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Tebra (Kareo) billing services

Tebra billing services from Remitwright put a dedicated biller inside the practice management system that used to be called Kareo.

See where claims are getting stuck. No patient data needed.

Tebra describes itself as built on the strength of Kareo and PatientPop, and its help center states that Kareo and PatientPop are now Tebra, so the screens are the ones your team knows. The biller is a user you create on the Biller web role and works your account: charges, claim processing reports, ERA posting, the ERA Errors tab, denials and patient balances. The work stays in Tebra; a person joins it. See the full list of billing software we work in, by type.

Independent: Remitwright is not affiliated with or endorsed by Tebra. Tebra (Kareo) is a trademark of its owner, named here to describe the system we work in.

Last reviewed by the Remitwright billing team. Editorial policy

  • EHR and practice management

Every day

What your biller does in Tebra (Kareo) every day

  • Enter charges for every signed visit, matched against the schedule, with the rendering provider, place of service, codes and modifiers the payer expects; an unsigned visit goes back to the provider with its date on it
  • Work the claim processing reports Tebra routes to the practice: its own validation report, the clearinghouse acknowledgements and rejections, and the payer's responses, then fix the registration or payer setup that keeps producing the same rejection
  • Check claim status on anything a payer has not acknowledged, and resubmit with the clearinghouse acceptance on file where a claim went missing between Tebra and the payer
  • Post ERAs from Encounters, Clearinghouse Reports, Electronic Remittance tab, checking the auto-populated lines on the Apply tab of the New Payment from ERA window before the payment is saved
  • Clear the ERA Errors tab: a remittance line Tebra could not match to a claim, or one with duplicate or unbundled data, is applied by hand on the Apply tab until nothing is left unapplied, or taken back to the payer with a question
  • Work the denials, reversals and underpayments that ERA posting flags, by payer and age bucket, with the CARC and RARC and a dated note left on the claim for each action
  • Keep the insurance and payer settings current, so the payer-specific rules Tebra applies before submission catch your payers' habits and not only the common errors
  • Verify eligibility ahead of the schedule for patients whose coverage changed, and leave the copay and deductible position where the front desk can see it
  • Review patient collections status before statements go out on the cycle you choose, so a patient is billed only for the balance the remittance leaves
  • Read the payout report and the claim and collections status views and build the one-page weekly report, with each number defined once so it means the same thing every week

Access

Access and security

Your data, your systems

Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.

  • BAA signed before any access
  • A user you create and can remove
  • MFA on every login that supports it
  • No claim files or patient lists exported
How access works

In Tebra (Kareo)

  • Tebra has six web user roles: System Admin, Provider, Clinical Assistant, Office Staff, Biller and Business Manager. Your biller is created on the Biller role, which Tebra gives charge entry, claim status, patient collections status, the payout report and the practice and insurance settings, without clinical permissions such as managing clinical information or viewing notes
  • Your System Admin stays the owner of access. Tebra's user management guidance makes understanding each user's level of access the System Admin's job, points to the HIPAA minimum necessary standard, and notes that a billing user without clinical or admin permissions cannot open modules such as Clinical
  • We work in your practice account as a user you create, not through a multi-practice billing account of ours, so every claim, note and payment the biller touches stays in your data
  • The BAA is signed first and the user is created second; multi-factor authentication is on for the login wherever the account offers it, and you can disable the user whenever you decide to
  • Claims leave through Tebra's own connection and reports are read inside Tebra; claim files, remittances and patient lists are not exported into systems of our own

Where the biller steps in

What Tebra (Kareo) does not do, and the biller does

  • Auto-posting places what it can match. A remittance for a claim billed in another system or through a payer portal, or a claim with duplicate or unbundled lines, opens on the ERA Errors tab, and a person applies it by hand

  • Payer-specific rules catch what they have been given. A Medicaid managed care plan's taxonomy requirement or a behavioral health plan's telehealth modifier that is not yet in those rules is learned from the first rejection, written into your payer notes and checked before each release

  • An underpayment only shows when someone compares the allowed amount on the ERA with your contracted rate for that code; the biller keeps those rates loaded and runs the comparison line by line

  • Appeals with records attached, peer-to-peer requests and payer portal reconsiderations are done outside Tebra and logged on the claim afterwards

  • The Biller role does not include Billing Analytics, which Tebra gives to the System Admin and Business Manager roles. If you want those charts in the weekly report, your System Admin grants the permission or shares the views

Questions

Questions about billing in Tebra (Kareo)

Our account still says Kareo. Is that the same thing?

Yes. Tebra describes itself as built on the strength of Kareo and PatientPop, and its help center states that Kareo and PatientPop are now Tebra. The billing screens, the claim processing reports and the user roles are the ones you have been using.

Which Tebra user role does your biller need?

The Biller web role. Tebra describes it as the role for office staff responsible for billing tasks, with permission to manage charge entries, view claim status, patient collections status and the payout report, and manage practice and insurance settings. We also ask for logins to the payer portals you work outside Tebra. The BAA is signed before any of it is set up.

Where do rejections and remittances show up in Tebra?

Inside Tebra. After e-claims go out, Tebra routes three layers of claim processing reports to the practice: its own validation report, the clearinghouse's acknowledgements and rejections, and the payer's responses before adjudication. ERAs arrive under Encounters, Clearinghouse Reports, so the biller works from one set of screens and reconciles them against your payer remittances.

How are remittances posted?

Through Tebra's ERA path: Encounters, Clearinghouse Reports, the Electronic Remittance tab, then Post Payment. Tebra's posting handles denials, reversals, underpayments and overpayments as part of the flow, and what it cannot place opens on the ERA Errors tab. The biller works that tab down and records why each item was there.

Do you set up a billing-company account in Tebra?

No. Tebra markets its billing software to in-house billers, practices that outsource and billing companies, and offers billing companies one dashboard across their clients. We do not use that setup. Your biller is a user inside your practice account, and the practice remains the only owner of its data.

Do we have to change our Tebra subscription to bring you in?

No. Remitwright works inside the software you already run, as a dedicated biller on a login you issue, and you do not have to add or cancel anything with Tebra to bring us in.

Can you take over from an in-house biller who is leaving?

Yes, and the handover is easiest while they are still on payroll. The switching plan lists what moves and in what order, the departing biller's open items are listed with an owner, and the worklists stay covered through the handover.

What do you report, and from where?

From the payout report and the claim and collections status views the Biller role can open: charges, payments, adjustments, denials by reason and payer, and aging by bucket. Each figure on the weekly page is defined once, in writing, so the number you see in March means the same thing in September.

Next step

See where claims are getting stuck. No patient data needed.

Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside Tebra (Kareo).

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works