Change Healthcare (Optum) vs Tebra
Side-by-side from the Top 11 rankings of Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026 and athenahealth vs Tebra vs AdvancedMD: 11 Best Medical Billing Software 2026. Last verified July 12, 2026.
The short answer
Tebra ranks higher on Top 11 (#2 vs #6) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices / Medical practices managing billing and revenue cycle. Best all-in-one solution for small, independent medical practices.
At a glance
| Change Healthcare (Optum) | Tebra | |
|---|---|---|
| Top 11 rank | #6 / Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026 | #2 / athenahealth vs Tebra vs AdvancedMD: 11 Best Medical Billing Software 2026 |
| Score (out of 9.4) | 8.2 | 9 |
| Best for | Very large clearinghouse and payer reach | Small independent practices |
| Pricing | $$$ (custom, per-transaction) | $$$ ($300 to $700/mo/provider) |
| HQ | Nashville, USA | Newport Beach, CA, USA |
| Founded | 2007 | 2021 |
Change Healthcare (Optum)
One of the largest US clearinghouses, with a 2024 outage on its record.
www.optum.com/en/business/insights/change-healthcare.htmlSee full entry in Waystar vs R1 RCM vs athenahealth: 11 Best Revenue Cycle Management Software 2026
Tebra
Best all-in-one solution for small, independent medical practices.
www.tebra.comSee full entry in athenahealth vs Tebra vs AdvancedMD: 11 Best Medical Billing Software 2026
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.