Executive Summary
WellNow Urgent Care deployed Commure Ambient AI across 600+ providers—and within four months, 90% of notes are generated with the tool, E/M acuity levels have risen by 0.08, and providers are finishing 12-hour shifts with their charts done.
After outgrowing in-person scribes and an earlier ambient vendor, WellNow chose Commure, and the results go well beyond cleaner notes: every 0.01 improvement in average E/M Acuity Level represents an estimated $500,000 in additional annual revenue.
The Transformation: Before vs. After
Primary use of Dragon dictation and legacy AI-scribe vendors.
Seamless Ambient AI; real-time charting via iOS devices.
Variable; leadership noted some providers' previous notes were of low quality.
+0.10 E/M Acuity: .08 improvement in E/M acuity levels due to more complete documentation, stronger medical decision-making detail.
Documentation often extended beyond clinical hours, adding to workload.
Notes Done by End of Shift: providers are leaving on time with notes done, even in 12-hour shifts, seeing 45 to 50 patients.
Patient flow slowed by provider charting and documentation during visits.
Faster Visits, NPS in the High 70s: faster documentation supported quicker visits and NPS in the high 70s.
Providers relied on memory or manual searches for complex chief complaints.
Commure Assistant answers provider questions in real time, creates patient education, and provides instructions.
Doing your charts at home, which was our existence literally forever, leads to burnout. It leads to time away from your family and your personal time being shot. Getting to the end of an urgent care shift after seeing 45 to 50 people in a 12-hour period and realizing that your notes are done is an amazing feeling.”
Dr. Robert Biernbaum
Chief Medical Officer
Impact by the Numbers
600+ providers
onboarded since October 2025
90%
onboarded since October 2025
600+ providers
onboarded since October 2025
1M+ notes
generated since October,
more than 34,000 scribes per week
10% increase
in average E/M levels from Nov ‘25 – Feb ‘26 compared to the previous year.
70+ NPS
across all WellNow sites
According to WellNow leadership, every .01 increase in average E/M Acuity Level represents an estimated $500,000 in additional annual revenue, representing a significant multi-million dollar revenue opportunity.
Higher acuity brings about higher revenue because medicine is still paid based on our E/M levels. We're finally, in my opinion, seeing the real acuity of what we've been doing now for years.”
Dr. Robert Biernbaum
Chief Medical Officer
Key Success Drivers
Executive Advocacy
Dr. Robert Biernbaum acted as a "clinical champion," personally refining note templates and leading communications to build trust.
Scalable Onboarding
A "Train the Trainer" model empowered Regional Clinical Directors to provide localized support, supported by 36 virtual training and FAQ sessions.
Pilot-Led Rollout
WellNow tested Commure with demanding pilot users, including providers who had been strong supporters of a previous vendor, then used that feedback to shape a broader rollout.
Rapid Feedback Loops
Dedicated Microsoft Teams channels allowed for real-time troubleshooting and note quality optimization from Day 1.
Trusted Clinical Leadership
WellNow’s clinical leaders were trained first and became visible advocates for the rollout, helping build trust and drive adoption.
Voices from the Frontline
After learning some tough lessons, we found a great partner in Commure. I like to brag that more than 90% of our notes are done using ambient listening with Commure’s great AI intelligence. It has really changed the game from a provider happiness and efficiency standpoint.”
Dr. Robert Biernbaum
Chief Medical Officer