Independent practices wanting all-in-one solution; Small practices seeking affordable billing software; Solo physicians managing their own billing
Therapists seeking high client volume without marketing or billing hassles; Licensed counselors wanting flexible part-time or full-time telehealth work; Providers comfortable with daily text-based therapeutic communication
Best For
Tebra Billing (formerly Kareo)
Independent practices wanting all-in-one solution; Small practices seeking affordable billing software; Solo physicians managing their own billing
BetterHelp
Therapists seeking high client volume without marketing or billing hassles; Licensed counselors wanting flexible part-time or full-time telehealth work; Providers comfortable with daily text-based therapeutic communication
Pricing
Starting Price
Contact for pricing
No upfront cost
Starting Price
Tebra Billing (formerly Kareo)
Contact for pricing
BetterHelp
No upfront cost
Pricing Model
Per provider/month
enterprise-custom
Pricing Model
Tebra Billing (formerly Kareo)
Per provider/month
BetterHelp
enterprise-custom
Free Trial
No free trial
Free tier available
Free Trial
Tebra Billing (formerly Kareo)
No free trial
BetterHelp
Free tier available
Pricing Details
Modular pricing lets practices choose only what they need. Volume discounts for larger practices.
Free to join as a provider. No insurance billing - all self-pay subscription clients. BetterHelp handles all billing, client acquisition, and platform infrastructure. Pay is engagement-based, not traditional per-session.
Pricing Details
Tebra Billing (formerly Kareo)
Modular pricing lets practices choose only what they need. Volume discounts for larger practices.
BetterHelp
Free to join as a provider. No insurance billing - all self-pay subscription clients. BetterHelp handles all billing, client acquisition, and platform infrastructure. Pay is engagement-based, not traditional per-session.
Compliance & Security
HIPAA Compliant
Yes
Yes
HIPAA Compliant
Tebra Billing (formerly Kareo)
Yes
BetterHelp
Yes
BAA Available
Yes
Yes
BAA Available
Tebra Billing (formerly Kareo)
Yes
BetterHelp
Yes
SOC 2 Certified
Yes
Unknown
SOC 2 Certified
Tebra Billing (formerly Kareo)
Yes
BetterHelp
Unknown
HITRUST Certified
Unknown
Unknown
HITRUST Certified
Tebra Billing (formerly Kareo)
Unknown
BetterHelp
Unknown
Features
Mobile App
Yes
Yes
Mobile App
Tebra Billing (formerly Kareo)
Yes
BetterHelp
Yes
Mental Health Specific
No
Yes
Mental Health Specific
Tebra Billing (formerly Kareo)
No
BetterHelp
Yes
Integrations
Total Integrations
4 integrations
None listed
Total Integrations
Tebra Billing (formerly Kareo)
4 integrations
BetterHelp
None listed
Clearinghouse
None
None
Clearinghouse
Tebra Billing (formerly Kareo)
None
BetterHelp
None
Billing Features
Claims Submission
Yes
No
Claims Submission
Tebra Billing (formerly Kareo)
Yes
BetterHelp
No
Eligibility Verification
Yes
No
Eligibility Verification
Tebra Billing (formerly Kareo)
Yes
BetterHelp
No
ERA Processing
Yes
No
ERA Processing
Tebra Billing (formerly Kareo)
Yes
BetterHelp
No
Support & Fit
Practice Sizes
Solo, Small (2-10), Medium (11-50)
Solo, Small (2-10)
Practice Sizes
Tebra Billing (formerly Kareo)
Solo, Small (2-10), Medium (11-50)
BetterHelp
Solo, Small (2-10)
Customer Base
100,000+ providers
Unknown
Customer Base
Tebra Billing (formerly Kareo)
100,000+ providers
BetterHelp
Unknown
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