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    Overview
    ProductRatingMost Used ByProduct SummaryStarting Price

    Grasshopper

    Score6.1 out of 10
    N/AGrasshopper is an IP telephony business communication solution that provides companies with a toll-free or local phone number. It has both desktop and mobile applications and includes features such as custom greeting recording, call forwarding, call transfer, call reporting, and voicemail.

    $18

    per month for a single user

    Tebra Billing & Payments

    Score9 out of 10
    N/ATebra Practice Management (formerly Kareo) provides cloud-based management and billing solutions for small medical offices. Some key features include: Patient Management, Scheduler & Patient Reminders, Insurance Billing & Reporting, and Patient Billing & Collections.

    $74.50

    per provider

    Pricing
    GrasshopperTebra Billing & Payments
    Editions & Modules
    True Solo
    $18
    per month for a single user
    Solo Plus
    $32
    per month
    Small Business
    $70
    per month
    Non-Physician Provider (Low-Volume)
    $74.50
    per provider
    Low-Volume Provider
    $149
    per provider
    Physician Provider
    $299
    per provider
    Offerings
    Pricing Offerings
    GrasshopperTebra Billing & Payments
    Free Trial
    YesNo
    Free/Freemium Version
    NoNo
    Premium Consulting/Integration Services
    NoNo
    Entry-level Setup FeeNo setup feeNo setup fee
    Additional Details20% discount available for annual pricing.—
    More Pricing Information
    Community Pulse
    GrasshopperTebra Billing & Payments
    Considered Both Products
    GoTo formerly LogMeIn
    No answer on this topic
    Tebra
    No answer on this topic
    Key User Insights
    Would buy again
    100%
    Would buy again
    46 Answers
    No answers on this topic
    Delivers good value for the price
    98%
    Delivers good value for the price
    45 Answers
    No answers on this topic
    Happy with the feature set
    93%
    Happy with the feature set
    43 Answers
    No answers on this topic
    Lived up to sales and marketing promises
    100%
    Lived up to sales and marketing promises
    42 Answers
    No answers on this topic
    Implementation went as expected
    100%
    Implementation went as expected
    46 Answers
    No answers on this topic
    Features
    GrasshopperTebra Billing & Payments
    Cloud PBX
    Comparison of Cloud PBX features of Grasshopper and Tebra Billing & Payments
    Feature
    Grasshopper
    9.7
    46 Ratings
    20% above category average
    Tebra Billing & Payments
    -
    Ratings
    Hosted PBX9.423 Ratings00 Ratings
    Multi-level Interactive Voice Response (IVR)10.024 Ratings00 Ratings
    User templates10.019 Ratings00 Ratings
    Call reports9.433 Ratings00 Ratings
    Directory of employee names9.434 Ratings00 Ratings
    Call Management
    Comparison of Call Management features of Grasshopper and Tebra Billing & Payments
    Feature
    Grasshopper
    9.6
    51 Ratings
    15% above category average
    Tebra Billing & Payments
    -
    Ratings
    Answering rules9.247 Ratings00 Ratings
    Call recording9.622 Ratings00 Ratings
    Call park9.812 Ratings00 Ratings
    Call screening10.036 Ratings00 Ratings
    Message alerts9.243 Ratings00 Ratings
    VoIP system collaboration
    Comparison of VoIP system collaboration features of Grasshopper and Tebra Billing & Payments
    Feature
    Grasshopper
    7.9
    12 Ratings
    0% below category average
    Tebra Billing & Payments
    -
    Ratings
    Video conferencing7.93 Ratings00 Ratings
    Audio conferencing7.77 Ratings00 Ratings
    Video screen sharing8.23 Ratings00 Ratings
    Instant messaging8.09 Ratings00 Ratings
    Mobile apps
    Comparison of Mobile apps features of Grasshopper and Tebra Billing & Payments
    Feature
    Grasshopper
    8.9
    48 Ratings
    12% above category average
    Tebra Billing & Payments
    -
    Ratings
    Mobile app for iOS8.935 Ratings00 Ratings
    Mobile app for Android8.929 Ratings00 Ratings
    Best Alternatives
    GrasshopperTebra Billing & Payments
    Small Businesses
    CallFire
    Score9.7 out of 10
    Veradigm Practice Management
    Score6 out of 10
    Medium-sized Companies
    Fuze
    Score8.2 out of 10
    AdvancedMD
    Score7.6 out of 10
    Enterprises
    Cisco Unified Communications Manager (Call Manager)
    Score8.3 out of 10
    No answers on this topic
    All AlternativesView all alternativesView all alternatives
    User Ratings
    GrasshopperTebra Billing & Payments
    Likelihood to Recommend
    7.8
    (56 ratings)
    9.0
    (16 ratings)
    Usability
    6.0
    (1 ratings)
    8.0
    (1 ratings)
    Support Rating
    9.0
    (42 ratings)
    -
    (0 ratings)
    User Testimonials
    GrasshopperTebra Billing & Payments
    Likelihood to Recommend
    GoTo formerly LogMeIn
    Grasshopper is well suited for basic needs of texting in and out as well as calling out if you would like to avoid using your personal line. It also eliminates the need to have a dedicated land land in your office or business. You can obtain a vanity number and forward calls through grasshopper.
    Incentivized
    Read full review
    Tebra
    In my experience, problems with them adding incorrect fees to pad their bills coupled with their unethical business practices such as locking you out from accessing your EMR at the drop of a hat prevent me from recommending Kareo to any practice. Reliability is paramount. Kareo's use of unethical business practices (locking you out from your EMR or disabling your EMR all together) can result in a physician being sanctioned by the medical board (inappropriate medical record keeping) or financially destroy a small practice leaving them with NO ACCESS to their ERAs/patient billing accounts etc leads me to NOT reccomend their products or doing business with them.
    Read full review
    Pros
    GoTo formerly LogMeIn
    • I like that there are differing voicemails for each extension, to keep up with the image of calling a separate line.
    • I love the voicemail text emails. I believe we pay a little extra, but worth every penny for those urgent calls while I am in a meeting.
    • The cost is very reasonable for the value added to our company.
    Incentivized
    Read full review
    Tebra
    • Kareo stays up to date on insurance changes which allow for smooth transitions.
    • Kareo asks for feedback and has a place to go and request changes or additions that would make our job easier.
    • I love that you can submit a help ticket or call, if you prefer, with any questions or problems that you may have. They are always very prompt with their follow up.
    Read full review
    Cons
    GoTo formerly LogMeIn
    • It would be nice to have the ability to transfer some calls to another Grasshopper IVR, for those customers who mistakenly dial the wrong number (we have two incoming numbers, one for corporate and one for sales).
    • Likewise, it would be nice to have the ability to forward to a toll-free number, which would have allowed us to work around the inability to transfer between IVRs (see above).
    • Lastly, it would be great to have an 'emergency' switch setting (default off but could be toggled on) that would let us override all IVR settings and transfer all incoming calls elsewhere (either to a direct dial or toll free number) for those rare times when we cannot take any calls (such as a weather emergency OR the one time each year we take all of our staff on a retreat) - that would allow us to send all calls to a backup answering service rather than just voicemail.
    Incentivized
    Read full review
    Tebra
    • Where to start...for one, during my start-up with a "success coach" and trust me, I use that term broadly, I had to f/u on every single issue that came up. I was told she was taking care of my electronic lab enrollment, after waiting 3 months and reaching out to my success coach, Kayli, countless times, I only was told when contacted by management that my Quest lab access had been denied after 2 weeks because I was never told to independently create my own account with Kareo- after asking/emailing/calling multiple times trying to figure out the process. So needless to say, I have NO electronic lab access 4 months after signing with Kareo and they are now just starting the process.
    • Prescriptions- I had reached out to Kareo, no exaggeration, over 10 times to figure out why I wasn't receiving prescription refills. Spent countless hours on the phone with "support line" that could never give me an answer- to any question. And never f/u either until I directly insisted to my salesperson to have management contact me directly. I had a patient go to the hospital due to not having their medications because apparently their pharmacy had sent refill prescriptions over 3 times which I never received. Only after talking to management, did they look into further and then inform me that I had 3 locations in the system (?? I have ONE location). They were all prior addresses of offices, one from over 4 years ago. To date, again, 4 months after paying a year up front, I can't receive refill requests. And the solution proposed to me by management was to call my prior EHR and request they delete my prior addresses. And I cannot contact my prior EHR because I was in a large group that restricted the account to only 2 individuals in a group of 18 doctors to even have access to talk to them. So I can't resolve the issue, Kareo after 4 months instructs me to call them myself, and the prior EHR doesn't even recognize I had an account with them because it was under a group practice name.
    • Online booking- I thought this would be an amazingly efficient add-on. What they don't tell you is you can only designate "increments" of appointment times. Kareo will tell you it syncs with your existing schedule so that online bookings are only in vacant time slots. I had new patients selecting a time increment of 15 minutes, existing patients selecting 45 minutes (with a deductible) and any increment over 15 minutes (which the patient can select at their own will, being if you choose 15 min increments, it will offer appointment length for 15 min, 30 min, 45 min, 60 min etc with no outline of the appropriate time length) will over-book your schedule. So if you have a 10-10:15 slot, the patient can select a 45 minute appointment that starts at 10 (Because that 15 minute slot is open). But then will overbook the patients at 10:15 and 10:30.
    • It created utter chaos in my practice. My office manager spent more time calling patients to inform them they had booked an inappropriate time increment, they can't book a new appointment for 15 minutes, we don't accept their insurance...the list goes on.
    • There is no way to restrict the increments or who can book an appointment.
    • Messaging- I can't view what incoming messages from patients are sent to whom. And neither can my office manager. And the patient gets to select who to sent the message to, either the "provider" or "location." And 9 times out of 10 they send to the "provider." So as a physician, I am inundated with patient messages simply wanting to book a new appointment or reschedule. As a physician, obviously prioritizing my time is important and my office manager can't view these messages.
    • The list goes on, unfortunately. "A/R" reports only allow them to calculate a theoretical A/R based on your self-pay rates to patients, not individual contracted rates with insurances. So my A/R has an inflated number, which I can't even quantify by how much, because the A/R is based as if every insurance patient paid as a self-pay patient. Seriously, no one thought this through?
    • Can't send multiple controlled scripts at once electronically. Have to enter, go to separate site, enter code, be redirected back to KAreo then re-enter another med, be redirected to separate site, enter code, be redirected...Any other EHR I've ever used (and I've used around 6 between residency and private practice) you could enter multiple Rx, but then check the meds you wanted to send and then enter ONE code for, say, 2 controlled scripts. Kareo, you must enter separate codes one by one.
    • I could go on but will choose to hope for all reading, you get the general point...
    Read full review
    Usability
    GoTo formerly LogMeIn
    The admin functions are kind of confusing in the old interface which was my most recent experience on the admin side.
    Incentivized
    Read full review
    Tebra
    Kareo Medical Billing is very user friendly and the support they provide allows users to get their questions answered quickly and efficiently. The wait time to receive help is usually pretty good and most of the time we can ger our questions answered. We have found that is the tech help is unable to answer our question, they will attempt to find a colleague who is able to help!
    Incentivized
    Read full review
    Support Rating
    GoTo formerly LogMeIn
    When I was setting up my account I contacted support a couple of times. They were also very professional, personable, and helpful. Their response is prompt and thorough. I'm confident I can get any question answered as well as help with any issue I might have. That's pretty important to me.
    Incentivized
    Read full review
    Tebra
    No answers on this topic
    Alternatives Considered
    GoTo formerly LogMeIn
    I have not used any other phone services like Grasshopper. I know that there is another option out there called Ruby, which is more like a virtual receptionist but since I did not try it out I cannot compare the two. When I started my company I found the services that Grasshopper offers to be perfect. It still works for us and we have no need to change to anything else right now.
    Incentivized
    Read full review
    Tebra
    We have used several Practice Management programs which our doctors have chosen. Kareo is far above those in ease of use, efficiency and reporting. Training takes very little time as the program is intuitive. Licensing cost is reasonable. Our doctors enjoy the integration with the Kareo EHR and our staff appreciates the integration from the EHR to the practice management. It makes their job easier.
    Incentivized
    Read full review
    Return on Investment
    GoTo formerly LogMeIn
    • It's allowed us to keep cost down. Other phone systems can seriously get outrageous in implementation and monthly fees!
    • It's allowed our team the confidence to work in locations outside of the office and still be seen as professionals.
    • It's decreased the amount of time spent on unwanted sales calls via the call screening application.
    Incentivized
    Read full review
    Tebra
    • Kareo had an overall low return on investment.
    • Despite the software being active at our company, we were forced to transition to a different solution within 6-months of implementation.
    • The time spent attempting to reconcile the system to itself was rather wasteful.
    Incentivized
    Read full review
    ScreenShots