5 Best AI Scribes for eClinicalWorks (2026)

This guide covers five AI scribes that work with eClinicalWorks. Around 30% of US physician practices now use an AI scribe.¹ The tools on this list vary significantly in how they connect to ECW, what they do with that connection, and who they are realistic options for.

The primary evaluation criterion is ECW integration depth. Not all ECW integrations are equivalent. Some scribes write directly into ECW fields using a bi-directional API, reading chart context before the encounter and writing structured data back into the appropriate fields afterward. Others push a completed note into the browser interface without accessing the chart first. That distinction determines how much the tool actually changes the documentation workflow. This guide ranks five tools on integration first, then on coding support, trial availability, language support, and pricing.

The list covers tools available to ECW practices from solo clinicians through large group practices.

How we evaluated these tools for eClinicalWorks

ECW integration depth is the primary criterion. A scribe that generates a good note but requires manual copy-paste is a different product from one that writes directly into the chart. That difference matters more in a busy practice than any single feature claim.

Two meaningful integration types exist for ECW practices.

• Browser push: The AI generates a note and transfers it into ECW’s browser interface without manual copy-paste. The scribe had no access to your chart before generating the note.
• Bi-directional API: The scribe reads chart context before the encounter. Medications, problem lists, and prior notes flow in. Structured data writes into the appropriate ECW fields afterward. This type requires IT involvement for setup.

Secondary criteria: suggested ICD-10/CPT code generation, whether setup requires IT involvement, self-serve trial availability, multilingual support, and pricing transparency.

What we did not use as evidence: vendor-reported accuracy percentages or proprietary time-saving statistics. These cannot be independently verified. Independent research shows AI scribes have an error rate of roughly 1 to 3%, with omissions being the most common failure mode. Clinician review before finalizing is not optional.¹˒²

#1 Commure Scribe

Commure Scribe is an AI medical scribe built by Commure. It records the clinical encounter, generates a structured SOAP note, and produces suggested ICD-10 and CPT codes for clinician review. It is designed for practices of all sizes, from solo clinicians to large group practices, and supports eClinicalWorks among 60+ named EHR integrations. The ECW integration uses API write-back, reading chart context before the encounter and writing structured data into ECW fields after.

• ECW integration: API write-back — reads chart context before the encounter, writes structured data to ECW after
• Coding: Suggested ICD-10 and CPT codes, available in a separate tab for clinician review
• Admin Copilot: Patient emails, work excuse letters, prior authorization requests, generated from encounter context
• Trial: 7-day trial, no credit card required
• Support: US-based live phone support
• Recording: Up to 2 hours continuous, hands-free, multi-speaker recognition
• Languages: 90 languages, automatic detection
• Security: HIPAA compliant, SOC 2 certified, onshore data storage, no third-party data sharing

Commure Scribe captures the full clinical encounter and generates a structured SOAP note. The clinician reviews the note before anything posts to ECW. The workflow is Capture, Edit, Finalize.

Suggested ICD-10 and CPT codes are available on paid plans. The codes appear in a separate tab and require clinician review before use. Because the note captures full clinical context from the encounter, it supports documentation that accurately reflects encounter complexity.

Admin Copilot generates patient-facing outputs from the same encounter. Patient emails, work excuse letters, and prior authorization requests are produced from encounter context without a separate workflow step.

90 languages are supported with automatic detection. No manual language selection is required. Specialty templates are available, and the tool adapts to individual phrasing over time.

Medium and large group practices get API write-back integration with ECW and custom pricing. Chart context flows in before the encounter and structured data writes into the correct ECW fields afterward. The same product a solo clinician starts with scales to a multi-site group deployment.

Pricing. Solo and small practices (1–5 providers): $89/month or $59/month billed annually. Includes unlimited transcription, custom templates, AI Copilot, suggested ICD-10/CPT codes, and Admin Copilot. Medium and large group practices: custom pricing with API write-back to ECW, custom AI workflows, live onboarding, and ROI analytics. 7-day trial available with no credit card required.

#2 Sunoh.ai

Sunoh is eClinicalWorks’ own ambient scribe, distributed through the healow mobile environment. For practices already running healow, it requires no separate account, no installation, and no note transfer step. The note goes directly into ECW.

• ECW integration: Native, built into healow ECW mobile environment. Reads patient context before the encounter and writes the note directly into ECW. No separate account or transfer step required.
• Coding: ECW’s native ICD-10/CPT coding suggestions are built into the EHR. Sunoh does not generate codes from the scribe itself.
• Trial: Through your ECW representative, no independent trial
• Pricing: Via ECW account (bundled/usage-based); Sunoh also advertises direct pricing starting around $149/month. Actual ECW-bundled pricing may differ.
• Setup: Zero setup if your practice has healow enabled
• Languages: Multilingual: English, multiple Spanish dialects, Portuguese, Cantonese, Mandarin, Vietnamese, and additional languages; verify your practice’s key languages with ECW
• Compliance: HIPAA compliant

Sunoh has access to patient context before the note is generated. It reads from the ECW chart before the encounter and writes the note back afterward. For practices already running healow, this level of chart access requires no additional setup.

Sunoh’s primary channel is through eClinicalWorks’ mobile apps, eClinicalMobile and eClinicalTouch. It is also marketed as EHR-agnostic and able to integrate with other EHRs outside the ECW ecosystem. Access is through your ECW account representative, not a self-serve signup.

Sunoh does not generate coding suggestions from the scribe. ECW’s native EHR already includes built-in ICD-10/CPT coding suggestions, so practices that use ECW’s coding workflow may not need the scribe to handle it. For practices that rely on a separate coding step outside ECW, this is worth verifying before committing.

Multi-speaker differentiation is not publicly documented. Sunoh’s documentation does not specify how it handles multi-speaker scenarios. Testing with the patient and any clinical staff present before committing is recommended.

#3 DeepScribe

DeepScribe is an enterprise AI scribe that generates specialty-aware clinical notes and connects to ECW through a bi-directional API. It reads patient chart context before the encounter and writes structured data back into ECW fields after. It is designed for large specialty groups and requires IT involvement and a sales engagement to evaluate.

• ECW integration: Bi-directional API. Reads patient chart context before the encounter, including medications, problem lists, and prior notes. Writes structured data into ECW fields after. Requires IT involvement for setup.
• Coding: ICD-10, CPT, and E&M/HCC coding suggestions
• Trial: No; demo and sales process required
• Pricing: Custom; check with DeepScribe
• Setup: IT involvement required
• Languages: English primary; check with DeepScribe for multilingual support
• Compliance: HIPAA compliant, SOC 2 Type II certified

Specialty-aware note structure is DeepScribe’s primary differentiator. Most AI scribes apply a generic SOAP template to every encounter. DeepScribe generates notes that reflect the clinical reasoning patterns of specific specialties. For cardiology, oncology, orthopedics, and psychiatry, this produces notes that need less editing before sign-off.

The ECW integration reads chart context before the encounter and writes structured data back into ECW fields after. DeepScribe has confirmed bi-directional integration with eClinicalWorks, Epic, and athenahealth. For large ECW specialty groups, the combination of specialty-aware structure and full chart access before the encounter is a strong case.

No self-serve trial exists. Practices outside a formal procurement process cannot evaluate DeepScribe without a sales engagement. Pricing is custom.

#4 DeepCura

DeepCura is an AI documentation platform that claims direct FHIR R4 write-back to eClinicalWorks. FHIR is a health data exchange standard that, when implemented, allows the scribe to read from and write structured data to ECW fields. DeepCura publishes accessible pricing relative to enterprise-only tools and offers a self-serve trial. The integration claim should be tested in a live ECW environment before committing, as exact field coverage can vary by ECW configuration.

• ECW integration: Claims direct FHIR write-back to ECW per vendor documentation. If the claim holds, FHIR integration reads patient context before the encounter and writes structured data to ECW fields after. Requires IT for FHIR configuration. Verify in trial.
• Coding: ICD-10 code generation included
• Trial: Yes, self-serve
• Pricing: ~$129/mo list per provider; ECW-specific plan ~$99/mo + $50/mo ECW FHIR access fee; confirm current pricing with DeepCura
• Setup: Moderate; FHIR configuration typically requires IT
• Languages: Multiple languages supported
• Compliance: HIPAA compliant

DeepCura claims direct FHIR R4 write-back to eClinicalWorks. Per DeepCura’s documentation, the integration reads chart context before the encounter and writes structured data to ECW fields after. If that behavior holds in your ECW instance, it provides read/write functionality similar to a bi-directional API. Confirm which fields populate in your specific ECW version before committing.

Standard list pricing is approximately $129/month per provider. ECW users have access to a discounted plan at approximately $99/month, plus a $50/month ECW FHIR access fee, for an effective cost around $149/month at standard volume. High-volume or multi-provider use can increase spend; confirm current pricing with DeepCura.

FHIR integration claims vary significantly in practice. Only a trial in your actual ECW instance will confirm whether the integration works as described. Running a real visit and verifying that note transfer populates the correct ECW fields is the recommended evaluation step before committing.

#5 Heidi Health

Heidi Health is an AI scribe with a following among smaller outpatient practices, including ECW users in the US. It connects to ECW through a browser-based push that transfers the completed note into ECW’s browser interface after the encounter. It does not read chart context before the encounter. Setup requires no IT and a self-serve trial is available.

• ECW integration: Browser-based push. Generates a note and transfers it to ECW’s browser interface after the encounter. Does not read chart context before the encounter.
• Coding: Not included
• Trial: Yes, self-serve
• Pricing: Free tier available; Pro approximately $99/month per clinician, or ~$66/month billed annually; confirm current pricing with Heidi Health
• Setup: Low, no IT required
• Languages: 100+ languages supported
• Compliance: HIPAA compliant, SOC 2 Type II certified

Note quality for straightforward primary care encounters is frequently cited in reviews as accurate and clinically useful. The self-serve trial provides a way to evaluate this in your own ECW environment before paying.

No automated ICD-10 or CPT code generation is included. For ECW practices where coding efficiency drives tool selection, Commure Scribe and DeepScribe include coding support.

Heidi supports over 100 languages, making it one of the broader multilingual options on this list. Verify that the specific languages your practice needs are supported before committing.

Pricing starts at $0 on the free tier and scales to approximately $99/month per clinician for Pro, with annual billing bringing that to roughly $66/month. Confirm current pricing with Heidi Health. As with any mobile-heavy workflow, test on the specific devices and browsers your clinicians use before subscribing.