ParaMed Billing Solutions delivers expert revenue cycle management to Texas healthcare providers — navigating STAR, CHIP, and HHSC Medicaid programs, commercial payer networks, and state compliance requirements with precision-coded billing and aggressive denial management across Houston, Dallas, San Antonio, Austin, and every Texas market.
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Texas Payer Landscape & Coverage
We bill every major payer operating in Texas — including all STAR/CHIP managed care plans, Medicare Advantage networks, and commercial carriers active across the DFW Metroplex, Houston, San Antonio, and Austin markets.
Our Billing Process for Texas Providers
From your first call to first payment — a proven four-step process built around Texas payer requirements and HHSC compliance timelines.
We start with a free revenue cycle audit to identify leakage points specific to Texas payers and your specialty, then onboard in 5–10 business days with zero billing disruption.
Rapid enrollment with all Texas commercial, STAR/CHIP Medicaid, and Medicare payers — including BCBS Texas, Humana, and Community Health Choice — typically completed in 30–60 days.
Clean claim submission within 24 hours via TMHP and all Texas payer portals — with real-time tracking and HHSC prior authorization management for STAR and CHIP plans.
Aggressive follow-up on every denied claim targeting Texas's most common patterns — TMHP eligibility issues, STAR prior auth gaps, TDI Workers' Comp fee schedule mismatches, and commercial bundling errors.
Specialties We Serve Across Texas
From Houston medical center complexes to independent rural clinics in West Texas — we handle the full spectrum of specialty billing across every Texas market.
E&M coding, Annual Wellness Visits, chronic care management, and PCMH billing — optimized for Texas's high-volume primary care practices billing across STAR, CHIP, and all commercial plans.
Trauma level coding, E&M split billing, facility vs. professional fee management — with expertise in Texas HHSC trauma center reimbursement guidelines and STAR+PLUS complex case billing.
Texas Mental Health Parity compliance, DSHS-licensed practice billing, telehealth psychotherapy, and SUD treatment billing under Texas Medicaid behavioral health carve-outs and NorthSTAR.
Surgical procedure coding, implant billing, post-operative care, and Workers' Compensation orthopedic billing under Texas TDI fee schedules and STAR+PLUS long-term care billing requirements.
Cardiac catheterization, echocardiography, nuclear stress testing, and device management billing — with full BCBS Texas and Texas Medicaid STAR cardiac procedure coverage expertise.
Texas HHSC Rural Health Clinic billing, FQHC encounter rate claims, prospective payment system submissions, and Medicaid wrap-around payments for rural Texas providers and critical access hospitals.
Texas Billing Challenges We Solve
Texas has some of the most complex Medicaid managed care environments in the nation. Our specialists navigate these every day — so your practice captures every dollar it earns.
Texas Medicaid Health Partnership (TMHP) has unique claim submission formats, STAR managed care authorization workflows, and retroactive eligibility rules that trip up out-of-state billers constantly. Our team works in TMHP daily — navigating every STAR, CHIP, STAR Kids, and STAR Health plan with zero learning curve and maximum first-pass acceptance.
Texas HHSC conducts aggressive Medicaid billing audits, and the state's STAR program is split across multiple MCOs (UnitedHealthcare, BCBS TX, Molina, Superior Health) each with different prior auth rules and reimbursement rates. We maintain current payer matrices for all Texas MCOs and submit correctly to each — while keeping your documentation HHSC audit-ready at all times.
Texas Workers' Compensation under the TDI Division of Workers' Compensation has separate fee schedules for facility, professional, and ancillary services — with strict documentation timelines and dispute resolution processes. Our TDI billing specialists apply the correct schedule version, meet all filing deadlines, and handle the full dispute and appeal lifecycle to maximize WC reimbursement.
Texas carves out behavioral health services in the Dallas-Fort Worth area through NorthSTAR, while the rest of the state routes BH claims through STAR MCOs — creating a dual-system billing environment that generates high denial rates for practices that bill both. We route all Texas BH claims correctly by region, payer, and date of service, including telehealth billing under HHSC's expanded telemedicine guidelines.
Every claim we process follows full HIPAA Privacy & Security Rule standards, Texas HHSC billing guidelines, TMHP provider manual requirements, and TDI Workers' Compensation Board regulations — protecting your practice from regulatory risk at every step.
Why Texas Providers Choose ParaMed
From solo practices in Dallas to multi-location groups across Houston and San Antonio — we bring specialist-grade billing expertise to every Texas practice we serve.
Deep knowledge of TMHP portal workflows, STAR/CHIP managed care rules, HHSC audit standards, and the multi-MCO Texas Medicaid landscape — built from years of billing Texas practices daily across all regions and specialties.
Claims submitted within 24 hours with a 98%+ first-pass acceptance rate across all Texas payers including BCBS TX, Humana, UnitedHealthcare, and the full STAR MCO network — cutting your A/R days by an average of 15 days.
AAPC-certified coders with subspecialty credentials — trained on Texas TDI Workers' Comp fee schedules, STAR managed care coding requirements, trauma billing guidelines, and behavioral health carve-out billing.
Live dashboard with claim-by-claim visibility, denial trend tracking by Texas payer and MCO, A/R aging reports by region, and quarterly Texas market benchmarking — full transparency into every dollar of your revenue cycle.
Texas Billing Regulations We Navigate
Staying compliant in Texas requires expert knowledge of state-specific regulations beyond standard HIPAA requirements.
Texas Medicaid Health Partnership billing guidelines — including STAR managed care authorization workflows, STAR Kids LTSS billing rules, CHIP Perinate requirements, and STAR Health foster care program billing regulations.
Texas state mental health parity law requiring commercial plans to cover behavioral health at parity with medical/surgical benefits — ensuring your BH claims are billed correctly and not under-reimbursed by any Texas commercial carrier.
Texas Division of Workers' Compensation medical fee guidelines — facility, professional, and ancillary fee schedules with strict dispute resolution timelines. Our WC specialists apply the correct schedule, meet all filing deadlines, and manage the full TDI dispute process.
Texas HHSC provider enrollment and credentialing requirements across all STAR Medicaid managed care organizations — including UnitedHealthcare Community Plan, Molina Healthcare, Superior Health Plan, and BCBS TX. We manage full enrollment for all Texas MCOs simultaneously.
What Texas Providers Say
Real results from real practices across Texas — from Dallas to Houston and San Antonio.
ParaMed's TMHP expertise is unreal. They resolved our STAR MCO prior auth denial pattern in the first billing cycle — our Texas Medicaid collections went up 38% and our denial rate dropped from 26% to under 4%. No other billing company we tried even understood the STAR program properly.
Our NorthSTAR behavioral health billing was a complete mess before ParaMed. They immediately understood the DFW carve-out system, corrected 14 months of misrouted claims, and our BH collections jumped 33% within 90 days. They saved our practice.
Texas TDI Workers' Comp billing was destroying our cash flow. ParaMed applied the correct fee schedule, cleared two years of unpaid WC A/R, and now our Workers' Comp collections are higher than they've ever been. Revenue up 44% from WC alone.
Find out exactly how much revenue your Texas practice is leaving on the table. Our specialist analyzes your payer mix, STAR/CHIP denial patterns, and coding accuracy — delivering a detailed audit report within 48 hours at zero cost.
A Texas billing specialist will respond within 48 hours.
A ParaMed Texas billing specialist will contact you within 48 business hours with your free revenue audit.
Frequently Asked Questions
Common questions from Texas healthcare providers considering a billing partner.
Yes — TMHP, STAR, and CHIP are core competencies for our Texas billing team. We handle all aspects of Texas Medicaid billing including STAR managed care plan submissions, CHIP and CHIP Perinate billing, STAR Kids LTSS claims, STAR Health foster care program billing, prior authorization workflows across all MCOs, and retroactive eligibility checks. We stay current with every TMHP bulletin so your practice never has a compliance or reimbursement gap.
Absolutely. Texas TDI Workers' Compensation billing is one of our specialties. We apply the correct fee schedule version for each provider type and treatment setting, manage the full claim lifecycle from initial submission through dispute resolution with the TDI Division of Workers' Compensation, maintain all required documentation standards, and meet every filing deadline. Our TDI team has cleared years of unpaid WC A/R for Texas practices in a single billing cycle.
Most Texas practices are fully onboarded and billing within 5–10 business days. Our team handles EHR integration, TMHP portal access setup, Texas payer enrollment updates, and workflow configuration simultaneously — with zero gap in your billing submissions during the transition. We've onboarded hundreds of Texas practices across Houston, Dallas, San Antonio, and Austin markets and have the process optimized for every major Texas EHR system.
Yes — we provide complete provider credentialing and payer enrollment for all Texas commercial payers, STAR Medicaid MCOs, and Medicare. This includes BCBS Texas, UnitedHealthcare Community Plan, Molina Healthcare, Superior Health Plan, Humana, and all major commercial carriers in Texas. Texas HHSC enrollment typically takes 30–60 days and we manage the entire process — from TMHP applications to MCO-specific contracting — so you can focus on patients.
ParaMed operates on a percentage-of-collections model — you only pay when we successfully collect revenue for your practice. There are no setup fees, no monthly minimums, and no long-term contracts. Our rate is based on your practice's volume and specialty complexity. Our free audit typically shows Texas practices netting 25–35% more revenue even after our fee compared to what they were collecting before, with measurable results typically visible within the first full billing cycle.
Texas has a unique dual-system BH carve-out: the Dallas-Fort Worth area uses NorthSTAR (managed by Behavioral Health Solutions of North Texas) while the rest of the state routes BH claims through each patient's STAR MCO. This geographic split is one of the most common sources of Texas behavioral health denials. We identify the correct routing for every patient by region and date of service, submit BH claims to the correct entity, and maintain compliance with Texas Insurance Code Chapter 1355 mental health parity requirements across all commercial payers.
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Trusted by practices across the US — feedback from providers who rely on ParaMed for smarter medical billing.
