San Antonio, South Texas Bexar Medicaid Service Area

Medical Billing Services in San Antonio, TX: Billing for Military City USA

Revenue Medics provides medical billing, coding and revenue cycle management for San Antonio practices, from the South Texas Medical Center to clinics across Bexar County.

1.4M San Antonio Residents (2020 Census)
95 days Texas Medicaid Filing Limit
30 days Texas Prompt-Pay Deadline (Clean E-Claims)
Get a Free San Antonio Billing Audit Local Billing Challenges
HIPAA Compliant No Long-Term Contracts Certified Coders
San Antonio Healthcare Market

What Makes Medical Billing in San Antonio Different

Bexar County practices face a specific mix of payers, patients and health systems. Here is what we plan around.

The San Antonio Payer and Patient Mix

San Antonio is known as Military City USA, with Joint Base San Antonio and Brooke Army Medical Center. TRICARE is a major payer for many local practices, and TRICARE claims need correct referrals, authorizations and coordination of benefits to be paid.

The Bexar Medicaid service area includes the locally based Community First Health Plans, and San Antonio has a large Spanish-speaking population. The South Texas Medical Center, with University Health, UT Health San Antonio, Methodist and Baptist, makes it a busy specialty referral market as well.

San Antonio's military community also includes many veterans. Practices that see veterans through the VA Community Care Network need approved referrals and must bill the correct third-party administrator, which we handle.

Major Health Systems in the San Antonio Area

  • University Health
  • UT Health San Antonio
  • Methodist Healthcare
  • Baptist Health System
  • CHRISTUS Santa Rosa
  • Brooke Army Medical Center
  • Audie L. Murphy VA Hospital
Talk to a Billing Specialist
Dallas Houston Austin El Paso San Antonio

Bexar County — South Texas

Local Capabilities

How We Handle San Antonio Billing

Built around the payers and patients San Antonio practices actually see

Texas Medicaid: Bexar Service Area

Bexar County is part of the HHSC Bexar service area. We bill locally based plans such as Community First Health Plans alongside statewide MCOs like Superior HealthPlan, Wellpoint (formerly Amerigroup), Molina and UnitedHealthcare Community Plan, and we verify each patient's plan before every visit.

TRICARE & Military Families

We bill TRICARE Prime and Select, handle referral and authorization requirements, and coordinate benefits for retirees on TRICARE For Life with Medicare as primary.

Specialty & Referral Coding

Specialists who receive complex referrals need precise CPT, ICD-10 and modifier coding. Our certified coders focus on specialty work and prior-authorization tracking to prevent costly denials.

Our Services

San Antonio Medical Billing Services

Use one service or the full revenue cycle

Medical Billing

Claim submission, payment posting, denial follow-up and patient statements for San Antonio practices, covering Medicare, Texas Medicaid, commercial plans and more.

Medical Billing Services

Medical Coding

Certified coders for ICD-10, CPT and HCPCS, with experience in the specialties most common in San Antonio: family medicine, pediatrics, cardiology and behavioral health.

Medical Coding Services

Denial Management

We work every denied and underpaid claim, fix the root cause and file appeals, so San Antonio practices stop writing off money they have earned.

Denial Management
Common Problems

Billing Challenges We Fix for San Antonio Practices

The revenue leaks we see most often in Bexar County

TRICARE referral denials

TRICARE claims are rejected when a referral or authorization number is missing or does not match. We check referral status before the visit and attach it to every claim.

Prior authorization denials

Specialty procedures and imaging often need prior authorization. We track authorization requirements by payer and procedure so work is approved before it is done.

Registration and eligibility errors

Name mismatches, outdated insurance cards and coverage changes cause many preventable denials. We verify demographics and eligibility before every visit.

Coverage Area

Serving Practices Across San Antonio and Nearby Communities

Bexar County and the surrounding South Texas area

South Texas Medical Center Downtown Stone Oak Alamo Heights Southtown Westover Hills Northeast San Antonio Schertz New Braunfels Boerne Helotes

Nearby Texas cities we serve

Austin Medical Billing Laredo Medical Billing Corpus Christi Medical Billing Round Rock Medical Billing McAllen Medical Billing All Texas Locations
FAQ

San Antonio Medical Billing Questions

Answers to common questions from San Antonio healthcare providers

Yes. When veterans are referred to your practice through the VA Community Care Network, we confirm the referral, bill the correct administrator and follow up until the claim is paid.
Bexar County is part of the Texas HHSC Bexar Medicaid service area. Patients there are covered by locally based plans such as Community First Health Plans alongside statewide MCOs like Superior HealthPlan, Wellpoint (formerly Amerigroup), Molina and UnitedHealthcare Community Plan. MCO lineups change with HHSC procurements, so we confirm your current plan contracts during onboarding.
No. Our billing team works remotely from our headquarters in Norcross, Georgia, and connects securely to your practice management system or EHR. We know Texas payers, Texas Medicaid and the South Texas market, and you get a dedicated account manager.
Yes. We bill TRICARE Prime and Select, track referrals and authorizations, and handle coordination of benefits for military retirees who have Medicare as primary and TRICARE For Life as secondary.
Yes. Many of our clients are independent specialty groups. We help them code accurately, enforce their payer contracts and appeal underpaid claims so they stay competitive.
Onboarding time depends on your practice management system and payer enrollments, and you get a dated plan before we start. We start with a free review of your recent claims and denials, then set up payer connections, fee schedules and reporting before we take over billing.

Get a Free Billing Audit for Your San Antonio Practice

We review your recent claims, denials and payer mix and show you where revenue is being lost. No cost and no obligation.

  • Denial analysis by payer, including Bexar service-area Medicaid plans
  • Coding review for your specialty
  • Check of underpaid claims against your contracts
  • A clear plan with pricing and no hidden fees
HIPAA Compliant 100% Confidential (409) 777-4877

Request Your Free San Antonio Billing Audit

A billing specialist will contact you

Please don't include patient names or health information.

100% confidential. Protected by HIPAA-compliant processes.

Thank You!

A billing specialist will contact you to schedule your free audit.