Remote billing team for Texas practices
Medical Billing Services in Texas
Global Tech Billing handles claims, denials and A/R for independent Texas practices, working inside your existing EHR and practice management system. Our team knows the Texas Medicaid (TMHP) filing rules and the commercial and Medicare payers TX practices bill most.
Texas Medicaid (TMHP) billing: the deadline to plan around
Texas Medicaid fee-for-service claims are processed by the Texas Medicaid & Healthcare Partnership (TMHP). Most members are in managed care (STAR, STAR+PLUS, STAR Kids and CHIP plans), which have their own filing rules.
95 days from the date of service
TMHP must receive claims within 95 days of each date of service, and Texas Medicaid does not cover late claims. Appeals must be received within 120 days of the remittance and status report disposition date. Out-of-state providers have 365 days. Claims for clients with other insurance are due 95 days from the other payer's disposition, and the 365-day federal limit still applies.
Rules last checked against the program's published provider guidance in November 2026. Always confirm current requirements with the payer before relying on a deadline.
Payers and workflow notes for Texas
Payers TX practices commonly bill
- Blue Cross and Blue Shield of Texas
- UnitedHealthcare
- Aetna and Cigna
- Texas Medicaid managed care organizations
- Medicare, administered in Texas by Novitas Solutions (Jurisdiction H (JH))
Your actual payer mix and contracts are confirmed on the discovery call.
What we watch for
- Work the 95-day Medicaid window from the date of service on a rolling basis. It is short compared with most states.
- For dual-eligible patients, file with Medicare first. The Medicaid 95 days run from the Medicare disposition date.
- Newly enrolled providers have 95 days from the date enrollment is complete, but never more than 365 days from the date of service. Keep rejection reports as proof of timely filing.
- Keep eligibility verification records. TMHP requires them for the appeal process.
What our Texas billing service covers
Billing is done remotely by a dedicated team, so your practice can be anywhere in Texas. Pricing is custom to each practice and confirmed on a free discovery call.
- Eligibility and benefits verification
- Charge entry with CPT, ICD-10 and modifier review
- Claim scrubbing and electronic submission
- Payment posting and reconciliation
- Denial follow-up, corrected claims and appeals
- A/R follow-up on aging accounts
- Credentialing and payer enrollment support (available as a separate service)
- Monthly reporting
Our workflows are HIPAA-compliant, and staff with system access work under business associate agreements with role-based access.
Texas medical billing questions
What is the Texas Medicaid timely filing deadline?
TMHP must receive Texas Medicaid claims within 95 days of the date of service. Late claims are not payable, and appeals of denied claims must be received within 120 days of the disposition date.
Does the 95-day limit change for dual-eligible patients?
Yes. When a service is covered by both Medicare and Medicaid, the claim goes to Medicare first and TMHP must receive the Medicaid claim within 95 days of the Medicare disposition date.
Can you bill for practices in Houston, Dallas, San Antonio, Austin and rural Texas?
Yes. We work remotely in your existing systems, so a practice can be anywhere in Texas. Payer mix is confirmed on the discovery call.
What if our provider enrollment with Texas Medicaid is still pending?
TMHP rejects claims until enrollment is complete. Claims nearing the 365-day limit should still be submitted, because the rejection report can serve as proof of timely filing in an appeal.
Get billing support for your Texas practice
Tell us your specialty, provider count and billing software. We will review your claims and A/R on a free discovery call and give you a custom quote.
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