Software advice
Best AI EHR Software in 2026
AI EHR software is an electronic health record system that includes AI inside the chart: an ambient scribe that drafts visit notes from the conversation, code suggestions, pre-visit summaries and automated billing checks. A clinician reviews and signs every note. It is not a standalone scribe app that sits beside another EHR, and it does not diagnose or make clinical decisions.
Quick answer
Healthie ranks first because it prints plan prices and an AI Charting add-on built for solo and small practices. Elation fits independent primary care with an ambient scribe that queues orders, and eClinicalWorks suits practices that want a printed per-provider price.
A practice choosing an EHR in 2026 is usually choosing an AI scribe at the same time, because nearly every vendor now sells one inside the chart. The real questions are whether the scribe is included or an add-on, whether the price is printed anywhere, and who processes the audio and transcript. This ranking looks at those points for twelve ambulatory EHR vendors, plus how hard it is to leave, and which practice size and specialty each one serves. Hospital systems are left out. Prices are as of October 2026, and a vendor without a printed price is marked quote-only. Nothing here is medical or legal advice.
The 12 best AI EHR software in 2026, ranked
There is no score. Vendors can pay for more visibility on this website, for example a higher place in a ranking or more room on a page. Commercial relationships can also affect which products we feature and how prominently. How we rank.
| # | Tool | Best for | Free plan | Entry price |
|---|---|---|---|---|
| 1 | Healthie | Solo and small practices in nutrition, coaching and behavioral health that want listed prices and a built-in scribe | Trial | $19.99 per month (Core, billed monthly) |
| 2 | Elation Health | Independent primary care and direct primary care practices that want an ambient scribe tied to orders | No | Quoted |
| 3 | DrChrono | Independent practices that want EHR, billing and patient engagement on a mobile-first system | No | Quoted |
| 4 | Tebra | Small independent practices that want EHR, claims billing and online reputation tools from one vendor | No | Quoted |
| 5 | eClinicalWorks | Multi-provider practices and health centers that want printed per-provider pricing and a bundled AI scribe | No | $499 per provider per month (EHR only) |
| 6 | Greenway Health | Primary care, pediatric, OB-GYN and community health practices wanting an ambulatory EHR with ambient notes | No | Quoted |
| 7 | AdvancedMD | Independent and multi-location practices, plus billing service companies, that want EHR and practice management together | No | Quoted |
| 8 | CareCloud | Practices that want an EHR with outsourced revenue-cycle services from the same company | No | Quoted |
| 9 | ModMed | Specialty practices in dermatology, ophthalmology, orthopedics, gastroenterology and similar fields | No | Quoted |
| 10 | NextGen Healthcare | Multi-specialty groups and health centers already on NextGen Enterprise EHR | No | Quoted |
| 11 | CharmHealth | Small practices that want a free EHR to start and a priced ambient scribe to add later | Yes | $75 per provider per month (CharmCopilot Professional) |
| 12 | SimplePractice | Solo therapists and counselors who want practice management and an AI note drafter in one subscription | Trial | $49 per month for Starter |
- 1
Healthie takes first place because it is the only small-practice EHR here that prints every plan price, from $19.99 a month for Core to $149.99 for Group. Its AI Charting add-on bundles a scribe, encounter summaries and follow-up tasks inside the chart. The price page lists a 14-day trial of the Plus plan with no credit card, so a clinician can test before talking to anyone.
Strong on
- Plan prices from Core to Group are public, with a 10 percent discount for yearly billing
- AI Scribe works for Zoom, in-person ambient and phone sessions with SOAP, DAP, BIRP or custom templates
- Audio is processed and discarded, and a transcript retention setting is available in account settings
Weak on
- AI Charting costs extra and its price was not shown on the pricing page
- Core allows only 10 active clients, and unlimited clients start at the Plus plan
Skip it if: Large multi-specialty groups needing deep revenue-cycle services or hospital-style order sets. Core covers 10 active clients; AI Charting is a separate add-on with additional fees.
- 2
Elation Health
Elation Health sits second because its Note Assist with Actions listens for clinical intent and queues prescriptions, labs and referrals as checkboxes for the clinician. The AI Data Use Policy is public and says third-party model providers do not train on inputs. The pricing page says native AI solutions are now included, but no figure is printed, so cost comparison needs a quote.
Strong on
- Note Assist supports 14 languages and uses the patient's existing diagnoses as chart context
- A published AI Data Use Policy states no logging, retention or training by third-party providers
- Billing is available in the same platform as the EHR, with eligibility checks and ERA posting
Weak on
- No price is printed; the quote form is required
- The product is built around primary care, so other specialties get less specialty-specific template depth
Skip it if: Specialty practices needing procedure-heavy templates, or anyone who must see a price before a call. Pricing is quoted after a form that asks specialty, payment model and clinician count.
- 3
DrChrono
DrChrono ranks third because its pricing page shows exactly what each of three tiers includes, even though plan prices are quote-only. EverHealth Scribe drafts HPI, assessment, plan and ICD-10 codes in the EHR, as an add-on on Foundation and Growth and included on Premium. Overage fees for texts, faxes and calls are printed, which most quote-only vendors do not do.
Strong on
- The tier comparison lists clinical, billing and support features per plan
- EverHealth Scribe suggests CPT and ICD codes with billing-rule awareness at the point of care
- Mobile apps are part of the EHR across all three tiers
Weak on
- Plan prices are not printed, and the scribe is an extra charge on the two lower tiers
- The security page is generic and does not mention SOC 2 or a certification
Skip it if: Practices that need a printed per-provider price or a named independent audit report before a demo. Three tiers (Foundation, Growth, Premium) are quote-only; the page prints overage fees such as $0.05 per text.
- 4
Tebra
Tebra holds fourth place as the Kareo successor with an EHR, billing and patient-acquisition tools under one contract. AI Note Assist generates notes from the visit and suggests diagnoses and ICD-10 codes for provider review. The company explains that low-volume providers billing 100 claims or less per month get a lower tier, which helps part-time clinicians, though the amounts stay in the quote.
Strong on
- AI Note Assist works inside the EHR for in-person and telehealth visits
- Pricing is claim-volume based, with a lower tier for providers billing 100 claims or fewer a month
- EPCS and PDMP controlled-substance prescribing are bundled, with setup costs shown on quotes
Weak on
- No plan price is printed and the AI data handling terms were not found on the pages checked
- The vendor's own comparison of itself with Kareo and others is marketing, not independent data
Skip it if: Practices outside the United States, or anyone who needs a published AI data policy first. Quote-only; pricing varies by provider count, claim volume and implementation needs.
- 5
eClinicalWorks
eClinicalWorks lands fifth: it is far larger than the vendors above it, yet it prints three prices, $499 and $599 per provider per month and 2.9 percent of collections for billing. Sunoh.ai, its ambient scribe, produces a dialogue flow and SOAP note with draft orders, and runs on desktop, iPad and phones. The company says it migrates data from a previous EHR for free.
Strong on
- Printed per-provider prices with no start-up costs, plus free data migration from another EHR
- Sunoh.ai drafts a SOAP note, labs and follow-up orders on desktop, iPad and phones
- The vendor states 180,000 physicians and 850,000 users, which signals breadth of integrations
Weak on
- Sunoh.ai pricing is not on the pricing page and an offer is described as for a limited time
- Implementation fees apply above nine providers, and airfare is billed separately
Skip it if: Solo clinicians who want a self-serve trial, or buyers who need a published AI data policy. EHR with practice management is $599 per provider per month; RCM is 2.9 percent of collections.
- 6
Greenway Health
Greenway Health ranks sixth. Its Clinical Assist module captures the visit conversation, drafts notes into the practice's own templates and surfaces HCC indicators and ICD code suggestions. The Tampa-based vendor says providers can save up to 2.5 hours a day, a claim it gives without a method. Tribal and community health segments get dedicated pages, which few rivals offer.
Strong on
- Clinical Assist inserts notes into existing templates and offers Magic Edit for quick refinement
- HCC and ICD code suggestions are part of the same ambient workflow
- Segment pages exist for tribal health, community health, pediatrics and OB-GYN
Weak on
- No price or free trial was visible on the pages checked
- AI data retention and training terms were not found on the pages reviewed
Skip it if: Buyers wanting printed prices, an open API, or a published AI data policy before contact. No prices on the pages checked; the vendor routes buyers to a demo request.
- 7
AdvancedMD
AdvancedMD comes seventh. Its AI Clinical Assistant records visits, then generates one of five note types, including SOAP, psychiatric evaluation and medication management, plus suggested action items. Insurance-card scanning uses OCR to fill carrier and subscriber fields. Mobile support was listed for mid-2026, and the page still marks parts as coming soon, so check the current state in a demo.
Strong on
- Five note formats cover SOAP, psychiatric evaluation, medication management, treatment plan and visit summary
- OCR insurance-card capture populates carrier and subscriber records in practice management
- The site states 13,000 practices and 9.5 million claims processed each month
Weak on
- Ambient listening covers desktop and telehealth; the mobile and some telehealth features were still pre-order
- Each generated note can be regenerated only once, per the vendor's own AI page
Skip it if: Practices that need mobile-first ambient notes today, or a printed price. The pricing URL returned a not-found page; pricing comes from a sales call.
- 8
CareCloud
CareCloud takes eighth place. The Somerset, New Jersey company sells its EHR next to revenue-cycle management, and cirrusAI adds ambient notes, patient summaries and coding help. It cites reductions in documentation time but footnotes them as internal studies where individual results vary. The suite suits practices that want to hand billing to the same vendor.
Strong on
- cirrusAI Notes generates SOAP notes and covers more than 50 specialties
- cirrusAI Assist shows a one-click clinical snapshot of history, medications and labs
- Billing services and the EHR can be bought from one company
Weak on
- The 70 percent documentation-time claim comes from CareCloud's own studies
- No price, trial or AI data terms were visible on the pages checked
Skip it if: Practices that want EHR-only software with a published price and independent evidence for scribe savings. No prices on the pages checked; demo-based quotes.
- 9
ModMed
ModMed ranks ninth because it is built for a narrow list of specialties rather than general practice, which makes it a poor generic pick but a strong fit inside its niche. ModMed Scribe turns conversation into suggested clinical actions, and the site says it has captured over 2.5 million patient visits. Its Clara assistant handles patient calls, and an agentic RCM platform targets claim work.
Strong on
- Specialty products for about eleven fields, including GI-specific scribe language
- ModMed Scribe suggests clinical actions as well as note text
- Clara answers patient communication, replacing phone tag, as one customer story describes
Weak on
- Choosing a general or mixed-specialty practice means working around specialty-built templates
- The pricing page denied access and no prices were visible; the AI data policy was not checked
Skip it if: General primary care, behavioral health or any practice outside its listed specialties. The pricing page returned access denied; ModMed sells by specialty-specific quote.
- 10
NextGen Healthcare
NextGen Healthcare sits last in this ranking because its scribe lives in the mobile app and writes into the NextGen Enterprise chart, which narrows the buyer to its own customers and similar groups. Clinical AI turns visit conversations into temporary transcripts and SOAP notes with suggested ICD-10 codes, medications and orders. The Irvine company says notes can save up to 2.5 hours a day.
Strong on
- Temporary transcripts become structured SOAP notes pending provider review
- ICD-10, medication and order suggestions appear in the same flow
- Macros trigger favorite templates by voice phrases during dictation
Weak on
- Notes are captured through NextGen Mobile, so desktop-only workflows need a different path
- Pricing, trial and AI training terms were not found on the pages checked
Skip it if: Solo clinicians, small practices, or buyers needing a published price and a self-serve trial. No prices on the pages checked; NextGen sells through demos.
- 11
CharmHealth
CharmHealth ranks eleventh because the EHR can be started free, yet the paid pieces and plan prices sit outside what its pages state. CharmCopilot Free handles chat help and drafts for two encounters per provider per day, and Professional at $75 per provider monthly adds ambient capture, SOAP notes and nurse handoffs. An MCP server also lets practices connect their own models, though EHR pricing needs a quote.
Strong on
- Free edition of the EHR and a free tier of the Copilot assistant
- Professional states its price and adds ambient SOAP notes and differential suggestions
- An MCP server connects other language models to chart data
Weak on
- Prices for the EHR, billing and practice management plans were not found
- Chart drafting on the free tier is limited to 2 encounters per provider per day
Skip it if: Practices that need a printed EHR price, or specialty-specific templates, before opening a trial account. The EHR starts free; $75 per provider per month is the AI scribe edition only.
- 12
SimplePractice ranks twelfth because it is built for behavioral health and therapy practices, so medical groups outgrow it quickly. Starter is $49, Essential $79 and Plus $99 a month, with group pricing for six or more practitioners. Note Taker drafts progress notes from a recorded session or dictation for $35 a month extra, and the FAQ points to an opt-in transcript retention process.
Strong on
- Three plans and every add-on price are printed on the pricing page
- Note Taker drafts progress notes from a session recording or dictation
- Practices of six or more practitioners can ask for custom pricing
Weak on
- Built around therapy workflows, with no medical specialty charting depth
- Answers on transcript retention sit in FAQs we could not read in full
Skip it if: Medical practices, multi-specialty groups or anyone who needs labs, imaging and full clinical charting. Starter is $49 monthly at standard pricing; Note Taker adds $35 a month after 30 free days.
How these AI EHR software were judged
Do the AI scribes in EHRs write notes a clinician can sign without rewriting?
They draft, and the clinician still edits. Elation Note Assist and Tebra AI Note Assist generate structured notes from the visit conversation, and Healthie, Greenway and NextGen describe the same flow with SOAP-style output and code suggestions. Vendor statements about hours saved are self-reported, and several come with a footnote saying results vary. A fair test is to run one full clinic day on the trial or demo system, count how many fields you changed per note, and check whether orders and diagnoses landed in the right chart section. Accuracy for accents, specialty vocabulary and multi-speaker rooms is not published by any vendor in this ranking.
How much does an EHR with an AI scribe cost per provider?
Only two vendors print figures. Healthie lists Core at $19.99 a month, Essentials at $49.99, Plus at $129.99 and Group at $149.99 on monthly billing, and sells AI Charting as a separate add-on. eClinicalWorks lists EHR only at $499 per provider per month and EHR with practice management at $599. Tebra, Elation, DrChrono, AdvancedMD, CareCloud, ModMed, NextGen and Greenway quote after a demo. Ask each vendor for the scribe price per provider, the claims fee, onboarding charges and data migration cost, then compare three-year totals.
Where do visit audio and transcripts go in an AI EHR?
The answer sits in each vendor's AI policy, and few publish one. Elation's AI Data Use Policy says its third-party model providers process inputs without logging, retention or sharing, and do not train on them. Healthie says audio is processed and discarded while the transcript stays in the chart, with a retention setting you control. NextGen describes temporary transcripts that become a SOAP note pending provider review. For the others, the AI data terms were not confirmed in this check, so request the business associate agreement and the subprocessor list before you turn the scribe on.
How hard is it to leave an EHR after you adopt its AI tools?
Leaving costs more than the monthly fee suggests. Your chart history can usually be exported, but scribe templates, saved macros, order sets and billing rules rarely move to another vendor. Healthie lists data transfer support in its Essentials plan, and eClinicalWorks says it migrates data from a previous EHR for free. Most others did not publish exit terms. Before signing, ask what format a full export arrives in, who pays for it, how long you get access after cancelling, and whether the AI notes are stored in the chart or in a separate system.
Which EHR fits a solo clinician, a primary care group or a specialty practice?
Match the product to the practice shape. Healthie suits solo and small cash or insurance practices in nutrition, coaching and behavioral health. Elation is built around independent primary care, including direct primary care. ModMed fits the specialties it builds for, such as dermatology and ophthalmology. eClinicalWorks, NextGen and Greenway Health cover larger or mixed groups and health centers. DrChrono, Tebra, AdvancedMD and CareCloud sit between, with billing built in. A practice outside the United States should note that several vendors state their services are intended for US use only.
How to choose an AI EHR system in three steps
- List the visit types your scribe must cover. Write down where you see patients: exam room, telehealth, phone, home visits. Then check which of those each scribe supports today. Healthie names Zoom, in-person and phone sessions, AdvancedMD says mobile support was due in mid-2026, and NextGen's scribe runs through its mobile app. A scribe that works in the exam room but not on your telehealth platform means a second tool and a second invoice. Also check which note formats you need, such as SOAP, DAP or a psychiatric evaluation, and whether you can set a template per appointment type.
- Ask for the full price of the scribe, not the EHR. Request a written quote that separates the EHR seat, the AI scribe, e-prescribing, eligibility checks, claims and onboarding. DrChrono's pricing page shows its scribe as an add-on on lower tiers and included on Premium, and Healthie sells AI Charting on top of its plans. Compare per-provider totals for your actual headcount, including part-time clinicians and non-billing staff. Ask what happens to price when you add a second location, and whether usage limits such as faxes, texts or scribe minutes trigger overage fees.
- Run one real clinic day before you commit. Take a demo or trial account and chart a full day of real visits, with consent from patients and in line with your own compliance rules. Count how long each note takes to review and how many orders the scribe captured correctly. Check what appears in the chart if the connection drops mid-visit. Ask the vendor who your business associate is for the AI processing, and get the business associate agreement in writing. If a vendor will not let you test with your own specialty, treat that as an answer.
Frequently asked questions
What is the best AI EHR software in 2026?
Healthie ranks first here because it prints monthly plan prices and offers AI Charting as an add-on for small practices. Elation and DrChrono follow for independent primary care and billing-heavy offices. The order is editorial and uses vendor pages checked in October 2026, so a larger specialty or group practice may reasonably pick differently.
Does an AI EHR replace a human medical scribe?
It replaces the typing, not the review. Vendors such as Elation, Tebra and eClinicalWorks describe their scribes as drafting a note that the clinician reviews, edits and approves before it is final. The clinician stays responsible for the record. Whether a given practice can drop its human scribes depends on its specialty, visit volume and tolerance for editing.
Is the AI scribe included in the EHR price?
Often it is not. Healthie sells AI Charting as an add-on and DrChrono lists EverHealth Scribe as an add-on on its two lower tiers and included on Premium. eClinicalWorks, Tebra and others did not print a scribe price. Ask for the scribe line item in writing, per provider, before you compare EHR quotes.
Which EHRs print their prices?
Only Healthie, eClinicalWorks, SimplePractice and CharmHealth print figures among the twelve here. Healthie lists monthly plans from $19.99, and eClinicalWorks lists $499 per provider per month for EHR only. SimplePractice prints three plans from $49, and CharmHealth prints only its $75 AI scribe edition. DrChrono prints overage fees but sends you to a quote for plan prices. Elation, Tebra, AdvancedMD, CareCloud, ModMed, NextGen and Greenway Health quote on request.
Do AI EHRs keep recordings of patient visits?
It depends on the vendor. Healthie states audio is processed and discarded and only the transcript is kept, with a retention setting. NextGen describes temporary transcripts. Elation says its model providers do not log or retain inputs. For the other vendors the retention terms were not confirmed here, so ask in writing and read the business associate agreement.
Can a practice outside the United States use these systems?
Mostly not as designed. NextGen's privacy policy says its services are intended for use only in the United States, and the others sell US-oriented features such as US claims, e-prescribing and payer eligibility. Healthie lists GDPR and PIPEDA compliance on its security page, but a practice outside the US should confirm hosting, billing and prescribing support first.
Do specialty practices need a specialty EHR with AI?
Not always, but the templates matter. ModMed builds separate products for specialties such as dermatology and ophthalmology and trains its scribe for them. General EHRs like Elation, Tebra and eClinicalWorks support many specialties with customizable templates. Test the scribe on your own vocabulary, procedures and note structure before deciding.
What should a practice check about AI before signing an EHR contract?
Check who processes the audio, whether inputs train any model, how long transcripts stay, and which subprocessors are involved. Elation publishes a list of third-party AI providers and an AI Data Use Policy. Ask every other vendor for the same documents, plus a signed business associate agreement that covers the AI features.