For our fully funded contracted clients, we file notices for claims not paid within the 30-day timeframe for Texas prompt pay penalties. These additional services we provide our clients has generated millions of dollars in additional revenue.

In Texas, physicians and providers are entitled to prompt payment for medical and health care services. Senate Bill 418 (78th Regular Legislative Session – 2003) and House Bill 610 (76th legislative Session – 1999) detail specific provisions that require certain insurance carriers and health maintenance organizations to pay clean claims timely. If these claims are not paid timely, penalties and interest are due to the physician and provider. These matters can be difficult to understand and work through. That is why we have a dedicated staff that has been trained and educated of the many rules and regulations that pertain to the Texas Prompt Pay Act.