Track revenue trends and performance to guide better financial decisions.
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Medical Billing &
RCM Services for
Texas Providers
Serving provider groups, micro-hospitals, urgent care centers, pain management clinics, and freestanding ERs.
Why Texas Clinics Trust AmityCare Medical Solutions?
Texas has one of the most complex billing environments in the U.S. — from TMHP rules to FSER billing, strict prior authorizations, and high patient responsibility. We specialize in this complexity to help Texas providers get paid faster with fewer denials. Here are the specific Texas billing challenges we navigate every day on behalf of our clients:
- Texas Medicaid (TMHP) expertise — state-specific billing rules, prior auths, and documentation requirements
- Texas Medicaid MCO workflows — Superior, Amerigroup, Molina, and other plans with unique filing limits and policies
- Freestanding ER (FSER) billing — Texas-only fees, high OON claim volume, and strict No Surprises Act compliance
- High out-of-network claims — rural gaps and independent ERs make Texas one of the toughest states for OON negotiation and appeals
- Texas commercial payer mix — BCBS TX, UHC, Aetna, Cigna, and Humana with their own EDI rules, medical policies, and PA requirements
- High denial rates in key Texas specialties — ER, behavioral health, pain management, and imaging face stricter medical necessity and PA hurdles
- TDI regulatory compliance — Texas Prompt Pay Act, OON billing rights, ER coding rules, and both state and federal surprise billing protections
- High patient responsibility across Texas — widespread high-deductible plans increase self-pay, payment plans, and bad-debt risk
Our Core Medical Billing & RCM Services
- Accurate Medical Coding
Correct CPT, ICD-10, and HCPCS codes to prevent denials and ensure proper payment.
- Clean Claims Submission
Submit error-free claims quickly for faster approvals and fewer rejections.
- Denial Management & Appeals
Identify denial causes and submit strong appeals to recover lost revenue.
- Payment Posting & A/R Management
Post payments accurately and manage aging A/R to improve cash flow.
- Patient Billing & Support
Provide clear statements and assistance to reduce confusion and improve collections.
- Financial Reporting & Revenue Analytics
Additional Solutions for Texas Healthcare Providers
- Eligibility & Benefits Verification — real-time checks for TMHP, MCOs, and commercial plans
- Medical Credentialing & Payer Enrollment — faster activation with TMHP and Texas MCO networks
- Texas Medicaid (TMHP) Compliance Assistance — avoid billing errors and costly compliance risks
- Prior Authorization Management — Texas specific PA rules for imaging, behavioral health, and pain services
- Texas-Specific Claim Correction & Reprocessing — clean up denials tied to TMHP/MCO requirements
- No Surprises Act & TDI Regulation Compliance Support — protect your facility from patient billing issues
- Coordination of Benefits (COB) Resolution — correct payer order to reduce denials and payment delays
- Patient Responsibility Estimates — accurate cost estimates for high-deductible and OON Texas plans
High qualified doctor’s
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Get Your Free Billing Audit
Worried About Lost Revenue or Denied Claims? Get a free 7-point billing audit to uncover hidden issues, recover missed payments, and optimize your billing process — all with no cost or obligation.
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Patient’s all around the world.
alan watkins
pathologist doctor
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Allan Roberson
Medicine Doctor
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kent walker
gastroenterology doctor
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Trusted by Our Clients
Queen City
Working with AmityCare Medical Solutions has been a great experience for my chiropractic office. My primary liaison, Asjad Azam, maintains clear and responsive communication, keeping me well-informed and supported throughout the billing process. The AmityCare team has been prompt and dependable in managing my no-fault billing needs, freeing me up to care for patients.
Queen City
Chiropractic
Paragon Hospitalist
We switched to AmityCare Medical Solutions in Spring 2024, and since then, we've received payments more promptly. The team took the time to understand our business model and helped us maximize profits while improving efficiency. We truly appreciate their open communication and responsiveness, and we look forward to working with them for years to come. Highly recommend!
Crystal Leatch George
Clinical Services Director
Advocate Primary Care
AmityCare has completely streamlined our billing process. Their team is proactive, transparent, and truly feels like an extension of our practice. Collections have improved, denials are down, and we can finally focus more on patient care. The detailed reporting and communication they provide give us full confidence that our revenue cycle is being handled with expertise.
Advocate Primary Care
Dr. Farhan Rafi