Houston is home to the Texas Medical Center — the largest medical complex in the world — and thousands of independent practices across the Greater Houston area. In a market this crowded, independent practices compete with large health systems that have entire revenue cycle departments. Medical Coder gives you that same depth with outsourced medical billing services in Houston.
Houston Medical Billing Built Around Texas Payers
Texas has its own payer rules, and that is where most avoidable denials start. We work every major payer your practice sees:
- Texas Medicaid & CHIP through TMHP (Texas Medicaid & Healthcare Partnership), including STAR, STAR+PLUS, STAR Kids and STAR Health managed care plans and their 95-day filing deadline.
- Medicare Part A & B through Novitas Solutions (Jurisdiction H), plus Medicare Advantage plans.
- Commercial plans including Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna and Humana.
- TRICARE for practices serving military families and veterans.
What Our Houston Medical Billing Services Include
- Insurance eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and clean-claim scrubbing before submission
- Electronic claim submission and payment posting (ERA/EOB)
- Denial management and appeals with root-cause tracking
- A/R follow-up on every unpaid claim, including aged A/R recovery
- Patient statements and patient-balance support
- Provider credentialing and payer enrollment with Texas plans
- Monthly reporting on collections, denials and days in A/R
Medical Coding Services in Houston
From primary care and pediatrics to surgical and specialty practices, our certified coders make sure each encounter is coded correctly and supported by documentation — the foundation of a high clean-claim rate.
Practices We Support Across Greater Houston
We work with practices in Houston, Sugar Land, Katy, The Woodlands, Pearland, Pasadena, Cypress, Spring and League City, across 45+ specialties.
Common Billing Problems We Fix for Houston Practices
- Rising denials for missing prior authorization or eligibility issues
- Medicaid managed care claims stuck or rejected
- A/R over 90 days that nobody has time to work
- Under-coded visits leaving revenue on the table
- Billing knowledge concentrated in one staff member
Every one of these shows up in a medical billing audit, and most are fixed through structured denial management.
Get a Free Billing Audit for Your Houston Practice
See where your revenue is going before you commit to anything. Request a free audit, or read how medical billing pricing works. For practices elsewhere in the state, see our Texas medical billing services.