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Balcones Drive · Headquarters

A Local Team Among Medical Billing Companies Austin Practices Trust

Meet your billing team in person at our Balcones Drive office. We handle eligibility, claims, posting and denials for practices of every size across Central Texas.

Austin skyline reflected in Lady Bird Lake
Map of the Texas service area covering Austin, Houston and Dallas

5900 Balcones Drive STE 100, Austin

Your billing team, based on Balcones Drive

Local Billing Support for Central Texas Practices

Prime Medical Revenue is one of the few medical billing companies Austin practices can visit in person. Our headquarters sits at 5900 Balcones Drive STE 100, just off Loop 1 (MoPac). You can meet the people who work your claims.

We verify coverage before each visit, file clean claims, post every payment and work each denial until it is resolved. Everything happens inside the EMR and clearinghouse you already use.

Balcones Drive is our home base. From here, our team supports practices across Central Texas and in all 50 states.

Open 24 hours a day, 7 days a week
Works inside your current EMR and clearinghouse
Weekly or monthly reports emailed to your office
HIPAA-compliant billing for 49+ specialties

1

Local office on Balcones Drive

24/7

Open 7 days a week

49+

Medical specialties we bill for

50

States we serve from Central Texas

Services for Central Texas

Medical Billing Services Austin Providers Use Most

Unlike most medical billing companies in Austin, TX, we have an office you can visit. Pick one service or hand over the whole revenue cycle, then follow each link for the full details.

services revenue cycle management

Revenue Cycle Management

Hand the whole cycle to one local team, from the eligibility check to the final payment. Our revenue cycle management services run inside your current EHR, with weekly or monthly reports from our office on Balcones Drive.

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Eligibility & Benefits Verification

We confirm active coverage, copays and prior authorization before each visit. Our insurance eligibility verification services cover Medicare, Texas Medicaid STAR plans and commercial payers such as Blue Cross Blue Shield of Texas.

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Claim Submission

Every claim is scrubbed against payer edits before it goes out. Our claim submission services send clean electronic and paper claims well inside the 95-day Texas filing window.

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Credentialing & Enrollment

Adding a provider in Cedar Park or opening a site in Round Rock? Our medical credentialing services handle CAQH, NPI updates and Medicare, Medicaid and commercial enrollment so new providers can bill sooner.

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Denial Management

The same denial reason can hit dozens of claims. Our denial management services work every denial, file appeals within each payer’s limit and fix the cause at the front desk so it stops.

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Payment Posting

Every ERA, EOB and check is posted to the right charge. Our payment posting services flag underpayments against your fee schedule, so your front office knows exactly what each payer paid.

services medical billing audit

Medical Billing Audit

Not sure where revenue is slipping? A medical billing audit reviews coding, charge capture, claim quality and A/R, then gives your practice a clear report and a plan to fix what it finds.

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Medical Coding

We match CPT, ICD-10-CM and HCPCS codes to each note, including E/M levels and modifiers. Accurate medical coding services mean fewer denials and less audit risk for providers from Georgetown to San Marcos.

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Small Practice Billing

In many Central Texas clinics, the office manager also handles billing. Our medical billing services for small practices give you one billing specialist who knows your practice, without in-house overhead.

Local billing

What Central Texas Practices Need From a Billing Partner

Central Texas is one of the fastest-growing regions in the country. New practices open, existing groups add sites, and providers join from other states. Billing has to keep up.

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New practices and new providers

Opening a second location in Round Rock or adding a provider in Cedar Park? Each one needs payer enrollment before claims can be paid.

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Texas Medicare and Medicaid

Medicare claims in Texas go through Novitas Solutions, and Texas Medicaid runs through TMHP and managed care plans such as STAR, STAR+PLUS, STAR Kids and CHIP.

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Commercial payers in Texas

Claims to Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna and Humana are checked against each payer’s rules before they go out.

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Small teams, many hats

In smaller clinics from Pflugerville to Bee Cave, one person often runs the front desk and the billing. Handing off claims frees that time for patients.

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Denials that repeat

The same denial reason can hit dozens of claims. We fix the cause at the front desk so it stops.

Weekly billing report for a medical practice

Clear reporting

You should know what was filed, what was paid and what is still open, without asking twice.

New and growing practices

Austin Medical Billing for New and Growing Practices

Central Texas keeps adding clinics. A new practice has to do three things before its first payment arrives: enroll each provider with payers, set up clean billing workflows and start collecting on day one. Mistakes in any step can delay revenue for months.

Credentialing before the first patient

Payers will not pay a provider who is not enrolled. We gather licenses and documents, keep CAQH profiles current, submit payer applications and follow up until each one is approved.

Billing workflows that start clean

We set up eligibility checks, charge review and claim submission inside your EMR from the start. Your front desk learns what to capture, so the first claims go out right.

Room to grow

When you add a provider or open a second location in Round Rock or Georgetown, we enroll the new provider and extend the same process. Reports show results by provider and by location.

Billing set up this way keeps a growing practice from outgrowing it. Start with credentialing, or hand over the full revenue cycle.

Visit us

Medical Billing Austin Practices Can Walk Into

Austin practice owner meeting a local revenue specialist

Most billing companies are a phone number and an inbox. With us, the billing you hand over comes with a real office just off MoPac. Set a time to meet the team, walk through a report or plan a handoff face to face.

Office detailInformation
Address5900 Balcones Drive STE 100, Austin, TX 78731
HoursOpen 24 hours, 7 days a week
Phone(512) 355-5735
Emailinfo@primemedicalrevenue.com
Getting hereNorthwest Austin near Loop 1 (MoPac) and FM 2222, about 15 minutes from downtown

Prefer not to drive? We also meet by phone and Microsoft Teams. Book a free consultation and choose what works for you.

Grow your practice

Website and Marketing Services for Central Texas Practices

Billing keeps revenue flowing. These services help more Central Texas patients find you, trust you and book.

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Website Development

A fast, mobile medical website design with clear service pages, provider bios, your address and parking details, so local patients find what they need and book.

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Medical SEO

Show up when patients search for care near the Domain, in Round Rock or in Cedar Park. Our medical SEO covers your Google Business Profile, local citations, service pages and technical fixes.

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Google Ads Management

Reach patients across Travis and Williamson counties at the moment they search. We build Google Ads for medical practices around booked appointments, with conversion tracking and clear reports.

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Meta Ads Management

Local Facebook and Instagram campaigns with real faces and clear offers. Our Facebook ads for doctors follow Meta’s health rules and use broad, safe targeting.

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Social Media Management

Education posts, team photos and practice news that build trust with Central Texas patients, planned and posted through our healthcare social media marketing.

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Reputation Management

More real Google reviews from happy patients and careful replies to the rest. Our reputation management for doctors protects your practice’s name across Central Texas.

Areas we serve

Practices We Support Across Central Texas

We work with practices in Travis, Williamson and Hays counties, from downtown and the Dell Medical School area to the suburbs along I-35, US-183 and Loop 1.

Map of the Austin service area: Downtown Austin, Northwest Austin, Mueller, South Austin, East Austin, Westlake, Round Rock, Cedar Park, Georgetown, Pflugerville, Leander, Hutto, Lakeway, Bee Cave, Kyle, Buda and San Marcos

We support practices in Northwest Hills, the Domain, Mueller, Hyde Park, South Congress, East Cesar Chavez, Westlake, Round Rock, Cedar Park, Georgetown, Pflugerville, Leander, Hutto, Lakeway, Bee Cave, Kyle, Buda and San Marcos, plus the rest of Central Texas.

Specialties

Specialties We Bill for in Central Texas

Our billers know the codes and payer rules for 49+ specialties. These are common among Central Texas practices.

Family Medicine practice

Family and internal medicine

Office visits, preventive care and chronic care management billed accurately.

Behavioral Health practice

Behavioral health

Therapy, psychiatry and telehealth visits with the right codes and authorizations.

Pediatric practice

Pediatrics

Well-child visits and vaccines, with CHIP and STAR Kids coverage checked first.

Orthopedics practice

Orthopedics

Procedures, injections and imaging with modifiers and global periods tracked.

Cardiology practice

Cardiology

Testing and procedures with prior authorizations confirmed before the visit.

Physical Therapy practice

Physical therapy

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.

Why it matters

What Denials Cost a Growing Practice

Denials cost more than the claim itself. In a Premier Inc. survey, nearly 15% of claims to private payers were denied at first, and fighting each one cost an average of $43.84. More than half, 54.3%, were eventually overturned and paid.

For a busy clinic, that is staff time spent chasing money that should have come in the first time. Our process is built to stop denials early.

  1. Check eligibility and benefits before the visit.
  2. Review codes and modifiers before a claim is billed.
  3. Scrub each claim against payer edits and file promptly.
  4. Work denials first and appeal within filing limits.
  5. Report the root cause so your front desk can fix it.
Texas payer rules

Texas Claim Deadlines Every Practice Should Know

Texas prompt pay rules protect practices that bill fully insured HMO and PPO plans. You have 95 days from the date of service to file. Payers then have 30 days to pay a clean electronic claim and 45 days for a clean paper claim.

If a payer misses those dates, it owes penalties, plus 18% yearly interest once a claim is more than 90 days late. We track these dates on every claim and follow up when a payer runs late.

Medicare claims in Texas go to Novitas Solutions. CMS renewed its Jurisdiction H contract, which became operational on July 1, 2026. Texas Medicaid claims run through TMHP and each managed care plan.

Getting started

How Local Practices Get Started

Start with a conversation at our Balcones Drive office, by phone or on Teams.

Free billing consultation with a Prime Medical Revenue specialist

1

Free consultation

Meet us at 5900 Balcones Drive, or talk by phone or on Teams.

services medical billing audit

2

Billing review

We review your payer mix, open A/R and how billing runs today.

services revenue cycle management

3

Plan the handoff

We agree on what we take over first, so older claims keep moving.

Billing team working inside the practice EMR system

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Connect your systems

We work inside your EMR, practice management software and clearinghouse.

Weekly billing report for a medical practice

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Daily work and reports

Claims, posting and denials run daily. Weekly or monthly reports show the results.

Visit us

Visit Our Austin Office

Our billing team works from 5900 Balcones Drive STE 100, Austin, TX 78731, close to Loop 1 (MoPac). Practice owners and office managers are welcome to meet the team in person. Call ahead to set a time.

Call ahead and we will make sure the right person is free to walk you through your billing.

FAQ

Questions From Local Practices

Prefer to talk?

Call our Balcones Drive team directly.

Our headquarters is at 5900 Balcones Drive STE 100, Austin, TX 78731, near Loop 1 (MoPac).

Yes. We are open 24 hours a day, 7 days a week. Call (512) 355-5735 to set a time that suits you, or meet us on Microsoft Teams.

We support practices across Central Texas, including Round Rock, Cedar Park, Georgetown, Pflugerville, Westlake, Kyle and San Marcos, and practices in all 50 states.

Yes. We handle credentialing and payer enrollment for new providers and new locations, so billing can start sooner.

We bill for 49+ specialties, including family medicine, internal medicine, cardiology, behavioral health, orthopedics and pediatrics.

Billing companies usually charge a percentage of collections or a flat fee per claim. We offer affordable pricing and quote after a free consultation.

Other areas

Other Areas Our Team Supports

Central Texas is our home base. We also support practices across Texas and in all 50 states.

Get in touch

Talk to a billing specialist

Tell us about your practice. A billing specialist will get back to you within one business day.

Request a free consultation

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Free consultation

Talk to One of the Medical Billing Companies Austin Practices Can Visit

Stop by Balcones Drive, call us or meet on Teams. The consultation is free, and we reply within one business day.