Augmedix
Augmedix sells ambient medical documentation to health systems, hospitals and clinics, with AI drafting the note and trained medical documentation specialists adding as much human support as a customer buys. Founded in San Francisco in 2012 by Ian Shakil, it began delivering ambient documentation to health systems in 2013 and counts 10 million notes in the decade since. It listed on Nasdaq, and in October 2024 Commure, a healthcare technology company in Mountain View, California, completed its acquisition at $2.35 a share in cash, a deal valuing it at about $139 million. Augmedix now operates as a wholly owned subsidiary of Commure and still sells under its own brand, with its own site, service terms and business associate agreement issued by Augmedix Operating Corp.
Three products make up the line today. Augmedix Go is a self service, pure AI scribe that drafts notes within moments, for clinicians who do their own editing, coding, orders and referrals. Augmedix Assist, called Go Assist in the service schedules, adds a specialist who reviews the recording and edits the AI draft, along with coding, orders, after visit summaries and referral letters, so notes are ready for sign off within an hour. Augmedix Live gives each clinician a dedicated specialist who supports the workflow before, during and after the visit. The service schedules also cover Augmedix Notes, documentation prepared from recorded encounters, and Augmedix Prep, which prepares the chart before the visit, and the company offers a bespoke app for emergency medicine.
Capture is by smartphone or lightweight headset, and the note reaches the record during or immediately after the visit for the clinician to sign. The company has invested in automation to reduce the scribe effort behind each note while keeping human review available for complex or high stakes encounters. It served more than 20 major health systems and hundreds of sites of care at the time of the merger, and it announced HITRUST r2 certification in August 2023, covering Live, Notes and their cloud services.
In January 2025 Vizient added Go, Assist and Live to its contract catalog; Vizient serves more than 65 percent of United States acute care providers and 97 percent of academic medical centers, representing over $140 billion in annual purchasing volume. While listed, Augmedix reported $45 million of revenue in 2023, up 45 percent, against a net loss of $19 million.
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Software and trained people share the work, in proportions set by the product a customer buys. In Go the AI drafts the note and the clinician is the only editor. In Assist a medical documentation specialist reviews the encounter recording and corrects the draft before the clinician sees it, and in Live a dedicated specialist supports the clinician before, during and after the visit. The company describes the range as self service to full service, and its investment in automation is aimed at reducing the scribe effort behind each note.
Oversight is sold as a product choice. Go drafts the note with AI alone and leaves editing, coding, orders and referrals to the clinician. Assist adds a medical documentation specialist who reviews the encounter recording and edits the draft, with notes ready for sign off within an hour. Live puts a dedicated specialist alongside the clinician before, during and after the visit, with two way communication between clinician and scribe. In every product the note lands in the record unsigned, for the clinician to finalize and approve.
Nothing describes how an encounter that proves complex in Go reaches a specialist.
Speech recognition captures the conversation between patient and physician, and natural language processing, including foundational and specialty specific fine tuned large language models, makes multiple passes to write a natural sounding note. Further models produce structured data for note review and analysis, and the note and data go to the record for the doctor's review and sign off. The company calls this the Augmedix Clinical AI Engine, with AI fine tuned for oncology and other specialties, and the line supports 32 languages, suggests ICD-10 codes and offers CareCues, real time care gap and billing reminders.
No foundation model, accuracy figure or rule for routing work between model and specialist is published.
Specialists prepare draft documentation on Augmedix's proprietary Notebuilder Platform, working inside it on restricted, company managed workstations. Cloud hosting comes from outside providers, service providers handle data under agreements that include a business associate agreement and are subject to on site audits, and a third party vendor performs de identification using tokenization. The language models behind the notes include foundational and specialty fine tuned models.
None of these suppliers, and no foundation model provider, is named.
Augmedix counts 10 million notes since it began delivering ambient documentation in 2013, and it puts daily EHR time savings at about one hour for Go, 1.5 to 2 hours for Assist and 2 to 3 hours for Live. A December 2024 release says its products can save clinicians one to three hours a day. A partner marketplace case study from January 2023 names Hillsdale Hospital, a rural Michigan system, with three hours saved per day and a 20 percent productivity boost.
No published study measures note accuracy, coding accuracy or clinical quality for any of the products.
Augmedix may de identify protected health information under HIPAA's standard, through a third party vendor applying tokenization without access to the re identification keys, and may use or disclose the de identified data for any purpose not prohibited by law. Its service terms give it ownership of that data and say it intends to aggregate it with other customers' de identified data to give customers more targeted insights. At termination it returns or destroys protected health information, and where that is infeasible the agreement's protections continue.
People as well as models handle encounter content, and medical documentation specialists work on locked down workstations with restricted web access and no local storage. No retention period for audio, video or transcripts is published.
A Business Associate Addendum made by Augmedix Operating Corp. and its subsidiaries and affiliates covers all service agreements entered after June 20, 2025, and the service terms incorporate it into every statement of work, with the version in force from October 2023 archived beside it. It commits Augmedix to Security Rule safeguards, to reporting breaches and security incidents within thirty days of discovery, to flowing the same restrictions down to subcontractors, to supporting access, amendment and accounting requests, and to returning or destroying protected health information at termination where feasible.
Subcontractors are permitted but not listed.
Augmedix sells its service as HITRUST certified and HIPAA compliant, and it announced HITRUST r2 certified status in August 2023, covering Augmedix Live, Augmedix Notes and the cloud services supporting them. Data moves under TLS 1.2 or 1.3 and is stored with 256 bit AES encryption, a managed security operations center watches the environment, outside security firms run risk assessments every year and third parties test the network, applications and APIs for penetration.
The company described r2 as a two year certification, and no renewal date or current certificate is published.
Documentation and chart preparation are administrative work, and no device clearance applies to or is sought for any Augmedix product. The services assist healthcare organizations and professionals but do not substitute for professional medical judgment, and every note goes to the record for the clinician's review and sign off. CareCues, the real time care gap and billing reminders, are the closest feature to decision support.
Human review is the main control on output. A clinician reviews and signs every note, and Assist and Live add an Augmedix specialist who checks or prepares the documentation first, a person who can catch what a model mishears. The depth of that review depends on the product a customer buys.
No evaluation, error rate or comparison of note quality across products or patient groups is published.
Every Augmedix note reaches the record unsigned, for the clinician to review and approve. In Go, the authorized user reviews and approves everything the mobile app generates before finalized notes go into the chart, and when Note Upload Assistance moves notes for the clinician they arrive in pending status for review, finalization and approval. Live and Notes upload documentation the same way, pending the clinician's review.
Go Assist adds a check by Augmedix's own staff. A medical documentation specialist reviews the encounter recording and edits the generated content for accuracy and completeness, and the clinician remains ultimately responsible for the note.
The service terms disclaim all warranties, including accuracy of data or content, leave the entire risk of use with the customer and cap liability at fees paid in the preceding twelve months. No accuracy or error figure is published for any product.
Go integrates with more than 50 record systems, including Epic, Oracle Health and MEDITECH, and the product line offers bi directional integrations with Epic, Cerner, Meditech and athenahealth. In December 2024 the full suite passed Oracle's technical integration review and earned its Industry Healthcare Expertise designation, which requires showing that the integration performs as documented, and the company has worked in the Oracle ecosystem for more than a decade. Where no integration is set up, a Note Upload Assistance add on, for an additional monthly fee, has a specialist move Go notes into the record in pending status.
No interface standard such as HL7 or FHIR is named for the integrations.
Delivery is cloud based, through web and mobile apps, with capture on a smartphone or a lightweight headset rather than room hardware. Hosting is on shared cloud infrastructure with a second region for backup, and documentation specialists work on company managed workstations, including from home under a separate protocol. The company has offices around the world.
The hosting regions and the countries where specialists work are not published.
Go, Assist and Live are sold as a range from self service to full service, compared by daily EHR time savings and degree of personalization, so an organization can match support to each clinician. Upgrading a clinician from Go to Go Assist adds a monthly fee, as does the Note Upload Assistance add on, and the service terms set all fees, implementation and training in each statement of work.
No price for any product is published.
Use runs from the emergency department to primary care, across ambulatory and acute settings and dozens of specialties. Emergency medicine, hospital medicine and specialty outpatient care are where the company started, and it keeps a bespoke emergency medicine app alongside its oncology tuned AI.
Customers have included more than 20 major health systems, clinicians at Alabama Oncology, Paradise Medical Group and Dignity Health Medical Group use the service, and the products sit on the Vizient contract catalog. Coverage is United States only.
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Ordered by how closely the graded profiles match across the fifteen axes, inside the same categories. See how each axis is graded in the methodology.
Pricing
Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.
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Fees are set in each statement of work, and the product line is tiered by how much human documentation support is included. No list price is published. | A business associate agreement is published, effective for all service agreements entered after June 20, 2025 and incorporated into every statement of work. Subcontractors are not listed. | Implementation and training are provided where the statement of work specifies them, and their cost is not itemized publicly. | Vendor Published |
Fees for every product are set in each statement of work and billed in US dollars, invoiced monthly and collected by automatic bank debit, with a late fee of up to 1.5 percent a month and a five business day window to dispute an invoice. Any without cause termination right and termination fee are set per statement of work as well. Whether Augmedix products are bundled with Commure's coding and revenue cycle products is not disclosed.