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Credentialing services
in Austin, TX
Qualigenix credentials Austin providers with Texas Medicaid, Travis County health plans, Medicare and commercial payers, at $99 per payer application. Talk to a credentialing specialist at 786-259-0231 or request a consultation. Qualigenix is HIPAA compliant.
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How Qualigenix serves Austin practices
The Qualigenix credentialing services team handles provider credentialing and payer enrollment for independent practices in Austin and the nearby Travis Medicaid service area counties, including Williamson and Hays. We work with all payers. An Austin provider usually needs four kinds of enrollment: Texas Medicaid, the Travis County Medicaid plans, Medicare and commercial plans. Each has its own application, its own verification and its own renewal cycle. Statewide enrollment rules are on our credentialing services in Texas page. This page covers the Austin side: which plans an Austin provider joins and how Qualigenix moves each application from submission to a payer response.
What credentialing services does Qualigenix provide in Austin?
Qualigenix provides Texas Medicaid enrollment, Medicare enrollment, commercial payer credentialing, CAQH profile management, re-credentialing and revalidation, group and facility enrollment and status tracking for Austin providers.
We prepare and submit each application and follow up until the payer responds. Each payer application costs $99.
Credentialing with Travis County's Medicaid plans
In Texas, a provider must be enrolled in Texas Medicaid before any Medicaid managed care plan can approve them. So Qualigenix completes state Medicaid enrollment first, then credentials the provider with each Travis County plan the practice wants to join.
Enrolling with STAR and CHIP plans
Blue Cross and Blue Shield of Texas, Superior HealthPlan and Dell Children's Health Plan carry STAR and CHIP members in Travis County. Each plan uses its own network participation agreement, so a provider who wants to see all STAR patients in Austin needs a contract with each one. Qualigenix requests the agreements, prepares each application and tracks every plan on its own status line. You see which plans have approved, which are still reviewing and what each one has asked for.
STAR+PLUS and STAR Kids plan credentialing
STAR+PLUS runs through Superior and UnitedHealthcare Community Plan in Travis County, and STAR Kids through Blue Cross and Blue Shield of Texas and Superior. Texas Medicaid plans share one credentialing verification organization, Verisys, which does primary source verification for all of them, so a provider's documents are checked once instead of plan by plan. The plans still make their own credentialing decisions. Qualigenix keeps your file current with the verification organization and answers its requests quickly, since a slow reply holds up every plan at once.
Texas Medicaid enrollment and revalidation statewide
Texas Medicaid enrollment runs through the TMHP Provider Enrollment and Management System, and most providers revalidate every 5 years. Details are on our Texas Medicaid enrollment page. Qualigenix files revalidations at least 120 days before the due date so enrollment doesn't lapse.
RESULTS ACROSS 275+ PRACTICES
Results Austin practices can expect
These are Qualigenix company-wide credentialing figures, not Austin-only numbers. Approval decisions and timelines are set by each payer.
12K+
Credentialing contracts
12,500+
Credentialing applications completed
$99
Price per payer application
48
States served
275+
Practices onboarded
PROVEN TRACK RECORDHIPAA-Compliant Revenue Cycle
275+ ClinicsGETTING STARTED
How onboarding works
Qualigenix starts a credentialing project in five steps.
01
Discovery call
we list each provider and every payer they need, including Texas Medicaid and the Travis County plans.
02
Document collection
you send licenses, DEA, board certification, malpractice and work history once.
03
Profile setup
we build or update CAQH and PECOS records and check Texas Medicaid enrollment status.
04
Submission
applications go to each payer, priced at $99 per payer application.
05
Tracking
we follow up with each payer and report status until every payer responds.
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WHY PRACTICES CHOOSE QUALIGENIX
Why Austin practices choose Qualigenix
Texas practices pick Qualigenix for credentialing for four reasons.
Priced per payer application
Each payer application costs $99, covering full provider credentialing and payer enrollment. You know the cost before we start.
Status tracked until each payer responds
Every application has an owner who follows up with the payer and reports progress. You don't chase payers yourself.
Revalidation dates tracked
Texas Medicaid, Medicare and commercial renewal dates are logged for each provider and filed early, so enrollment doesn't lapse.
Credentialing and billing in one company
Qualigenix also bills, so new providers can start claims as soon as each payer approves.
HAVE QUESTIONS?
Frequently Asked Questions
Frequently asked questions about our setup and support in Austin.
Qualigenix credentials providers in Austin and across Texas with Texas Medicaid, Travis County plans, Medicare and commercial payers. Each payer application costs $99. Talk to a credentialing specialist to map your payer list.
Qualigenix enrolls the provider in Texas Medicaid through PEMS first, since plans can't approve a provider who isn't enrolled. We then credential the provider with each Travis County plan the practice chooses.
Yes. Qualigenix completes PECOS applications for Austin providers, links them to the group and answers Novitas requests until the enrollment is processed.
Yes. Qualigenix builds, updates and attests CAQH ProView profiles so payers can pull current information. We re-attest on schedule so the profile stays active.
Each payer sets its own timeline, so no one can promise a date. Qualigenix submits complete applications, follows up with each payer and reports status until every payer responds.
Qualigenix charges $99 per payer application, covering full provider credentialing and payer enrollment. Request a consultation for a quote on your provider list.
No. What matters is knowing Texas Medicaid enrollment, the Travis County plans, PECOS and Texas commercial credentialing rules. Qualigenix handles all of them for Austin providers.