Comparison
heme vs Tebra
For independent dermatology, plastics and general-surgery practices running on Tebra today. Tebra is an EHR and billing platform; heme is an EHR and billing platform with AI documentation, coding and appeals built into one subscription, at one published price.
As of October 2026. Every Tebra figure below is sourced — see Sources.
The comparison
| heme | Tebra | |
|---|---|---|
| Notes | Whole note from a one-line brief, typed or dictated, written in the surgeon’s own clinical language. Included in the subscription. | AI Note Assist, an ambient add-on: $99/provider/month for up to 400 notes, then $0.25 per note, or $0.99 per note.1 |
| Coding | CPT assigned by rule from the measurements stated in the note (repair length, flap size, excision size), with the arithmetic shown. ICD-10 from the documentation. | ICD-10 suggestions surfaced inside the note.1 |
| Claims | 837P claim submission, 835 ERA posting, 270/271 eligibility, 276/277 status. | Billing in the same platform.1 |
| Appeals | Drafted from the chart and the payer’s own published policy, signed by the physician. | Billing Assistant was in early access as of July 2026; we found no generally available appeals feature.3 |
| Pricing | $349/provider/month; $299/month billed annually; $249/month for the first 20 founding practices. Staff seats included. Never a percentage of collections. | EHR and billing fees are set per the practice’s Order Form and not published. Tebra’s own pricing page shows a $49–$799/provider/month range depending on volume and specialty.2 |
| Data portability | FHIR R4, including Bulk Data $export, for interoperating with Epic-using peers. | Not covered in our sources. |
Tebra entries reflect what its own pages and pricing policy state as of the dates cited. heme has no relationship with Tebra and makes no claim beyond what is sourced.
On appeals and payers
heme’s appeal drafting exists to get appropriate, documented care authorized and reimbursed — not to contest payers as adversaries. A denial on a well-documented, policy-compliant claim is usually an administrative gap, and the fix is citing the payer’s own published policy back to them. The physician reviews and signs every appeal before it goes out.
Moving from Tebra
What moves today:
- Note templates. Tebra’s Text Shortcuts export (My Settings → Text Shortcuts) imports directly into a physician’s personal note templates in heme.
- Patients and schedule. heme ingests structured clinical data over standard FHIR R4. A packaged, self-serve Tebra patient-and-schedule import is not built yet — talk to us and we will scope it for your practice.
Tebra is a trademark of its owner; heme is not affiliated with Tebra.
Sources
- Tebra, AI Note Assist pricing and subscription terms — Tebra Pricing Policy (effective 2026-07-01).
- Tebra, published price range — Tebra Pricing Overview (accessed October 2026).
- Billing Assistant early-access status — Auctus Group, specialty EMR AI audit (2026-07-15).