Tebra: An EHR Platform Redefining Independent Practice Success

Tebra at a Glance

Born from the 2021 merger of Kareo, previously a leader in cloud-based clinical software, and PatientPop, a pioneer in practice growth technology, Tebra has established itself as a comprehensive EHR+ platform tailored for independent healthcare practices. Designed to replace fragmented systems, Tebra unifies patient engagement, care delivery, and revenue management into a single, intuitive interface trusted by over 150,000 providers managing 190 million patient records. Unlike legacy EHRs that prioritize complexity over usability, Tebra’s platform is meant to emphasize workflow simplicity, offering role-specific dashboards for clinicians, administrators, and billing teams to reduce training time and minimize clicks.

At their core, they distinguish themselves through seamless interoperability, connecting EHR tools like AI-assisted charting and telehealth with practice management essentials such as online scheduling, automated claims processing, and reputation monitoring. The platform’s “Same-as-Last-Time” (SALT) documentation and customizable templates help providers cut charting time significantly, while integrated billing features like real-time insurance verification aim to reduce claim denials by up to 25%. For patients, Tebra enhances accessibility with self-service scheduling, digital intake forms, insurance claim submission, and a unified portal—features that they boast will increase online bookings by 50% or more.

Beyond functionality, Tebra prioritizes compliance and security as foundational pillars. The platform is ONC-certified and HIPAA-compliant, with HITRUST and PCI safeguards, ensuring military-grade encryption and role-based data access. Additionally, Tebra's industry perception reflects their balanced appeal, as they have earned praise for their user-friendly design and all-inclusive pricing, scoring highly for ease of use in third-party reviews. However, some users note occasional delays in customer support resolution. That said, with an A+ rating at the Better Business Bureau (BBB) and a focus on small to mid-sized practices, particularly in primary care, mental health, and urgent care, Tebra positions itself as a scalable partner for practices seeking to modernize without sacrificing affordability or control.

Tebra EHR Features & Solutions

Tebra offers a comprehensive, cloud-based Electronic Health Record (EHR) system designed specifically for independent medical practices. Their platform integrates clinical, administrative, and financial tools to streamline operations, enhance patient care, and support practice growth. Below is an overview of Tebra’s key features and benefits:

Core EHR and clinical tools

Tebra’s ONC-certified EHR system is designed to enhance clinical efficiency and patient care through intelligent features:

• AI-assisted charting: This tool utilizes ambient listening and AI to automate clinical documentation during in-person and telehealth visits, supporting various note types like SOAP and therapy notes. Their SALT feature allows providers to duplicate sections from previous notes into new ones, minimizing redundant data entry and ensuring consistency across patient encounters. This is particularly useful for follow-up visits where patient information remains largely unchanged
• Customizable templates: This service offers specialty-specific templates, including SOAP notes for primary care and therapy notes for mental health, reducing redundant data entry
• Voice-to-text dictation and text macros: This facilitates faster note-taking and documentation
• Integrated telehealth services: They provide HIPAA-compliant video visits with features like virtual waiting rooms and group appointment support
• ePrescribing and eLabs: This enables electronic prescriptions with allergy and conflict alerts and lab order management integrated with over 130 partners like Quest and LabCorp

Practice management and automation

Tebra streamlines administrative tasks to boost revenue and reduce burnout:

• Smart scheduling: This tool allows online booking through over 50 directories, including Google and Yelp, with automated reminders meant to reduce no-shows by 25%
• Digital intake forms: You can auto-populate patient charts, simplifying the check-in process
• Billing and payments: They feature real-time insurance eligibility checks and automated claims scrubbing, achieving a 95% clean claim rate
• Robotic Process Automation (RPA): This automates repetitive tasks like data entry and denial management, improving revenue cycle management efficiency

Patient engagement and reputation management

These are tools designed to attract and retain patients:

• Reputation management: They have a centralized dashboard to monitor and respond to reviews on platforms like Google and Healthgrades, with automated patient feedback surveys to enhance online ratings
• Marketing growth: This service provides SEO-optimized practice websites, paid ad management, and social media integration for targeted campaigns

Specialty-specific solutions

Tebra supports a wide range of specialties, including family medicine, pediatrics, internal medicine, and so on. They adapt to unique workflows across those specialties, such as:

• Primary care: This includes flowsheets for chronic disease management, vaccine tracking, and preventive care alerts
• Mental health: This offers HIPAA-compliant therapy notes, DSM-5 code support, and teletherapy-specific templates
• Urgent care: This features rapid charting for high-volume visits and occupational health forms

Compliance and security

This is how they ensure data protection and regulatory adherence:

• HIPAA & HITECH compliance: They implement role-based access controls, two-factor authentication, and audit trails to safeguard patient data 
• FIPS 140-2 validated encryption: This protects sensitive data in transit and at rest, meeting federal standards 
• MIPS/MACRA reporting tools: They provide quality dashboards and guided workflows to track performance measures and maximize Medicare reimbursements

Analytics and insights

The following perks transform data into actionable strategies:

• Quality dashboard: This displays actionable data on a single screen, equipping practices with tools to track performance on MACRA and MIPS quality measures 
• Practice growth analytics: This tool summarizes key metrics related to practice performance, offering full transparency to explore growth opportunities 
• Custom report builder: This allows practices to build their own data investigations, analyses, visualizations, and communications

Tebra Plans & Pricing

Tebra does not publicly list specific pricing for their EHR products. Instead, the company provides customized quotes based on factors such as the number of providers in the practice, the software subscription level or module, the type of provider (physician, therapist, or facility), and billing complexity. This tailored approach ensures that practices receive pricing aligned with their specific needs.

To get pricing and purchase Tebra’s services, practices must complete an online form detailing their practice size, specialty, and software interests. A Tebra Solutions Consultant then provides a personalized consultation to assess needs and recommend appropriate solutions. Following this, the company delivers a custom proposal that may include one-time implementation fees, monthly subscription costs, and transactional fees where applicable.

Payment structure

Tebra’s pricing model includes several components:

• Subscription fees: These are billed monthly in advance and vary based on the software modules (Billing, Clinical, or Patient Experience). Pricing is per provider, with the highest applicable subscription level charged for providers using multiple services
• One-time fees: These include a $500 implementation fee and a $75 application fee for e-prescribing controlled substances
• Transactional fees: Billed monthly in arrears, these cover services like electronic claims ($0.99 per claim after the first 50 for legacy plans), claim attachments ($0.99 per document), and paper claim mailing ($0.99 per first page)
• Professional services: Additional charges apply for services like data migration or live training

Add-ons and managed services

Tebra offers several optional services to enhance practice efficiency:

• Managed billing services: These are outsourced revenue cycle management with an over 95% first-pass claim rate. Pricing is either a percentage of monthly collections (typically 4–10%) or a per-claim fee ($3–$10). No long-term contracts are required
• Robotic Process Automation (RPA): This automates billing tasks like ERA processing and payment follow-ups, with fees structured per encounter or note
• AI Note Assist: Charges apply per automated clinical note (SOAP, therapist, or psychiatric notes)
• Membership and subscription plans: They support recurring billing for membership-based services, integrating charges with patient accounts across EHR and billing systems

Key pricing considerations

Tebra enforces a minimum monthly fee for accounts without an active provider. The company reserves the right to increase prices by up to 4.9% annually with 30 days’ notice. All fees are nonrefundable, including partial months or early cancellations. Discounts are available only when bundling all three modules of Clinical, Billing, and Patient Experience.

For the most up-to-date pricing, practices should contact Tebra directly or request a personalized quote through their website. The company emphasizes that their pricing scales with practice growth, allowing providers to be added without costly upgrades.

The Advantages of Tebra EHR

• User-friendly interface: Tebra’s intuitive design simplifies navigation, reducing the learning curve for new users and enhancing overall efficiency
• Comprehensive practice management: The platform integrates EHR, billing, scheduling, and patient engagement tools, offering a centralized system that streamlines administrative tasks
• Efficient billing processes: Their billing features, including real-time insurance eligibility checks and automated claims scrubbing, help reduce claim denials and improve revenue cycle management
• Customizable templates and shortcuts: Providers can utilize specialty-specific templates and text macros, facilitating faster documentation and note-taking
• Integrated telehealth services: Tebra offers HIPAA-compliant telehealth functionalities, enabling virtual consultations and expanding patient access to care

Why You Might Not Choose Tebra

• Customization limitations: While Tebra offers various features, certain aspects, like clinical templates and reporting tools, have limited customization options, which may not meet all practice-specific needs 
• System reliability concerns: Instances of system downtime and slow performance have been reported, potentially disrupting practice operations
• Complex pricing structure: Their pricing details are not always transparent, with additional costs for certain features and services, which can complicate budgeting for practices 
• Third-party billing services: Tebra partners with external billing companies, which may introduce complexities in communication and accountability for billing processes

The Tebra Customer Experience

They receive mixed reviews online from their user base, although with mostly fair independent review scores. They currently have a score of 3.9 out of 5 at Capterra and Software Advice, with similar scores of 3.7 and 4.1 out of 5 at Trustpilot and G2, respectively. That said, they do receive their share of complaints on the BBB website, where they have a poor score of 1.94 out of 5, albeit from a much smaller sample of reviews.

Positive feedback

Tebra receives widespread praise for their user-friendly interface, often described as intuitive and easy to navigate, particularly for medical practices transitioning from more complex systems. Many users highlighted the platform’s seamless integration of EHR and practice management tools, which eliminates the need to toggle between multiple systems. The customizable dashboard, resembling a social media feed, was frequently commended for its simplicity and role-based adaptability, making it accessible even for new users.

Some customers also appreciated their responsive and knowledgeable customer support experiences, sending shoutouts to specific representatives for their patience, expertise, and timely assistance during onboarding and troubleshooting. The Tebra University training resources, including self-guided modules and live sessions, are also lauded for helping users quickly acclimate to the system.

Key features like automated billing, telehealth integration, and patient engagement tools, such as online scheduling and reputation management, are highlighted as game-changers for practice efficiency. Some users noted that Tebra’s AI Note Assist reduced clinical documentation time significantly, thereby alleviating administrative burdens. Long-term clients, including billing companies, emphasize Tebra’s scalability and affordability, particularly for small to mid-sized practices.

Critical feedback

Despite their strengths, Tebra faced criticism for inconsistent customer support, with many users reporting long wait times, unresponsiveness, and difficulty resolving billing or technical issues. Some described support as "nonexistent" after the sales process, with cases taking weeks to address or being mishandled entirely. A recurring complaint involves billing and contract disputes, including unexpected charges, aggressive collections tactics, and challenges with canceling subscriptions. Users alleged misleading sales practices, such as promises of "month-to-month" flexibility that later lock them into annual contracts.

Technical shortcomings included limited functionality for specialty practices such as mental health. Users cited missing features like psychosocial assessments, lab integrations (e.g., LabCorp), and clunky workflows for tasks like e-prescribing. Some noted the desktop app’s incompatibility with macOS and outdated design elements. HIPAA and data privacy concerns were also raised, particularly around patient search options (limited to name/DOB) and slow fixes for security vulnerabilities. Negative reviews often stemmed from poor onboarding experiences, where practices struggle with unmet promises or inadequate training.

Tebra actively responds to most customer reviews and BBB complaints, often engaging within a few weeks and providing personalized replies, especially to positive feedback. While some users report satisfactory resolutions, others describe vague or delayed responses, particularly for billing disputes, cancellation issues, and unmet sales promises. The company’s follow-through is inconsistent, with some complaints only resolved after escalation, highlighting a gap between initial support and final resolution.

Customer Support

Tebra offers a comprehensive suite of customer support options to assist users with various needs. For immediate assistance, you can contact their Customer Care Team by phone at (866) 93-TEBRA (83272), available Monday through Friday from 5 AM to 4 PM PT. Alternatively, users can submit support requests, upload attachments, and track case progress in real-time through the in-app Customer Care Center, accessible via the Tebra platform.

For self-service resources, the Tebra Help Center provides extensive documentation, including user guides, training videos, and FAQs. Additionally, Tebra University offers training materials to help users maximize the platform’s features. For updates on system status and scheduled maintenance, users can visit their status page.

Final Thoughts

Tebra stands out in the EHR landscape by offering a unified, cloud-based platform tailored for independent healthcare providers and medical practices. Their strengths lie in their platform's intuitive user interface, AI-assisted charting, and integrated billing and telehealth solutions, all designed to streamline administrative tasks and enhance patient care. The platform’s role-based dashboards and customizable templates cater to various specialties, making it a versatile choice for practices aiming to modernize their operations without sacrificing usability. Additionally, Tebra’s commitment to compliance and security, evidenced by their ONC certification and HIPAA compliance, provides assurance to practices handling sensitive patient data.

However, Tebra is not without challenges. Some users have reported issues with customer support responsiveness and system reliability, including occasional downtimes and slow performance. The platform’s pricing structure, while offering flexibility, has been criticized for its complexity and lack of transparency, with additional fees for certain features potentially complicating budgeting for practices. Furthermore, specialty practices, particularly in mental health, have noted limitations in customization options, which may affect the platform’s adaptability to specific workflow needs. 

For practices considering Tebra, it’s advisable to conduct a thorough evaluation of the platform’s features against specific operational needs. Exploring our reviews of other EHR solutions like AdvancedMD or Practice Fusion can provide additional insights into its suitability. Additionally, utilizing our comparison tool to pit your top choices against each other, as well as browsing through our educational articles on this industry, can also aid in understanding the platform’s offerings and pricing structure. Ultimately, selecting the right EHR system involves balancing functionality, cost, and support to align with a practice’s unique requirements and goals.