Tebra API
Tebra is an EHR and practice management platform for independent medical practices and the billing companies that serve them, combining clinical documentation, scheduling, patient experience, claims and eligibility, and reputation tools. With an unofficial API, you can sync patients and providers, manage appointments and digital intake, retrieve clinical notes and e-prescriptions, submit claims, and reconcile patient and insurance payments — without living inside the Tebra portal.
What is Tebra?
Tebra is an EHR and practice management platform built for independent private practices and the billing companies that serve them. The platform combines clinical documentation, e-prescribing, labs, telehealth, scheduling, digital patient intake, claims and eligibility, patient payments, and reputation/marketing tools, with AI assistance integrated across documentation and admin workflows.
Core product areas include:
- EHR (clinical charting, e-prescribing, electronic labs, telehealth, AI Note Assist)
- Patient Experience (online scheduling, digital intake forms, secure messaging, automated reminders, patient portal)
- Billing & Payments (claims management, real-time insurance eligibility, denial handling, card-on-file patient payments)
- Practice Marketing (website builder, reputation management, AI-powered review responses, practice analytics)
- Billing Companies (multi-practice management for outsourced RCM teams)
- AI Smart Staff (RPA and AI assistants for administrative and clinical workflows)
Common data entities:
- Patients and patient demographics
- Providers and clinical staff
- Appointments (in-person and telehealth)
- Clinical notes, encounters, and lab orders/results
- e-Prescriptions
- Eligibility checks and authorizations
- Claims (837P) and Remittances (835 ERA)
- Patient payments, statements, and card-on-file balances
- Reviews, reputation events, and intake submissions
The Tebra Integration Challenge
Independent practices rely on Tebra daily, but turning portal-based clinical, scheduling, and billing workflows into automated pipelines is hard:
- No public REST API: Tebra has a partner marketplace but no broadly published, self-serve API; access lives behind partnership programs
- Module entitlements vary: EHR, Patient Experience, Billing & Payments, and Marketing are sold à la carte; integrations must respect what each tenant has licensed
- Strong enterprise security: SSO/MFA on clinical accounts and per-user entitlements complicate headless automation
- Billing data spans clearinghouse and ERA flows that lean on batch interfaces and submission windows
- Documentation compliance: Clinical notes require sign/lock with audit trails; edits demand reason codes and re-signing
- Multi-practice and billing-company workflows: Outsourced RCM teams need cross-tenant visibility that the portal exposes piece by piece
How Supergood Creates Tebra APIs
Supergood reverse-engineers authenticated browser flows, batch interfaces, and network interactions to deliver a resilient API endpoint layer for your practice or RCM operations.
- Handles username/password and MFA (SMS, email, TOTP) securely across Tebra modules
- Maintains session continuity with automated refresh and change detection
- Normalizes patient, scheduling, encounter, eligibility, and claim objects so your systems integrate once across EHR, Patient Experience, and Billing
- Aligns with customer module entitlements to ensure compliant access; we do not bypass paid features
- Bridges clearinghouse submissions and ERA retrieval where applicable with signed URL handling and reconciliation hooks
Use Tebra with AI agents: Tebra MCP Server →
Getting Started
- Schedule Integration Assessment
Book a 30-minute session to confirm your Tebra module mix, licensing, and authentication model.
- Supergood Builds and Validates Your API
We deliver a hardened Tebra adapter tailored to your workflows and entitlements.
- Deploy with Monitoring
Go live with continuous monitoring and automatic adjustments as Tebra evolves.
API Endpoints
Authentication
/authenticateEstablish an authenticated Tebra session with username/password and MFA challenge handling; returns a session token scoped to the tenant's licensed modules.
Patients & Scheduling
/patientsList or search patients with demographics, insurance, and portal status; supports pagination and updated-since filters for incremental sync.
Patients & Scheduling
/appointmentsRetrieve in-person and telehealth appointments by provider, location, or date range, including status, visit type, and digital intake completion.
Patients & Scheduling
/create_appointmentCreate a new appointment with patient, provider, location, and visit type; supports telehealth link generation when the Patient Experience module is enabled.
Clinical
/encountersPull clinical encounters and signed notes with sign/lock status, edit reason codes, and links to associated lab orders and e-prescriptions.
Billing
/eligibilityRun a real-time payer eligibility check for a patient and date of service; returns coverage, copay, deductible, and benefit details where the payer responds.
Billing
/submit_claimSubmit an 837P professional claim through the configured clearinghouse path with idempotent retries and status tracking back to the encounter.
Use Cases
Patient & Scheduling Sync
- Sync patient demographics and providers between Tebra and your CRM, data warehouse, or care coordination tools - Automate appointment creation, cancellations, and telehealth visit setup across in-person and virtual schedules - Push digital intake submissions and patient portal updates back into your downstream systems
Clinical Documentation & e-Prescribing
- Pull encounters, signed clinical notes, and lab orders/results into analytics or quality reporting pipelines - Track e-prescription status, refills, and controlled substance workflows for compliance reviews - Retrieve audit trails for note edits, sign/lock events, and reason codes for documentation governance
Billing & Revenue Cycle Automation
- Run real-time eligibility checks before visits and surface coverage details to schedulers - Submit 837P claims, monitor clearinghouse status, and reconcile 835 ERA remittances at scale - Automate denial work-down with reason-code routing and rebill triggers across multiple practices
Multi-Practice Billing Company Operations
- Aggregate cross-tenant patient, claim, and payment data for outsourced RCM teams - Generate consolidated AR, denial, and productivity reports across every practice on your roster - Trigger reputation and patient-payment workflows from a single pipeline rather than per-portal logins
Technical Specifications
Authentication
Username/password with MFA (SMS, email, TOTP); SSO/OIDC where enabled on the tenant; service accounts or customer-managed credentials with per-user entitlements respected
Connectivity
HTTPS REST endpoints fronting reverse-engineered Tebra portal flows, batch interfaces, and clearinghouse handoffs; outbound IP allowlisting available
Response format
Normalized JSON for patients, providers, appointments, encounters, prescriptions, eligibility, claims, ERAs, and payments; consistent IDs and timestamps across modules
Rate limits
Adaptive throttling tuned to Tebra's portal and clearinghouse windows; queueing and backoff applied to keep tenants well under platform thresholds
Session management
Automated session refresh, MFA challenge handling, and re-auth on entitlement or role changes; sessions isolated per tenant and per user role
Data freshness
Near real-time for scheduling, encounters, and eligibility; billing reflects clearinghouse and ERA cycle timing (typically minutes to hours after submission/posting)
Security
TLS 1.2+ in transit, encryption at rest, BAAs available, HIPAA-aligned controls, audit logging, and least-privilege scoping by Tebra module entitlement
Webhooks
Event callbacks for new appointments, signed encounters, e-prescription status, eligibility responses, claim status changes, and ERA postings
Latency
Typical p50 under 1s for read endpoints; write and batch operations bound by underlying portal and clearinghouse response times
Throughput
Horizontally scaled workers per tenant; sustained throughput for bulk patient, claim, and ERA workloads across multi-practice billing-company rosters
Reliability
Active monitoring with automatic retries, idempotent writes for claims and appointments, and on-call response when Tebra portal or clearinghouse upstream issues occur
Adaptation
Continuous change detection on Tebra portal flows, billing screens, and clearinghouse interfaces; updates rolled out without integration downtime
Frequently asked questions
Coverage spans EHR (charting, e-prescribing, labs, telehealth), Patient Experience (online scheduling, digital intake, secure messaging, reminders, portal), Billing & Payments (claims, eligibility, ERAs, patient payments), and Practice Marketing (reputation, reviews). We respect each tenant's licensed modules and never bypass paid entitlements.
Yes. We support outsourced RCM workflows by aggregating cross-tenant data — patients, claims, eligibility, ERAs, and payments — across every practice on your roster, so your team can run consolidated AR, denial, and productivity pipelines without logging into each Tebra tenant separately.
Real-time eligibility checks (270/271-style responses) are available where the tenant has Billing & Payments enabled. 835 ERA retrieval is bridged through the clearinghouse flow with signed URL handling and reconciliation hooks, subject to standard ERA cycle timing from payers.
We surface e-prescription metadata, status, and refill events for analytics and downstream workflows. Controlled-substance prescribing (EPCS) actions still require provider authentication and second-factor approval inside Tebra — we do not automate the EPCS signing step itself, in line with DEA requirements.
Tebra runs a partner marketplace and partnership-gated integrations, but no broadly published self-serve REST API. Supergood reverse-engineers authenticated portal flows, batch interfaces, and clearinghouse interactions to deliver a stable endpoint layer your engineering team can integrate against today.