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Tebra (previously Kareo + PatientPop)

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What is Tebra (previously Kareo + PatientPop)

Tebra is a cloud-based platform for independent medical practices that combines electronic health records (EHR) with practice management and revenue cycle workflows. It supports clinical documentation, scheduling, patient intake, billing/claims, and patient communications through a single vendor suite. The product is commonly used by small to mid-sized outpatient practices that want an integrated front-office, clinical, and financial workflow. Tebra was formed from the combination of Kareo (clinical + billing/practice management) and PatientPop (patient engagement and marketing tools).

pros

Integrated clinical and billing workflows

Tebra brings EHR documentation, charge capture, coding/billing workflows, and claims-related tasks into one platform rather than requiring separate systems. This can reduce duplicate data entry between clinical notes, superbills, and billing queues. For practices that want one vendor across clinical and financial operations, the suite approach is a practical fit. It aligns with common outpatient workflows where scheduling, documentation, and billing are tightly linked.

Strong patient intake and engagement

The platform includes patient-facing capabilities such as online intake and digital communications that support pre-visit and post-visit workflows. These tools help practices standardize registration and consent collection and keep patient contact information current. Compared with EHR-first systems that treat engagement as an add-on, Tebra’s PatientPop heritage makes these functions a core part of the suite. This is relevant for practices prioritizing online presence and patient experience operations.

Designed for independent practices

Tebra’s packaging and workflows are oriented toward ambulatory, independent practices rather than complex hospital environments. It supports common needs like appointment scheduling, documentation templates, and billing operations without requiring enterprise IT staffing. This focus can shorten implementation effort for smaller organizations. It also fits multi-provider clinics that need shared schedules and centralized billing.

cons

Not hospital-grade operations

Despite broad feature coverage, Tebra is not primarily positioned as a hospital management system for inpatient workflows. Organizations needing advanced ADT, inpatient order management, or complex departmental integrations may find gaps. Larger health systems often require deeper interoperability and governance features than SMB-focused suites provide. For those environments, Tebra may be better suited to affiliated outpatient clinics than core hospital operations.

Suite breadth can add complexity

Because Tebra spans EHR, practice management, billing, and engagement, configuration and workflow alignment can be more involved than adopting a single-purpose tool. Practices may need to decide which modules to use versus keeping existing systems, which can introduce integration and change-management work. Teams may also need role-based training across clinical, front desk, and billing functions. This can be a constraint for very small practices with limited administrative capacity.

Fit varies by specialty needs

Specialty clinics with highly specific documentation, coding, or workflow requirements may need customization or specialty-specific templates and integrations. If a specialty relies on niche devices, assessments, or external registries, integration availability becomes a key constraint. Practices should validate specialty workflows (e.g., note structures, procedure coding patterns, and payer rules) before standardizing. This is a common limitation for general-purpose ambulatory platforms.

Plan & Pricing

Pricing model: Mixed — subscription (per-provider modules) + usage-based/transactional fees

Subscription (public pricing not published): Tebra sells module-based subscriptions (Clinical/EHR, Billing, Patient Experience). Per the vendor’s Pricing Policy, Software Subscription Fees are set forth in the applicable Order Form and are not published on the website; customers must contact Tebra/sales for subscription pricing. (See notes below.)

Usage-based / transactional fees (official, vendor-published):

  • Electronic claim attachments (ANSI 275): $0.99 per document attached to a claim. (Effective Jan 1, 2025).
  • Paper claims mailing (non-Jopari): $1.10 per paper claim printed and mailed; $1.10 first page / $0.20 each additional page for Jopari (workers comp/auto) and $1.10 first page / $0.24 additional page for patient statements.
  • Patient Payment Processing (Tebra Payments): 2.75% + $0.30 per transaction (one flat rate for Tebra Payments).
  • Stripe integration (payments): 2.9% + $0.30 per transaction (effective Apr 1, 2025).
  • Tebra Invoice Processing (card payments via invoice): 2% processing fee.
  • Electronic claims (legacy/low-volume): legacy low-volume plans charged $0.99/electronic claim per provider per month after the first 50 claims (see legacy notes).
  • AI Note Generation: Subscription rate $99/month/provider (includes up to 400 notes generated) and $0.25 per note over 400; Per-transaction rate: $0.99 per note generated. (Vendor lists both subscription and per-transaction pricing options.)
  • EPCS application fee (EHR): one-time $75 application fee.
  • PDMP add-on: one-time implementation/setup $500 per facility; $50/year per authorized user.
  • Provider website export fee: $1,000 (one-time) for website export.
  • Account reactivation fee: $49 per account reactivation.
  • Minimum account fee (for accounts without an activated Provider): $150/month.
  • Other listed transactional/professional fees: chargeback/representment fees and other payment-related fees (e.g., $15 chargeback request, $15 representment on payment processing), PCI non-compliance fee $100/month, etc. (See Payment Processing Pricing Policy for full list.)

Notes & restrictions:

  • Software Subscription Fees (per-provider subscription for Clinical, Billing, Patient Experience modules) are set in each customer’s Order Form and are not published on tebra.com; the site instructs customers to contact sales or request a demo/quote for subscription pricing.
  • Some legacy pricing (Kareo-era) references remain for legacy customers; new/custom pricing may vary by provider type (Physician vs Non-Physician), specialty, and volume.

Seller details

Tebra Technologies, Inc.
Corona del Mar, California, US
2021
Private
https://www.tebra.com/
https://x.com/tebra
https://www.linkedin.com/company/tebra/

Tools by Tebra Technologies, Inc.

Tebra (previously Kareo + PatientPop)

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