Tebra (Kareo) Billing Services | Get Cleaner Claims From Your Tebra Platform
Tebra, formerly Kareo, runs the clinical and billing operation for thousands of independent practices. Transcure’s certified billers work inside your Tebra PM and Managed Billing modules to clear claims faster. With our Tebra billing services, we:
- Protect diagnosis data Tebra deletes automatically during payer and insurance transitions
- Recover Kareo medical billing AR that sits unworked past 30 days
- Configure Patient Collect for email, SMS, statement, and QR-code payment recovery
- Audit charge capture and coding inside Tebra PM before claims reach the payer
- Run Kareo billing across primary care, multi-specialty, and billing-company accounts
- Scrub claims to clean-submission standard inside Tebra before clearinghouse routing
What Are Tebra and Kareo Billing, and How Do They Work?
Tebra, also known as Kareo, is a cloud-native EHR and practice management platform serving over 165,000 providers across independent and multi-specialty practices. It was formed in 2021 when Kareo merged with PatientPop, combining clinical, billing, and patient-growth tools into one system. Practices that started on Kareo billing still run the same core workflows, now under the Tebra brand. Solo providers, multi-specialty groups, and medical billing companies all operate their revenue cycle on it.
Tebra billing runs across three connected modules:
- Tebra Clinical captures charges through superbills as providers close notes, feeding them straight into the billing workflow.
- Tebra Billing (PM) handles eligibility, charge entry, claim scrubbing, and financial reporting for practices that keep billing in-house.
- Tebra Managed Billing (RCM) is Tebra’s full-service option, where their team handles charge capture, coding, and denials for a percentage of collections.
See Where Your Tebra Billing Is Losing Money
Send us 90 days of your Tebra or Kareo billing data. We find the charges that never got captured, the diagnosis codes lost in payer transitions, and the AR aging past 30 days that no one has worked. You get the full leakage map. You keep your platform.
Where Tebra and Kareo Practices Lose Revenue Before Transcure Steps In?
Tebra handles clinical and billing workflows in one system, but revenue leaks through gaps the platform does not close on its own. Four of them drain collections from Tebra and Kareo practices month after month. Transcure shuts each one down.
Diagnosis Data Deleted During Insurance Transitions
When a patient's insurance changes, Tebra can automatically wipe diagnosis data tied to the prior payer. The claim loses its clinical justification and denies. Transcure preserves diagnosis history across payer transitions and rebuilds any record the system drops before the claim goes out.
Charges Never Captured From the Superbill
Charges entered in Tebra Clinical do not always reach Tebra Billing, and the gap goes unnoticed until revenue comes up short. Providers move on, and the encounter never bills. Transcure audits every superbill against the schedule daily, so no completed visit slips out of the billing workflow.
Platform Capability Left on the Table After the Merger
Many practices ran Kareo for years, then inherited a bigger, more complex Tebra platform they never fully learned. Scrubbing rules, reporting, and automation sit unused. Transcure configures the full billing stack like claim edits, denial workflows, and financial reporting, so the platform works at the level you already pay for.
Patient Collect Sitting Idle
Tebra's Patient Collect can bill patients by email, SMS, statement, and QR code, but most practices never set it up beyond paper statements. Patient balances age out and get written off. Transcure activates the full Patient Collect workflow and works patient AR until it clears.
What Does Transcure's Tebra and Kareo Billing Services Include?
Tebra and Kareo billing runs across nine connected stages inside your platform. Transcure’s certified billers and AI agents handle every stage of medical billing services for Tebra, from the first eligibility check to the last patient payment:
Eligibility & Benefits Verification
Before each visit, ELIXA runs eligibility checks through Tebra against every active payer on the account. Coverage changes surface 48 hours ahead, and coordination-of-benefits errors get caught early.
Prior Authorization Management
Auth requirements map by payer and procedure inside Tebra PM through PRIA. Deadlines and approvals stay tracked against the schedule. No claim leaves the system missing a required authorization.
Charge Capture & Superbill Audit
Every superbill from Tebra Clinical gets checked against the day's schedule. Missed charges surface before they age out, and diagnosis data stays intact through payer transitions. We make sure no visit goes unbilled.
Kareo Medical Billing & Coding
Certified coders validate CPT, ICD-10, and modifiers inside Tebra PM alongside CODIN. Codes get checked against CCI edits, MUE limits, and 2026 AMA rules. Coding accuracy holds at 99% per account.
Claim Scrubbing & Submission
Each claim runs custom scrubbing rules tuned per payer before submission. The clearinghouse routes clean files, and rejections return into Tebra for same-day rework. First-pass acceptance reaches 99%.
Payment Posting & ERA Recon
ERA files auto-post to patient accounts inside Tebra within 24 hours. Allowed-versus-paid gaps surface the moment they hit. Underpayments from Aetna and UnitedHealthcare move straight to appeal.
Denial Management & Appeals
DEXA classifies each denial by CARC/RARC code, from CO-4 and CO-16 to CO-50 and PR-96. Appeals file at every level inside Tebra's denial workflow. Denied claims never return to your front desk.
AR Follow-Up on Aged Claims
AR callers work 30-plus day claims through Tebra's aging reports while AI agents flag patterns by payer. Kareo medical billing AR gets recovered inside a 24-day average cycle, even the ones that are 120+ days old.
Patient Billing via Patient Collect
After insurance closes, Patient Collect pushes balances by email, SMS, statement, and QR code. Automated reminders cut patient bad debt by more than 25%. Your front desk stops chasing payments, reducing workload.
How Does Transcure Onboard Your Tebra/Kareo Practice in 14 Days?
Onboarding moves through five stages, part of Transcure’s broader EMR billing services across every major platform. Your Tebra workflow stays untouched. We log in, calibrate to your payers, and start clearing claims by day fourteen.
Step 1.
Revenue and Denial Audit
A dedicated account manager pulls 90 days of denials, AR, and charge-capture gaps from your Tebra PM. DEXA classifies every denial by CARC/RARC code and root cause. Lost revenue gets mapped before a single claim moves through us.
Step 2.
Secure Platform Access
Assigned billers receive encrypted Tebra logins under a signed BAA per 45 CFR § 164.502(e). Role-based permissions stay under your control. PHI never leaves your Tebra environment, and access logs stay auditable.
Step 3.
Workflow Build for Your Practice
SOPs map to whether you run a solo practice, a multi-specialty group, or a medical billing company on Tebra. Scrubbing rules rebuild per payer, and charge-capture checks lock into the daily workflow. Diagnosis-preservation rules get set before the first claim.
Step 4.
Claims Go Live
Day fourteen, the account manager hands off to the production team. Certified coders start working charges alongside CODIN. Every claim runs dual-pass scrubbing, Tebra's rules plus Transcure's payer-tuned logic. First-pass acceptance reaches 99% from week one.
Step 5.
Monthly Performance Reviews
Denial trends, AR days, and net collections get reviewed monthly against specialty medians. Payer rule changes and CCI, MUE, LCD, and NCD updates push into your Tebra account in real time. Performance never drifts.
Credentials Behind Your Tebra Billing Team
Every biller assigned to your Tebra account holds AAPC or AHIMA coding credentials, backed by ISO and HIPAA compliance across the operations team. Coding standards from CMS and submission rules from Aetna, BCBS, and UnitedHealthcare stay current across every specialty we bill.
Our Success in Numbers
Should You Use Tebra Managed Billing or Outsource to Transcure?
Tebra Managed Billing is Tebra’s in-house RCM service, run by their team on the same platform your practice already uses. It works for practices that want billing off their plate. The tradeoff is a shared staffing model and a service built to run the platform as-is. Here is how it compares to Transcure on the factors that decide how much you collect.
Factor
Team Assignment
Diagnosis-Data Protection
Charge Capture
Denial Recovery
AI Automation
Tebra Managed Billing
Shared RCM team across many accounts
Runs on the platform that deletes data during payer transitions
Bills the charges that reach the system
Standard denial workflow
Not offered as a distinct layer
Transcure
Named billers and coders dedicated per practice
Actively preserves and rebuilds diagnosis data before claims submit
Audits every superbill against the schedule daily to catch missed charges
Multi-level appeals classified by CARC/RARC and root cause through DEXA
ELIXA, PRIA, CODIN, and DEXA run across the full revenue cycle
Which Specialties Does Transcure Cover With Tebra and Kareo Billing?
From primary care and cardiology to pain management, orthopedics, and OB-GYN, Transcure handles Tebra and Kareo billing across more than 40 specialties. Coders who work your specialty daily bring the modifier logic, prior auth rules, and payer-specific coding patterns each one demands, built into every account on the platform.
You Are Paying for the Full Tebra Platform. Use All of It.
Most practices use a fraction of what Tebra can do. The scrubbing rules sit at default. The reporting goes unread. Patient Collect never gets switched on. After the Kareo-to-Tebra transition, the platform grew, and the time to master it did not. So revenue leaks through features you already pay for every month.
Transcure runs the whole platform, not a corner of it. Every claim edit, denial workflow, and payment tool gets configured and worked the way it was built to run. You stop leaving money inside software you already own.
Why Tebra and Kareo Practices Choose Transcure?
Practices pick Transcure because every commitment to your Tebra account, like staffing, platform coverage, pricing, and compliance, gets built into how we work, not into a pitch. Six things set Transcure apart from generic billing partners.
A Dedicated Account Manager Per Practice
Every escalation, review, and workflow change on your Tebra account runs through one assigned manager. No shared inbox. No ticket queue.
AAPC and AHIMA Certified Billers and Coders
Billers on your account hold AAPC or AHIMA credentials with Tebra platform training. Generalist staff never touch your Kareo medical billing.
Charge Capture and Diagnosis-Data Protection
Every superbill gets audited daily, and diagnosis data stays intact through payer transitions. The revenue Tebra lets slip stays captured.
Pricing Under 5% of Collections
Flat percentage of what we collect. No onboarding fees, no contracts, no upcharges for coding, AR recovery, or appeals. Numbers scale down as you grow.
HIPAA Compliance With an Executed BAA
Every engagement opens with a BAA under 45 CFR § 164.502(e). PHI stays inside your Tebra environment, and access logs stay auditable.
Continuous Training on Tebra and Kareo Updates
When Tebra ships platform changes or payers shift rules, our billers train on the update before it reaches your account. Clean claims never stall.
What Kareo Practices Say After Moving Billing to Transcure?
Hear from providers and practice owners on how Transcure recovered lost charges, cleared aged AR, and got their Tebra billing running at full capacity.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions About Tebra and Kareo Billing Services
These are the questions practices ask most before moving their Tebra or Kareo billing to Transcure.
Do you still support practices running on Kareo?
Yes, Kareo is now Tebra, but the core billing and EHR workflows practices relied on are still there under the new brand. Transcure supports your account whether you still call it Kareo or have moved fully to the Tebra interface. Kareo medical billing accounts and newer Tebra accounts run through the same certified team and the same processes.
Will moving to Transcure disrupt our Tebra setup or force a switch?
No, your Tebra platform stays exactly as it is, and no migration is required. Transcure logs into the account you already run and works the revenue cycle inside it. Providers keep charting in Tebra Clinical, billing stays in Tebra PM, and nothing about your daily workflow changes. We work around your practice, not on top of it.
How is Transcure different from Tebra Managed Billing?
Tebra Managed Billing runs on the same platform that creates gaps like diagnosis-data deletion and missed charge capture. Transcure actively closes those gaps — preserving diagnosis data through payer transitions and auditing every superbill daily. You also get named billers per account instead of a shared RCM pool, plus multi-level denial appeals and AI agents across the full cycle.
What does Transcure charge for Tebra and Kareo billing services?
Pricing sits at 5 percent of monthly collections, with no onboarding fees, no long-term contracts, and no upcharges for coding, AR recovery, or appeals. The percentage gets fixed in the engagement letter and scales with what we actually collect. Coding, charge capture audits, and denial appeals all sit inside that one number.
Can Transcure fix the charge capture and claim problems we already have?
Yes, onboarding opens with a 90-day audit that maps uncaptured charges, deleted diagnosis data, denied claims, and aged AR across your Tebra account. Recovery work starts on the backlog while new claims run clean through daily superbill audits and payer-tuned scrubbing. Most practices see first-pass acceptance reach 99% within the first month.
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