Quick answer:
Some of the top medical billing companies in Texas include Revantage Billing, Plutus Health, Capline Healthcare Management, ASP-RCM Solutions, 247 Medical Billing Services, Phoenix RCM, Right Medical Billing, Sirius Solutions Global, MediBill RCM, and Texas Medical Billing. Each company on the list is based in Texas or serves Texas from an office in the state, according to its own public information. The right billing partner can decide whether your center runs a healthy A/R or a growing backlog.
Why Urgent Care Billing Is Different in Texas
Texas is one of the largest states, with a huge healthcare system. It contains thousands of urgent care centers. Managing billing of these urgent care centres is not as normal as other primary care centers. Different factors make it different and more complex:
- Different coding rules. Urgent care often bills E/M visits, procedures, lab tests, and supplies together. Modifier 25, CLIA/QW reporting, and payer-specific billing rules can cause denials or underpayments.
- Eligibility must be checked early. Patients can have commercial insurance, Texas Medicaid or CHIP, workers’ comp, employer coverage, or self-pay. Incorrect coverage details can lead to later denials.
- Filing deadlines are strict. Texas Medicaid and many commercial payers have a 95-day filing limit. Always check each payer’s contract to avoid losing revenue.
- Facility type matters. Texas has urgent care centers, freestanding ERs, and other emergency care models. Correctly identifying the facility type and payer rules is important before submitting claims.
Comparison Table
| # | Company | Texas Base | Urgent Care Services | Key Strength |
| 1 | Revantage Billing | Texas | Full billing, eligibility checks, and denial management | Payer-specific billing and clear reports |
| 2 | Plutus Health | Dallas,TX | Dedicated urgent care billing | Accurate S-codes, fast claims, AI and certified coders |
| 3 | Capline Healthcare Management | Houston, TX | Urgent care billing and other specialties | Supports 1,300+ practices and offers credentialing |
| 4 | ASP-RCM Solutions | Frisco, TX | Dedicated urgent care RCM services | Texas billing guides and free audit |
| 5 | 247 Medical Billing Services | Austin, TX | Texas urgent care billing | Focus on TMHP/STAR, S9083, modifiers and CLIA/QW |
| 6 | Phoenix RCM | Rockwall, TX | Urgent care, ED and freestanding ER billing | Experience with emergency care billing |
| 7 | Right Medical Billing | Houston, TX | Hospital, ER and urgent care billing | Covers multiple healthcare settings |
| 8 | Sirius Solutions Global | Dallas, TX | Urgent care billing support | AI claim checks and human denial review |
| 9 | MediBill RCM | Houston, TX | Billing, coding and claims management | Client reviews mention good communication |
| 10 | Texas Medical Billing | Houston, TX | Billing for urgent care centers and ERs | Serves Houston, Dallas and San Antonio |
The Top 10 Urgent Care Billing Companies in Texas
Revantage Billing: Best Overall for Texas Urgent Care Billing
Best for: Single-site and multi-location urgent care centers that want clean claims, quick follow-up and clear billing reports.
Revantage Billing becomes the top choice for the residents of Texas because it focuses on billing problems from the start. Many urgent care denials happen because of incorrect insurance, missing eligibility information, or incomplete documentation. Revantage Billing checks these details during registration to find problems early and prevent them from becoming unpaid claims.
What Revantage Billing covers for urgent care:
- Eligibility and benefits checks before or during the visit including Texas Medicaid and CHIP plans
- Urgent care coding review for E/M levels, modifier 25, procedures, supplies and S9083 vs. itemized billing
- Claim scrubbing and quick submission to help meet the 95-day filing limit
- Denial management and root-cause tracking to help prevent repeat denials
- A/R follow-up and underpayment checks against contracted rates
- Credentialing and payer enrollment support for new providers and locations
- Clear reporting on clean claim rates, A/R days, denial types, and payer trends
Why it stands out: Along with urgent care billing services, Revantage Billing also has billing experience across specialties such as Mental Health, acupuncture, family practice, internal medicine and Dermatology. This experience helps its team handle complex coding, modifiers and payer rules that can cause urgent care claims to be denied.
Learn more: Revantage Billing urgent care billing services
Plutus Health (Dallas, TX)
Plutus Health is based in Dallas and has a dedicated urgent care billing service. Its focus includes same-day claim submission, accurate S-code billing and payer-specific rules. Its AAPC-certified coders follow AMA, CMS, LCD and payer guidelines. Its AI system, OlympusAI, helps with eligibility checks, claim scrubbing and telehealth billing while specialists handle more complex cases.
Trust signals: Plutus Health reports SOC 2 Type 2 and HIPAA compliance. It has also been recognized by Becker’s, Inc. 5000, and Dallas 100. The organization has experience with Texas facility-based billing because it also works with ASCs, freestanding ERs, and small practices.
Worth knowing: Its urgent care services have a higher clean claim rate with lower denial rate and days in A/R.
Capline Healthcare Management (Houston, TX)
Capline is a Houston-based RCM company founded in 2016. It supports more than 1,300 independent practices across the U.S., including urgent care centers. Its services include billing, coding, denial management, A/R follow-up, eligibility checks, and credentialing.
Company-reported results: Capline says its AI-assisted approach can reduce administrative costs and speed up payments. Since these are company claims, ask for client-specific results before making a decision.
Best for: Practices that want billing and credentialing together and prefer a billing company with experience serving many independent practices.
ASP-RCM Solutions (Frisco, TX)
ASP-RCM Solutions is based in Frisco and has a dedicated urgent care RCM service. It provides Texas-focused billing guides covering Medicaid and major commercial payers. The company also offers a free 30-day billing audit and promoted its participation in the 2025 Urgent Care Convention in Dallas.
Worth knowing: Its website lists careers in India, so practices should ask where billing and claim work are performed and how patient health information (PHI) is protected. These are useful questions to ask any RCM vendor.
247 Medical Billing Services (Austin, TX)
247 Medical Billing Services has a Texas-focused urgent care billing page that covers common local billing issues, including STAR program claims through TMHP, S9083 vs. itemized billing, modifier 25, and CLIA/QW edits. The company says it has operated since 2005 and uses AAPC- and AHIMA-certified coders. It also reports SOC 2 Type II compliance and a higher clean claim rate, although this is a company-stated figure.
Its services include Medicaid, managed care, commercial insurance, occupational medicine, and self-pay billing.
Phoenix RCM (Rockwall, TX)
Phoenix RCM is a full-service medical coding and billing company based in Rockwall, near Dallas. It specializes in freestanding ER, emergency department, and urgent care billing. The company also focuses on client education, feedback, and clear communication, with integrity, transparency, and results as its main values.
Best for: Healthcare groups that operate urgent care and freestanding emergency services together.
Right Medical Billing (Houston, TX)
Right Medical Billing provides billing services for hospitals, emergency rooms, urgent care centers, and physician practices. It also has a dedicated urgent care billing service. The company is reported as a mid-sized billing provider based on third-party company data.
Best for: Healthcare groups that operate across multiple care settings and want one billing company to handle them all.
Sirius Solutions Global (Dallas, TX)
Sirius Solutions Global has a Dallas office and provides billing, coding, eligibility checks, denial management, prior authorization, credentialing, and audits across more than 40 specialties. It combines AI claim scrubbing with human review for denials.
The company also supports major EHR and practice management systems, including eClinicalWorks, AdvancedMD, NextGen, athenahealth, CareCloud, and Epic.
MediBill RCM (Houston, TX)
MediBill RCM operates from an address on South Dairy Ashford Road in Houston. It offers billing, coding, claims management, and consulting, and client reviews often mention its quick response and clear communication. It is a good option for practices looking for a smaller and more communication-focused billing partner.
For more details you can request sample reports to see how it tracks claims and A/R performance.
Texas Medical Billing (Houston, TX)
Texas Medical Billing is based in Houston and serves physicians, hospitals, urgent care centers, and emergency rooms in Houston, Dallas, Katy, Sugar Land, and San Antonio. Its local presence makes it a practical option for Houston-area urgent care centers.
It also works across different healthcare settings, which can be useful for groups with multiple types of facilities. Public information is limited, so ask for recent client references, current service details and urgent care billing results before making a decision.
Questions to Ask Before Choosing an Urgent Care Billing Company
- How many urgent care clients do you currently serve? Ask for the Texas count and client references.
- What are your urgent care results? Ask for the clean claim rate, denial rate, and days in A/R.
- How do you handle S9083 vs. itemized billing? Ask how this varies by payer.
- How do you handle Texas Medicaid and CHIP denials?
- How quickly are claims submitted after a visit? Same-day or 24–48-hour submission can help protect the 95-day filing limit.
- Who handles the work and where? Ask about PHI security, certifications, and where your claims are processed.
- What does your reporting include? Request a sample dashboard or monthly report.
- How do you charge? Compare percentage-of-collections, flat-fee, and per-claim pricing.
- What happens if we end the contract? Make sure you can keep your data, reports, and payer enrollment information.
Revantage Billing stands out for its strong front-end verification and specialty-focused coding. If you’re considering Revantage Billing for your urgent care center, request your current billing metrics, ask for urgent-care client references, and discuss how our team can improve claims, denials, and A/R during the first 90 days.
