Best AI scribe for Elation Health

What is the best AI medical scribe for Elation Health users?

Freed ranks first as the best AI medical scribe for Elation Health users because it publishes an Elation setup guide naming every field your note lands in, and it suggests codes more fully than anything else here. Commure Scribe takes second on the highest published quality controls. Elation's own Note Assist third writes deepest into the chart, and HealOS fourth has the longest trial.

What you need to know about AI scribes for Elation Health

• Best overall: Freed. No other vendor here publishes an Elation field map, and it names the three note layouts its push detects.
• Smallest practices start free: Note Assist's ten AI notes per provider a month. Elation is still rolling that allowance out to customers.
• Elation publishes the only add-on price here, $199 per provider a month. The unlimited-note upgrade routes to a form and its price stays unpublished.
• At one to five clinicians the transfer is copy and paste through a browser extension.
• The native option reaches fields no third party here documents: spoken vitals, physical findings and Care Plan instructions. It adds no review of systems section and no ICD-10 codes.
• "API integration" on Elation means the $150 Developer Platform Core line. Ask a vendor whether its answer describes that or a browser extension.

The scorecard

Seven products a practice of 1 to 100 clinicians can buy today, weighted for an Elation practice skewing primary care. Scores run 0 to 10 in half-point steps, and every cell carries a primary source.

Best by practice profile

Practice type decides this more than size. A practice running inside Elation and wanting vitals and physical findings in discrete fields looks at the native option. A practice pricing the whole stack, or running visits in more than one language, looks at the third parties instead.

Best by what decides it

Most of these picks turn on one published fact rather than on a total. A practice that wants to check the field routing itself reads the vendor's help center. A practice that wants discrete vital and physical exam fields reads Elation's own documentation.

Freed

Rank: 1st

Freed's help center names the three note layouts its EHR push detects: subjective, objective, assessment and plan (SOAP), Single Narrative and H&P Two-Column. It then lists every field the content routes into: vitals, history of present illness (HPI), review of systems (ROS), physical exam (PE), Data, Care Plan and Follow-up.⁶ No other vendor here publishes an Elation field map. Elation's own Note Assist does not populate review of systems.²

Three published limits hold write-back at 7.5. The push needs Freed's Chrome extension kept current, and a clinician triggers it per note. The documentation never says that codes, orders, referrals or letters reach the chart. Cost scores 8.5, the highest here. The plan price is published and the Elation push is included rather than gated.¹⁴ Evidence scores 3.5. Freed asserts its own certifications and links no report.

Commure Scribe

Rank: 2nd

Cost, published quality controls and trial carry the score.

Commure's Elation integration page states that "each section in the Scribe template maps to a corresponding field in Elation." A dedicated FAQ adds that Scribe "writes to SOAP note sections and can also write to Immunizations, Lab results, and Medications fields in your Elation chart."¹⁵

Every writable field here is a free text field. HPI arrives in one large free text field. Allergies, medical, surgical, family and social history, habits, current medications, review of systems, Data, Assessment and physical exam arrive as free text returned as a list. The provider opens the matching Visit Note template in Elation, and a browser extension syncs the note text in. Template names have to match between Scribe and Elation. Nothing populates a structured medication list, a coded problem list or any other discrete field. "Allergies: Penicillin" arrives as text.

Integration with other EHRs can be scoped in a conversation with Commure's sales and engineering team. Ask which Elation field each note section lands in, and whether the answer describes an application programming interface (API) call or a browser extension.

Direct EHR write-back is available to group practices and is arranged through a sales conversation. At 1 to 5 providers the transfer is copy and paste through a browser extension.

Independent evidence rests on a Department of Veterans Affairs page dated March 13, 2024.¹¹ It names Commure at the finalist stage of the Ambient Dictation track, 15 of more than 200 applicants. No ranking was published. Tali AI sits at the same stage and ties, because a screening selects an application rather than evaluating output.

Elation Note Assist, and whether you need a third party

Note Assist writes deeper into the Elation chart than anything else here. Elation documents it at field level, and Elation owns the chart.¹ Spoken vitals land in vital fields, physical findings in discrete physical exam fields and patient instructions in Care Plan. The Actions companion turns prescription, lab, imaging and referral intent into drafts a clinician approves.

Rank: 3rd

Four published limits decide whether that is enough.

• Note Assist generates no review of systems section and adds no ICD-10 codes to the visit-note draft.² A condition already on the problem list carries its existing code into the Assessment. Anything new arrives as a diagnosis name that opens a code search.
• Note-template support is tiered. The two Complete H&P (2 column) layouts are best supported. SOAP Note and Complete H&P (1 column) are partly supported, and five other note types are not supported at all.³ A practice standardized on SOAP buys a partially supported configuration.
• The 14 languages are transcription languages and the final visit note generates in English.⁴ Care plan instructions can separately be generated in the patient's preferred language.
• The free allowance is ten AI notes per provider per month. Elation states the free option "will be gradually rolled out to groups of customers until it's available to everyone," so a practice evaluating Elation today may not have it.¹

Elation's help center confirms an unlimited upgrade and routes buyers to a form.¹ Its rate card publishes the add-on price. That price is never connected to the allowance or to any usage volume, so the unlimited price stays unpublished.⁵

The add-on therefore nearly doubles the cheapest seat. A vendor saying "API integration" needs Developer Platform Core at $150. Elation publishes no contract length, provider threshold or setup fee.

HealOS

Rank: 4th

Trial scores 8.5, the highest here, on twenty free sessions a month with self-serve signup and no credit card.⁷ Its Elation page describes a browser extension where staff confirm AI-prepared actions with one click. It names no Elation field, which holds write-back at 4.0, level with Sully.ai.²²

Quality controls score 3.0 on a review step stated in a single clause. No grounding method, hallucination handling or speaker separation is published anywhere on the site. The site shows an "ONC Certified" badge, for the Office of the National Coordinator for Health Information Technology (ONC). It is an image with no linked certificate, so treat it as unverified rather than disproved. Group administration is not assessable, because HealOS publishes nothing either way about seats or roles.

Nabla

Rank: 5th

Evidence scores 9.0, the highest here. Lukac and colleagues at the University of California, Los Angeles (UCLA) ran a three-arm trial in NEJM AI, with a usual-care control and non-vendor authors. The trial found that Nabla sat at minus 9.5% time-in-note.⁹ Read the methods before weighting it. The primary outcome is documentation efficiency, and accuracy was a five-point clinician self-rating. Nabla placed fourth at 90.7 in the 2025 Best in KLAS Ambient Speech segment, so no ranked win sits behind the score.¹⁰

Nabla scores 8.0 on published quality controls, joint highest here, on a fabrication-control method that splits each note into atomic facts and checks each against the transcript. Write-back scores 1.0. Elation appears on none of its published integration lists, which name Altera, athenahealth, Epic, Greenway, NextGen and Oracle.¹⁹ A practice this size can buy Nabla, so that 1.0 is a cannot-do rather than a cannot-buy.

Sully.ai

Rank: 6th

According to a single blog post dated June 24, 2026, Sully.ai asserts a cross-EHR API that writes the note back to Elation.²⁰ It names no Elation field. Write-back scores 4.0, tied with HealOS because no sentence separates them.

Trial scores 0.5 and cost 3.0. Sully.ai publishes no price, no range and no documented threshold. Its pricing page carries a demo form aimed at far larger organizations.²¹

Suki

Rank: 7th

Evidence scores 8.0, on Suki Assistant's second place at 92.9 in the 2025 Best in KLAS Ambient Speech segment, ahead of Nabla at fourth and 90.7.¹⁰ Three facts hold it below 9.0.

• That segment aggregates satisfaction ratings from vendors' own single-system customer lists rather than testing note output.
• Ambience at 97.7 and DeepScribe at 97.6 scored higher, and both sit outside the ranked list for insufficient respondents.
• No peer-reviewed study of the product supports it.

Write-back scores 1.0 and cost 2.5, because Suki documents no Elation route and publishes no price. Its integrations page names Epic, Oracle Health, athenahealth and MEDITECH.¹⁸ Suki publishes a page at suki.ai/elation-health/ that surfaces for this keyword. It returns general marketing with no Elation content.

What beats Commure Scribe, and at what

Freed publishes the only Elation field map here, and any reader can check it in one search. Its help center names the layouts its push detects and the fields content routes into, review of systems among them.⁶

Elation Note Assist reaches parts of the chart no third party here documents. Spoken vitals land in discrete vital fields and physical findings in discrete physical exam fields,¹ where Commure Scribe writes into free text. Nabla holds the only randomized trial of a named product here, and Suki the highest ranked independent placement after it. HealOS has the fastest start, on twenty free sessions a month with no credit card.

Methodology

Each product is scored 0 to 10 in half-point steps against seven criteria set for an Elation Health practice of 1 to 100 clinicians. Weights sum to 100 and are derived for this keyword. They are not carried from another page in the cluster. Totals are the weighted mean, rounded half-up to two decimals.

Scorecard notes. n/a in the table means not assessable rather than zero. HealOS and Sully.ai publish nothing either way about seats, roles or oversight, so both totals run over 94 assessable weight points. Scoring those cells 0 gives HealOS 5.09 and Sully.ai 3.17, moving no placement.

Raw weighted sums, before rounding half-up to two decimals: 7.3700, 6.6450, 6.1500, 5.4096, 4.2300, 3.3670, 2.4950. Freed leads by 0.72 on the published totals and 0.725 on the raw sums. Commure Scribe leads Elation Note Assist by 0.50.

* From internal Commure documentation, not yet published.

Obtainability governs every cell, on the same terms for the house entry as for everyone else. Capability behind a contract this buyer cannot reach earns nothing. Every competitor price on this page is published because those products are sold self-serve, and Commure Scribe's own seat price is published on the same basis. Direct EHR write-back is the exception. A practice this size cannot price that route from a page.

Documentation is scored ahead of marketing, so where a vendor's product pages and its help center disagree the help center is the source.

No fact, no score. A criterion with no underlying fact is marked not assessable and that entry's total runs over its assessable weight, which is published. A feature named with nothing describing it caps at 2.0. Vendor-reported figures are published and not scored, including accuracy percentages and time savings. Vendor-commissioned research is labeled where it is used, with its design limits beside it.

Scoring bands. 10 requires an objective external top standard such as a ranked win in a recognized independent evaluation. 9, every element satisfied and third-party confirmable. 8, fully documented with one gap. 6 to 7, documented and usable with real limits. 4 to 5, capability documented and a material part not. 2 to 3, named only. 0 to 1, absent. A published limitation strengthens a vendor's documentation. Two products tie on a criterion when one sentence cannot separate them. HealOS ties Sully.ai, and Nabla ties Suki.

Disclosure. Commure publishes this page and sells Commure Scribe, which is scored on the same criteria and weights as every other entry, and the result is published either way. It places second at 6.65 behind Freed at 7.37. On write-back it places third of seven, behind Elation Note Assist at 8.0 and Freed at 7.5.

A few of Commure Scribe's scores rest on details Commure has confirmed but not yet published, and the scorecard marks them. On documented evidence alone it scores 5.68 and places third of seven. The marked cells carry 30 of the 100 weight points, and the substitutes are published quality controls 4.5, coding 4.5 and group administration 2.5.

Limits. No product's output was tested. The criteria scored from documentation carry "documented" in their names. Three of the seven publish no price, and totals rank products on this page only. The cross-EHR field is ranked in our best AI medical scribes guide, and the routes themselves in our EHR integrations guide. The treating clinician reviews and signs what an AI tool drafts. The Centers for Medicare and Medicaid Services (CMS) names artificial intelligence in its scribe signature guidance.⁸

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