Ambience Healthcare vs LucasAI (2026)
Ambience Healthcare and LucasAI both pair the ambient note with coding, and LucasAI's comparison page names Ambience as an alternative. They sit at opposite ends of the market. Ambience sells to large health systems and academic centers. Its Ambient Scribe drafts the note, code assistants suggest ICD-10 codes and E/M levels and check HCC capture, and Conditions Advisor surfaces conditions from the full record at the point of care. Contracts follow The Ambience Standard, with fees put at risk against the health system's own outcome targets, and Cleveland Clinic and St Luke's are among the named results. LucasAI sells to clinicians and practices with published plans from $39.99 a month. Coding suggestions are confirmed by the clinician or coder, and the platform adds prior authorization support, wound care DME ordering and voice agents. Ambience suits a health system that wants coding integrity at scale with outcome based contracts; LucasAI suits a practice that wants priced, self serve documentation and coding help.
- Documentation integrity at the point of care, with Conditions Advisor surfacing conditions from the full record for inpatient teams.
- Two way integration with Epic, launched from Haiku in outpatient, emergency and inpatient settings.
- Named results, including Cleveland Clinic's rollout to more than 4,000 clinicians and a KLAS impact study at St Luke's.
- Fees put at risk against the health system's own outcome targets.
- Published monthly plans and a free trial started online, with no enterprise contract needed.
- Coding suggestions confirmed by the clinician or coder before any claim goes out.
- Prior authorization documentation and wound care DME ordering in the same platform.
- Behavioral health notes with PHQ and GAD scores drawn from the conversation.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Ambience Healthcare and LucasAI are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Ambience Healthcare | LucasAI |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2020 | Not recorded |
| Headquarters | San Francisco, California | Miami, Florida, United States |
| Website | ambiencehealthcare.com | lucashealth.ai |
Side by Side
Select any grade to read the note behind it.
Each vendor in one paragraph
Written to be quoted whole. Each paragraph states what the AI Health Index verified about the vendor, with the caveats attached.
Ambience Healthcare sells an AI platform for documentation, coding and clinical documentation integrity to large health systems. Its Ambient Scribe drafts notes as the visit unfolds, and coding tools such as ICD-10 Code Assist, E/M Code Advisor and HCC Compliance Validator, with Conditions Advisor for inpatient documentation, sit in the same platform.
Source: AI Health Index, October 2026
LucasAI is a physician built scribe for practices and groups, sold on published monthly plans instead of fees tied to outcome targets. Its CodingAI proposes CPT, CPT II and ICD-10 codes and an E and M level, and higher plans add HCC and V28 analytics and an audit mitigation assistant.
Source: AI Health Index, October 2026
Questions buyers ask
Which buyers does each sell to?
Ambience sells to large health systems and academic medical centers, with clinicians limited to the United States and contracts under The Ambience Standard. LucasAI sells to individual clinicians, practices and groups, with plans anyone can start online. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 12, 2026. No vendor pays for placement.
How does each handle coding?
Ambience's ICD-10 Code Assist and E/M Code Advisor suggest codes and levels with the note, and its HCC Compliance Validator and Modifier 25 Advisor check coding requirements at the point of care. LucasAI suggests CPT, CPT II, ICD-10 codes and the E and M level for the clinician or coder to confirm, with HCC, V28, MCC and CC analytics on higher plans. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 12, 2026. No vendor pays for placement.
Are any fees tied to results?
Ambience publishes no price; its fees are put at risk against outcome targets such as utilization, burnout and coding accuracy. LucasAI publishes four monthly plans from $39.99 to $999. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified October 12, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.
Lucas Health Corporation of Miami makes LucasAI; its chief executive, Emilio Power, MD, is a physician.