Ambient Scribes

Indexed for the AI capabilities inside the Doctolib platform rather than for the platform itself, which is context under this index's product scoping rule, and the first non US vendor treated this way. Doctolib is the dominant digital health infrastructure provider across France, Germany, and Italy, spanning appointment booking, practice management, and clinical records. Its ambient documentation capability, the Consultation Assistant, is built on technology from the June 2024 acquisition of Typeless, an EPFL and Idiap Research Institute spin off specializing in AI speech recognition, and uses large language models to convert spoken doctor patient dialogue into structured medical text including clinical notes and doctor letters. In November 2025 the company launched an all in one practice management product incorporating three AI assistants, including a telephone assistant that answers calls around the clock, categorizes inquiries, and transfers appointment bookings directly into the Doctolib system; the company reports practices can save up to ten hours per week on administrative tasks. That product launched for general practitioners, pediatricians, and gynecologists with additional specialties planned. The strategic significance is distribution: ambient documentation delivered inside the appointment and record workflow a practice already uses, which is a different competitive position from standalone scribes such as Nabla or Abridge. Note that European regulators treat ambient scribes as software as a medical device, with the UK MHRA classifying them accordingly, so regulatory posture differs from the US market.

AI clinical platform built for Latin America, and the first vendor in this index whose primary market is outside the United States and Europe. The platform combines ambient documentation, clinical decision support, and EHR integration: it transcribes consultations in real time and generates structured records adapted to each clinician's style, reviews the record, flags potential errors, and surfaces evidence based recommendations and institutional protocol guidance during the encounter. Models are trained on clinical guidelines, peer reviewed literature, and local institutional protocols, which is the substantive localization claim rather than translation alone. Since launching July 2025 the company reports deployment across more than 25 hospital systems in Brazil, Colombia, and Mexico, reaching 14 million patients and processing over 5 million consultations. Reported outcomes at customer sites include protocol adherence rising from 84 percent to 99 percent, physicians recovering roughly 1.7 to 2 hours daily, and 60,000 medical errors flagged in real time. Mater Dei in Brazil reports physicians using the platform around eight hours a day. A free tier targets independent private practice physicians who lack institutional technology access. The company positions the product as supporting clinicians rather than deciding, with the physician making the final call, and is operating while AI regulation is still forming regionally: Brazil's Senate has approved a risk based AI bill pending further approval, and Colombia has sent its own bill to Congress. Founded by Nicolas Abad after his father, a physician, died from a preventable drug interaction. $42 million raised including a $33 million Series A led by Andreessen Horowitz.

Inpatient virtual care platform, and the first vendor in this index covering AI assisted virtual nursing and virtual sitting inside the hospital rather than in the home. The platform is modular: AI Assisted Virtual Nursing supporting virtual rounding, admissions, and discharges; AI Assisted Virtual Sitting and Patient Safety Monitoring, where the AI models cover fall prevention, fall detection, and pressure injury prevention; plus ambient documentation, patient engagement, digital whiteboards and room signage, hospital at home, remote patient monitoring, and a digital clinic. Hardware is part of the offering, including smart carts and in wall fixed devices providing video in the patient room. The stated design intent is extending clinical capacity rather than replacing staff: continuous monitoring across multiple units simultaneously so a smaller number of nurses can observe more rooms and intervene earlier. Reported adoption grew from more than 70 US health systems in February 2026 to more than 100 by June 2026. Named enterprise deployments include Ardent Health (NYSE: ARDT) across more than 2,000 patient rooms, MultiCare Health System as its enterprise virtual care platform, and One Brooklyn Health. Headquartered in Clearwater, Florida.

Multi agent platform automating clinical and administrative workflows from a single interface, with a coordinated network of role specific agents: an AI Receptionist handling inbound and outbound calls, scheduling, and patient communication; an AI Medical Assistant running intake, triage, and history capture; an AI Scribe producing real time documentation with ICD-10 and CPT evidence links; AI Coder and Biller agents for coding and revenue cycle; and an AI Inbox Manager working refills, messages, labs, and follow ups. States bidirectional integration with Epic, Cerner, and Allscripts and HIPAA compliance, with paperless intake syncing to the EHR. Marketed on reduced clinical support staff cost and shorter patient wait times, with stated attention to rural and underserved providers. Founded 2023 in Bellevue, Washington; emerged from stealth in late 2025 with a seed round. Early stage, and the breadth of the agent roster should be weighed against how recently the company began selling.

AI revenue integrity platform for specialty physician practices, surgery centers, and health systems, working both sides of the denial problem. To prevent denials it reviews every encounter against coding standards, payer policy, and the practice's own contracts, checking CPT, ICD-10, HCPCS, modifiers, NCCI edits, and documentation completeness, returning suggested corrections that carry the underlying rule and its source from CMS, NCCI, or payer policy rather than an unexplained flag. To recover them it identifies root cause, retrieves records, references payer policy and contract terms, drafts the appeal packet with clinical evidence, and tracks it through adjudication. Also provides ambient scribing across dozens of specialties, benchmarks payer rates to surface underpayments, and tracks payer policy changes. Runs on US based cloud infrastructure stated as HIPAA and SOC 2 compliant. Reports 55 to 57 percent fewer denials and 98 percent coding accuracy for customers. Co founded by a former healthcare AI product manager at Google and a CTO with explainable AI research background at MIT CSAIL; $4.3 million seed in November 2025 led by Nexus Venture Partners with Y Combinator.

Specialty depth ambient scribe, built for complex specialty medicine rather than general primary care, with oncology as its center of gravity: the company reports 5 million oncology visits captured a year and roughly 40 percent of US cancer care visits documented on the platform, alongside tuned models for cardiology, urology, gastroenterology, orthopedics, neurology, and nephrology. Holds a 98.8 KLAS Emerging Company Spotlight score with A+ marks across all six measured categories, the highest independent rating in the category, plus 2025 KLAS Top 5 rankings for improving outcomes, patient experience, and clinician experience. Positioned as an Ambient Operating System rather than a scribe: bidirectional integration with Epic, athenahealth, NextGen, and eClinicalWorks reads chart context before the visit and writes structured data into discrete fields after, pulling prior notes, labs, imaging, medications, and diagnoses forward into the current note. AI coding builds HCC, CPT, and ICD-10 suggestions into the note, SmartPrep adds pre visit intelligence for oncology, and Customization Studio learns each clinician's documentation style. Conversations supported in more than 110 languages. Founded 2017.

Self serve ambient scribe positioned against the enterprise vendors in the lane: a clinician can sign up and be generating notes the same day with no sales call, no IT deployment, and no annual contract. Reports more than 25,000 clinicians across over 1,000 organizations and more than 32 million patient visits transcribed. Records on phone, desktop, or tablet and returns a structured SOAP note within a minute or two. Pricing is fully published, which is rare in this category. The tradeoffs are stated plainly by third party review: EHR Push works through a Chrome extension into browser based EHRs with no native API write back, so structured field level integration is out of scope, and specialty depth outside primary care is a known weakness with procedure heavy documentation needing more editing. Security posture is strong for the tier, including SOC 2 Type II, a HIPAA Business Associate Agreement by default, automatic deletion of recordings, and an opt out from model training. Community health center Camarena Health deployed across 55 clinicians and 24 sites without formal implementation. Founded 2022.

Clinical AI platform pairing ambient scribing with evidence grounded clinical reasoning, which the other scribes do not attempt. Clinicians describe a case in natural language and the platform returns a ranked differential with suggested workups, drafts a problem oriented assessment and plan with inline evidence links, and answers clinical questions with citations drawn from an index of more than 38 million peer reviewed articles, consensus guidelines, and FDA information covering over 154,000 drug compounds. In the Harvard and Stanford ARISE NOHARM evaluation, a physician validated clinical safety benchmark, the platform ranked among the top medical AI systems. The scribing side produces clinic notes, H&P notes, progress notes, discharge summaries, and patient handouts, with assisted EHR workflows across Epic, eClinicalWorks, athenahealth, and Elation. A Developer API exposes the full stack, including clinical question answering, chart summarization, differential generation, care planning, and scribing, so other platforms can embed the clinical intelligence. Independent testing notes reasoning is strongest on common presentations and weaker on complex multi system cases, and the company positions the product as decision support requiring physician judgment on every output. Founded 2021 by Dr Dereck Paul and Graham Ramsey.

Voice first clinical assistant pairing ambient documentation with an interactive command layer over the EHR, which is what separates it from passive scribes. Clinicians can dictate, capture visits ambiently, or issue voice commands to order medications, navigate charts, query patient records, stage orders for review, and pull schedules. The product also handles ICD-10, E/M, and HCC coding assistance, chart aware clinical questions answered against the specific patient record, and pre visit summaries, with reported volume of roughly 125,000 consults per week. EHR reach is a core strength: deep bidirectional integrations with Epic, Oracle Health, athenahealth, MEDITECH, and Elation, plus an EHR Partnership Program extending to MEDENT, Azalea Health, and WellSky. Suki Platform, launched 2024, lets other healthcare software vendors embed the voice and ambient capabilities inside their own products. Audio and transcripts are deleted after 30 days by default. Founded 2017 by Punit Soni.

Ambient AI scribe generating structured clinical notes in real time from in person or telehealth encounters, reported across more than 85,000 clinicians at over 150 health organizations, weighted toward hospital systems, emergency departments, and multi provider groups. Two characteristics distinguish it. The first is EHR breadth: integrations span Epic, athenahealth, Oracle Health, NextGen, and Greenway, one of the widest footprints in the category and a practical fit for organizations running mixed EHR environments. The second is language coverage across roughly 31 languages, with templates spanning more than 35 specialties customized through custom instructions and dot phrases. The vendor reports that about 55 percent of users save at least an hour a day on documentation with a 27 percent reduction in burnout, figures it attributes to a published NEJM study. Two disclosures matter for procurement and are covered in the capability records: the free tier reportedly does not include a Business Associate Agreement, and session data is used for model training by default. Founded 2018 in Paris.

Indexed for the AI products embedded in Elation's primary care platform, not for the electronic health record itself, which is treated as context under this index's product scoping rule. Note Assist is an ambient scribe that transcribes the visit and structures it into the clinician's own note templates natively inside the chart rather than as a bolt on. Actions listens for clinical intent within the note and drafts the resulting work, including prescriptions, lab orders, and referrals. Clinical Insights surfaces conditions, labs, and medications as a contextual summary at the point of care. AI Fast Lane, launched March 2026, applies Smart Coding to suggest diagnosis and procedure codes from the visit note and problem list, routing claims above a confidence threshold straight to submission without manual review. The commercially material fact for buyers is that Elation states its native AI is included at no additional cost with the EHR subscription. The company was named top solution for Small Practice Ambulatory EMR/PM for 1 to 10 physicians in 2026 Best in KLAS, a recognition covering the platform rather than the AI. Founded 2010 by Kyna Fong and her brother.

AI documentation suite pairing an ambient scribe with point of care automation modules, positioned as an operating system rather than a note taker. AutoScribe produces a fully structured note in about twenty seconds, classifying statements into documentation sections with specialty tuned models covering more than 200 specialties including emergency and hospital medicine. The surrounding suite is what distinguishes it: AutoCDI validates notes against ICD-10 and CPT requirements at the point of care with audit trails for revenue cycle teams, AutoAVS generates patient friendly after visit summaries in the patient's language, AutoRefer drafts referral letters, and AutoPrep reads prior charts to prepare a visit agenda. A Chart Awareness platform launched February 2026 grounds notes in the full longitudinal record including prior notes, labs, imaging, medications, and problem lists. Native API integrations with Epic, Oracle Health, and athenahealth. Cleveland Clinic selected Ambience over four rival scribes for a five year deployment; also reported at UCSF, Memorial Hermann, John Muir Health, The Oncology Institute, and GI Alliance. Support is English first, which points the product at large health systems rather than independent practices.

Enterprise ambient AI documentation platform that turns the clinician patient conversation into a structured, billable note inside the EHR. Named Best in KLAS for Ambient AI in both 2025 and 2026, and reported in use at more than 250 health systems including Kaiser Permanente across roughly 25,000 physicians, Mayo Clinic, Johns Hopkins, Duke Health, UPMC, and the VA. The defining technical strength is Epic depth: embedded across Haiku, Canto, and Hyperdrive with bidirectional note sync, plus an athenahealth partnership, covering more than 28 languages and 55+ specialties across outpatient, inpatient, and emergency settings. Linked Evidence maps every part of a generated note back to the source audio so a clinician can verify any sentence against what was actually said before signing. The platform has extended into structured orders, coding context for revenue cycle, and real time prior authorization through a collaboration with Highmark Health and Allegheny Health Network. Founded 2018 by Shiv Rao, a practicing cardiologist, and Zachary Lipton of Carnegie Mellon.

Global ambient AI scribe that generates structured clinical notes from the patient encounter, with the broadest language coverage in the category. The vendor reports more than 2.5 million consults a week across 110 languages, 190 countries, and over 200 specialties. The product has expanded beyond documentation: Heidi Evidence (launched February 2026) surfaces cited clinical decision support from BMJ, NICE, and HealthPathways at the point of care, and Heidi Comms coordinates patient calls. Pricing is published, which is rare in this category. Founded in Melbourne by Dr Thomas Kelly, a former vascular surgical resident; raised a $65 million Series B in October 2025 led by Point72 Private Investments.

General Catalyst backed roll up of Athelas, Augmedix, and Memora Health selling ambient clinical documentation that flows directly into autonomous coding, clinical documentation integrity, and claims automation. The ambient line spans Augmedix Go (AI drafted notes), Assist (AI plus specialist review), and Live (synchronous human documentation), integrates with more than 50 EHRs including Epic, Oracle Health, and MEDITECH, and is reported to power more than 250,000 providers. A January 2025 Vizient contract provides negotiated access for member health systems.