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

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.

1	95314	Amerigroup Texas, Inc.	$ 3,587,531,660	13.55
2	95647	Superior Healthplan, Inc.	2,895,471,630	10.93
3	95174	Unitedhealthcare Benefits of Texas, Inc.	2,648,815,703	10.00
4	12902	Healthspring Life & Health Insurance Company, Inc.	2,155,803,374	8.14
5	11141	Unitedhealthcare Community Plan of Texas, L.L.C.	2,139,513,211	8.08
6	10757	Molina Healthcare of Texas, Inc.	2,028,763,759	7.66
7	95024	Humana Health Plan of Texas, Inc.	1,943,930,342	7.34
8	70670	BCBS of Texas, A Division of Healthcare Service Corporation	1,105,310,107	4.17
9	95329	Texas Children’s Health Plan, Inc.	957,733,349	3.62
10	95615	Community Health Choice, Inc.	856,842,110	3.24
11	10096	Selectcare of Texas, Inc.	800,252,842	3.02
12	95099	Scott and White Health Plan	695,982,709	2.63
13	95414	Parkland Community Health Plan, Inc.	531,182,284	2.01
14	95490	Aetna Health, Inc.	522,532,780	1.97
15	95138	SHA, L.L.C.	515,696,030	1.95
16	95809	Driscoll Children’s Health Plan	436,279,530	1.65
17	11494	Physicians Health Choice of Texas, Llc	379,902,180	1.43
18	12964	Wellcare of Texas, Inc.	368,642,857	1.39
19	95248	Community First Health Plans, Inc.	361,807,743	1.37
20	12827	KS Plan Administrators, LLC	320,845,655	1.21
21	95822	Cook Children’s Health Plan	299,384,822	1.13
22	52635	El Paso First Health Plans, Inc.	191,167,342	0.72
23	95383	Cigna Healthcare of Texas, Inc.	84,170,480	0.32
24	95040	Aetna Better Health of Texas Inc.	79,458,779	0.30
25	95799	Valueoptions of Texas, Inc.	79,088,540	0.30