District bill through IPAs or delegated contracts, where a claim sent to the wrong entity comes back denied. Our claim submission team routes and scrubs every claim first.
New providers and new locations need payer enrollment before they can bill. Our insurance credentialing services handle CAQH, NPI and group updates and payer follow-up as your North Texas group grows.
Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna and Humana each run their own edits and appeal windows. Our denial management solutions work every denial and fix the cause.
Every ERA, EOB and check is reconciled to the charge it pays. Our medical payment posting flags underpayments, so you can see which payers pay less than they should.
Comparing billing partners or seeing collections drop? Our medical coding audit services review coding, documentation and payer performance across a sample of claims and show where revenue is slipping.
Most denials start before a claim reaches the payer. Our healthcare coding services check that ICD-10-CM codes support the CPT and HCPCS codes billed, with modifiers such as 25 and 59 reviewed.
Not every North Texas practice is a multi-site group. Our billing services for small practices give solo and small offices one billing specialist who knows the practice, without in-house overhead.
The Metroplex has a large employer base, a dense specialist community around the Southwestern Medical District, and fast-growing suburbs to the north. Each of those shapes how claims should be billed.
Many working patients carry Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna or Humana. Each has its own prior authorization list, bundling edits and appeal window.
Some local specialists bill through independent physician associations or delegated arrangements. Claims must go to the right entity, or they come back as routing denials.
Groups with offices in Plano, Frisco and Fort Worth need the same billing rules at every site. Different habits at each office lead to uneven collections.
Medicare claims go through Novitas Solutions, the Jurisdiction H contractor. Texas Medicaid runs through TMHP and managed care plans such as STAR, STAR+PLUS, STAR Kids and CHIP.
New providers and new locations need payer enrollment before they can bill. Delays here hold up revenue for months.
When staff change, eligibility checks slip first. We verify benefits before the visit so claims start clean even during turnover.
Most denials start before a claim ever reaches the payer. A code that does not match the diagnosis, a missing modifier or an expired authorization can stop payment. That is why our billers review charges before anything is billed.
When our review finds a pattern, such as one visit type that keeps getting denied, we share it with your team. Fixing the source is how the denial rate goes down for good, not just for one claim.
We keep your fee schedules current under CMS guidelines, so your charges match what you should be paid. If you want a deeper look, our billing audit reviews coding, documentation and payer performance across a sample of claims.
Most billing companies in the Metroplex list the same services. When you compare them, ask how they handle the work day to day. These questions separate a partner from a claims vendor.
Do we have to change software?
A software switch costs time and training
No. We work in multiple billing software and with any clearinghouse
Who works our denials, and when?
Unworked denials become lost revenue
Denials are worked first and traced to the root cause
How will we see results?
You need to know what was filed and paid
Weekly or monthly reports on filed, paid and open claims
Can we start small?
Not every practice wants to hand over everything
Yes. Start with one service or an audit first
Do you know Texas payers?
Texas rules differ from national defaults
Novitas, TMHP, STAR plans and BCBSTX are part of our daily work
Want to see where your revenue is slipping before you decide? Start with a medical billing audit. It shows coding gaps, payer trends and aging claims.
Strong medical billing Dallas practices can rely on keeps revenue flowing. These services help more North Texas patients find you, trust you and book.
Each location should have its own clear page. Our web design for healthcare builds service pages, location pages for Plano, Frisco or Fort Worth, provider bios and easy contact paths.
Help patients from McKinney to Arlington find the right location. Our SEO for healthcare covers a Google Business Profile for each site, local citations, on-page fixes and helpful FAQ content.
Reach North Texas patients who are ready to book. Our medical PPC campaigns are built on keyword research, clear ad copy, conversion tracking and careful budget management.
Show local patients the real faces behind your practice. Our Facebook ads for healthcare use clear local offers, short videos and steady testing, within Meta’s health rules.
Education posts, team and office photos, practice news and thank-you posts for each of your locations, planned and published through our social media marketing for healthcare.
Reviews shape which practice a patient calls first. Our doctor reputation management requests reviews, monitors every profile and drafts careful replies to negative reviews.
We work with practices in Dallas, Collin, Denton and Tarrant counties, from the Southwestern Medical District and Uptown to the growing suburbs along US-75, the Tollway and I-635.
Our billers know the codes, modifiers and payer rules for 49+ specialties. These are some of the most common among our North Texas clients.
High-volume visits, preventive care and chronic care management billed accurately every day.
Surgery, injections and imaging with global periods and modifiers tracked.
Therapy, psychiatry and telehealth visits with the authorizations payers require.
Diagnostic testing and procedures with prior authorization checked before the visit.
Fast turnaround on many small claims, with eligibility checked at check-in.
Timed codes, visit limits and plan-of-care rules followed on each claim.
Don’t see your specialty? We bill for 49+ specialties. See all specialties.
Texas prompt pay rules give you 95 days to file and give payers 30 or 45 days to pay a clean claim. We track both sides of those deadlines on every claim.
| Rule | Deadline | How we use it |
|---|---|---|
| File the claim | 95 days from the date of service | Claims go out promptly, well inside the window |
| Payer decision, clean electronic claim | 30 days | We follow up as soon as a claim passes 30 days |
| Payer decision, clean paper claim | 45 days | We file electronically whenever the payer allows |
| Late payment penalty | After the deadline | Late payers owe penalties, plus 18% yearly interest after 90 days late |
These rules cover fully insured HMO and PPO plans. Medicare, Medicaid and self-funded employer plans follow their own timelines, so we confirm each payer’s rules before a claim goes out.
Billing companies usually charge a percentage of collections or a flat fee per claim. The best fit depends on your claim volume, payer mix and specialty. We offer value-added billing at an affordable price and quote after a free consultation.
Not when the handoff is planned. We review your open A/R first, keep working old claims while new ones start, and agree on what we take over before day one.
Yes. We confirm which entity is responsible for each patient’s claim before it goes out, so claims are not sent to the wrong payer and denied for routing.
Getting started
Moving your medical billing is a planned handoff, not a restart.
1
Talk to our team by phone or on Teams. Visits to our Austin office are welcome too.
2
We review your payer mix, open A/R and how billing runs today.
3
We agree on what we take over first, so older claims keep moving.
4
We work inside your EMR, practice management software and clearinghouse.
5
Claims, posting and denials run daily. Weekly or monthly reports show the results.
We support practices across the Metroplex, including the Southwestern Medical District, Uptown, Plano, Frisco, Richardson, Irving, Arlington and Fort Worth. We also serve practices in all 50 states.
Our office is at 5900 Balcones Drive STE 100 in Austin. Practices here work with us by phone, email and Microsoft Teams, with the same team and reports as clients who visit our office.
Yes. We run one billing process across every location and report results by site, so you can compare them.
Yes. Our teams work in multiple billing software, including eClinicalWorks, AdvancedMD, athenahealth, Epic and NextGen, and with any clearinghouse.
Yes. We manage credentialing and payer enrollment so new providers and locations can bill sooner.
Book a free consultation. We reply within one business day and recommend where to start.
Our Austin team provides medical billing to practices across Texas and in all 50 states.
Tell us about your practice. A billing specialist will get back to you within one business day.
5900 Balcones Drive STE 100, Austin, TX 78731
Open 24 hours, 7 days a week
Talk to our billing team about your claims, denials and A/R. The consultation is free, and we reply within one business day.
