Texas workers’ comp case management billing —
and the 95-day rule.

Your week, in Texas’s documents.

The tightest timely-filing clock in the country, on a caseload spread across counties the size of small states.

• 7:40 a.m.
  Two telephonic updates and a note to the adjuster.Entered as they finish. A bill you can send this week is a bill that beats the clock by 88 days.
• 11:20 a.m.
  Appointment attended in the next county. Wait time, then 74 miles back.Miles and wait time as their own lines, priced as you type.
• 2:30 p.m.
  Monthly report for the TPA.Built from the entries, in your template, without a reconstruction session.
• 4:50 p.m.
  This week’s billing out. Nothing waiting for a Sunday.Every bill becomes a receivable with a filing date attached, and the clock is visible rather than assumed.

One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in Texas or an MCO in Ohio.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

Who pays you in Texas.

Texas Mutual is the largest single carrier here, with the national carriers and TPAs behind it. Everything runs on a 95-day clock, which makes payer aging less about politeness and more about survival.

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your Texas payers, their submission addresses and their quirks get set up during onboarding, from your own files.

Case files, adjusters, mileage, invoices.

Invoice-based case-management billing works in Texas today with no state pack: the activity grid, the itemised invoice in the format the payer asks for, and aging by TPA so a slow payer shows up as a number.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Questions, answered.