Scribeable vs Dragon Copilot:
Considering Microsoft Dragon Copilot, the product formerly sold as Nuance DAX? Here is a factual look at how Scribeable differs — on pricing transparency, who owns the account, and who each company answers to.
120+ clinicians · 2,600+ notes generated — real counters, no composites (scribeable.ai/transparency)
Why Physicians Switch from Dragon Copilot
No published pricing — Microsoft's Dragon Copilot page routes every rate question to "Contact us," so budgeting starts with an enterprise sales conversation
The product identity is in motion: nuance.com's DAX page now redirects to Microsoft Dragon Copilot, and the seat belongs to the health system's Microsoft agreement, not the clinician
Enterprise IT deployment — no self-serve individual signup path is offered on the public page
DAX Is Now a Microsoft Product
Microsoft acquired Nuance for $19.7 billion in a deal completed in March 2022, and the DAX product page on nuance.com now redirects to Microsoft Dragon Copilot. That isn't a criticism — it's a structural fact about who the vendor answers to. A documentation tool inside one of the world's largest companies is governed by that company's priorities, release cycles, and enterprise agreements. Scribeable has one owner: the physician who built it, with $0 in outside capital.
Publish the Price or Don't
Microsoft's Dragon Copilot page publishes no rate — the CTAs are "Experience Dragon Copilot" and "Contact us to learn how." Scribeable publishes its rates: $39/month for Lite, $79/month for Pro, with a 14-day free trial and no credit card to start. You can see the price before you ever talk to anyone.
Who Holds the Account
Dragon Copilot is deployed by health-system IT under an enterprise Microsoft agreement — the seat belongs to the employer. A Scribeable account belongs to the clinician who signs up, and it moves with that clinician across every job they take. That is a structural difference in who controls the account, not a feature comparison.
Same Patient. Same Encounter.
See why physicians say Scribeable notes are “actually usable” — with integrated risk scores, billing codes, and clinical reasoning that typical AI scribes simply don’t generate.
HPI
62 y/o male presents with chest pain for 2 hours. Substernal, pressure-like, radiating to left arm. Associated with diaphoresis and shortness of breath. Pain started while climbing stairs. Patient has history of HTN, DM2, and hyperlipidemia. Takes lisinopril, metformin, and atorvastatin. Denies recent illness or trauma.
Assessment & Plan
*Note examples are illustrative representations based on common AI documentation patterns. “Typical AI Scribe” represents composite characteristics of standard tools and does not depict any specific product. Patient scenarios are entirely fictional. Clinical notes should always be reviewed by a licensed provider.
AI Medical Scribe Note Quality Comparison
Scribeable produces clinically enriched notes with integrated risk calculators (HEART Score, CHA₂DS₂-VASc, Wells PE, PHQ-9, Caprini VTE), automated billing code optimization (E&M levels, HCC/RAF capture, CPT codes), dangerous diagnosis exclusion documentation, evidence-based prescribing citations, CMS compliance for operative reports, HEDIS care gap tracking, and MIPS quality measure documentation. Typical AI scribes produce basic notes without these advanced clinical features.
ED Chest Pain: 62-year-old male presenting with substernal chest pressure, diaphoresis, and exertional dyspnea
HPI: 62 y/o male presents with 2 hours of substernal chest pressure, rated 8/10, radiating to left arm and jaw. Onset during exertion (climbing stairs). Associated with diaphoresis and exertional dyspnea. Pressure-like quality, unrelieved by rest. No pleuritic component, no positional variation, no reproducibility with palpation. Risk factors: HTN (10 years), DM2 (8 years), hyperlipidemia, 30-pack-year smoking history (quit 5 years ago), family history of MI (father at age 58). Current medications: lisinopril 20mg daily, metformin 1000mg BID, atorvastatin 40mg daily. Denies cocaine use, recent immobilization, or prior VTE.
Assessment & Plan: 1. Acute Chest Pain — High-risk presentation HEART Score: 7 (High Risk) - History: moderately suspicious (2), EKG: non-specific ST changes (1), Age: >65 (2), Risk factors: ≥3 (2), Troponin: pending initial (0) - Risk stratification: >12% 6-week MACE event rate → full ACS workup - Serial troponins q3h, 12-lead EKG (initial + repeat at 60 min) - ASA 325mg PO administered, heparin drip per ACS protocol - Cardiology consulted for probable cath lab activation Dangerous Diagnosis Exclusion: - STEMI: No ST elevation on initial EKG — serial monitoring - Aortic dissection: No tearing quality, no pulse differential, no mediastinal widening on CXR - PE: Low pretest probability (Wells PE: 1.5) — no immobilization, no prior VTE, no hemoptysis 2. Hypertension — BP 168/94 on arrival, improved to 142/88 post-NTG - Continue home lisinopril, recheck prior to disposition 3. DM2 — Glucose 186 on arrival - Hold metformin (contrast exposure risk), sliding scale insulin PRN
Cardiology Consult: 71-year-old female with new-onset atrial fibrillation and decompensated heart failure
HPI: 71 y/o female with known HFrEF (EF 35% on TTE 6 months ago), HTN, DM2, and CKD Stage 3a (baseline Cr 1.4), consulted for new-onset atrial fibrillation with RVR. Progressive exertional dyspnea (NYHA II → IV over 2 weeks), 3-pillow orthopnea (new), PND, and 4+ pitting edema to knees bilaterally. Weight gain of 8 lbs over 2 weeks. Triggers explored: dietary indiscretion (holiday meals), medication non-adherence (ran out of furosemide 10 days ago). No prior AF history, no palpitations previously. Denies chest pain, syncope, or presyncope.
Assessment & Plan: Reason for Consult: New-onset atrial fibrillation with RVR in setting of acute decompensated HFrEF. Requesting Service: Internal Medicine (Dr. Patel) 1. New-onset Atrial Fibrillation with RVR CHA₂DS₂-VASc Score: 5 (Female sex, age ≥75, HTN, DM, HF) - Stroke risk: 6.7%/year → strong anticoagulation indication - Rate control: avoid diltiazem (negative inotropy in HFrEF) → amiodarone 150mg IV bolus then 1mg/min × 6h - Anticoagulation: apixaban 5mg BID (preferred over warfarin given age + fall risk) - TEE prior to any cardioversion attempt if AF duration uncertain - HAS-BLED: 2 (HTN, age) — acceptable bleeding risk 2. Acute Decompensated Heart Failure (ADHF) NYHA Functional Class: IV (dyspnea at rest) - IV furosemide 80mg BID (2.5× home oral dose), net negative 1-1.5L/day - Carvedilol held (acute decompensation), restart when euvolemic - Add sacubitril/valsartan when stable (PARADIGM-HF indication: EF ≤40% on ACEi) - BNP trend: 1,840 → monitor for response to diuresis 3. CKD Stage 3a — Cr 1.4 (baseline), monitor with aggressive diuresis - KDIGO risk: moderate — monitor Cr/K daily with diuresis
Operative Note: Right total knee arthroplasty in 68-year-old male with severe tricompartmental osteoarthritis
Operative Note: Preoperative Diagnosis: Right knee severe tricompartmental osteoarthritis (Kellgren-Lawrence Grade IV) Postoperative Diagnosis: Same Procedure: Right total knee arthroplasty Surgeon: Dr. James Morrison (attending — present and scrubbed for entire case) Assistant: Dr. Chen (PGY-4) Anesthesia: Spinal with sedation (Dr. Rivera) Implants: Smith & Nephew Legion CR, Size 5 femoral / Size 4 tibial / 10mm poly insert EBL: 150 mL Tourniquet Time: 62 minutes (pneumatic, 275 mmHg) Specimens: Femoral and tibial bone cuts — to pathology Complications: None Findings: Severe tricompartmental degenerative changes with exposed subchondral bone medially, grade III chondromalacia laterally, intact PCL
Post-Operative Plan: 1. Weight Bearing: WBAT right LE with front-wheeled walker 2. DVT Prophylaxis: Enoxaparin 40mg SQ daily × 14 days + mechanical (SCDs while inpatient) 3. Pain: Multimodal — scheduled acetaminophen 1g Q6h, meloxicam 15mg daily, tramadol 50mg Q6h PRN (max 14 days) 4. Antibiotics: Ancef 2g IV × 24h post-op 5. PT: Initiate POD0 PM — CPM machine, active/passive ROM, gait training 6. Follow-up: 2 weeks (staple removal + wound check), 6 weeks (X-ray + ROM assessment) 7. VTE Risk: Caprini Score 7 (High Risk) — extended pharmacologic prophylaxis indicated
Primary Care: 55-year-old female Medicare Advantage patient with DM2, HTN, depression, and overdue preventive care
HPI: 55 y/o female Medicare Advantage patient presenting for chronic disease management follow-up. Last visit 3 months ago. Diabetes (DM2, 8 years): A1c 8.2% (up from 7.6%), reports adherence but dietary indiscretion during holidays. Home glucose logs show fasting 140-180 range. No hypoglycemic episodes. Denies polyuria, polydipsia, vision changes, or foot numbness. Last diabetic eye exam: 14 months ago (overdue). Last podiatry visit: never. Hypertension (12 years): Home BP readings averaging 135-145/85-90. Taking lisinopril 20mg daily consistently. Depression (MDD, recurrent): PHQ-9 score today: 14 (moderately severe). Persistent low mood, anhedonia, poor sleep (initial insomnia), decreased concentration. On sertraline 50mg × 6 months with partial response. Denies SI/HI, denies alcohol or substance use. Columbia Suicide Severity: negative for ideation and behavior.
Assessment & Plan: 1. DM2, Uncontrolled (A1c 8.2%) — HCC 19 - Add empagliflozin 10mg daily (SGLT2i — CV and renal benefit, EMPA-REG OUTCOME indication) - Continue metformin 500mg BID (not escalating given GI intolerance history) - Diabetic eye exam referral (overdue 2 months — HEDIS measure) - Podiatry referral for initial foot exam - Recheck A1c in 3 months, target <7% 2. Hypertension, Suboptimally Controlled — HCC (when with CKD/DM) - BP today 138/86 — above target of <130/80 (ACC/AHA for DM patients) - Increase lisinopril to 40mg daily - Home BP log review in 4 weeks 3. Major Depressive Disorder, Recurrent, Moderate — HCC 59 - PHQ-9: 14 (moderately severe) — partial response to sertraline 50mg - Increase sertraline to 100mg daily - Safety plan reviewed, crisis line provided (988) - Follow-up in 4 weeks, recheck PHQ-9 - If inadequate response → consider augmentation or psychiatry referral 4. Preventive Care Gaps Addressed: - Mammogram ordered (last: 26 months ago — HEDIS BCS measure) - Colonoscopy referral (age 55, average risk, never screened — HEDIS COL) - Tobacco screening: former smoker, quit 3 years — MIPS measure 226 - Annual flu vaccine administered today — MIPS measure 110
Feature-by-Feature Comparison
Pricing & Access
| Feature | Scribeable | Dragon Copilot |
|---|---|---|
| Published, self-serve pricingmicrosoft.com/health-solutions publishes no rate for Dragon Copilot; CTAs are "Experience Dragon Copilot" and "Contact us to learn how" | ||
| Sign up without a sales callDragon Copilot is sold to health systems through Microsoft's enterprise sales channel | ||
| Free trial, no card requiredNo trial terms are published on microsoft.com/health-solutions as of Jul 2026 |
Ownership & Capital
| Feature | Scribeable | Dragon Copilot |
|---|---|---|
| Clinician-owned, portable accountDragon Copilot seats are deployed by health-system IT under a Microsoft enterprise agreement | ||
| Independent company (no corporate parent)Microsoft acquired Nuance for $19.7B, completed March 2022; DAX now ships as Microsoft Dragon Copilot |
Clinical Intelligence
| Feature | Scribeable | Dragon Copilot |
|---|---|---|
| Deterministic clinical calculators (236, code-scored)Not stated on microsoft.com/health-solutions as of Jul 2026 | ||
| Two-stage AI verification (draft + clarification pass)Not stated on microsoft.com/health-solutions as of Jul 2026 |
Competitor facts on this page are sourced to each company's own public site and verified as of 2026-07-11; see page source for the full citation list. Competitor capabilities and pricing may change after that date.
Pricing Comparison
Dragon Copilot
Not published — Microsoft enterprise sales ("Contact us")
Contact for pricing
Scribeable's rates are on the pricing page today. Microsoft's Dragon Copilot page does not list a price; third-party per-provider estimates exist but are not confirmed by Microsoft itself, so they are not repeated here.
Other AI scribes optimize for time to first draft. Scribeable optimizes for time to signed note, with a verification pass built in before you sign.
5.0 on the App Store120+
Clinicians on board
2,600+
Patient notes generated
Which Should You Choose?
Choose Dragon Copilot if you...
- Health systems standardized on the Microsoft ecosystem that want an IT-deployed, natively integrated assistant
- Organizations migrating from Dragon Medical One inside an existing Microsoft enterprise agreement
- Institutions with dedicated enterprise IT to manage the rollout
Frequently Asked Questions
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Start Your 14-Day Free Trial — No Credit Card
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Scribeable vs Dragon Copilot - AI Medical Scribe Comparison
Considering Microsoft Dragon Copilot, the product formerly sold as Nuance DAX? Here is a factual look at how Scribeable differs — on pricing transparency, who owns the account, and who each company answers to.
Why Physicians Switch from Dragon Copilot
- No published pricing — Microsoft's Dragon Copilot page routes every rate question to "Contact us," so budgeting starts with an enterprise sales conversation
- The product identity is in motion: nuance.com's DAX page now redirects to Microsoft Dragon Copilot, and the seat belongs to the health system's Microsoft agreement, not the clinician
- Enterprise IT deployment — no self-serve individual signup path is offered on the public page
Why Choose Scribeable Over Dragon Copilot
- $39-79/month, published on the pricing page — no sales call required to see a rate
- Clinician-owned, portable account that moves with you across employers
- 236 clinical calculators, code-scored and validated, inside every note
- A two-stage AI pipeline: a draft pass, then a separate verification pass that asks a clarification question instead of guessing
- 14-day free trial (or 15 notes, whichever comes first), no credit card required
- Zero outside capital — bootstrapped, no corporate parent setting the roadmap
DAX Is Now a Microsoft Product
Microsoft acquired Nuance for $19.7 billion in a deal completed in March 2022, and the DAX product page on nuance.com now redirects to Microsoft Dragon Copilot. That isn't a criticism — it's a structural fact about who the vendor answers to. A documentation tool inside one of the world's largest companies is governed by that company's priorities, release cycles, and enterprise agreements. Scribeable has one owner: the physician who built it, with $0 in outside capital.
Publish the Price or Don't
Microsoft's Dragon Copilot page publishes no rate — the CTAs are "Experience Dragon Copilot" and "Contact us to learn how." Scribeable publishes its rates: $39/month for Lite, $79/month for Pro, with a 14-day free trial and no credit card to start. You can see the price before you ever talk to anyone.
Who Holds the Account
Dragon Copilot is deployed by health-system IT under an enterprise Microsoft agreement — the seat belongs to the employer. A Scribeable account belongs to the clinician who signs up, and it moves with that clinician across every job they take. That is a structural difference in who controls the account, not a feature comparison.
Feature Comparison: Scribeable vs Dragon Copilot
Pricing & Access
| Feature | Scribeable | Dragon Copilot |
|---|---|---|
| Published, self-serve pricing | Yes | No |
| Sign up without a sales call | Yes | No |
| Free trial, no card required | Yes | Partial |
Ownership & Capital
| Feature | Scribeable | Dragon Copilot |
|---|---|---|
| Clinician-owned, portable account | Yes | No |
| Independent company (no corporate parent) | Yes | No |
Clinical Intelligence
| Feature | Scribeable | Dragon Copilot |
|---|---|---|
| Deterministic clinical calculators (236, code-scored) | Yes | Partial |
| Two-stage AI verification (draft + clarification pass) | Yes | Partial |
Pricing Comparison
Scribeable: Free tier, then $39-79/month, published
Dragon Copilot: Not published — Microsoft enterprise sales ("Contact us")
Scribeable's rates are on the pricing page today. Microsoft's Dragon Copilot page does not list a price; third-party per-provider estimates exist but are not confirmed by Microsoft itself, so they are not repeated here.
Which Should You Choose?
If pricing transparency, an account that stays yours across jobs, and a bootstrapped cap table matter to you, that's what Scribeable is built around. If your health system is standardized on the Microsoft ecosystem and wants Dragon Copilot's IT-deployed integration — or is migrating from Dragon Medical One inside an existing Microsoft agreement — that enterprise path may be the more practical fit inside that organization.
Frequently Asked Questions
Is Nuance DAX still sold as DAX?
The product has been folded into Microsoft Dragon Copilot — nuance.com's DAX product page now redirects to microsoft.com/health-solutions. Microsoft completed its $19.7B acquisition of Nuance in March 2022. If you're evaluating "DAX" today, you're evaluating a Microsoft product.
Does Microsoft publish Dragon Copilot pricing?
Not on its public page as of July 2026 — the CTAs are "Experience Dragon Copilot" and "Contact us to learn how." Scribeable's pricing page lists $39/month (Lite) and $79/month (Pro) directly, no sales call required.
Can an individual physician sign up for Dragon Copilot?
Microsoft's public page routes to enterprise contact — Dragon Copilot is deployed by health-system IT, not signed up for individually. Scribeable is self-serve: an individual clinician can start a 14-day free trial directly at dashboard.scribeable.ai/signup.
Can I use Scribeable if my hospital already uses DAX or Dragon Copilot?
Yes. Scribeable is a separate, clinician-owned account independent of any hospital contract. You can run Scribeable in parallel for documentation the employer's deployment doesn't cover.
Sources
Nuance's DAX / Dragon Copilot product page (nuance.com/healthcare/dragon-ai-clinical-solutions/dragon-copilot.html) returns a 301 redirect to microsoft.com/health-solutions.
Microsoft's Dragon Copilot page publishes no pricing; CTAs are "Experience Dragon Copilot" and "Contact us to learn how," with EHR partnership pages for Epic, athenahealth, and MEDITECH.
Microsoft completed its $19.7B acquisition of Nuance in March 2022.
Scribeable pricing: Lite $39/mo, Pro $79/mo.
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