EMR Comparison
Krasyn vs. Tebra
Tebra bundles three separate module fees — EHR, billing, and patient engagement — and charges extra for AI notes. Krasyn includes ambient AI, telehealth, and the patient portal in a single published price.
Feature Comparison
A side-by-side look at how Krasyn and Tebra stack up on the features that matter most to outpatient clinicians. “Q4 2026” marks items on Krasyn's active roadmap — not yet shipped.
| Feature | Krasyn | Tebra |
|---|---|---|
| AI ambient SOAP notes (real-time during encounter) | Included | Partial / Add-on |
| Real-time E/M level coding suggestions | Included | Included |
| ICD-10 code suggestions during documentation | Included | Included |
| Billing code confidence scoring | Included | Included |
| Purpose-built for outpatient medicine | Included | Included |
| DPC / membership practice billing | Included | Not included |
| Practice-level pricing (no per-seat lock-in) | Included | Not included |
| Free tier available | Included | Not included |
| Telehealth built-in | Included | Included |
| Patient portal included | Included | Included |
| FHIR R4 interoperability | Included | Partial / Add-on |
| Lab ordering & results review | Included | Included |
| Standard e-prescribing | Q4 2026 | Included |
| EPCS (controlled-substance e-Rx) | Q4 2026 | Included |
| Care plan management | Q4 2026 | Partial / Add-on |
| Custom analytics & reports | Q4 2026 | Included |
| Structured data migration support | Included | Partial / Add-on |
| Typical time to go live | 4–8 weeks | 4–8 weeks |
| Signup process | Sign up online, no call needed | Demo call required |
Competitor feature data sourced from public documentation and third-party reviews as of August 2026. Contact us if anything is out of date.
Pricing Comparison
Krasyn publishes its prices. No quote required to get started.
Krasyn
AI scribe for one clinician: 10 AI-drafted notes each month. No patient chart required.
For 1–15-provider non-prescribing therapy, counseling, and behavioral health practices.
For 1–3-provider medical practices after a readiness review.
For 4–15-provider medical practices after a readiness review.
Tebra
Tebra does not publish fixed pricing. Reported estimates from third-party sources for the clinical EHR module alone. Full-stack pricing (Clinical + Billing + Engage) requires a custom quote.
Revenue cycle management is a separate module. Bundling Clinical, Billing, and Engage modules may apply a discount but significantly increases the per-provider cost.
Patient engagement and reputation management tools are priced separately from the EHR. Practices that want the full Tebra stack pay for all three modules.
AI-assisted documentation is not included in the base Tebra EHR — it is a separately priced add-on as of mid-2026.
Why Physicians Switch from Tebra
Three recurring pain points we hear from practices exploring a move away from Tebra.
Paying three module fees for a single patient encounter
Tebra's architecture separates the EHR (Clinical), billing (Billing), and patient communication (Engage) into three separately billed modules. A practice that wants documentation, claims, and patient messaging is assembling three per-provider monthly fees — plus the AI documentation add-on if ambient scribing is wanted. The bundled total frequently surprises practices that evaluated Tebra based on the Clinical module price alone.
Krasyn's answer
Krasyn publishes a single per-provider price that includes AI documentation, telehealth, and the patient portal. The Founding Starter plan at $249/provider/mo and Growth at $429/provider/mo bundle these features without per-module assembly. What you see is what you pay.
Kareo-to-Tebra transition created support friction
The 2023 merger of Kareo and PatientPop into Tebra combined two distinct product teams and customer bases into a single brand still completing its integration. Practices that were on Kareo report inconsistent experiences during the transition — product UI changes mid-contract, re-onboarding into Tebra systems, and support channels that remained split between legacy Kareo and new Tebra teams for months.
Krasyn's answer
Krasyn is one product with one support team and no recent merger to navigate. The platform, billing, and support operate from the same organization with no brand consolidation in progress.
No support for DPC or concierge membership billing
Tebra is built for fee-for-service billing. Direct Primary Care and concierge practices that need patient-level recurring membership charges cannot run that model natively in Tebra. DPC practices that use Tebra typically maintain a separate membership billing tool alongside the EHR — adding vendor overhead and reconciliation work.
Krasyn's answer
Krasyn includes DPC and concierge membership billing natively. Recurring patient charges, panel management, and membership financial reporting are built into the platform — no separate subscription or integration required.
What Makes Krasyn Different
AI-native SOAP notes
Ambient AI drafts structured clinical notes during the encounter — HPI, ROS, assessment, and plan — grounded against the visit transcript. Providers review and sign; they do not dictate or type from scratch.
Real-time E/M + ICD-10 coding
As the note is drafted, E/M level and ICD-10 codes are suggested with confidence scores and supporting context — surfacing undercoding opportunities before the encounter closes.
DPC-first pricing
Krasyn was designed around the economics of independent outpatient medicine — including Direct Primary Care. Membership billing is built-in, not an add-on.
No per-seat lock-in
Krasyn bills at the practice level, not per provider seat. Add a covering physician, a PA, or a nurse practitioner without a pricing cliff.
Frequently Asked Questions
What is the difference between Tebra and Kareo?
Tebra is the brand created by the 2023 merger of Kareo (EHR and practice management for independent practices) and PatientPop (patient engagement and reputation management). Kareo's EHR product and Tebra's Clinical module are the same underlying system, rebranded. Practices that were on Kareo were migrated to the Tebra platform.
How does Krasyn pricing compare to Tebra?
Tebra does not publish fixed pricing — a custom quote is required. Third-party estimates place the Clinical EHR module at $149–$299 per provider per month, with additional fees for Billing, Engage, and the AI notes add-on. Krasyn publishes a $0 Free tier, Therapy Practice at $79/provider/mo, Founding Starter at $249/provider/mo, and Growth at $429/provider/mo. All Krasyn plans include AI documentation, telehealth, and the patient portal without separate add-ons.
Can I migrate patient data from Tebra (or Kareo) to Krasyn?
Yes. Krasyn supports structured migrations from Tebra and Kareo using FHIR R4 export paths and direct data extraction for demographics, active medications, problem lists, allergies, clinical notes, lab results, and scheduling history. A pre-migration assessment scopes what is available in your specific Tebra configuration before timeline commitments are made.
Does Tebra support DPC practices?
Tebra is designed for fee-for-service billing and does not natively support DPC membership billing — recurring patient-level charges for panel-based practice models. DPC practices using Tebra typically pair it with a separate membership billing tool. Krasyn includes membership billing natively, making it a more complete platform for DPC and concierge medicine practices.
Is Krasyn a Tebra competitor or a replacement?
Krasyn is an alternative worth evaluating if you are in a Tebra renewal decision or looking to move away from Kareo/Tebra. The main differentiators are Krasyn's ambient AI documentation (bundled, not add-on), native DPC membership billing, and practice-level pricing transparency. For practices that rely heavily on Tebra's RCM module, a fit review will clarify where Krasyn fits today and where a billing partner may still be needed.
Compare Krasyn with other EMRs
Ready to see Krasyn for yourself?
Plans that store patient records are open for sign-ups, with our standard HIPAA Business Associate Agreement presented for review and electronic acceptance inside your workspace. Prices above are unchanged.