BH Billing Software Comparison — Waystar vs AdvancedMD vs Kareo vs Tebra 2026

Choosing BH-adjacent billing software (as opposed to specialty BH EHR — see our EHR comparison) is a 3-5 year commitment. Here’s the 2026 view.

Waystar (formerly ZirMed + Recondo)

• Enterprise-tier RCM platform
• Best for $50M+ multi-site operators
• Strong denial analytics + AR management
• Cost: enterprise pricing (contact sales)

AdvancedMD

• Practice management + billing combined
• Best for $5M-$100M multi-specialty
• Strong scheduling + patient portal
• Cost: $150-$400/provider/mo

Kareo (part of Tebra)

• Merged with PatientPop under Tebra brand 2022
• Best for 1-20 clinicians
• Now branded Tebra

Tebra (Kareo + PatientPop merged)

• Small-medium practice EHR + billing + marketing
• Best for 1-50 clinicians
• Cost: $150-$300/provider/mo

What All Four Miss for BH

None handles MHPAEA parity appeals natively. All surface denials — none automate parity NQTL analysis. Specialty BH RCM firm overlay recovers 12-18% of BH commercial denials.

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– KD, Revenant Care