Arbor Vitae stopped paying Tebra to run its front desk.
The practice.
A single-location chiropractic practice in Los Angeles, running a full patient schedule with a small front-desk team. Bookings, reminders, and new-patient intake all ran through Tebra.
The software worked. The problem was everything around it: the practice paid monthly for a system it could not change, patients booked through a portal that did not look like the practice, and intake answers arrived as documents somebody had to read and retype into the chart.
What it cost them.
Practice-management pricing is quoted, not published, and it renews whether or not the practice uses half the product. Nothing they paid for accumulated into an asset they owned.
Intake answers did not land on the chart. A staff member read them and typed them in, on the day, with a patient waiting.
Timing, wording, and what happened after a cancellation were fixed by the vendor. The practice knew its patients better than the defaults did and could not act on it.
What we built.
Scheduling inside the practice's own system, on the practice's own domain. Same front desk, same patients, same week-to-week routine. The parts that used to be a subscription are now software the practice owns.
Booking rules
Provider hours, appointment types with their own durations, buffers, and different paths for new and returning patients.
Reminders
SMS and email on the practice's own schedule, with confirm and reschedule in the message and a waitlist that fills cancellations.
Intake
Forms sent with the booking, completed before arrival, written to the patient record instead of printed.
Migration
Existing patients and future appointments moved across, checked against the old schedule before the switch, with both live for the first week.
The working day view without exposing a client record.
Quiet treatment room in the morning, empty, sunlight moving slowly across a table. No people, no signage.
Complete the form. Watch the record update.
Measured by the practice against its own prior period. The subscription came off the books, the intake stopped being retyped, and the schedule now lives in the system the practice owns.
Reserved for Arbor Vitae Chiropractic.
Published once the practice has approved the wordingRunning the same stack?
If your practice books through a platform you cannot change, the first conversation is about your rules, not our software.