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Tilled

Tilled

PayFac-as-a-Service

VS

Kareo

Independent Medical Practice Billing

Kareo
Fees from
Custom vs Custom
Features

0 shared

2 unique to Tilled · 2 unique to Kareo
Regions

1 shared

Pay methods

3 shared

2 unique to Kareo
On payment methods

Kareo supports 5 payment methods, 2 more than Tilled. Verify directly with each provider before signing.

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Show full specs
4 features · 5 payment methods · 1 regions. We don't rank these — they're here for reference.
Tilled Tilled
Kareo Kareo
Quick Facts
Fees
Standard transaction rate
Custom
Custom
Settlement
Time to receive funds
1–2 business days
—
Founded
2019
2004
Headquarters
Boulder, Colorado
Irvine, California
Sandbox / Test Mode
✓
—
Webhook Support
✓
✓
Features
Enterprise Unique
✓
—
Instant Sandbox Unique
✓
—
Recurring Payments Unique
—
✓
Startup Friendly Unique
—
✓
Payment Methods
Kareo leads (5 vs 3)
Ach
✓
✓
Check Unique
—
✓
Credit Card
✓
✓
Debit Card
✓
✓
Virtual Card Unique
—
✓
Regions
North America
✓
✓

Tilled is best when you...

PayFac-as-a-Service
Need Enterprise
Not available with Kareo
Need Instant Sandbox
Not available with Kareo
View Tilled

Kareo is best when you...

Independent Medical Practice Billing
Need Recurring Payments
Not available with Tilled
Need Startup Friendly
Not available with Tilled
View Kareo

Frequently Asked Questions

What is the difference between Tilled and Kareo?
They share 3 payment methods and 1 region. Kareo adds Check, Virtual Card that Tilled does not list; only Tilled offers Enterprise, Instant Sandbox; only Kareo offers Recurring Payments, Startup Friendly.
Which is cheaper, Tilled or Kareo?
Neither publishes a rate card — both quote on engagement, so the cheaper option depends on the volume you bring to the negotiation.
Where can I use Tilled and Kareo?
Tilled lists 1 region and 3 payment methods; Kareo lists 1 and 5. both cover North America. Check the country list on each profile before onboarding — regional coverage is not the same as local acquiring.
How do Tilled and Kareo compare on integration and settlement?
Tilled offers a sandbox, Kareo does not list one; both support webhooks; Tilled publishes a settlement time of 1–2 business days.

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Data on this page is indicative and may be out of date — always verify fees, coverage, and terms directly with each provider before signing. Comparisons are generated from published data and provider-submitted updates; they are information, not advice or an endorsement. Some outbound links may earn us a referral commission — commissions never influence scores or rankings.

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