# Tebra EHR, PM, Billing (Kareo) vs DocUpdate

The clearest difference is review sentiment: DocUpdate at 61% against Tebra EHR, PM, Billing (Kareo)'s 4%. DocUpdate also leads on rating (4.8 vs 1.8) and ratings volume (2.7K vs 238). Tebra EHR, PM, Billing (Kareo)'s advantage is ads (none vs shown). On price, update cadence, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

DocUpdate holds the better App Store score, 4.8 against 1.8. That said, the two scores are not equally well evidenced: DocUpdate has 2.7K ratings behind it against 238, so its average is the more settled of the two. Written reviews point the same way: 4% of Tebra EHR, PM, Billing (Kareo)'s written reviews are positive against 61% of DocUpdate's.

Tebra EHR, PM, Billing (Kareo) ships an update every 3 weeks, DocUpdate every 2 weeks. The most recent releases landed on September 21, 2026 and September 23, 2026 respectively.

## The numbers

| Metric | Tebra EHR, PM, Billing (Kareo) | DocUpdate |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.8 (238 ratings)](https://appshunter.io/ios/app/tebra-ehr-pm-billing-kareo/id598068934/reviews) | **[4.8 (2.7K ratings)](https://appshunter.io/ios/app/docupdate/id6478404244/reviews)** |
| Number of ratings | 238 | **2.7K** |
| Positive reviews | 4.3% of reviews | **60.8% of reviews** |
| In-app purchases | No | No |
| Ads | **No** | Yes |
| Update frequency | Every 3 weeks | **Every 2 weeks** |
| Monetization | Freemium | Free with in-app purchases |
| Best chart rank | — | **#191** |
| Size | 113 MB | 96 MB |
| Requires iOS | 18.6 | **15.6** |
| Devices | iPhone, iPad | iPhone, iPod |
| Age rating | 17+ | 17+ |
| Developer | [Tebra Technologies, Inc.](https://appshunter.io/developer/1733539075) | [Docupdate](https://appshunter.io/developer/1732716803) |

## What reviewers say

### Tebra EHR, PM, Billing (Kareo)

[App page](https://appshunter.io/ios/app/tebra-ehr-pm-billing-kareo/id598068934)

This integrated platform offers comprehensive tools for independent medical practices to manage schedules, patient records, and billing from a mobile device. It provides secure communication, document management, and clinical note-taking capabilities, enhancing practice efficiency and patient engagement.

**Highlights:** Schedule management, Patient record access, Secure messaging, Document management, Clinical note creation, Billing analytics, E-prescribing

**Features:** Apple Wallet, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 👍 Useful for basic functions
- 📱 Convenient mobile access
- 🗓 Helpful for checking schedule

**What reviewers complain about**

- 🐛 Frequent crashes and bugs
- 🔍 Unreliable app functionality
- 🔒 Login issues and security problems
- 🤖 Poor customer support
- 💰 Expensive for limited features

**Reported bugs**

- Calendar and schedule not syncing properly
- Inability to log in or frequent log outs
- App crashing when trying to access patient data
- Prescription sending not working as expected
- Inconsistent app performance across devices

**Requested features**

- Improve calendar and scheduling features
- Add ability to create and sign notes
- Enable prescription refilling from app
- Enhance document upload and management
- Provide better integration with desktop version


### DocUpdate

[App page](https://appshunter.io/ios/app/docupdate/id6478404244)

**Currently charting:** #191 Top Free · Medical (US App Store)

This app provides busy clinicians with mobile-first tools to streamline their workflow. It offers free e-prescribing to numerous pharmacies, patient communication features including a medical translator, and access to a concierge service for pharmaceutical company interactions.

**Highlights:** Free e-prescribing to 65,000+ pharmacies, DocUpdate Concierge for sample requests, Medical translator in 20+ languages, Patient communication tools, Mobile-first tools for busy clinicians

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 🚀 Convenient mobile prescribing
- 👍 Easy to use interface
- 🚀 Streamlined workflow
- 🚀 Time-saving
- 🚀 Reliable prescription delivery

**What reviewers complain about**

- 🐛 Inconsistent prescription delivery
- 🐛 Unreliable call-in backup
- 🐛 Registration/verification issues
- 🐛 Limited pharmacy coverage
- 🐛 Poor communication with pharmacies

**Reported bugs**

- Registration process fails for some users
- Prescriptions not reaching pharmacies as expected
- Inability to prescribe to certain pharmacies or areas
- App crashes or freezes during use

**Requested features**

- Ability to customize prescription quantities
- Support for veterinarians and other non-physician prescribers
- Improved pharmacy search functionality
- Prescription database/formulary integration
- Ability to document prescription notes


## Frequently asked questions

### Is Tebra EHR, PM, Billing (Kareo) free?

Tebra EHR, PM, Billing (Kareo) is free to download, with no in-app purchases.

### Is DocUpdate free?

DocUpdate is free to download, with no in-app purchases.

### Which has better reviews, Tebra EHR, PM, Billing (Kareo) or DocUpdate?

DocUpdate is rated higher. Tebra EHR, PM, Billing (Kareo) averages 1.8 out of 5 from 238 ratings, while DocUpdate averages 4.8 from 2.7K ratings.

### Do Tebra EHR, PM, Billing (Kareo) or DocUpdate have ads?

DocUpdate shows ads; Tebra EHR, PM, Billing (Kareo) does not.

### Which is updated more often, Tebra EHR, PM, Billing (Kareo) or DocUpdate?

Tebra EHR, PM, Billing (Kareo) ships an update every 3 weeks, and DocUpdate every 2 weeks. Most recently, Tebra EHR, PM, Billing (Kareo) was updated on September 21, 2026 and DocUpdate on September 23, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*