Attend Health

Every product Attend sells is the model at work. The scribe drafts the note, patient instructions and a patient friendly visit summary from the conversation, a clinician can revise a draft by describing the change in plain language, and the audit reviews every encounter for coding and documentation problems on the same engine. The company was founded to build these products and has no services or record system business underneath them.

Onboarding is hands on, with Attend's team building templates alongside a practice's clinicians, but the work done in daily use is the model's.

A note moves into the record only when the clinician sends it. Drafts are reviewed in Attend, where a clinician can edit directly or describe a change in plain language, then pushed with a Send to EHR step; in athenaOne the content lands in an existing encounter that the clinician still signs inside the record system.

Coding suggestions and quality checks come with explanations, so a provider sees the reasoning behind a code before accepting it. On the audit side, findings change the scribe's configuration rather than editing notes already in the chart.

What the engine does when it is unsure is not described: there is no confidence threshold and no account of whether an uncertain code is presented differently from a confident one.

One engine sits behind the scribe, the audit and the coding suggestions, and each suggestion arrives with an explanation a clinician can read. That describes how the pieces connect rather than what they are.

The terms add one detail about how the system changes: de identified data linked to a customer's account is used to tune the platform to that practice's documentation style. So the model adapts per customer, but no foundation model, model family, version or update practice is named, and a practice has no way to tell when the system underneath its notes was changed.

Attend does not name the model provider, the speech recognition service or the cloud host behind its scribe and coding engine.

The terms refer to third party service providers that may use anonymous aggregate data, and the business associate agreement requires subcontractors with PHI access to accept its restrictions. Neither document says who those parties are, and there is no subprocessor list.

The homepage cites more than 5,000 clinicians, 50,000 sessions a month, 7 hours saved per week, a 95 percent reduction in charting time and 97 percent retention. None of these figures comes with a method, a baseline or a denominator.

Named users give the figures some texture. Testimonials come from clinicians at First Primary Care in internal medicine, Pacific Coast Dermatology and Wellness Center, Allara Health in endocrinology, Humanaut Health in longevity medicine and One to One Health in physical therapy, and an Allara endocrinologist says Attend was the only one of three AI note tools she tried that met her expectations.

The coding engine is the half of the product with a checkable right answer, and it has no accuracy figure, audit result or study behind it.

Audio is deleted as soon as it is transcribed. A note can be deleted right after it is copied into the record, is removed for good three days after deletion, and is marked deleted automatically after seven days without use; backups keep deleted data for seven more days.

The contracts also set out secondary use. The business associate agreement lets Attend de identify PHI to the HIPAA standard and use or share the result at its discretion. The terms link de identified data to the customer's account to train the platform on that practice's style, and allow anonymous aggregate data to be sold.

The homepage line that PHI is never used for anything other than healthcare is narrower than the contract, because de identified data is no longer PHI. Guardrails against fabricated content, and how a safety event is handled, are not described.

Attend's business associate agreement is printed in full on its legal page as Schedule A to the platform terms, and it takes effect for every customer on the date of signup, so there is no plan level to reach before it applies.

It limits PHI use to providing the service, requires any subcontractor with PHI access to accept the same restrictions, commits to notice within ten days of discovering a breach of unsecured PHI, and requires PHI to be returned or destroyed when the agreement ends. It also lets Attend de identify PHI and use that data at its discretion.

The agreement names Craft Health Technologies, LLC as the business associate, while the terms it is attached to name Craft Health Technologies, Inc. The documents do not explain the difference in entity type.

The company says it is AICPA SOC 2 certified, that all data is encrypted, and that independent third parties continuously assess and audit its systems. SOC 2 and HIPAA badges sit in the footer of every page.

The report type and period are not given, and there is no trust portal or route to request the report. Whether the attestation is Type I or Type II, and whether its scope reaches the audit product's access to a whole practice's charts, would only be visible in the report itself.

Documentation, coding suggestions and chart audits make up the product, and no clearance is claimed for any of them. Attend's terms say the platform and its output are not intended to diagnose, treat, cure or prevent any disease, do not substitute for professional medical advice, and leave clinicians responsible for any medical conclusion drawn from them.

For this product the regulatory exposure is billing rather than device status. The audit and coding engine shape how visits are coded before claims are submitted, which puts its accuracy in front of payers rather than regulators.

The audit is sold both on recovering revenue that documentation has been hiding and on managing audit risk, and it looks for incorrectly coded visits rather than only missed charges.

The closed loop is what sets Attend apart, and it comes at a cost in independence. Audit findings are fixed by changing the scribe's configuration, so the same vendor's audit reviews the same vendor's notes and retunes them. Nothing outside the loop, such as payer determinations or an external coding audit, is described as the reference point.

No fairness statement, subgroup result or account of how the coding engine is tested is available.

Clinicians review and edit each note before sending it, and coding suggestions carry explanations, which gives a practice the means to catch an error before it reaches a claim.

Nothing stands behind the output itself. The terms disclaim any warranty of accuracy, say the output does not replace the need to review it, cap direct damages at the greater of $100 or three months of fees, and run indemnification one way, from the customer to Attend. A coding error the audit itself introduces therefore stays with the practice once the claim is filed.

Attend's help center documents three integrations: athenaOne, Elation and Cerbo. In each, a clinician picks the patient from the schedule or a search, can pull chart context into the visit, and sends the finished note back to the record.

The context available differs by system: health profile, recent notes and lab results everywhere, documents in Cerbo, and imaging reports in athenaOne. Elation receives a new draft note and Cerbo a new encounter. In athenaOne the note is appended to the existing encounter's History of Present Illness, Review of Systems, Physical Exam and Assessment and Plan sections, keeping what is already there, and a resend appends the content again.

For record systems without an integration, a clinician copies the finished note, or a single section, to the clipboard and pastes it in. Edits made in the record do not sync back to Attend, and no marketplace listing or customer count is attached to any of the three connections.

The platform runs as a hosted web application. Its terms say it is based in the United States and make no claim about use outside it.

The homepage says data is configured to match each organization's compliance requirements, and the retention settings are the part of that a practice can see. No hosting provider, region, residency option or tenant isolation is described.

Pricing is quoted per practice. A buyer starts with Attend Scribe, Attend Audit or both, and the quote is built on practice size, specialty and the features chosen.

The terms set out the contract shape: subscription plans invoiced with payment due within 30 days, automatic renewal unless either side gives 30 days' notice, and price changes that take effect in the following year of service. Whether the ongoing template work by Attend's team is included in the subscription or billed separately is not stated.

Templates are how Attend fits each clinician. During onboarding its team builds them with the practice, from SOAP notes to condition specific formats, and clinicians can add their own in the Template Manager by describing a structure or pasting an example note, then giving each section its own instructions and sample wording. Team workspaces share templates across a group, and output covers notes, letters, patient friendly visit summaries and patient instructions with next steps.

Its named users are outpatient clinicians in internal medicine at First Primary Care, dermatology at Pacific Coast Dermatology and Wellness Center, endocrinology at Allara Health, longevity medicine at Humanaut Health, physical therapy at One to One Health, and marriage and family therapy.

Which languages the scribe handles is not stated. The help center is offered in English, French and Spanish.