Attend Health vs Elation Health (2026)
Elation practices already have AI in the chart at no extra cost, so Attend competes with a bundle rather than a single scribe. Note Assist drafts notes natively in the clinician's templates in English, Spanish and twelve more languages, Actions drafts prescriptions, labs and referrals for signature, Wordsmith drafts letters, and AI Fast Lane suggests codes and sends claims that meet a confidence threshold straight to the claims queue. Attend connects to Elation from outside, pulls recent notes, labs and the health profile as context, and creates a draft note in Elation. Coding is where the two diverge. Elation automates claim creation and moves confident claims past a person; Attend reviews every encounter before billing and feeds findings back into documentation. A practice that wants fewer touches on billing leans toward Elation's own tools, while one that wants every encounter reviewed before it is billed gets that from Attend. Elation names Anthropic, OpenAI, Google and Amazon as its model providers; Attend names none.
- Reviews every encounter before billing rather than sending confident claims straight through.
- Templates built with the practice, with clinicians able to add their own from an example note.
- Works with athenaOne and Cerbo as well as Elation, for groups on more than one EHR.
- Business associate agreement printed in its terms and binding from signup.
- Included with the Elation EHR subscription at no additional cost.
- Note Assist drafts in 14 languages directly in the clinician's own templates.
- Actions drafts prescriptions, lab orders and referrals from the note for the clinician to sign.
- Names Anthropic, OpenAI, Google and Amazon as model providers, which under its policy do not train on customer data.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Attend Health and Elation Health 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 | Attend Health | Elation Health |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | Not recorded | 2010 |
| Headquarters | San Francisco, California | San Francisco, California |
| Website | attend.health | elationhealth.com |
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.
Attend is an outside AI scribe with a coding audit for outpatient practices on Elation, athenaOne and Cerbo. In Elation it pulls the health profile, recent notes and labs as context and creates a new draft note. It adds templates fitted to each clinician, patient instructions, coding suggestions with explanations and an audit of every encounter before billing, priced by quote.
Source: AI Health Index, September 2026
Elation Health builds AI into its primary care EHR. Note Assist drafts notes natively in 14 languages, Actions drafts prescriptions, labs and referrals for signature, Clinical Insights and Wordsmith summarize the patient and draft letters, and AI Fast Lane suggests codes and sends confident claims straight to the queue. Elation names Anthropic, OpenAI, Google and Amazon as its model providers, includes the AI in the EHR subscription at no extra cost, and publishes its business associate agreement.
Source: AI Health Index, September 2026
Questions buyers ask
Does Elation already include an AI scribe?
Yes. Note Assist drafts notes natively in Elation's chart, and Elation includes it, with Actions, Clinical Insights, Wordsmith and AI Fast Lane, in the EHR subscription at no additional cost. Attend is an outside scribe that connects to Elation and creates a draft note there. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 15, 2026. No vendor pays for placement.
How do Elation and Attend approach coding?
AI Fast Lane suggests codes from the note and problem list and sends claims that meet a confidence threshold, 90 percent by the help center's figure for multi line claims, straight to the claims queue. Attend shows coding suggestions with explanations at the point of care and audits every encounter before billing. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 15, 2026. No vendor pays for placement.
What do Elation and Attend say about training on patient data?
Elation's AI data use policy says its model providers, Anthropic, OpenAI, Google and Amazon, do not train on customer inputs or outputs. Attend's terms let it link de identified data to a customer's account to train the platform on that practice's style. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 15, 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.
Elation's AI comes with its EHR, whose price is quoted, and Attend is quoted per practice. Elation's Best in KLAS ranking covers its platform rather than its AI, and Attend's figures are its own.