Qualifacts Insync vs. Tebra Billing & Payments

This software is a giant piece of flaming garbage. I would never recommend this to my worst enemy. I cannot tell you how frustrating it is that I have gone more than four months to try to get benefit eligibility to consistently work. I have submitted over 40 different attachments of images and videos showing what we are seeing. I have had to have tickets open with Inovalon and Qualifacts on the issue, escalating the issue to top tech support people, escalating it to our account manager, and escalating it with billing. Still, after numerous tickets, complaints, and tech support phone calls, we still haven't gotten a resolution.On top of that, Qualifacts has no problem billing us for this feature that isn't even working properly or responding to any emails regarding the excess use charges for a service that has been tested for the past four-plus months by tech support, and then charging us for that extra use.

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.

• It is a very user friendly Medical Record. It takes approximately 15 min and anyone can enter basic information.
• It allows great customizable forms
• The billing system is comprehensive
• The reports are great - easy to create, download into Excel and customizable

• 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.

• We would love to be able to send reports via secure email (the functionality s there, but the other party needs the same software, and that is rare in our area
• We would love to have electronic visit verification integrated into the software - right now we need to use a 3rd party software package

• 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...

We are shopping for a replacement software now.

Can be overly complicated at times. They emphasize that it's nearly fully customizable without addressing the implications of customizing everything and the fact that it's virtually impossible for them to test the functionality of all of these customizations from practice to practice. We were promised many things during our build out phase and pre-launch, only to find out after we went live that a lot of these features didn't actually function the way that they indicated they would, had ongoing issues, had intermittent functionality without any resolution, or just simply did not work

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

Every call is capped at 15 to 30 minutes, and if the issue isn't fixed in that window, the fix is to reschedule another 15-to-30-minute call rather than escalate or extend the session. That loop can, and does, repeat indefinitely. We've had our core eligibility issue open since March 16, 2026 with a second formal case open since April 9, 2026 specifically for the batch eligibility failures, and neither has produced a resolution in over four months.
We have submitted more than 40 attachments to tech support on this single issue and sat through repeated calls with both InSync support and Inovalon directly. Support has stayed engaged in the sense of taking more calls and opening more tickets, but not in the sense of ever fixing anything or committing to a resolution date. When we escalated in writing, requesting a credit and a named owner for the fix, and looped in both our account manager and finance in the first week of July, we got no response at all, written or otherwise.
The pattern across every support interaction is the same: acknowledge the ticket, burn a short call, reschedule, repeat, with no accountability if the deadline slips because there's never a real deadline set in the first place. For a platform handling billing, eligibility, and clinical documentation, that level of support is not adequate for the stakes involved.

NO MORE "CIRCLE OF DEATH"!!!!!!!!!!!!! No need to find "workarounds" for everyday tasks. No more need to scan and upload paper documents! Billing is much clearer. Claims and statements are easy to monitor. [Insync Healthcare Solutions] has listened [to] its clients and built a system that caters to all!!!!!!! No regrets with our decision to go with [Insync Healthcare Solutions]!!!!

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

• We love the ease of use, it really creates a smooth process between departments.
• We have had some issues with the billing, but it is partially staffing and partially training- we are still working with our staff and our representative from Insync to fix these errors, so it is difficult to put the blame on Insync [Healthcare Solutions]. I believe some of it is user error.
• The conflicting information we receive from Insync support has created a lot of issues in the billing department. I would like more consistency from their support team, as I have witnessed two people ask the same question, and get a completely different answer. Again, this could be a user error contributing to the confusion, but consistent responses would be helpful to solve the issues.

Incentivized

• 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