Comprehend Health

Comprehend exists to write therapy notes. It transcribes a physical therapy visit, or a short summary the therapist records afterward, and writes the note in the therapist's own style, covering daily notes, evaluations and progress notes, and a browser extension places the finished note in the clinic's EMR.

The extension, the EMR Playground where clinics try it against their own system and the onboarding team all exist to carry the model's output into a therapist's day. Strip out the models and nothing is left to sell, which is how Comprehend prices itself: per provider, against hours of documentation it takes off each therapist's week.

The therapist finishes every note. Comprehend drafts it in the therapist's style, the therapist reviews and edits it, and the extension then places it in the EMR with one click, so nothing is filed without the therapist acting. Comprehend also suggests wording therapists can use to ask patients for consent to record.

The missing piece is support for the review itself. Nothing links a statement in the note to the part of the visit it came from, and in physical therapy, where notes carry measurements, functional scores and plans of care that payers audit, the therapist has to catch any figure the model got wrong without a pointer to the source.

The architecture is described in outline: a transcription provider converts the visit audio, the system drafts a note shaped by each clinician's past edits and style, and the browser extension writes it into the EMR. The founders describe the platform as built on AI work one of them began years before the company launched.

Neither the speech engine nor the language model is identified, by provider or version, and no release notes track changes. A clinic cannot tell what produces its notes or when the model underneath has been updated.

The chain is described by category without names. The privacy policy says Comprehend shares information with hosting, infrastructure, transcription, analytics, security, billing and customer support providers, bound by confidentiality and data protection terms and by business associate obligations where applicable.

No transcription service, language model provider or cloud host is named, and there is no public subprocessor list outside the trust center. A clinic therefore cannot see before signing which outside companies hear its patients' visits or whether any of them may retain or learn from that audio.

Large named deployments carry company reported results. Confluent Health rolled Comprehend out to more than 1,500 clinicians, and the case study reports, within 90 days, more than ten hours saved per clinician each week, notes signed seven times faster, 99 percent of notes signed within the week and a 3.6 times reduction in employee churn, drawn from note timestamps before and after go live rather than surveys. Florida Orthopaedic Institute onboarded 230 providers in ten weeks, with 103 power users by week ten and engagement per provider up 72 percent.

The Confluent figures come without dates for the before and after periods, the baseline hours or how hours saved were derived from the timestamps, so they cannot be checked. Note accuracy and compliance are not measured at all. The value calculator labels its own 7.5 hour assumption as a conservative blend of case data and published scribe research.

Audio recordings and transcripts are securely deleted once they are no longer needed to generate the note, unless the clinic's agreement or record retention law requires keeping them, and clinics can ask for their data to be deleted. The browser extension uses page data only for its one purpose under Chrome's limited use rules.

Training use is not addressed: nothing says whether notes or clinician edits, which teach the system each therapist's style, are used to improve models across customers or by outside providers. Beyond clinician review, nothing explains how invented findings or measurements in a note would be caught.

Every user signs a business associate agreement, and the privacy policy is written for the service itself rather than only the website. It lists the patient data Comprehend handles, audio recordings, transcripts, generated notes, clinician edits, patient identifiers and appointment context, and describes HIPAA safeguards, encryption in transit and at rest, and role based, audited access.

Its terms are seen only after signing up. The privacy policy says hosting, transcription, analytics, security, billing and support providers are bound by business associate obligations where applicable, which leaves open which of them actually sign one.

SOC 2 Type II is named in Comprehend's own FAQ, which says the company meets the standard through ongoing audits and continuous monitoring with Vanta, and a Vanta trust center is linked for details of controls and certifications. That wording leaves open whether a Type II report has been issued or an audit is still under way. No report date, auditor or scope is given in writing, and the trust center opens only as an interactive app.

The privacy policy describes encryption in transit and at rest, role based and audited access, and regular testing and monitoring. No HITRUST or ISO 27001 certification is claimed.

No regulatory position is stated, and none is needed for what the product does. Comprehend documents the therapist's own visit, turning what was said and done into a note the therapist reviews and signs, and it is not marketed as recommending treatment, diagnosing or setting a plan of care on its own.

The regime that matters to its buyers is payer documentation rules, which Comprehend addresses in its value case through audit risk and complete notes rather than through any regulatory claim. No intended purpose statement sets that scope in writing.

Nothing describes how the scribe's accuracy is tested or governed. Comprehend tracks adoption closely after go live, with power user rates, engagement growth by week and counts of users at risk of dropping off, but offers no evaluation of what its notes get right or wrong.

Physical therapy visits involve exercise instruction, movement, background noise in open gyms and patients of every age and language, and no results are given by setting, visit type, accent or language. A clinic cannot tell whether notes are less reliable for some therapists or patients than for others.

The therapist's review and signature are the check on each note, and access and changes are audited. Comprehend offers a 30 day money back promise, so a clinic that does not see the value it expected can recover its first month.

That promise covers satisfaction with the product, not what a note says. No error rate, warranty on note accuracy or remediation commitment for a note that fails a payer audit is offered, even though the value case leans on audit losses that complete notes prevent. The terms of service, which set the limits of Comprehend's liability, are a separate document from the product's own promises.

Notes reach the record through a browser extension that works with nearly any web based EMR, and Comprehend names WebPT, Raintree, Jane, Prompt, Net Health, Clinicient, Stride, Empower, Fusion and PT Everywhere among them, with a longer list on its demo form. The extension fills the note in the EMR's own page with one click, which is one directional writing into named systems, and large groups such as Confluent Health run it in production.

Nothing comes back from the EMR into Comprehend, such as the plan of care or prior visit measurements, and desktop EMRs that do not run in a browser are outside the extension's reach. No API or marketplace integration is described.

Where Comprehend runs, and where recordings, transcripts and notes are stored, goes unstated. The privacy policy refers to hosting and infrastructure providers by category, without naming a cloud provider, region or tenancy model. The browser extension works inside the clinic's own EMR session in Chrome, so each finished note also passes through the therapist's browser on its way into the record.

The company's Vanta trust center is the place such details would sit, and it opens only as an interactive app rather than a set of statements. Until the location of patient data is stated in writing, a clinic has to ask whether processing by the transcription and model providers stays in the United States.

The price is listed and a clinic can start without a sales call. The Chrome extension plan costs $99 a month per provider or $949 billed yearly, with a seven day free trial and no credit card, and Comprehend promises a refund if a clinic is not satisfied after 30 days. Enterprise terms for large groups are quoted.

A value calculator on the pricing page lets a clinic enter its provider count, waitlist, turnover and audit concerns and see estimated monthly value against the subscription, with every assumption cited, from net revenue per physical therapy visit to the cost of replacing a provider.

Outpatient physical therapy is the deliberate scope, and it is backed by some of the largest groups in the field. Confluent Health, with more than 1,500 clinicians, and Florida Orthopaedic Institute, with 230 providers, run it at scale, and smaller clinics such as Active Care Erie, Buffalo Performance Physio and Modern Manual Therapy are quoted by their own therapists.

The product's EMR list, from WebPT, Raintree and Net Health to Jane and Prompt, matches the systems physical therapy clinics actually use. Occupational and speech therapy, inpatient rehabilitation and settings outside outpatient therapy are not part of the stated market.