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Medical billing services
in Dallas, TX
Qualigenix bills Medicaid, Medicare and commercial claims for Dallas practices and works every claim until it's paid. Talk to a billing specialist at 786-259-0231 or request a consultation. HIPAA compliant.
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How Qualigenix serves Dallas practices
Qualigenix medical billing services cover the full claim, from charge entry to the final payment. Dallas billing starts with one question: which plan is this patient actually in? Dallas County sits in a Medicaid service area with three STAR plans, three STAR+PLUS plans, two STAR Kids plans and three CHIP plans. A claim sent to the wrong one comes back denied, and the clock on the right one keeps running. Our billers check the plan on every Medicaid claim before it goes out, and they recheck it when a patient comes back after a gap in visits. Statewide filing windows, prompt-pay rules and balance-billing limits are covered on our page for medical billing services in Texas. This page covers what's different in Dallas: the county's Medicaid plans, the partners some of them use, and the dual-eligible plans that replaced the old Medicare-Medicaid plans in 2026. We bill all payers, and we bill for independent practices in Dallas and across Texas.
What medical billing services does Qualigenix provide in Dallas?
Qualigenix handles charge entry, coding, claim submission, denial appeals, A/R follow-up and patient statements for Dallas practices. We bill all payers. That includes Parkland HEALTHfirst, Molina and Wellpoint STAR plans, the three STAR+PLUS plans in Dallas County,
Medicare through Novitas Solutions, and every commercial plan your patients carry.
Medical billing for Dallas County's Medicaid plans
Qualigenix sorts every Dallas Medicaid claim by program and plan before it's submitted. Most Medicaid denials we see in this service area trace back to a claim that went to the wrong plan or the wrong partner.
Parkland HEALTHfirst, Molina and Wellpoint STAR claims sent to the right plan
Dallas County belongs to the seven-county Dallas Medicaid service area, along with Collin, Ellis, Hunt, Kaufman, Navarro and Rockwall counties. As of January 2026, Texas lists three STAR plans here: Molina, Parkland and Wellpoint. STAR+PLUS members are split across Molina, Superior and United. Children in STAR Kids are with Aetna or Wellpoint, and CHIP members are with Molina, Parkland or Wellpoint. That's a lot of plans for one county, and members change plans. Qualigenix checks the patient's plan on the date of service, not the plan listed on last year's intake form. Then each claim goes to that plan with that plan's payer ID. If a claim does get denied for the wrong payer, we refile it to the right plan inside its filing window.
Behavioral health and vision claims for Parkland members
Parkland Community Health Plan uses partners for two benefits. Behavioral health runs through Carelon Behavioral Health, and vision runs through Avēsis. For a Dallas practice, that means a Parkland HEALTHfirst patient can have medical claims, behavioral health claims and vision claims that each follow a different path. Qualigenix sets up those payer routes in your billing system during onboarding. Each claim is checked against the service type before it's sent. Behavioral health and vision claims are billed to the right partner, and we follow each one until it's paid.
Texas Medicaid billing rules statewide
Filing deadlines, claim corrections and appeal windows are set at the state level, and they apply to every Texas Medicaid plan the same way. Read how Qualigenix files Texas Medicaid claims statewide for the full workflow.
RESULTS ACROSS 275+ PRACTICES
Results Dallas practices can expect
Qualigenix tracks the same numbers for every client and shares them with you each month. The figures below are company-wide results across all practices we bill for, not Dallas-only figures. Your own numbers depend on your specialty, payer mix and the state of your A/R when we start.
98.2%
First-pass clean claim rate
97.7%
Net collections rate
4.8%
Denial rate
79%
Denials overturned
Reduced from 54 to 36
Days in A/R
$923M+
Revenue recovered
PROVEN TRACK RECORDHIPAA-Compliant Revenue Cycle
275+ ClinicsGETTING STARTED
How onboarding works
Qualigenix onboards new practices in 6 days on average.
01
Discovery call
We review your specialties, payer mix, current billing setup and open A/R. We also ask which Dallas Medicaid plans your patients carry most.
02
System access
We connect to your EHR and clearinghouse. We work with any EHR, so your providers keep charting the way they do now.
03
Payer setup
We load each Dallas Medicaid plan, its partners, Novitas and your commercial payers with the right payer IDs.
04
Go-live
New charges start flowing through our team, and we start working your existing A/R by age and dollar amount. Claims closest to their filing or appeal deadline go first.
05
Monthly reporting
You get a report each month with collections, denials and A/R by payer, plus a call to walk through it with your billing lead
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WHY PRACTICES CHOOSE QUALIGENIX
Why Dallas practices choose Qualigenix
Texas practices pick Qualigenix for four reasons.
Specialty-assigned coders
Your claims are coded by people who code your specialty every day. They know the modifiers, the bundling edits and the documentation each payer asks for, so fewer claims come back.
Works with any EHR
Qualigenix works inside your current system, across 133 EMR and EHR platforms. You don't switch software, and your providers don't change how they chart.
Monthly reporting by payer
Every month you see collections, denials and A/R broken out by payer. You'll know which Dallas plan is slow before it becomes a cash problem.
6-day average onboarding
Most practices are live with Qualigenix in about 6 days. We start on new charges first, then work back through your open A/R.
HAVE QUESTIONS?
Frequently Asked Questions
Frequently asked questions about our setup and support in Dallas.
Many billing companies serve Dallas practices, from small local firms to national vendors. Qualigenix bills all payers for independent practices in 38+ specialties, with a 98.2% first-pass clean claim rate. Talk to a billing specialist to compare.
Qualigenix bills all of them. That includes the STAR plans (Molina, Parkland and Wellpoint), the STAR+PLUS plans (Molina, Superior and United), the STAR Kids plans (Aetna and Wellpoint) and the CHIP plans (Molina, Parkland and Wellpoint).
Parkland uses Carelon Behavioral Health for behavioral health and Avēsis for vision. Qualigenix sets up those payer routes during onboarding and checks each claim's service type, so behavioral health and vision claims go to the right partner.
Since January 2026, Molina and Superior offer integrated dual plans in Dallas County, each paired with that company's STAR+PLUS plan. Qualigenix bills the Medicare claim first, then the Medicaid portion to the matching STAR+PLUS plan.
Qualigenix charges a percentage of collections, so our fee depends on what we collect for you. The percentage depends on your specialty, claim volume and services. Talk to a billing specialist for a quote.
No. What matters is that your billing company knows Dallas County's Medicaid plans, their partners and the integrated dual plans. Qualigenix works inside your EHR and reports by payer every month.
Yes. Qualigenix is HIPAA compliant, signs a business associate agreement with every practice, and limits patient data access to the team working your account.