Medical Billing Services for Dallas, TX Practices

Dastify Solutions runs medical billing and revenue cycle management (RCM) for physician practices in Dallas and the wider Dallas-Fort Worth area. We code and submit claims, post payments, and work denials and unpaid claims.

Pricing starts at 3.99% of collections for practices with up to three physicians. Group practices start at 2.99%. There is no setup fee and no monthly minimum.

  • No setup fee
  • No monthly minimum
  • BAA signed before we touch patient data
From 2.99% of collections

How a Dallas Claim Moves

  • Eligibility checked
  • Coded
  • Claim submitted
  • Payment posted

Texas filing window95 days

Dallas practice team billing meetingRemote service across Dallas-Fort Worth

Dastify Solutions at a Glance

Dastify Solutions is a Texas company. Our U.S. team manages your account and compliance, and our offshore team of billing specialists works through secured remote access to U.S.-hosted systems. We do not have a Dallas office. We work inside your current EHR and practice management system, so your staff keeps the tools they know.

Services
Coding, charge entry, claim submission, payment posting, denial management, A/R recovery, eligibility checks, prior authorization, credentialing
Pricing
3.99% of collections (up to 3 physicians), 2.99% (group practices), custom for hospitals
Payers
Medicare (Novitas Solutions), Texas Medicaid and its managed care plans, commercial plans
Setup fee
None
Monthly minimum
None
Team location
U.S. leadership and compliance (Austin, TX); offshore billing team. Remote service across Dallas-Fort Worth

We bill every payer your practice is credentialed with, including

  • Medicare (Novitas Solutions)
  • Texas Medicaid
  • Medicaid managed care plans
  • Blue Cross and Blue Shield of Texas
  • UnitedHealthcare
  • Aetna
  • Cigna
  • Humana

EHR and practice management systems we work in

  • athenahealth
  • Tebra (Kareo)
  • Practice Fusion
  • NextGen Healthcare
  • DrChrono
  • Epic
  • Cerner
  • eClinicalWorks
  • AdvancedMD
  • CentralReach
  • RXNT
  • CureMD
  • Allscripts
  • Greenway Health

What Medical Billing Costs a Dallas Practice

Most billing companies charge a percentage of the money they collect for you. Our rates are public:

Starter

3.99%from, of collections

Up to 3 Physicians

For solo and small practices.

Growth

Credentialing included

2.99%from, of collections

Group Practices and Clinics

Credentialing is included.

Enterprise

Custom

Hospitals and Large Systems

Priced by volume.

Quoted Separately on Every Plan

Some work is quoted separately on every plan. This includes prior authorization, coding directly from clinical documentation, patient statements, and patient balance calls. Your written proposal lists each extra item and each third-party charge, such as clearinghouse or EHR fees, and says who pays it.

Compare the Same Scope

When you compare quotes, compare the same scope. A low percentage that excludes denial work or patient billing can cost more than a higher rate that includes them.

Texas Billing Rules That Decide When You Get Paid

Texas has its own deadlines and protections on top of federal rules. A Dallas billing team must track each one. Here is what applies, with the source for each rule.

9595-day filing deadlineCommercial and Texas Medicaid claims

95 days

The 95-Day Filing Deadline

A physician must submit a claim to an insurer no later than the 95th day after the date of service. If the claim is late, the physician forfeits the right to payment. Source: Tex. Ins. Code §1301.102 Texas Medicaid uses the same 95-day window from each date of service. Appeals must reach Medicaid within 120 days of the last denial or adjustment. Medicaid managed care plans state their own terms in their provider manuals, so check each plan's manual. Source: 1 Tex. Admin. Code §354.1003

30 / 45 days

Prompt Pay Deadlines and Late-Payment Penalties

Under the Texas Prompt Pay Act, a state-regulated plan must pay or respond to a clean claim within 30 days if you file it electronically. Paper claims get 45 days. If the plan pays late, it owes a penalty on top of the contracted rate. The penalty grows with each tier of delay. After 90 days, the plan also owes 18% annual interest on the penalty. Your billing team should flag each late payment so you can claim the penalty. Source: Texas Medical Association

SB 1264

Surprise Billing Protections

The Texas surprise billing law covers state-regulated plans and the ERS and TRS state employee plans. It does not cover self-funded employer plans or Medicare. The law bans balance billing for emergency care. It also bans balance billing when a patient gets care at an in-network facility and has no choice of provider. The law names emergency, diagnostic imaging, laboratory, and facility-based providers. Instead of billing the patient, the provider can request arbitration through the Texas Department of Insurance portal. The request window is 20 to 90 days after the first claim payment. Source: Texas Department of Insurance

90%

Gold Card Prior Authorization Exemptions

Texas law lets a physician skip prior authorization for a service if a state-regulated plan approved at least 90% of their requests for that service. A 2025 update, HB 3812, extended the evaluation period from 6 to 12 months and set a minimum of five services in that period. If you hold a gold card for a service, your billing team should stop sending authorization requests for it. They should also appeal any denial that cites a missing authorization for that service. Source: Texas Medical Association

J-H

Medicare in Texas

Novitas Solutions processes Medicare Part A and Part B claims for Texas as the Jurisdiction H contractor. CMS re-awarded this contract to Novitas in June 2026. Source: CMS

How We Run the Revenue Cycle for Dallas Practices

Eligibility and benefits

Check eligibility and benefits before the visit.

Coding

Code each encounter with ICD-10, CPT, and HCPCS codes.

Claim scrubbing and submission

Scrub each claim for errors, then submit it through the clearinghouse.

Payment posting

Post payments from ERAs and EOBs.

Denial work and appeals

Work each denial, correct it, and appeal it within the payer deadline.

A/R follow-up

Follow up on unpaid claims by age, oldest first.

Monthly reporting

Send you a monthly report on collections, denial rate, clean claim rate, and days in A/R.

Results From Current Dastify Solutions Clients

These two clients are outside Texas. The numbers come from their published case studies.

Chicago Infectious Disease

31 providers, Illinois

16% → 10%Denial rate, within 60 days

Before
After

98%Clean claim rate reached

Source: Dastify Solutions published case studies, dastifysolutions.com/case-studies.

How to Compare Medical Billing Companies in Dallas

Search results for Dallas billing companies show long vendor lists. Ask each vendor these questions, including us:

01

What does your percentage apply to?

Ask if it covers insurance payments only, or patient payments too.

02

What costs extra?

Get a written list of out-of-scope tasks and third-party fees.

03

What are the contract term and the notice period to leave?

Ask how you get your data back.

04

Which numbers do you report, and how often?

Ask for denial rate, clean claim rate, days in A/R, and net collection rate every month.

05

Do I have to change my EHR?

A vendor that works in your current system causes less disruption.

06

Do your coders know my specialty?

Ask for coders with experience in your specialty.

07

How do you track Texas deadlines?

The answer should cover the 95-day filing limit, prompt pay penalties, and gold card exemptions.

08

Can I speak with a current client in my specialty?

A practice like yours can tell you how the vendor handles your payers, your codes, and your denials. Ask for a reference call before you sign.

Switching Billing Companies Without a Cash Gap

A switch causes a cash gap when nobody owns the old claims. A safe handover has four steps:

Old vendor: claims before cut-off
New vendor: claims after cut-off

Dates of serviceCut-off dateToday

  1. 01.

    Set a Cut-Off Date

    Your old vendor works claims with dates of service before it. The new vendor takes all claims after it.

  2. 02.

    Get the Old Vendor's Reports

    Get a full A/R aging report and an open denial list from the old vendor.

  3. 03.

    Update Enrollments

    Update clearinghouse, ERA, and EFT enrollments so payments and remittance data reach the right team.

  4. 04.

    Audit Open A/R

    Audit open A/R and recent denials. Work the claims closest to the 95-day limit first.

Most practices are set up in 2 to 3 business days.

Areas We Serve in Dallas-Fort Worth

We serve practices in Dallas, Fort Worth, Plano, Irving, Arlington, Frisco, Richardson, Garland, McKinney, and Denton. Because our team works remotely, location inside Texas does not limit service.

Map is stylized and not to scale.

Frequently Asked Questions

How much do medical billing services cost in Dallas?

Dastify Solutions charges from 3.99% of collections for practices with up to three physicians and from 2.99% for group practices. There is no setup fee and no monthly minimum. Prior authorization, coding from clinical documentation, and patient statements are quoted separately.

Do you have an office in Dallas?

No. We serve Dallas practices remotely. Our U.S. team manages your account and compliance, our offshore team of billing specialists works through secured access to your EHR, and you get a monthly performance report.

Which payers do you bill in Dallas?

We bill every payer your practice is credentialed with. This includes Medicare through Novitas Solutions, Texas Medicaid and its managed care plans, and commercial plans such as Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and Humana.

What is the timely filing limit for claims in Texas?

For insurers regulated under Texas Insurance Code Chapter 1301, the limit is 95 days after the date of service. Texas Medicaid also uses 95 days. Medicare and self-funded employer plans follow their own rules.

Do you sign a business associate agreement?

Yes. We sign a HIPAA business associate agreement (BAA) with every client before we handle any patient data. Read more on our Security and Compliance page.

How long does it take to switch to Dastify Solutions?

Most practices are set up in 2 to 3 business days. We set a cut-off date with your current vendor so every claim has an owner.

Get a Free Billing Audit

We review your recent claims, denials, and A/R aging and show you where revenue is lost.