specification: FinOps Framework
specificationVersion: '1.0'
schema: https://www.finops.org/framework/
provider: Tebra
providerId: tebra
created: '2026-07-10'
modified: '2026-07-10'
reconciled: false
tags:
- Healthcare
- Practice Management
- EHR
- Medical Billing
- FinOps
- Cost Management
- FOCUS
description: >-
  FinOps view of Tebra API spend. Tebra (formerly Kareo + PatientPop) does not
  bill its APIs on a metered, usage-based basis. The SOAP Practice Management API
  is a capability of a Tebra platform subscription, which is quote-based and
  priced per provider per month by module (EHR, practice management, billing,
  growth); the dominant, controllable cost is therefore the seat/provider count
  and module mix rather than API call volume. Payment processing fees and certain
  integrations (for example e-prescribing / PDMP add-ons) are billed separately.
  The Clinical Data (patient-access) API is provided at no cost to patients under
  federal information-blocking rules and carries no line-item charge.
notes: >-
  Because API access is bundled into the platform subscription, model Tebra cost
  around provider seats and enabled modules, not per-request pricing. Reconcile
  actual rates and any partner onboarding fees with Tebra sales. Payment
  processing (reported approx. 2.75% + $0.30 card-present, 3.25% + $0.30
  card-not-present) is a separate charge category from software subscription.
sources:
- https://www.tebra.com/pricing
- https://helpme.tebra.com/Tebra_PM/12_API_and_Integration
- https://focus.finops.org/focus-specification/v1-3/
alignedWith:
  framework: FinOps Foundation Framework
  frameworkUrl: https://www.finops.org/framework/
  dataSpec: FOCUS
  dataSpecVersion: '1.3'
  dataSpecUrl: https://focus.finops.org/focus-specification/v1-3/
publisherName: Tebra
serviceCategory: Healthcare Practice Management and EHR
billingModel:
  pricingCategory: Subscription-Based
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
  - Usage
  - Purchase
meters:
- name: provider_seats
  description: Provider seats on the Tebra platform subscription that grants API access; the primary cost driver.
  unit: providers
  aggregation: sum
  dimensions:
  - account
  - module
- name: enabled_modules
  description: Modules enabled (EHR, practice management, billing, growth) that determine subscription price.
  unit: modules
  aggregation: sum
  dimensions:
  - account
- name: payment_processing
  description: Card payment processing fees charged on collected patient payments, separate from subscription.
  unit: transactions
  aggregation: sum
  dimensions:
  - account
principles:
- name: Visibility
  description: Track provider seat count and enabled modules; API usage itself is not separately invoiced but drives operational value.
- name: Allocation
  description: Map provider seats and modules to practices / cost centers; separate software subscription from payment-processing fees.
- name: Optimization
  description: Right-size provider seats and modules to actual need; batch and cache SOAP polling (5-15 min) to avoid unnecessary integration compute rather than to reduce a per-call fee.
- name: Accountability
  description: Assign an owner for the Tebra subscription and any partner integration agreement; review module mix and payment-processing rates periodically.
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com