Elation Health vs ModMed (2026)
Two record system vendors whose AI comes with the platform, and practices almost never shortlist both. Elation sells one platform for independent primary care, holds 2026 Best in KLAS in the one to ten physician category, and includes its AI at no extra cost: Note Assist writes into the clinician's own templates, Actions drafts prescriptions, lab orders and referrals for review, and AI Fast Lane routes claims that meet a practice set confidence threshold straight to the queue. ModMed sells eleven specialty record systems through EMA and gGastro, and its Scribe 2.0 turns the visit into suggested notes, prescriptions, lab orders and billing codes on models it says were trained on de identified data from more than 750 million encounters. Elation publishes its business associate agreement in full and names Anthropic, OpenAI, Google and Amazon as its AI providers, while ModMed publishes no attestation or business associate terms but has Scribe at the center of its ONC decision support intervention certification. The specialty a practice works in decides this.
- The business associate agreement is published in full at a public address, so the terms can be read before a sales process, and the AI is included with the subscription at no extra cost.
- Oversight is described product by product, with Actions drafting rather than sending and AI Fast Lane routing a claim only when it meets a confidence threshold the practice sets.
- The AI providers are named, Anthropic, OpenAI, Google and Amazon under enterprise licenses, and Elation's AI data use policy states that they do not train on customer inputs or outputs.
- Specialty depth is the platform's center, with record systems for eleven medical specialties through EMA and gGastro.
- ModMed states its training provenance, describing proprietary, specialty trained models trained on de identified data sampled from more than 750 million patient encounters.
- The scribe sits inside a certified regime, named as central to the EHR's ONC certification under the decision support intervention criterion, which requires source attributes and intervention risk management.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Elation Health and ModMed 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 | Elation Health | ModMed |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | 2010 | 2010 |
| Headquarters | San Francisco, California | Boca Raton, Florida, United States |
| Website | elationhealth.com | modmed.com |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
Elation Health
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Product / capability
Elation added AI payment posting to Elation Billing, the last step in a flow where the signed note drives AI drafted codes, claims are checked against eligibility, coding edits and payer rules, and payments post automatically.
Source -
Product / capability
Elation Health launched AI Fast Lane, applying Smart Coding to primary care billing.
Source
ModMed
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Product / capability
ModMed launched an AI package for general surgery practices that extends ModMed Scribe, which drafts notes from the patient conversation and works with the EMA EHR to suggest surgical ICD-10 codes for the surgeon to review.
Source
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Elation Health builds an EHR and billing platform for independent primary care, and this profile covers the AI products built into it. Note Assist is an ambient scribe that structures the visit into the clinician's own note templates inside the chart, in English, Spanish and twelve more languages.
Source: AI Health Index, August 2026
Specialty specific cloud EHR and practice management vendor, formerly Modernizing Medicine, serving eleven medical specialties through its EMA and gGastro platforms. Its AI layer includes ModMed Scribe, now in version 2.0, an ambient documentation assistant built natively into the EHR that turns the visit conversation into suggested notes, prescriptions, lab orders and billing codes for the provider's review.
Source: AI Health Index, August 2026
Questions buyers ask
How do Elation Health and ModMed work with the EHR?
No integration layer sits between the AI and the chart, because Elation is the EHR. Note Assist writes into the clinician's own templates, Actions drafts prescriptions, orders and referrals directly in the record, and Smart Coding reads the problem list, medications and visit note to build the claim.
With ModMed, the company states the AI is built directly into EMA with no additional software or integrations required, so approved note content flows into prescriptions and lab orders without a handoff, and clinical charts link directly to practice management and billing. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How are Elation Health and ModMed priced and sold?
Elation includes its native AI at no additional cost with the EHR subscription, and the June 2025 language expansion reached all Note Assist users at no extra charge. Against a specialist scribe sold at a separate per clinician fee, that changes the comparison.
For ModMed, an existing customer evaluating the AI layer is not making a competitive purchase, and nothing published tells them what the addition costs relative to what they already pay. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
How do Elation Health and ModMed handle patient data?
Elation's own handling is less specific. No retention period is given for Note Assist audio or transcripts inside Elation, there is no de identification position, and the policy does not say whether supporting the service includes improving Elation's own features.
In ModMed's case, the privacy policy adds that de identified information may be used for any lawful purpose and shared in all legally permissible ways, and that voice recordings made through the EHR's speech to text module may be collected by a dictation service provider and used to improve dictation. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Which settings and specialties do Elation Health and ModMed cover?
Elation does not claim enterprise health system or broad specialty coverage.
With ModMed, specialty depth is the company's central differentiator and it is substantiated. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified August 4, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers.
Neither vendor publishes an accuracy figure, model version or evaluation method for its scribe. Elation states SOC 2 compliance without a report type, period or scope and publishes nothing on how long audio and transcripts persist, and ModMed publishes no SOC 2, HITRUST or ISO 27001 attestation and no business associate terms.
Elation's help center gives 90 percent as the AI Fast Lane threshold for multi line claims, based on the practice's own history, and nothing published describes how a touchless claim later found wrong is corrected. Elation's Best in KLAS recognition covers the platform rather than the AI.
An earlier version of this comparison said neither vendor publishes an attestation, that Elation publishes no position on whether customer data trains its models, and that its automated claim lane carries no published threshold; Elation's AI data use policy and help center contradict all three, and those statements were corrected on 15 September 2026.