Practices in Corpus Christi, TX use The Medical Billing to get claims paid correctly the first time. We code, submit and follow up on every claim for physicians, clinics and labs throughout Nueces County, and we report back on exactly where your money is.
Medical Billing for Corpus Christi's Healthcare Market
With major providers like CHRISTUS Spohn, Corpus Christi Medical Center and Driscoll Children's Hospital in the area, Corpus Christi has a competitive healthcare market where patients often see several providers. Clean documentation, correct referring-provider information and timely authorizations make the difference between a paid claim and a denial — and that is where our team focuses.
Texas Payer Rules We Handle for Corpus Christi Practices
- Medicare: Part B claims go to Novitas Solutions; Medicare Advantage claims go to the patient's private plan with its own authorization rules.
- Medicaid: Texas Medicaid is run by the Texas Medicaid & Healthcare Partnership (TMHP), and most members are in STAR, STAR+PLUS, STAR Kids and STAR Health managed care plans.
- Commercial plans: we bill Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna and Cigna and the employer plans common in Nueces County.
- Local detail: Texas has several Medicare payment localities (Houston, Dallas, Fort Worth, Austin and others), so the same CPT code can be paid at a different rate depending on where the service was performed.
What's Included for Corpus Christi Practices
- Insurance eligibility and benefits verification before each visit
- Medical coding (CPT, ICD-10-CM, HCPCS and modifiers) by certified coders
- Charge entry and claim scrubbing to catch errors before submission
- Electronic claim submission to Medicare, Texas Medicaid plans and commercial payers
- Denial management and appeals with root-cause tracking
- A/R follow-up on aging claims, worked daily
- Payment posting from ERAs and EOBs, including underpayment checks
- Credentialing and payer enrollment, including TMHP provider enrollment
- Monthly reporting on collections, denials and days in A/R
Why Corpus Christi Practices Outsource Billing to Us
Billing staff are hard to hire and harder to keep. Outsourcing gives your Corpus Christi practice a full team — coders, billers and A/R specialists — for a predictable cost, with coverage during vacations and turnover. You get monthly reports on collections, denial rates and days in A/R, so you always know how the practice is performing.
We also support practices in Portland, Robstown, Kingsville and Port Aransas, and across the rest of the state — see our Texas medical billing services or nearby pages for Houston and San Antonio. Specialty groups can read more about our clinical billing and cardiology billing services.
Specialties We Bill For in Corpus Christi
Frequently Asked Questions
Do you provide medical billing services in Corpus Christi, TX?
Yes. We work remotely with physician practices, clinics, specialty groups and labs in Corpus Christi and across Nueces County. We handle coding, claims, denials and A/R follow-up for Medicare, Texas Medicaid and commercial payers.
Which insurance payers do you bill for Corpus Christi practices?
Medicare Part B through Novitas Solutions, Medicare Advantage plans, Texas Medicaid and its managed care plans, and commercial payers such as Blue Cross and Blue Shield of Texas, UnitedHealthcare and Aetna.
Do you work with practices near Corpus Christi?
Yes — including Portland, Robstown, Kingsville and Port Aransas. Billing is done remotely, so practices anywhere in Texas can work with us.
How much does medical billing cost for a Corpus Christi practice?
Most billing companies charge a percentage of monthly collections, commonly between 4% and 10% depending on specialty and claim volume. We give you a fixed quote after a free audit of your claims and A/R.
How long does it take to switch to your billing service?
It depends on how quickly payer and EHR access can be set up. We plan the transition so that existing A/R keeps being worked while new claims move to our team, and we share a timeline after the free audit.