Healthcare SBC

Medical Billing Services · Texas

Medical billing services for Texas practices

Local payer expertise, national infrastructure. Healthcare SBC manages the full revenue cycle for Texas practices, with billing teams who work BCBS of Texas and Texas Medicaid & STAR programs every day.

6+

Major TX payers supported

40+

Specialties configured

$0

Per-interface fees

The Texas payer landscape

Medicaid program

Texas Medicaid & STAR programs

Major payers

  • BCBS of Texas
  • UnitedHealthcare
  • Aetna
  • Cigna
  • Superior HealthPlan
  • Community Health Choice

Texas is a large, fast-growing and geographically dispersed market where practices frequently operate across multiple metro areas with different payer mixes and contract rates in each.

Healthcare SBC supports multi-market Texas groups with centralized billing, Texas Medicaid and STAR managed care expertise, and the workers' compensation network rules that carry their own fee schedules and reporting requirements.

Texas expertise

What we handle differently in Texas

BCBSTX depth

Focused expertise in the state's largest commercial payer and its network-specific rules.

STAR and STAR+PLUS

Texas Medicaid managed care billing across STAR, STAR+PLUS and STAR Kids programs.

Workers' compensation networks

Texas comp billing under DWC fee guidelines with required reporting.

Multi-metro operations

Centralized billing for groups operating across Houston, Dallas, Austin and San Antonio.

Full scope

Complete medical billing services for Texas practices

Every stage of the revenue cycle, managed by one accountable team with full visibility for you.

Eligibility & benefits verification
Certified medical coding
Claim scrubbing & submission
Denial management & appeals
A/R follow-up & recovery
Patient billing & collections
Credentialing & enrollment
Reporting & benchmarking

FAQ

Medical Billing Services in Texas, FAQ questions

Does Healthcare SBC provide medical billing services in Texas?
Yes. Healthcare SBC serves practices throughout Texas with full-service medical billing services, including eligibility verification, certified coding, claim submission, denial management, A/R follow-up and patient collections. Our billing teams work BCBS of Texas, UnitedHealthcare, Aetna and the Texas Medicaid & STAR programs program routinely.
Which payers do you work with in Texas?
Our Texas teams handle the state's major commercial payers, including BCBS of Texas, UnitedHealthcare, Aetna, Cigna, Superior HealthPlan, Community Health Choice, along with Medicare, Medicare Advantage plans and Texas Medicaid & STAR programs. Payer-specific edits and appeal procedures are maintained for each.
Do I need to switch systems to use Healthcare SBC in Texas?
No. Our revenue cycle services operate inside your existing EHR and practice management system. We integrate with all major platforms, and many Texas clients keep their current systems indefinitely.
How is pricing structured?
Most Texas practices engage on a percentage of net collections, which aligns our incentives directly with yours. The exact rate depends on specialty, claim volume, average claim value and scope of services. Flat-fee arrangements are available for high-volume groups.
Can I get a free revenue cycle assessment?
Yes. We will analyze a sample of your claims, denials and A/R aging and deliver a written assessment quantifying recoverable revenue and benchmark gaps against Texas peers: at no cost and with no obligation.