Fourier Health vs MedScrub (2026)
Both sit on the path patient records take into AI, doing different jobs. Fourier Health automates record intake. Fourier Intake ingests more than 25 file types, from faxes and handwritten notes to HL7 v2 messages and exchange records, classifies every page, matches records to the right patient and extracts diagnoses, medications and labs, and Fourier Insights delivers cited specialty summaries into the EHR. Mayo Clinic, One Oncology and Tennessee Oncology are named among its customers. MedScrub protects records on their way to a model. A proxy strips all eighteen HIPAA identifiers, sends the de identified content to the model the customer chooses, and restores identity in the answer, and it can run self hosted. If your failure mode is inbound records that never become usable data, start with Fourier Health. If it is identifiable data reaching an outside model, start with MedScrub.
- Fourier Intake reads faxes, PDFs, scans, handwritten notes, HL7 v2 messages, FHIR bundles and exchange CCDs, classifies every page and matches it to the right patient.
- Every extracted field is cited to its source with a bounding box a clinician can check, and the company says it embeds in Epic, Cerner, Athena, Meditech and other EHRs.
- It publishes its own benchmarks against frontier models, including F1 of 0.96 on classification and a 0.2 percent information miss rate, along with an engineering walkthrough of the pipeline.
- A proxy removes all eighteen HIPAA identifiers before content reaches any model and puts identity back into the answer on the way out.
- The model is the customer's choice, from GPT-4, Claude, Gemini and Mistral to local models under Ollama, and the proxy runs self hosted or in the cloud.
- Patient data syncs into a clinical data repository the customer owns rather than into the vendor's cloud.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Fourier Health and MedScrub 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 | Fourier Health | MedScrub |
|---|---|---|
| Primary category | Clinical Summarization & Chart Review | Clinical Summarization & Chart Review |
| Founded | 2023 | Not recorded |
| Headquarters | Miami, Florida, United States | Not recorded |
| Website | fourierhealth.com | medscrub.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 opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Fourier Health automates medical record intake and turns inbound records into structured, cited clinical data and specialty summaries. Fourier Intake ingests more than 25 file types (faxes, PDFs, scans, handwritten notes, HL7 v2 messages, FHIR bundles and CCDs pulled from health information exchanges), classifies every page, matches records to the right patient and extracts diagnoses, medications and labs.
Source: AI Health Index, September 2026
MedScrub strips the patient out of the records first, sends the de identified content to whichever model the customer chooses, and re identifies the answer on the way back. All eighteen HIPAA identifiers are removed by a proxy before data reaches any model, the substitution is reversible, and the company reports 78 percent token cost savings as a side effect of the compression involved.
Source: AI Health Index, September 2026
Questions buyers ask
How do Fourier Health and MedScrub work with the EHR?
For Fourier Health, the company says it embeds in Epic, Cerner, Athena, Meditech and others and feeds structured data directly into the EHR, and ingests HL7 v2 messages, FHIR bundles and CCDs pulled from health information exchanges; output is returned as FHIR JSON through its API.
With MedScrub, the product pulls conditions, laboratory results, vitals, medications and imaging from the EHR and syncs them into a customer owned clinical data repository, and FHIR accuracy is referenced, which implies standards based exchange. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
How are Fourier Health and MedScrub priced and sold?
The company sells Fourier Intake, Fourier Insights and Fourier Infrastructure (API and datasets), and its case studies express value as savings, payback (3.5 months at one academic system) and return on investment.
The 78 percent token cost saving claim is a cost argument rather than a price, and it describes savings on the customer's own model spend rather than on what MedScrub charges. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
How do Fourier Health and MedScrub handle patient data?
With Fourier Health, the privacy policy states a general retention of up to seven years and says health data is stored and processed on HIPAA-compliant services. Clinician reviewers outside the customer read records during QA.
In MedScrub's case, all eighteen HIPAA identifiers are removed before content reaches any model, so a consumer or frontier model never receives identifiable data. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
Which settings and specialties do Fourier Health and MedScrub cover?
For Fourier Health, the company builds specialty schemas (cardiology among them) and reports work in academic health systems, community oncology, fertility screening and cardiovascular value-based care, for health systems, specialty networks and AI research partners.
With MedScrub, the clinician facing functions are population health screening, pre visit planning and chart question answering, which point toward ambulatory primary care without saying so, and the developer facing use cases span intake and symptom checking chatbots, coding assistance, referral routing, care plan generation and staging environment data. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 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 Clinical Summarization & Chart Review page.
MedScrub's details are unverified, and it publishes no price, business associate terms or figure for how reliably its proxy finds identifiers. Fourier publishes no price either, and its benchmarks are its own evaluations rather than independent ones. Its marketing says every result is reviewed by experts, while its engineering post describes human review of a sample weighted toward new specialties and new customers. Fourier shares training data and evaluation sets across customers in the same specialty, and sells clinician labeled, de identified datasets to AI and research partners.