Nabla

Ambient speech to structured note generation is the product in full. There is no non AI version of it.

The vendor attributes its headline figures, roughly 55 percent of users saving at least an hour a day and a 27 percent reduction in burnout, to a published NEJM study, which places it among the minority of scribe vendors with peer reviewed evidence. Held back from A because study design and cohort size were not captured in the source record used for this port, and this index does not assert details it has not retrieved. Abridge remains the reference standard in this category on the strength of a study whose scale and design are documented.

Nabla answers the question most vendors in this index leave open, and the answer is unfavorable: session data is reported as used for model training by default. Several peers, including Commure and OpenEvidence, simply do not state whether submitted content trains their models, and this index has graded that silence as a limitation. Disclosing an unfavorable default is better practice than concealing it, and the grade reflects the practice rather than the candor. Audio is reported deleted automatically after transcription, and the platform is stated HIPAA and GDPR compliant. Any organization handling PHI should confirm whether training on session data can be contractually disabled before deployment.

HIPAA and GDPR compliance are stated, but the free tier reportedly does not include a Business Associate Agreement. That makes the free tier unusable in production for any US organization handling protected health information regardless of how well the scribe performs, the same structural constraint identified for Heidi. Evaluate on the tier you would actually contract.

The widest EHR footprint in this category: Epic, athenahealth, Oracle Health, NextGen, and Greenway. For an organization running different systems across hospital and clinic settings, that breadth means one scribe contract instead of several, which is a materially different procurement position from vendors integrated deeply with a single EHR.

Pricing moved in the wrong direction for buyers during 2026. The company historically published tiers, including a free plan of about 30 consultations a month and a Pro plan reported near $119 per month, and reporting indicates it has since moved off public per month pricing toward a demo and contract sales motion, with aggregator listings now conflicting on tier names and rates. Graded on the current state, which requires a sales conversation, with the prior published position noted because the direction of travel is itself informative.

Broad and specifically stated: roughly 31 languages and templates across more than 35 specialties, spanning in person and telehealth encounters on mobile, desktop, and browser, with a customer base weighted toward hospital systems and emergency departments.