Tebra Reviews 1,014

Vince was very helpful and was able to get everything I needed accomplished.

⭐ 1 Star

I have been a Tebra (formerly Kareo) customer for 9 years and used their platform as the EMR and billing system for my physical therapy clinic in Phoenix, AZ.

In November 2025, I notified Tebra that our clinic would be transitioning to a cash-pay model starting January 1, 2026. Because insurance claims take time to finalize, we arranged with their team to downgrade our services for several months so we could close out remaining claims before canceling the platform completely. This downgrade and the new monthly rate were confirmed with their team.

However, beginning in January 2026, Tebra started charging thousands of dollars above the agreed rate for services we were no longer using.

After attempting to resolve the issue and disputing one incorrect charge, Tebra suspended our account overnight and locked us out of our entire system without warning or communication.

This system contains patient records and billing data that are critical to operating a healthcare practice, and the sudden lockout caused significant disruption to our business.

After nearly a decade as a loyal customer, the lack of communication and accountability has been extremely disappointing. Healthcare practices rely heavily on these systems, and sudden account suspension during a billing dispute is incredibly concerning.

I strongly encourage other healthcare practice owners to carefully review billing practices and service agreements before relying on this platform.

knowledgeable support team. in detail. overall good response.

Vincent was great

I would say Vince made all the difference; I encountered some issues with Tebra, and he was kind and patient, helping me through each one.

If I could rate below zero, I would.
After five years with Tebra (formerly Kareo), I have not a single positive thing to report. I stayed far too long hoping things would improve. They never did. This was a cash-only business, no insurance claims, and I still could not make this platform work. I eventually switched both practices and never looked back.
1. Customer Support is Non-Existent:
The most glaring issue is the complete failure of their support team. You submit a ticket, they promise a response in 24 to 48 hours, and then nothing. Days pass. Weeks pass. In some cases, months go by with zero resolution. For a clinical platform where timely support is critical to patient care and practice operations, this is completely unacceptable.
2. Clinical Functionality is Outdated and Overpriced
The charting system is clunky, outdated, and not worth what they charge. For a premium price, you would expect a modern, intuitive EHR. What you get is the opposite. To make matters worse, they charge extra for limited functionality that competitors include as standard.
3. Communication Failures That Impact Patient Care:
Appointment reminders and patient messages either fail to send or arrive significantly delayed. The online profile and booking capabilities were so unreliable we had to switch back to Square for scheduling. In a medical practice, unreliable communication is not a minor inconvenience; it directly impacts patient care and no-show rates.
4. Predatory Billing Practices:
When I requested cancellation, they forced me to pay for an additional 30 days, claiming it was in my contract. When I asked to see the contract I had signed, they could not produce one, because I never signed one. I was exhausted and just wanted to be done with them. They still charged me $184 I did not owe.

After five years, I moved my practice to a platform that is cheaper, more functional, and actually supported. The difference was immediate and dramatic.
If you are considering Tebra, please learn from my experience. There are far better and more affordable EMR options available. Tebra needs to be held accountable for what it puts healthcare providers through.

Sophia was patient, extremely helpful, and thorough. I feel confident moving forward with integrating Tebra into my practice

Vince Urcuyo is amazing!! He is patient and encouraging. His method of instructing is effective and easy to follow. He definitely knows his information and he delivers in a way that I always leave our calls fired up!!

As a new medical clinic, we went through some growing pains finding a system to document and schedule our patients' appointments, and that was reliable, functioned as designed, and was affordable. Fortunately, we found Tebra. After meeting with their representative and discussing in full detail what we needed, we found that Tebra checked every box. It was an easy decision to switch. We were assigned our own onboarding manager named Sofia. She is there to help us with any setup questions we may have and assign training courses as we transition to Tebra. Tebra training and setup have been so intuitive that we have rarely had to reach out to her. This is much better than our old system.

Great onboarding experience. Luis was instrumental in my training, ensuring a smooth transition into using the system. His consistent weekly presence was also very helpful, allowing me to address any questions or concerns promptly. The support provided during onboarding was exceptional and greatly contributed to my overall positive experience.

Vicente Urcuyo was our rep and he is amazing. He was so helpful and patient with us. No question seemed too silly or unimportant to him. The only negative is we were never told how long the migration would take from our old EHR to our current one, we ended up doing it ourselves.

The clearity in the process of explication, the punctuality, the easily of the communication with the company staff when me necessity. The online class available in the system to read about the management step by step of the Tebra Program.

Daniela was assigned to our implementation case. She was so helpful with all my questions and is so knowledgeable. Wish she could just be my go to person. System is pretty easy to use. Billing seems somewhat confusing but I am sure it will make more sense as I keep moving along. Some things need updating and Tebra needs an app for the patient portal but I am sure that will come.

My experience has been more than satisfactory. Everyone at Tebra that I’ve spoken to and been helped by has been amazing. Special shoutout to David Moody for being so insightful, dependable and knowledgeable; regarding the ins and outs of the system. He walked me through all the features and took the extra time to make things clear and simple. Thanks to him and the Tebra team, I feel prepared to use their system to their utmost potential to the benefit of my clinic

My onboarding experience with Tebra was smooth and well-organized. The implementation team provided clear guidance, helpful training sessions, and timely support throughout the setup process. The platform is intuitive and easy to customize for behavioral health workflows, and the telehealth integration works seamlessly. Overall, Tebra made launching my practice much less stressful. I highly recommend it to independent providers.

Never felt alone with Desiree.

Terrible! Very sneaky with hidden costs on monthly bills, changes their own polices whenever they want. They have a link which is subject to change terms and conditions whenever they want to.
Not user friendly, sending prescriptions you have send 1 by 1 and in note does not even give details as to what is prescribed.
Too many complaints, I can write an entire research paper on it.
Customer service is overseas who cannot speak proper english and does not address your concerns. Manager is rarely available
Billing department and retention department do not help much!
It has been a mistake to sign up with them.
DO NOT RECOMMEND

I have been using the EHR for 6 weeks. It is one technical issue after another. I cannot assign ERX refills to my clinical assistant. I have to clear my browsing data several times a day for the system to work. The analytics data ie charges collections ect... has no data. When prescribing liquid medications, the system does not use mls, only bottles(this is not an issue they plan to fix). There is no way to invite all patients to the patient portal. It has to be done individually. Every bill I have gotten is incorrect. Hold times with technical support are 20 minutes. I don't advise anyone to switch to this system.

I am very new to Tebra, the software seems good and the people are great, however it is very difficult to get the onboarding calls scheduled. When you already work a full time job and are trying to start up another business, they do not offer much availability to help with instruction outside of the 8-5pm window.

I was very excited to start using this new system. Unfortunately, I never had the opportunity to use it as intended. I attempted to cancel my contract with Tebra due to medical issues and a significant decrease in patient volume. I strongly recommend reading their cancellation policy carefully, as it was never clearly discussed during the sales process, which I felt was very persuasive.

Remaining Months on Contract: 7
Monthly Minimum Subscription fee: $348.00 + any applicable tax
Total Early Termination Fee: $2,436.00 + any applicable tax