name: Kareo FinOps
description: >-
  Financial operations considerations for teams integrating with the Kareo
  (Tebra) APIs. API access is bundled with the platform subscription and
  is not sold as a standalone product. Cost management for API integrations
  is primarily tied to the underlying platform subscription model, which is
  priced per clinical provider.
url: https://www.tebra.com/pricing
cost_model:
  type: Subscription-bundled
  description: >-
    API access is included as part of the Tebra platform subscription.
    There are no separate per-call, per-request, or metered API fees.
    Platform pricing is per clinical provider per month on a quote basis.
  billing_unit: Per clinical provider per month
  pricing_visibility: Quote-based (not publicly listed)
  contact: "(866) 938-3272 or https://www.tebra.com/demo"
cost_drivers:
  - name: Provider Count
    description: >-
      The primary cost driver is the number of prescribing clinical
      providers (MD, DO, NP, PA) using the platform. Each provider
      requires a separate subscription.
    impact: High
  - name: Feature Modules
    description: >-
      Cost varies by which platform modules are selected: EHR,
      Billing, Patient Experience, Marketing, or the full
      Practice Automation bundle.
    impact: High
  - name: Claim Volume
    description: >-
      Scaled pricing is available for low-volume providers with
      100 or fewer claims per month.
    impact: Medium
  - name: EPCS Setup
    description: >-
      Electronic Prescribing of Controlled Substances (EPCS) setup
      is a one-time fee of approximately $75 per provider.
    impact: Low
    fee_type: One-time
  - name: PDMP Integration
    description: >-
      Prescription Drug Monitoring Program integration costs
      approximately $500 one-time per facility plus $50 per
      user per year.
    impact: Low
    fee_type: One-time plus annual
optimization:
  - strategy: Bundle Negotiation
    description: >-
      Practices that adopt multiple modules (EHR + Billing +
      Patient Experience) often qualify for bundled pricing
      or volume incentives. Negotiate a comprehensive contract
      upfront to reduce total cost.
  - strategy: Provider Count Management
    description: >-
      Because billing is per prescribing provider, ensure only
      prescribing clinicians (MD, DO, NP, PA) are counted.
      Non-clinical staff access is unlimited at no additional cost.
  - strategy: Low-Volume Scaling
    description: >-
      Practices with 100 or fewer claims per month should
      request scaled pricing from Tebra sales to reduce costs.
  - strategy: API Polling Efficiency
    description: >-
      Since there are no per-call fees but the terms prohibit
      excessive usage, design integrations to poll at recommended
      5 to 15 minute intervals and batch data retrieval to
      minimize API calls and avoid policy violations.
notes:
  - No metered or consumption-based API pricing exists
  - All API costs are embedded in the platform subscription
  - Volume discounts and multi-year agreements may reduce total cost of ownership