Commercial Insurance

  • Health Care Payment Plans

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    In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. If you have questions about billing and coding or payer policies, contact the specialists at for help.

    Payer Roundup  
  • The “Hidden Crisis” of Coverage Denials

    Coverage Denials  

    When insurance companies say "no" — whether through prior authorization requirements, step therapy programs, or nonmedical switching policies — covered patients find … well … they don't have the coverage they need. A new survey finds this "hidden health care crisis" hits tens of millions of Americans.

    Learn More About the Coverage Denial Crisis  
  • Current Health Insurance Articles

    Read testimony by Patricia Kolodzey, how TMA educated lawmakers, and how TMA stands up for Texas physicians and their patients.

    View Article List

    Health Insurance Key Issues

    See TMA's plan of attack, an interview with TDI's newest boss, and how TMA is keeping insurers honest.

    View Article List
  • Contracts

    Monitoring the contracted rate in your payer contracts is an important step in managing your revenue cycle. Are you receiving the full payment due to your practice for every claim you file?

  • RICO Settlements

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    Physicians have received more than 2 billion dollars in benefits from the settlement agreements reached with Aetna, CIGNA, Health Net, Humana, Anthem/WellPoint, and many Blue Cross and Blue Shield Plans as a result of class action lawsuits brought against these insurers by 19 state and county medical associations and physician representatives.

    See How Physicians Have Benefited  

    TMA is helping to strengthen your practice by offering personal advice and creating a climate of medical success across the state. 

  • What could a TMA membership mean for you, your practice, and your patients?