name: Kareo API Rate Limits
description: >-
  Kareo (Tebra) does not publish explicit numeric rate limits in public
  documentation. The API Terms of Use prohibit excessive or abusive usage
  and state that developers cannot exceed or circumvent limitations on access,
  calls, and use of the Tebra API. Polling intervals and best practices
  for integration are documented in the API Integration User Guide.
url: https://helpme.tebra.com/01_Kareo_PM/12_API_and_Integration
limits:
  - type: Polling Frequency
    description: >-
      Tebra recommends polling at 5 to 15 minute intervals for refreshed
      data. More frequent polling is discouraged to avoid degrading
      service performance.
    recommended_interval: "5-15 minutes"
    scope: Per integration
  - type: Abuse Prevention
    description: >-
      The Tebra API Terms of Use prohibit excessive or abusive usage
      that disrupts or degrades the performance of the Tebra API.
      Developers must not exceed or circumvent limitations on access,
      calls, and use of the API.
    scope: All API requests
    enforcement: Account suspension or API key revocation
policies:
  - name: No Webhook Push Support
    description: >-
      The Kareo SOAP API does not support HL7 or webhook push
      functionality. All data retrieval must be initiated by polling
      from the integration client.
  - name: Customer Key Required
    description: >-
      All API requests require a Customer Key in addition to standard
      login credentials. The key is issued per integration by a
      System Administrator and restricts the scope of accessible data.
  - name: HIPAA Compliance
    description: >-
      All API integrations must comply with HIPAA regulations and
      implement reasonable security measures to protect patient data.
notes:
  - No publicly documented numeric rate limits (requests per minute or per day)
  - Contact Tebra support for integration-specific rate limit guidance
  - Support requests submitted via the Customer Care Center at helpme.tebra.com