Kareo Billing Services

Kareo is now Tebra

Kareo is now Tebra, and it is the same product - Medtransic works inside it either way. This page exists because practices still search for the old name, and it is for the ones deciding who should handle the billing.

What does not change

What we run inside your Kareo

Claims submitted from your existing setup

We work from what your providers already document. Nothing goes out before the note supports it.

The Kareo-era backlog

Practices that have been on this system a long time usually have old A/R nobody has touched in months. We work it in age order.

Denials worked with the cause recorded

Every denial gets a reason logged, so a recurring one gets fixed at source rather than reappearing every month.

Payments reconciled against remittances

What the payer said they paid, checked against what landed. Underpayments are otherwise a slow, invisible loss.

Eligibility checked before the visit

Coverage confirmed ahead of the appointment, so a lapsed policy is a phone call rather than a denial weeks later.

How the switch works

  1. We review what you have been submitting

    A sample of recent claims tells us where money is going and what to correct first. This happens before anything changes.

  2. Access, not migration

    You give us user access to the system you already have. Nothing moves and nothing is in transit.

  3. We check enrollment first

    Long-running practices often have providers whose enrollment has quietly lapsed or was never completed for a payer they bill.

  4. New claims start flowing immediately

    Current work comes to us straight away so nothing stalls during the change.

  5. Then the old A/R

    The backlog gets worked oldest first, because those claims are closest to their filing deadlines.

What your staff still do

Where practices like yours lose money

The Kareo certification has been retired

No Kareo listing on the ONC Certified Health IT Product List is still active - all five are withdrawn or retired, the last decertified on 31 December 2024, and they are now held by Tebra Technologies with the product renamed Tebra EHR (Kareo). The active certification is the Tebra one. Verified 19 August 2026.

Long-tenured practices carry the most hidden A/R

If you have been on this system for years, the oldest claims are usually the ones nobody has looked at. That is where recoverable money tends to sit.

The rename leaves records inconsistent

Logins, saved documents and payer records from the Kareo era sit alongside Tebra-branded ones. Small repeated friction that nobody owns.

Staff turnover takes the billing knowledge with it

Practices that have run their own billing in-house for years often find the process lived in one person’s head. When they leave, collections slip before anyone notices.

Billing software is not a billing service

The system can generate a claim. It cannot call a payer, write an appeal, or spot that the same denial reason has arrived four months running.

Questions we get asked

Kareo or Tebra - which is it?
Kareo is now Tebra. Tebra describes itself as built on Kareo and PatientPop. It is the same product under a newer name, and plenty of practices still call it Kareo.
Do we have to change systems?
No. We work inside what you already run. Retraining your staff to suit us would not be a good reason to move.
We have old unpaid claims. Is it too late?
It depends on each payer’s filing deadline, which is why we work aged claims oldest first. Some are recoverable and some are past saving; we will tell you which is which rather than bill you to chase the impossible.
What access do you need?
User access with billing permissions, plus the payer portals you are enrolled with. Your practice remains the account owner.
What does it cost?
Billing is 4-8% of collections depending on volume and specialty. Credentialing is charged per application, per provider. All rates are published on our pricing page.

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