RCMAXIS serves Texas physicians, group practices, and health systems from Dallas-Fort Worth to Houston to San Antonio — delivering 98.4% clean claim rates, Texas Medicaid expertise, and dedicated billing teams that understand the state's payer landscape inside and out.
Texas is home to one of the most complex payer environments in the country — with 30+ million residents across Medicaid managed care plans (STAR, STAR+PLUS, CHIP), Medicare Advantage penetration exceeding 50% in major metro areas, and commercial payer contracts that vary significantly between Dallas, Houston, Austin, and San Antonio markets. RCMAXIS billing teams are trained on Texas-specific payer rules, TMHP (Texas Medicaid & Healthcare Partnership) requirements, and the HHSC compliance standards that govern Texas providers.
Texas Medicaid billing through TMHP requires familiarity with STAR, STAR+PLUS, CHIP, and fee-for-service programs. RCMAXIS handles all TMHP claim submission, prior authorization, and denial management — keeping your Medicaid revenue flowing without the administrative burden on your staff.
Texas's major commercial payers — BCBS of Texas, Aetna, UnitedHealthcare, Humana, Cigna, and Scott & White Health Plan — each have distinct prior auth requirements, network rules, and claims processing policies. RCMAXIS billing specialists know each payer's Texas-specific rules and apply them correctly on every claim.
New providers in Texas need credentialing with TMHP, Medicare, and all commercial payers before billing. RCMAXIS manages the complete credentialing process — CAQH setup, payer applications, re-credentialing cycles, and hospital privilege applications — targeting enrollment completion within 60 days.
Texas practices face denial rates above the national average in high-MA markets like Houston and San Antonio. RCMAXIS denial management team works aging AR aggressively — appealing every recoverable claim, identifying payer-specific patterns, and systematically reducing your denial rate over time.
Texas practices can access RCMAXIS's dedicated virtual assistant services — trained billing and administrative staff who work as an extension of your team. Eligibility verification, prior auth submission, patient scheduling support, and AR follow-up — all without the cost of in-house employees.
Monthly and quarterly reporting gives Texas practice owners and administrators full visibility into collections performance, payer mix, denial trends, and AR aging — with benchmark comparisons against Texas market averages to contextualize your practice's performance.
RCMAXIS serves Texas providers statewide — from large group practices in DFW and Houston to independent physicians in smaller Texas markets. Our fully remote billing model means geography is never a barrier to getting expert billing support.
DFW metro, North Texas, Plano, Arlington, Irving
Greater Houston, The Woodlands, Sugar Land, Katy
San Antonio metro, New Braunfels, Seguin
Austin metro, Round Rock, Cedar Park, Kyle
El Paso, Far West Texas, border region
West Texas, Panhandle, South Plains
Coastal Bend, South Texas region
Rural Texas, Critical Access Hospitals, RHCs