Tebra vs Azalea Health

Fusion

Carepatron

Alleva

Fusion is an EMR for OT, PT, & SLP practices with features for scheduling, documentation, billing, insights, tasks, compliance, & more

All your healthcare work in one place: Notes, Clients records, Appointments, Billing, Payments, Transcription, Communication & more.

Our state-of-the-art platform will take your center into the 21st century and streamline the entire process of EMR. Our platform provides more efficient workflows, reducing burn-out, and improving the quality of care. Insights offers real-time data for better business decisions and easier reporting.

Tebra helps medical providers optimize clinical processes by handling administrative tasks so that doctors can focus on patient care

Tebra is popular with physician practices with 1-10 providers and medical billing companies with 1-100 providers.

HIPAA Compliant

Charting

Medical Billing

Claims Management

E-Prescribing

Document Management

Confirmations/Reminders

Secure Messaging

Patient Portal

Initial Assessments

By industry, Tebra reviewers are most commonly professionals in medical practice (49%). The most frequent use case for Tebra cited by reviewers is electronic medical records (34% of reviewers).

Users and use cases

Some users say Tebra offers affordable pricing and bundled features, and they appreciate transparent fees and flexibility. However, some users report high termination costs, unexpected price increases, and frustration with hidden fees and complicated cancellations.

Value for money

Tebra is a medical practice management solution offering key features such as charting, billing and invoicing, HIPAA compliance, e-prescribing, and patient records management, among others.

Open Source

Tebra

Web-based

Windows

iPad

iPhone

Basic

Process Associate

I Love Tebra, as I daily download ERA's from here and post them in our software, this give easy access to day-to-day ERA's and show in categorical wise and provides reviewed and Un reviewed ERA's.

Additionally, the patient record system for processing payments needs improvement to facilitate easier payment collection. Since we are already being charged for the system and other fees, I don't understand why there are additional charges for collecting payments.

Medical Administrative Assistant

I gave it 1 star down for not having a "patient intake form" alert to reflect that the forms were sent and received back - instead you have to navigate all the way to engage to find out.

ARNP

Calendar appointments are often inaccurate, and the mobile app does not sync reliably, which means appointments frequently do not appear in the app.

Owner

There isn't a way to create minor portal access for parents, so since I see whole families, parents are having to create a new email account for each child.

Physician

Clean design, patient portal, online scheduling, intake forms, my onboarding manager [sensitive content hidden]-

You can't sync your patient schedule to your personal schedule, and the mobile app and the web app schedules don't sync.

Credentialing Executive

Occasionally, I’d like to see more customization options for reporting, especially when pulling credentialing data for payers.

office manager and biller

The reports do not run like I would like them to.   When you have to give someone a list of charges and payments for their HSA card information the patient does not understand what it says.   When I run statements...

Provider

The support that Tebra provides to its customers is beyond top notch, they have never waivered in exploring and networking to find an answer to a question or locating who has what is needed to solve a problem.

Billing

Tebra makes data entry very easy and a breeze, not only getting patients data entered, but also with billing and claims.

Regarding the rejected claim notifications, there should be an easier way to understand why a claim was rejected and how to resolve the issue.

Nurse Practitioner

Wish they had more templates and forms that can be easily altered/edited to suite my business needs.

Medications don't populate under the right diagnoses. If you want them to, then you can't send multiple prescriptions at a time.

The experience of calling customer services looks like- inconsistent levels of experience, half the time like talking to a bot who barely understands the EMR at a basic level.

Messaging functions are also inconsistent — for example, patients do not always receive cancellation notifications.

Administrative Staff

My experience with Tebra was great starting with the user friendly interface, navigating across different features with the software wasn't stressful although I needed some minimal training to do so at first.

it also enhance communication within my practice and helps keeps patient information organised.

Office Manager

On a day to day basis, Tebra meets the need of my practice without any hassles and makes my day run so much better and more efficiently.

There isn't a way to share test documents and upload them to the test results.

Authorization and Billing Specialist

Our overall experience with Tebra has been nothing but positive, from the onboarding experience to the ease of communicating with patients and receiving payments from patients and insurance companies.

Administrator

This has taken our monthly payment from $300 per month to about $1700 per month for the past four months.

We switched our EMR provider who had integrated billing and we no longer were in need of Tebra's services.

Our office has 1 physician specialist, and we do everything in house including billing.  

Tebra University as a support and training tool is invaluable and always available to help us navigate what is new to us.

Owner Administrator

Their clearing house stops claims and never notifies you so the problem can be resolved.

Pediatric Neurologist

We have been using Tebra (formerly Kareo) since we opened our clinic in 2020, going on to 6 yrs now and loving it for multiple reasons:

owner

The system can't really be used with your phone. When they try to imrpove the system it becomes progressively worse.

Chiropractor

The ability to create text shortcuts and create a note with tremendous speed.  

VICE PRESIDENT OFFICE MANAGER

I like that we can navigate the Tebra system with ease when it comes to charting notes and scheduling out telehealth patients.

The interface is clean and intuitive, which saves our administrative team a lot of time.

This is so much more than value for the money, ease of record keeping and interface, or managing patient accounts and records.

PMHNP-BC

The administrators lack knowledge in setting up the ERAs and EDIs and they rely only on a few "specialists" who barely communicate with the clients. When they open a "ticket," they close the cases without actually solving the problem.

APRN

It would be better if there was a sliding scale based on volume of use.  

Owner and Provider

The billing section has been the most difficult, but I attribute that to my lack of experience rather than the program itself.

It is also difficult to have a telehealth-only practice in multiple states.

Medical Assistant

Seeing who scheduled what and also fax confirmations for outgoing referrals. - would like to have those things implemented.

The other half you get someone good, who problems solves with you but ultimately cannot fix the issue & has to summit a case.

Value for my money, I am a new independent provider and starting up as a new business owner requires a bit of financial prowess.

PMHNP

We value our partnership  However, timely and effective resolution of this matter is critical to maintaining that confidence.

Very organized, a layout as neat and color as tebra makes workflow much easier.

Health Provider

The desktop app for billing in Tebra could be improved, as it’s not very intuitive and can be difficult to understand

We have been bounced around from customer service representative to representative with no clear path or communication forward.

I really appreciate how easy it is to manage group rosters and provider information in Tebra.

User Interface of Tebra should be more interactive as it is more like old traditional one.

Persistent issues with eLab order integration that have remained unresolved for the past six months.

APRN, owner

The calendar is not able to be integrated into my Google Calendar.  

Founder

I was unable to complete the on boarding because I couldn’t open the business in time so my “onboard time expired “and then all I could do was send messages through the case logs.  

Outpatient Therapist

My client's or patient's enjoy that the link gets sent to them.

Tebra keeps on getting better, as they listen to the users' feedback and act on it without hesitation leading continued to continued improvements and overall satisfaction

User Interface

Appointment Scheduling

Email Communication

Claims Processing

Patient Management

Customer Support

Website Templates

Practice Management

Staff Management

Unreliable medication workflows

The fact that medications will often not be sent to the pharmacies even though we sent in a request.

it went down for three weeks, thats right three weeks in May and no one responded from the company other than "we are working on it", we were left helpless, we couldnt send medications or even practice medicine.

77% of reviewers feel negative about Medication Management. Some users report frequent failures with electronic prescribing, including issues sending prescriptions to pharmacies, problems with controlled substances, and system glitches that disrupt medication renewals. Reviewers indicate that the process is cumbersome, often requiring manual workarounds or repeated attempts. They say the lack of reliable communication with pharmacies and difficulties managing multiple prescriptions lead to frustration and inefficiency. Users also mention that missing features, such as medication tracking and document attachments, hinder effective patient care.

Slow and ineffective phone support

75% of reviewers feel negative about Phone Support. Users frequently mention long hold times, unreturned calls, and difficulty reaching knowledgeable representatives. Some reviewers say problems often remain unresolved after multiple calls, and support staff may lack the expertise to address specific issues. They also report frustration with automated phone systems and inconsistent follow-up from the support team. Many feel that the lack of timely and effective phone assistance disrupts their workflow and leaves critical issues lingering.

Aggressive and misleading sales tactics

Clinician 

SENSITIVE CONTENT] , success coach and sales manager [SENSITIVE CONTENT]  were equally horrible as they would trick you into contract then deceive you into paying $$$$$$ to end contract so they can suck your money against your will.

MD/Ownder

Of course that is not the case though. If there product was good, they would probably offer a free trial or money back guarantee - Instead, the business model is clearly that of a company that preys on small businesses.

61% of reviewers feel negative about Sales and Marketing. Some users report feeling misled by sales representatives, citing unfulfilled promises, aggressive upselling, and hidden costs. Reviewers mention that advertised features may not match actual functionality, and contract terms can be restrictive or unclear. They also express dissatisfaction with post-sale support, stating that communication drops off after purchase and that resolving issues often requires additional payments. Many feel that the sales approach prioritizes revenue over customer needs.

Persistent software glitches

74% of reviewers feel negative about Bugs and Issues. Some users describe recurring technical problems, such as system crashes, server outages, and error messages that disrupt daily operations. Reviewers say that bugs often remain unresolved for extended periods, even after being reported. They express frustration with slow response times from technical support and the need for frequent workarounds. Users also mention compatibility issues between different versions and platforms, which can further complicate usage and reduce overall reliability.

Delayed and ineffective email support

provider/owner

All I get from Tebra are emails talking about more products, but when I email problems and frustrations those seem to get lost in the "mail".

59% of reviewers feel negative about Email Communication. Users say email responses from support are often slow, generic, or unhelpful, with some cases closed without resolution. Reviewers report difficulty tracking messages, inconsistent follow-up, and a lack of clear answers to technical questions. Some mention problems with automated notifications, account access, and messaging features that hinder communication with both support and clients. Many feel that email-based support does not provide the timely assistance needed to resolve urgent issues.

Robust feature set

79% of reviewers feel positive about Features. Users report that the software includes a wide range of features that support various practice needs, such as eligibility checks, document management, and customizable options. They appreciate that many features are included without extra charges and find the system adaptable for both basic and advanced use. Reviewers mention that the features help automate tasks, save time, and improve productivity. Some users also note that the platform is regularly updated with new features, enhancing its overall value.

Flexible remote access

77% of reviewers feel positive about Client Access. Users appreciate being able to access the system from any device with internet connectivity, including desktops, laptops, tablets, and smartphones. They say this flexibility supports remote work, allows for real-time updates, and helps maintain productivity outside the office. Reviewers also highlight the convenience of cloud-based access for both staff and clients, noting that it simplifies collaboration and information sharing. Many find that this accessibility is crucial for multi-location practices and on-the-go providers.

Comprehensive training resources

84% of reviewers feel positive about Training and Learning Curve. Reviewers indicate that the software offers a wealth of training materials, including videos, webinars, and live support, making it easy for new users to get up to speed. They value the ability to revisit tutorials for refreshers and appreciate the helpful onboarding process. Users find that training is accessible and effective, allowing staff to become productive quickly. Many say the intuitive design reduces the learning curve, and ongoing support is available when needed, which helps maintain efficiency.

Intuitive and simple navigation

Psychiatric Nurse Practitioner

All in one, Simple, Narrative yet customizable, user friendly, easy on the eyes, and very easy to learn and navigate.

92% of reviewers feel positive about Ease of Use. Users say the software is straightforward and easy to navigate, allowing them to quickly find information and complete tasks. They appreciate the clear layout, smooth workflow, and self-explanatory mechanics, which help reduce training time and make daily operations more efficient. Some users highlight that even those new to the system can learn it quickly, and many mention that it helps streamline their work. Reviewers also note that the user-friendly design benefits both individual users and teams when onboarding new staff.

Mid-size Business

Small Business

Freelancers

Large Enterprises

Azalea Health is a cloud-based suite with modules to help manage electronic health records (EHR), track revenue cycles, manage multiple practices & facilitate telehealth for hospital & ambulatory care settings. It is suitable for rural & community health care, including multiple specialty hospitals.

Patient Scheduling

Compliance Tracking

Communication Management

Proprietary

Azalea Health

Android

We requested to get out of the bogus 5 year contract because of all of the problems and breaches that they caused us but they of course wouldnt let us even though the person who signed it wasnt authorized to do so.  

Owner Surgeon

What was not explained was all of the add on fees that would be required to transition to this product and make it fit my needs.

The will not provide me with a readable version of my medical records and I have been locked out of 6 months of patient records for almost a year.

Insurance Advisor

I can request prescription to be delivered from a specific pharmacy straight to my home without going out.

Sales forward, but less than completely transparent with pricing.  

I can save my information and book appointments quickly without any hassle.

no customer service no personalized service.  

The price that I was quoted was within my budget.  

Slow to implement updates that were to be done in 2024.  

It is easy to use and keeps all information needed on file for patients.

Psychiatrist

It has resulted in MDs/NPs and other staff A 30% increase of our labor.

I am suing them over my medical records that were in their system for 6 months.

They they tried to get me to sign a gag order to not tell anyone what they did to my practice.

Office manager

Our error, we signed a 5 years contract with auto renewal.

Not good for small practices or specialist.

Now locked into paying for a program we can not use.

Told could retire and could end contract.

They were being paid to provide a full rcm product.

Do not hire this company or get involved with them in any way.

Billing Company Owner

When billing claims, you should not have to delete extra diagnosis that are listed in the record if it will only let you check 4 boxes it should only send 4 diagnosis not all that are listed.

Clinic Billing

The hospital I work for (in clinic billing) handles RHCs, office only, Wound Care, Part A  -AND-  Part B, labs, and almost everything else.  

Nurse

you  basically get what you pay for and they have went up on prices but not added much to compensate.

Practice Manager

Also get opinions from users to try to make changes to better the system.

Should get more for the cost, every little thing is extra, the base price has no perks....

When the information is put in the system correctly, it was very useful to have the patients full information at my finger tips.

Lately is also has a lot of lag time where the green button is red and tasks don't process quickly.

The support could be better if you could speak to a representative more often then being told to go to the support button and search for your solution.

Business Office Manager

Patient ledgers lack information that patients want such as the date of service.   

Registered Nurse

Sometimes in certain circumstances you have to manaully Save info or else you lose it if you fo get and navigate away.

Clinical Coord RN

Also they have not implemented recommendations to help the charting process and flow of our clinic

Behavioral Health Professional

Overall, I would say that Azalea is a good system, however, I feel that it is basic and there could be more details added for mental health tracking.

office manager

Slowness of the software, reports are not customizable as I would like.

Tebra vs Azalea Health Comparison (2026)

Tebra

Azalea Health

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives