5 Best Tebra alternatives for 2025

Tebra is widely known in the healthcare software world, especially among independent practices. It’s built to handle a bit of everything — EHR, billing, scheduling, patient messaging, and even front-desk market.

The platform brings together what used to be two separate tools — Kareo (EHR + billing) and PatientPop (patient acquisition & engagement) into a single system. That gives it a wide feature set for teams looking to simplify operations with fewer vendors and systems to manage. 

But not every practice needs the full package. Some find that Tebra’s all-in-one approach includes more than they actually use. Others prefer better specialty support or just a different user experience altogether. 

If you are on the same boat, this list is what you are looking for. Below, we’ve rounded up the best Tebra alternatives for 2025. Whether you want to replace your full tech stack or just one piece of it, there’s something here for every kind of practice. 

Why Consider an Alternative to Tebra? 

Here are a few reasons why teams start looking for alternatives to Tebra: 

You don’t need the full suite 

If you already have an EHR or billing system you like, switching to Tebra means replacing more than you need to. 

You want more control 

Some practices prefer modular tools they can mix and match. They don’t wish to be locked into one ecosystem. 

Specialty needs aren’t fully supported 

Tebra works best for general outpatient care. Niche specialties may find it lacks the depth or customization they’re looking for. 

Budget constraints 

For some teams, especially those not using every feature, the pricing may not feel proportional to the value. 

Top Features to Look for in Tebra Alternatives 

If you’re moving away from Tebra, chances are you’re trying to simplify your tech stack or tailor it more closely to your needs. Here’s what to keep in mind while comparing options. 

HIPAA compliance and data protection 

This is table stakes. Any tool handling patient information must follow HIPAA without exception. That includes secure data storage, audit trails, access controls, and a signed BAA. If your state has added privacy laws (like California or New York), it’s worth double-checking that the platform has those covered too. 

Patient intake and communication 

Digital check-in, pre-visit forms, e-signatures, and insurance uploads are no longer nice-to-haves. Patients expect them, and staff rely on them to cut down on manual entry. On that same note, features to automate reminders or follow-ups are also a must-have. They help keep things moving without adding more to your team’s plate. 

Integration with EHRs and billing systems 

One of Tebra’s main selling points is its all-in-one approach. If you’re replacing it with separate tools, make sure they can talk to each other. Look for software that integrates with your existing EHR or billing platform. Even better if it syncs both ways allowing easy flow of data. 

Room to grow 

If you manage multiple locations, or might in the future, you’ll want software that scales well. Such a tool should include features like location-specific branding, user permissions, and shared data across sites. 

Vendor reputation and roadmap 

Some tools look great on paper but can lack long-term support. So, you could benefit from some research to know how often the platform updates, how responsive the team is to feedback, and whether the company seems focused on practices like yours. A strong product today is only useful if it keeps pace with the industry tomorrow. 

Top 5 Tebra Alternatives in 2025 

Tebra alternatives	Best features	Rating	Pricing
LeadSquared	Highly customizable intake workflows, healthcare workflow automation, omnichannel communication, reporting tools	4.5	Pro – $60 per user/ month  Super – $100 per user/ month
Phreesia	Self-check-in option through mobile and in-office kiosk, automated appointment reminders, strong analytics suite	4.1	Custom
Luma	AI‑driven smart scheduling, 2-way messaging, automated post-visit surveys	4.8	Custom
NexHealth	Digital intake forms, telehealth tools, online scheduling and waitlist management	4.8	Custom
AdvancedMD	Integrated EHR and billing, patient engagement portal, analytics and reporting tool	3.6	Custom

1. LeadSquared 

LeadSquared offers a CRM purpose-built for healthcare with a strong focus on automating patient intake, engagement, and day-to-day coordination. The tool helps you streamline what happens before, during and after a patient visits your facility – with features like patient scheduling, digital intake, call center workflows, follow-ups and more. It’s a great tool for practices of all sizes. 

What to look for in LeadSquared 

• Highly customizable intake workflows that allow you to create intake forms, schedule rules, and communication workflows tailored to your practice. 

• One of LeadSquared’s strengths is automation. It takes care of a lot of repetitive work in the background, helping your team save time and effort.  

• Text, email, and WhatsApp communication can be integrated into the tool, making it easier to reach patients in the way they prefer. 

• Analytics and reporting gives you visibility into response rates, no-shows, and bottlenecks in the intake process. Very helpful if you’re managing multiple touchpoints or high patient volume.

One user described LeadSquared as smooth, easy to navigate, and simple to understand—making it a user-friendly choice for teams. 

Where LeadSquared falls short 

• Unlike Tebra, LeadSquared doesn’t include native EHR or billing modules. That means you’ll need to rely on integrations or separate systems for those functions. 

• Because it’s so customizable, the initial setup can take time. 

2. Phreesia 

One of the better-known names in patient intake and engagement. Phreesia helps practices simplify their patient check-in process by collecting forms, verifying insurance, processing payments, and more. The platform integrates with most EHRs and is especially well-suited for mid-sized to large practices that need robust, end-to-end intake workflows. 

What to look for in Phreesia 

• The platform comes with self-check-in options, both mobile and in-office kiosk, that let patients handle paperwork on their own 

• Offers automated appointment reminders via text, email, or voice with built-in rescheduling support. 

• Real-time insurance eligibility checks and co-pay collection at check-in. 

• Strong analytics suite covering intake volumes, no-shows, payments, and campaign responses. 

• API-driven, bidirectional integration with major EHRs, PM systems, and clearinghouses. 

One user noted that letting patients complete paperwork in advance through Phreesia and syncing it with their EHR helped cut down reminder calls and free up staff time. 

Where Phreesia falls short 

• Costs can be high for smaller practices paying for premium features  

• Occasional technical hiccups and integration delays have surfaced in user reports 

One user found the platform difficult to use at first, with ongoing issues on both the staff and patient sides. Making changes to intake forms was especially frustrating and time-consuming. 

3. Luma Health 

Luma Health offers a “patient success” platform that focuses on managing the patient journey before, during, and after visits. It includes features like online and in-office intake forms, scheduling and waitlist management, two‑way messaging, plus post-visit surveys. Designed for clinics, health systems, and medical groups, Luma plugs into existing EHRs. It works well for mid-sized to larger practices looking to streamline both front-desk and healthcare workflows. 

What to look for in Luma Health 

• Mobile or tablet/kiosk intake options that patients can complete any time that helps reduce waiting room gluts. 

• Smart scheduling with AI‑driven patient reminders, waitlists, and self-scheduling via SMS or web. 

• Two-way messaging across text, voice, email, and chat which is useful for pre‑visit outreach or follow-up. 

• EHR integrations and features like fax processing and payments via add-ons 

• The tool also comes with automated post-visit surveys with NPS alerts that encourage feedback or reviews from patients. 

One user praised Luma’s customer support for being responsive and solution-focused and appreciated how intuitive the software was—making it easy for most users to navigate with minimal training.  

Where Luma Health falls short 

• Feature overload with a learning curve. Some users say setup can feel overwhelming. 

• Limited deep customization. Workflows are solid, but not fully flexible for every scenario  

• Occasional performance issues and interface glitches are reported by smaller clinics. 

One user mentioned occasional downtime and slow loading, noting that completed submissions sometimes failed to save and had to be redone.  

4. NexHealth 

NexHealth positions itself as a modern patient experience platform. It offers online scheduling, digital intake forms, two-way messaging, telehealth support, post-visit surveys, and more in a user-friendly interface. It also syncs these tools with your practice’s EHR and payment systems. It’s a solid pick for mid-sized to larger practices looking to better their patient communication and intake processes.. 

What to look for in NexHealth 

• Online scheduling & waitlist management. 

• Digital intake forms that auto-sync with the EHR. Patients can fill out these forms on the web or tablet before the visit.   

• Two-way communication via text, email, and in-app messaging. 

• Telehealth and reputation tools are built in. They enable virtual check-ins and automatic review requests after visits. 

• They also offer real-time analytics and dashboards to track engagement metrics like no-shows, booking conversions, and patient satisfaction.  

One customer highlighted how automated reminders, reviews, and patient forms saved their small team hours by replacing manual appointment confirmation calls. 

Where NexHealth falls short 

• Higher price point 

• Learning curve for advanced features. Some practices report setup and configuration take time to master 

One user found the platform difficult to navigate, with too many manual steps to sync forms and track messages. Rescheduling didn’t trigger updated messages, leading to extra work and frequent workarounds.  

5. AdvancedMD 

AdvancedMD is a cloud-based suite that brings together EHR, practice management, billing, telehealth, and patient engagement in one platform. It’s most often used by small to midsize independent practices and mental health professionals. The platform is built to support a full clinical workflow, from patient check-in through billing and follow-up, with specialty templates and customization built in. 

What to look for in AdvancedMD 

• The tool comes with customizable specialty templates and note shortcuts to help streamline documentation 

• Integrated EHR and billing, with claims scrubbing and pre-visit insurance checks are built into the workflow. 

• It also comes with a patient engagement portal and telehealth included alongside scheduling, reminders, and online payments.  

• Analytics and reporting tools to track revenue, no-shows, claims, and more. 

One user appreciated how easily the platform pulls data from their EMR to create patient charts, scan attachments, and upload information. 

Where AdvancedMD falls short 

• High cost. Base subscription can start around $729/provider/month, with tiers and features that add up the cost fast. 

• Support and issue resolution can be slow. 

• Can be slow or clunky. Many users report lag, crashes, and occasional performance issues. 

One user felt the software was outdated and hard to use. They mentioned that feedback was often ignored, and communication between support teams was lacking. 

Final Thoughts 

Tebra offers a broad set of tools for independent practices. But like any platform, it won’t be the right fit for everyone. 

If you’re on the lookout for a tool that blends intake, engagement, and workflow automation under one roof, LeadSquared stands out as a well-rounded choice – especially for practices that want customization without added complexity.  

Curious to see LeadSquared in action? Book a quick demo now!

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