Medical Billing Companies & Consultants in Plano, TX
There are 5 medical billing companies listed in Plano, Texas. Each listing shows the firm's background, address, phone number and website so you can compare your local options before you reach out. You can also browse medical billing companies across Texas or see medical billing companies nationwide.
Intellimedx (Intelli-Med Billing LLC)
Intellimedx, the trade name of Intelli-Med Billing LLC, is a medical billing and practice support firm headquartered in Plano, Texas. It works with healthcare organizations ranging from solo physicians and independent physician associations to medium-sized group practices. The firm presents itself as an outsourced back-office partner, taking over billing and collections so that clinicians can keep their attention on patient care.
Billing and Revenue Cycle Services
The core offering is end-to-end revenue cycle management, covering the full path from scheduling to final payment. Claims go out daily and are checked against a rules engine that is updated regularly, so errors are caught before submission. Intellimedx processes claims to primary, secondary and tertiary payers.
Secondary claims that do not cross over electronically are sent on paper with the primary explanation of benefits attached. Its staff also handle insurance arrangements that vary by plan type, including HMOs, PPOs and IPAs.
- Appointment scheduling, demographic entry and charge entry
- Electronic and paper claim transmission with clearinghouse integration
- Online eligibility checks and real-time claim adjudication
- Payment posting with daily deposit reconciliation
- Denial analysis, underpayment review, rejections and appeals
- Accounts receivable follow-up, including aged and retro-audit work on old or underpaid claims
- Patient statements, balance reminder calls and collections handled in line with the Fair Debt Collection Practices Act
- Credentialing and recredentialing with payers
- Medical transcription and MACRA/MIPS reporting support
For charge entry, the team can work from scanned images or electronically submitted demographic sheets. It can enter data directly into a client's own software or through server access. Quality controls include internal QA checks and batch controls such as hash-total matching. Recurring denial patterns are reported, researched and corrected.
Software Products
Alongside its services, the company offers its own technology suite. Intelli-Med EHR is described as certified for Meaningful Use 2014 Edition and ready for ICD-10. Its features include a Visit Note charting tool, e-prescribing and refills, a lab order interface, preventive care reminders and HL7 data exchange with labs, pharmacies and immunization registries. The EHR connects with Intelli-Med Practice Management and Intelli-Med Practice Analytics. Practices can host it on their own premises or have Intellimedx host it.
Specialties and Working Relationship
Intellimedx lists a very wide range of specialties. These include family and internal medicine, urgent and primary care, cardiology, anesthesiology, behavioral health, physical therapy, oncology, radiology, podiatry, chiropractic, ambulance services, durable medical equipment, ambulatory surgical centers and several dental disciplines. Each client practice gets a dedicated account manager supported by billers, coders and A/R specialists.
Clients can reach the team by phone, text or email. They also have round-the-clock secure online access to claim status, financial reports and practice analysis, with daily, monthly and year-to-date reporting.
For buyers comparing vendors, Intellimedx stands out for combining outsourced billing, credentialing and transcription with a proprietary EHR and practice management platform. This setup may suit practices that want a single provider for both software and revenue cycle operations.
Plano, TX 75025
MedVoice
MedVoice is a Plano, Texas based healthcare technology and revenue cycle firm that supports medical practices throughout the United States, including clinics in the Austin area. Its core audience is small and mid-size providers, such as independent physicians, multi-specialty groups, ambulatory surgery centers, urgent care operators and hospitals. The company also works with dental offices and with law firms that need medical records analyzed for litigation.
Services and Scope
The firm can take over a practice's entire revenue cycle or handle only one piece of it. Engagements are shaped around each client's specialty, payer mix, claim volume and existing systems. Its offerings include:
- Medical billing, from patient registration through payment posting
- End-to-end revenue cycle management
- Medical coding by certified coders assisted by AI
- Denial management, including root-cause analysis and appeals
- Accounts receivable follow-up and charge capture
- Insurance eligibility checks
- Payer enrollment and re-credentialing
- Dental billing handled by certified dental billing specialists
- Medical record review for attorneys and insurers
- AI-supported medical scribing and clinical documentation
Technology and Approach
MedVoice's main selling point is that it pairs software with human billing staff. Clients get access to the company's medical billing software, an AI scribing tool and an AI record review tool. The firm also states that EHR and practice management software come at no extra charge with its billing service.
Its performance goals include a clean claim rate around 98 percent, denial rates of 3 percent or less, roughly 40 percent fewer days in accounts receivable and about a 15 percent increase in collections. Buyers should treat these as the company's own targets rather than guaranteed results. MedVoice also offers round-the-clock support and a free revenue audit for prospective clients.
Specialties Served
The company lists billing experience in many clinical fields, including family medicine, cardiology, dermatology, behavioral and mental health, OB/GYN, orthopedics, pain management, gastroenterology, nephrology, neurology, anesthesiology, home health and hospice. Client testimonials on its website come from Texas practices in Plano, Dallas and San Antonio, from solo private practitioners, and from legal professionals who use its record review work.
Background and Compliance
MedVoice says it has served healthcare organizations for more than two decades. Its headquarters is in Plano, and it describes its coverage as nationwide, with billing teams familiar with state-specific rules in Texas and other states. The company states that it follows HIPAA and related data regulations and that its staff receive regular security training.
For Austin practices comparing vendors, its main differentiators are bundled AI tools and included practice software, together with a service range that extends past billing into credentialing, documentation and legal record review.
MIU Medical Billing
Overview
MIU Medical Billing is a firm based in Plano, Texas that handles the financial and administrative side of healthcare practices across the United States. Its work centers on claims, coding, credentialing and broader revenue cycle support. Clients are physicians, practices and hospitals that want their staff focused on patients rather than on payer paperwork.
The company describes its role as a partner in a practice's financial health, not just a claims processor. It pairs day-to-day billing work with auditing and consulting aimed at finding where revenue is being lost.
Services
The firm's service menu spans most of the revenue cycle, from the first patient contact through final collection. Buyers can engage MIU for individual functions or for a combined arrangement covering:
- Medical billing and claim submission
- Medical billing audits
- Hospital billing
- Provider credentialing
- Practice management and front desk call handling
- Medical coding for procedures and diagnoses
- Revenue cycle management
- Denial management
- Clearinghouse support
- Reporting and analytics, plus digital marketing for practices
On the billing side, the team starts by checking a patient's insurance eligibility before any claim goes out. It then assigns codes, prepares clean claims and submits them electronically or on paper. Staff follow up on claims that are still pending or have been rejected or denied.
They file appeals when a denial appears unjustified and collect patient balances such as copays and deductibles. MIU says it reviews revenue cycle KPIs on an ongoing basis to refine its approach for each client.
Auditing and Analysis
A notable part of MIU's offering is its audit practice. A team of auditors examines a practice's billing data and clinical documentation for accuracy, compliance and missed revenue. The company lists these areas for review:
- Charge and payment breakdowns, plus monthly and yearly trends
- Provider, payer and location performance comparisons
- Aging of overdue accounts by bucket
- Coding accuracy
- Unresolved denials and receivables, and outstanding rejections
- Unsubmitted charges and questionable write-offs
- Pending electronic remittance advice and claims with no payer response
For practices unsure why collections are lagging, this kind of diagnostic review can be a useful first step before handing over billing entirely.
Background and Approach
MIU presents itself as a US medical billing and credentialing company serving clients across many healthcare fields nationwide. Its stated mission is to give providers strong financial tools. Its values emphasize accuracy, transparency, regulatory compliance, data protection and ethical billing. The company notes that its coding staff includes certified professionals who keep up with changes in coding rules. It describes its long-term aim as combining technology with hands-on experience to improve how providers perform financially.
Prospective clients can request a free demo, and the company publishes a brochure outlining its services. The Plano office gives buyers in North Texas a nearby point of contact, while the firm reports serving healthcare clients throughout the country. MIU suits organizations that want one vendor for billing, coding, credentialing and audits. It also fits practices that want a focused review of an existing revenue cycle.
Suite T3
Plano, TX 75074
Prime Billing and Medical Solutions (Prime XBMS)
Prime Billing and Medical Solutions, which now operates as Prime XBMS, is a healthcare business-support firm based in Plano, Texas. It handles the financial and administrative side of running a medical practice. Its main work is billing and coding, and it pairs that with credentialing, staffing and office administration. A practice can hand several back-office jobs to one vendor instead of hiring a separate company for each.
Services
The firm's billing work covers the whole path of a claim, from preparation through payment. It also offers broader support across the full revenue cycle. Its main service lines are:
- Medical billing and coding, including a review of existing billing workflows, coding support, claim preparation and follow-up, and help reconciling payments
- Revenue cycle management, with a review of revenue workflows, clear handoffs between teams and agreed reporting
- Accounts receivable support, including review of unpaid accounts, aging analysis, follow-up priorities and an agreed escalation and collections scope
- Credentialing and payer enrollment, including document review, tracking of enrollment status, renewal planning and CAQH re-attestation
- Medical staffing and HR, supplying pre-screened medical assistants, front-desk staff and billing associates
- Office and practice management, including administrative workflow review, scheduling support and team coordination
On the operations side, the company says it can handle everything from patient intake and insurance eligibility checks through to settling final account balances. It describes using HIPAA-compliant cloud systems, billing dashboards, links to electronic health records, and real-time analytics with denial tracking so practices can see how quickly they are being paid.
How It Works With Clients
Every engagement starts with a consultation. The practice describes its specialty, claim volume, staffing needs and current problems. Prime XBMS then studies the practice's workflows and payer mix. Both sides agree on the scope of work, communication handoffs and performance benchmarks before any billing or staffing starts.
After onboarding, each client gets dedicated account coordinators, weekly check-ins, reporting dashboards and regular reviews to improve the process. Clients can sign up for one service or several. Pricing is quoted for each engagement based on the scope and the practice's needs. The firm advertises round-the-clock support, plus quick help when credentialing problems need escalating.
Background and Specialties
The company is led by General Manager Marcy Smith. She has more than three decades of experience in medical billing, practice management and office administration. Her work has covered ENT, pediatrics, infectious disease, internal medicine and urgent care, and she is HIPAA certified. The firm works from a Plano office and says it supports healthcare providers across the country.
For buyers comparing billing vendors, the firm's main difference is that it combines revenue cycle work with staffing and HR. A practice that needs both cleaner claims and more support staff can get them from the same partner, and the firm agrees on scope and benchmarks before work begins.
Ste 435
Plano, TX 75074
XpertRCM and Consultancy
Overview
XpertRCM and Consultancy is a revenue cycle management firm with a registered office in Plano, Texas. It supports physicians and other healthcare providers across the United States. Its core work is handling the billing side of a practice. The company pairs that work with credentialing, coding, financial advisory and marketing support.
It presents itself as an outsourced back office for providers who would rather spend their time with patients. The firm says it has more than ten years of experience in the field, and its website lists coverage in every US state.
The company places particular emphasis on small and independent practices. It also works with group practices, private clinics, diagnostic and treatment centers, and urgent care and emergency settings. It handles both professional and institutional billing. Each client is assigned a dedicated account manager. Prospective clients can request a free initial review of their practice before committing. Testimonials on the site mention individual staff members by first name and describe a smooth transition away from a previous billing vendor.
Billing and revenue cycle services
The billing workflow covers the full claim lifecycle, from checking coverage before a visit to pursuing unpaid balances afterward. Key steps include:
- Patient preauthorization and eligibility and benefits verification
- Claim scrubbing and electronic claim submission
- Posting of insurance and patient payments
- Accounts receivable follow-up and denial management
- Billing audits to locate missed revenue
- Patient statement processing and custom reporting
XpertRCM states that its staff includes certified billers and coders. It says it applies the administrative, technical and physical safeguards required under HIPAA, and that it uses encryption, authentication and backups to protect patient information. Providers are also given round-the-clock access to their electronic health records.
Coding and credentialing
The firm describes its coders as holding AAPC and AHIMA certifications. Coding work includes evaluation and management and telehealth coding under AMA and CMS guidance. Coders assign MDM levels from progress notes and select modifiers consistent with CCI edits. The team also performs external audits of ICD-10 and CPT usage, carries out independent chart reviews and runs educational sessions for providers.
The credentialing team manages enrollment with Medicare, Medicaid, commercial plans, workers' compensation and Tricare. It keeps CAQH profiles current, handles EFT, ERA and EDI setup, and follows up on applications until approval.
Specialties and additional offerings
The company advertises specialty billing experience in mental health, radiology, urology, nephrology, neurology, dermatology, podiatry, cardiology, oncology, pain management, anesthesia and gastroenterology. Beyond billing, it offers Quality Payment Program support covering MIPS, PCMH, HEDIS and CCM.
Its other services include financial consultancy, digital marketing, healthcare website development, virtual front desk and patient help desk staffing, and LLC formation for new practices. For buyers, the main appeal is a single vendor that can take a practice from formation and payer enrollment through ongoing collections, with support available during weekday business hours.
Plano, TX 75093