Ambient scribes solve the wrong problem.
First-generation ambient clinical intelligence captured the conversation and called it a note. The published record now shows what clinicians already knew: capturing the conversation is not the same as documenting the case. Scribeable was engineered for the layer above the microphone — reasoning, not dictation.
“Capturing the conversation is not the same as documenting the case.”
Reasoning, not dictation.
Every note is drafted and then verified by a second AI pass that checks facts against the transcript, validates cited calculators, and surfaces the clarification questions a resident would ask. The scribe is the layer above the microphone, not the microphone itself.
MIPS and HCC are first-class.
Gap detection runs against the 56-measure registry inside the note — not after the visit in a separate dashboard. Suggestions cite the documentation requirement so the clinician can accept or correct in one action. HCC capture is anchored to the V28 mapping.
Built for the security review, not around it.
AES-256-GCM envelope encryption, per-org KMS keys, ECDH P-256 key exchange, on-device audio, immutable audit log, signed BAAs on every upstream provider including the LLM. Your security review passes in 30 minutes, not six months.
How Scribeable compares for health systems
Side-by-side on the capabilities your security review and quality officer actually care about.
| Capability | Scribeable | Nuance DAX | Abridge | Suki AI |
|---|---|---|---|---|
| Clinical Calculators | 236 with smart activation + backend validation | None | None | None |
| Quality Measures | 56 (MIPS, HEDIS, CMS eCQMs) | None | None | None |
| HCC Crosswalk | 8,400+ entries, built in | Add-on | No | Limited |
| MIPS Scoring | Real-time with payment adjustments | No | No | No |
| Two-Pass Verification | Stage 1 draft → Stage 2 verifies + corrects | Single pass | Single pass | Single pass |
| HIPAA + BAA | All paid plans, no extra cost | Enterprise only | Enterprise only | All plans |
| Security Posture | AES-256-GCM, per-org KMS keys, BAA on upstream LLM | Enterprise contract required | Enterprise contract required | Standard |
| Setup Time | 5-minute browser extension | 6–12 month IT integration | 6–12 month IT integration | Weeks |
Capability statements are lifted from public marketing materials and reconciled against Scribeable's platform state as of April 2026. Verify with your implementation lead before procurement.
The published record
What the peer-reviewed literature says about first-generation ambient clinical intelligence — and why Scribeable was engineered differently.
“31% of audited notes contained hallucinated content”
An audit of first-generation ambient scribes found that nearly one in three notes contained content not present in the source audio — a patient safety concern and a medicolegal liability.
“No quantifiable effect on patient safety and no benefit in productivity”
The JAMIA evaluation of the Nuance DAX deployment at a large academic medical center found neither safety improvements nor productivity gains in controlled analysis.
“Significant documentation burden reduction in a structured RCT — conditional on verification workflow”
An RCT found real benefits when clinicians had a structured verification loop on top of the ambient draft — which is what a two-pass scribe provides by design.
Citations lifted verbatim from the Scribeable Enterprise Briefing. Verify with your medical librarian before procurement.
What Scribeable can defensibly say today
Four numbers anchored in production code and the regression harness. Not a fundraising deck.
Clinical calculators
Cited inside every note
Quality measures
MIPS · HEDIS · CMS eCQMs
Regression tests
Deterministic scoring, golden cases
HCC crosswalk entries
CMS 2026 V28 mapping
What an enterprise security review will find
Six questions every CMIO asks. Six answers, lifted from the briefing verbatim.
Encryption
AES-256-GCM field-level at rest. ECDH P-256 key exchange. 5-layer envelope (API request, API response, WebSocket, audio stream, field-level). Plaintext keys never transmitted.
Compliance posture
HIPAA compliant. Signed BAA included on all paid plans. HITRUST CSF v11 evidence package on request. SOC 2 Type II underway on infrastructure hosted on SOC 2-certified providers.
LLM data handling
Signed BAAs with Anthropic, Deepgram, and Google Cloud. Patient data is never used for training. PHI is filtered and minimized before reaching upstream AI providers.
EHR integration
Browser extension for Epic, Cerner/Oracle Health, athenahealth, eClinicalWorks, NextGen, Meditech, and any web-based EHR. Clipboard fallback. SMART on FHIR on the enterprise roadmap.
Quality & billing surface
MIPS real-time scoring (0–100) with payment adjustment projection. 56 quality measures. HCC V28 mapping. CPT-II code generation. Dual-impact opportunities surfaced inside the note.
Validation pipeline
854 regression tests on calculator scoring. Pre-registered methodology. Dataset hashes published. Golden note baselines across 46 specialties. See our methodology →
See our methodologyYour logo here.
Scribeable is in active conversations with health systems. We don't put logos on this page until we’ve earned them. If that’s a signal you want to send to your clinicians, we should talk.
Design partners
Voices from the CMIO desk
“We evaluated the usual ambient scribes. Scribeable was the only one whose security review we could actually pass in 30 minutes instead of 6 months.”
CMIO
Regional health system
The Parallel Pilot Offer
Run Scribeable alongside your current scribe for 30 days.
If our notes aren’t measurably better on MIPS capture and HCC completeness, you’ve lost nothing.
- Run Scribeable alongside your current scribe for 30 days on one clinical department
- We measure MIPS capture delta and HCC completeness delta against your incumbent
- If Scribeable is not measurably better on both, you keep the data and walk away at no cost
We’d rather lose a deal in your security review than win one in a sales pitch.
Bring your security checklist, your quality officer, and the hardest question your ambient scribe has ever been asked. That’s the review we want to have.
Capability statements reflect platform state as of April 2026. Verify with your implementation lead before procurement.