Charm EHR vs Tebra (2026): which should you pick?

Pick Charm EHR if

• Fits if you run a psychiatry or medical practice that prescribes and orders labs
• Works for a practice that wants an AI scribe inside the EHR

Look elsewhere if

• Skip it if you need to know the price first, as the pricing page is a request form
• Not for you if you only do talk therapy, as it is a general medical EHR with a psychiatry page
• Watch out: what the free start includes is not stated
• Too light on detail for planning a budget: no per-provider or billing-claim rates are shown

Pick Tebra if

• Fits if you run an independent medical or mental health practice that bills insurance
• Works for practices that want their website, listings and review replies next to the EHR

Look elsewhere if

• Skip it if you want a price before talking to sales, as every package is quoted after a demo
• Not for you if you want to try it first, as there's no free plan or trial on record
• Watch out: controlled-substance prescribing adds about $75 a provider, and PDMP checks $500 a facility plus about $50 a user a year
• Skip it if your team uses Android phones, as the app is listed for iPhone and iPad only
• Watch out: pricing is per clinical provider, with lower tiers only for providers billing 100 claims or fewer a month

Charm EHR

• No prices are published: the pricing page is a request form.
• It is a general medical EHR with a psychiatry page, not built only for therapists.
• The site gives no billing-claim or per-provider rates, and what the free sign-up includes is not stated.

Tebra

• No subscription prices are published; every package (EHR Starter, Billing Starter, EHR+, Patient Experience + Marketing, All in One) is quoted after a demo.
• Controlled-substance prescribing adds about $75 per provider for EPCS setup, and PDMP checks cost $500 per facility plus about $50 per user a year.
• Pricing is per clinical provider; providers billing 100 claims or fewer a month can get lower-tier pricing.
• The mobile app is listed on the App Store for iPhone and iPad; the pages read mention no Android app.

Charm EHR

AI scribe and assistant

CharmAI Scribe helps write visit notes, and CharmAssist is a clinical assistant that can draft referral letters and read lab results.

Specialty SOAP templates

Custom SOAP templates tailored to a specialty, with decision trees to drill into chart annotations and a flowsheet for vitals and labs.

Private charting for psychiatry

The psychiatry page describes private charting that restricts psychotherapy notes to the treating psychiatrist.

E-prescribing and labs

Electronic prescriptions to over 70,000 pharmacies, plus lab interfaces for LabCorp, Quest and others over HL7.

Patient portal and billing

A patient portal for appointments, documents and questionnaires, plus practice management and a medical billing platform.

Tebra

Cloud EHR with AI Note Assist

Charting with flowsheets and templates, treatment plans, AI-generated clinical notes, e-prescribing with controlled-substance and PDMP checks, electronic labs and MIPS reporting.

Billing and claims

Real-time eligibility checks, charge capture, electronic claims with rejection and denial handling, automatic payment posting and insurance enrollment. Managed billing is also offered.

Patient scheduling and intake

Online scheduling, digital intake, custom appointment reminders, HIPAA-compliant two-way messaging and a patient portal.

Practice marketing

A custom practice website, listings on 80+ web profiles including Google Business Profile, patient feedback collection and AI-drafted replies to reviews.

Telehealth

Video visits are built into the platform alongside the EHR, and are listed in Tebra's packages on the pricing page.

Mobile app

An iPhone, iPad and Apple Watch app for the schedule, patient records, secure messages, clinical notes, e-prescribing, labs and superbills.

Charm EHR

Pricing could not be confirmed. See charmhealth.com.

Tebra

Pricing could not be confirmed. See tebra.com.