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Texas Credentialing Services | Start-Up & Payer Negotiations

Schedule a 1:1 Meeting

Download Free Start-Up Checklist

Start-Up Services

Download Practice Start-Up Checklist

Practice Start-Up Services

Practice Location Analysis

APP Start-Up Services

Therapy Practice Start Up & Credentialing Services

Urgent Care Start-Up Services

Website Design

Compliance Services

Credentialing Services

Insurance Credentialing Services

CAQH Credentialing

Medical Licensing

APP Credentialing Services

Hospital Enrollment Services

Temporary Credentialing Staffing

Medicare Enrollment

Credentialing Maintenance Service

Credentialing Software

Our Credentialing & Enrollment Process

RCM Services

Consulting Services

Telemedicine Services

Contract Negotiations

Medical Practice Consulting

EHR Consulting Services for Medical Practices

Resource Center

State Specific Services

Credentialing Checklist

Collaborating Docs

State Medical Societies

NPPES Registration FAQs

Understanding Common Practice & Credentialing Terminology

Utilizing the Medicare Physician Fee Schedule Tool

Articles

Credentialing

Practice Start Up

Cybersecurity

Billing

Marketing

COVID-19

HIPAA Compliance

Contract Negotiations

Medical Consulting

RCM Consulting

Technical Consulting

Tools

Contact

Our clients are at the heart of everything we do. Whether you're seeking expert advice, exploring partnership opportunities, or want more information about services, we're here to ensure your needs are met efficiently and effectively. Reach out today and schedule your free consultation.

Careers

Are you a healthcare professional committed to growth?  Are you a person of excellence and integrity?  Do you find fulfillment in helping your customers?  We are always looking to add to our dynamic team and would love to speak with you.

Reviews

We believe in transparency and trust, which is why we openly share our customers' experiences with our services. Take a moment to explore what others have to say about working with us. If you've had an experience you'd like to share, we'd love to hear from you too!

About us

Over the past 16 years, our team of professionals have helped 1000s of organizations around the US with their credentialing, consulting, technology and compliance needs.  Contact us today to schedule your free consultation.

Schedule a 1:1 Meeting

Texas Credentialing & Consulting Services

We have had the privilege of working with many 100s of clients in Texas over the past 15+ years.  In fact, our third customer back in 2008 was actually a Nephrology practice in Dallas.  We love the great state of Texas and would be honored to assist you with any practice management, physician credentialing / insurance enrollment, or practice start-up needs. We provide a variety of services to fit your needs and build each proposal to make sure you only pay for what you need.

It’s important to remember that in order to enroll in Texas Medicaid, you first must be a provider with Medicare in the state of Texas.

Hospital Credentialing & Enrollment Services

Practice Start-Up Consulting & Guidance for Texas medical groups

Practice Location Analysis

Physician Credentialing / Insurance Contracting Services

Solo or Group Physician Practice Start-Up Services

Nurse Practitioner Credentialing & Start-Up Services

Therapy Start-Up & Credentialing Services

Insurance Contract Negotiations

Medicare Individual Enrollment and Reassignment

Medicare Group Enrollment

Medicaid Enrollment

DMEPOS Medicare Enrollment

ERA/EFT Enrollment

Online Compliance Training

Employment Manuals

Business Development and Recruitment Services

Business Branding & Website Design

Search Engine Optimization and Marketing

Submission and Monitoring of Health Review Sites

texas insurance companies we work with

Here are some of the insurers that we work with in the Texas market.  We included the current revenue from each plan in Texas so you can be sure you’re participating with the top plans.  This information was pulled directly from the Texas.gov based on 2017 data.  There are many insurance companies that might be worth participating with depending on your location. We also work with numerous workers compensation networks that may be beneficial to your practice.

95314

Amerigroup Texas, Inc.

$ 3,587,531,660

13.55

95647

Superior Healthplan, Inc.

2,895,471,630

10.93

95174

Unitedhealthcare Benefits of Texas, Inc.

2,648,815,703

10.00

12902

Healthspring Life & Health Insurance Company, Inc.

2,155,803,374

8.14

11141

Unitedhealthcare Community Plan of Texas, L.L.C.

2,139,513,211

8.08

10757

Molina Healthcare of Texas, Inc.

2,028,763,759

7.66

95024

Humana Health Plan of Texas, Inc.

1,943,930,342

7.34

70670

BCBS of Texas, A Division of Healthcare Service Corporation

1,105,310,107

4.17

95329

Texas Children’s Health Plan, Inc.

957,733,349

3.62

95615

Community Health Choice, Inc.

856,842,110

3.24

10096

Selectcare of Texas, Inc.

800,252,842

3.02

95099

Scott and White Health Plan

695,982,709

2.63

95414

Parkland Community Health Plan, Inc.

531,182,284

2.01

95490

Aetna Health, Inc.

522,532,780

1.97

95138

SHA, L.L.C.

515,696,030

1.95

95809

Driscoll Children’s Health Plan

436,279,530

1.65

11494

Physicians Health Choice of Texas, Llc

379,902,180

1.43

12964

Wellcare of Texas, Inc.

368,642,857

1.39

95248

Community First Health Plans, Inc.

361,807,743

1.37

12827

KS Plan Administrators, LLC

320,845,655

1.21

95822

Cook Children’s Health Plan

299,384,822

1.13

52635

El Paso First Health Plans, Inc.

191,167,342

0.72

95383

Cigna Healthcare of Texas, Inc.

84,170,480

0.32

95040

Aetna Better Health of Texas Inc.

79,458,779

0.30

95799

Valueoptions of Texas, Inc.

79,088,540

0.30

ArticlesCredentialing

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