Medical billing and credentialing services in Texas
Texas practices bill Texas Medicaid through managed care plans, work with Blue Cross and Blue Shield of Texas, and enroll through TMHP. Distances between metros are large, which makes remote credentialing and billing support a natural fit.
Practices we support in Texas
- Houston
- Dallas–Fort Worth
- San Antonio
- Austin
- El Paso
- Rio Grande Valley
- Statewide
Provider credentialing and payer enrollment in Texas
A Texas practice generally needs a license from the Texas Medical Board, then enrollment in Texas Medicaid through TMHP on behalf of the Texas Health and Human Services Commission. Medicaid and CHIP patients are mostly served by managed care organizations such as Superior HealthPlan and Community Health Choice, each requiring its own credentialing. Commercially, Blue Cross and Blue Shield of Texas is a core target. Regional differences matter, since plan service areas vary between Houston, the Rio Grande Valley and north Texas.
Texas payer snapshot
The programs and plans most Texas practices enroll with first.
- Medicaid
- Texas MedicaidTexas Health and Human Services Commission · enrollment via TMHP
- Blue plans
- Blue Cross and Blue Shield of Texas
- Other payers
- Superior HealthPlan, Community Health Choice, Texas Children's Health Plan and Parkland Community Health Plan
- Medicare
- Novitas SolutionsPart A and B claims administrator for Texas
- Licensing
- Texas Medical Board
Medical billing and revenue cycle management in Texas
Texas Medicaid billing depends on knowing which managed care plan or program covers each patient, because claims go to the plan and not to the state. Plan service areas, authorization rules and appeal paths differ. Blue Cross and Blue Shield of Texas and Medicare add further requirements. Typical AR problems are claims filed under an unenrolled provider record, eligibility changes between visits, and unanswered requests for records that turn into avoidable denials.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
Websites, marketing and virtual assistants for Texas practices
Texas patients search by neighborhood, language and insurance, whether in Houston, Dallas–Fort Worth, San Antonio or Austin. We build practice websites, improve local search listings and manage reviews, and many practices add medical virtual assistants for scheduling and phone intake, all handled under HIPAA-compliant processes.
- Website design and development
A fast, accessible practice website with services, providers, locations and insurance accepted, built for every business, not only healthcare. Web development →
- Healthcare digital marketing
Local search, Google Business Profile and campaigns aimed at the patients and referral sources near your Texas locations. Digital marketing →
- HIPAA-compliant medical virtual assistants
Trained remote staff for scheduling, eligibility, intake and follow-up, working inside your systems. Medical virtual assistants →
How Texas practices start with Core MB
Core MB is based in Brooklyn, New York and works with practices in Texas remotely. Nothing about the service depends on distance: payer portals, clearinghouses and your practice management system are the same wherever the office sits.
Tell us about the practice
Specialty, providers, locations and the payers you bill or want to join. One conversation is usually enough.
Receive a written proposal
Scope, timeline and responsibilities in plain language, whether you need one service or all five.
Onboard without disruption
Transitions run alongside your current setup, and credentialing progress is visible in your client portal from day one.
Texas billing and credentialing questions
How does Texas Medicaid provider enrollment work?
Providers enroll through TMHP, which processes applications for the Texas Health and Human Services Commission. You supply license, National Provider Identifier, and practice location details. Enrollment makes you a Texas Medicaid provider, but managed care patients also require contracts with their health plans.
Which payers should a new Texas practice credential with first?
Blue Cross and Blue Shield of Texas and Medicare are common starting points, followed by other large commercial plans in the practice's metro. If Medicaid or CHIP patients are expected, enroll with TMHP and apply to the plans active in your service area, such as Superior HealthPlan.
Do Texas Medicaid managed care plans credential separately?
Yes. Plans such as Superior HealthPlan, Community Health Choice and Texas Children's Health Plan do their own credentialing and contracting, separate from TMHP enrollment. Which plans apply depends on the county and the program, so confirm the service area before applying.
Do we need to be near Brooklyn to work with Core MB?
No. Everything runs remotely: enrollment applications, payer follow-up, claims and reporting. Practices in Texas get the same team, the same client portal and the same monthly reporting as a practice around the corner from our office.
Nearby states
Ready to get paid faster in Texas?
Tell us about your practice and the payers you bill, and we will send a written quote.