# Tebra

> Tebra is a healthcare technology company providing an all-in-one operating system
> for independent medical practices - EHR, practice management, medical billing,
> patient engagement, and practice growth. Tebra was formed from the 2021 merger of
> Kareo (practice management/billing) and PatientPop (practice growth).

No `/llms.txt` was found published by Tebra (checked https://www.tebra.com/llms.txt,
404). This file is GENERATED by API Evangelist from Tebra's own published API
documentation and OpenAPI artifacts as a faithful summary, not copied from Tebra.

## Docs

- [API and Integration overview](https://helpme.tebra.com/Tebra_PM/12_API_and_Integration): Tebra help center's API/integration landing page.
- [MACRA / developer site](https://www.tebra.com/macra): ONC / 21st Century Cures Act patient-access page linking both API guides.
- [General API Documentation (PDF, Oct 2023)](https://www.tebra.com/wp-content/uploads/2023/10/General_API_Documentation-Tebra.pdf): the X-Api-Key REST "Clinical Data API" reference.
- [FHIR API User Guide (PDF, May 2025)](https://www.tebra.com/wp-content/uploads/2025/05/Tebra-FHIR-API-User-Guide.pdf): the SMART on FHIR API reference (current).

## APIs

- **Tebra FHIR API** (SMART on FHIR, HL7 FHIR R4, US Core STU3 3.1.1, USCDI v1) - live, hosted on
  SmileCDR at `https://fhir.prd.cloud.tebra.com/fhir-request`. Read (Search + Read) access to Patient,
  AllergyIntolerance, CarePlan, CareTeam, Condition, DiagnosticReport, DocumentReference, Encounter,
  Goal, Immunization, Device, Observation, Location, Medication, MedicationRequest, Organization,
  Practitioner, PractitionerRole, Procedure, and Provenance. No fee for patient-facing read access.
  OAuth 2.0 (SMART): authorize at `/smartauth/oauth/authorize`, token at `/smartauth/oauth/token`
  (3-legged authorization-code for user-facing apps, 2-legged client-credentials for backend apps).
  Developer registration: https://fhir.prd.cloud.tebra.com/appsphere/portal/#/login
- **Tebra Clinical Data API** (REST, X-Api-Key) - documented at `https://api.tebra.com/clinical/v1/api`
  per Tebra's own Oct 2023 PDF, but that host currently fails DNS resolution (NXDOMAIN as of 2026-08-14).
  Covers a similar USCDI clinical resource set for a single authenticated patient.
- **Tebra SOAP Practice Management API** (the former Kareo Integration API) - `https://webservice.kareo.com/services/soap/2.1`,
  WSDL at `.../KareoServices.svc?wsdl`. Partner/administrator-gated. Covers patients, appointments,
  providers, practices, service locations, procedure codes, charges, encounters, payments,
  transactions, and document attachments. Polling only (no push); Tebra recommends 5-15 minute cadence.

## Optional

- [Security](https://www.tebra.com/security): Tebra's PCI DSS / HIPAA compliance statements.
- [Tebra on LinkedIn](https://www.linkedin.com/company/tebra)