Ambience Healthcare
Also known as: Ambience, AutoScribe
Enterprise AI documentation suite pairing the AutoScribe ambient scribe with point of care coding, referral, and after visit automation across more than 200 specialties.
Ambience Healthcare builds an AI operating system for clinical documentation that pairs an ambient scribe with a suite of point of care automation modules. Founded in 2020 by Mike Ng and Nikhil Buduma, who met at MIT, the company has raised roughly $373 million, most recently a $243 million Series C in July 2025 led jointly by Oak HC/FT and Andreessen Horowitz at a valuation near $1 billion, with earlier backing from Kleiner Perkins, the OpenAI Startup Fund, and Optum Ventures. Cleveland Clinic selected Ambience over four rival scribes for a five year deployment, and the platform runs at UCSF, Memorial Hermann, John Muir Health, The Oncology Institute, and GI Alliance.
The flagship AutoScribe listens to a visit and produces a fully structured note within about twenty seconds, classifying each statement into the right documentation section and adapting to the provider's style, with specialty tuned models covering more than 200 specialties including emergency and hospital medicine. What separates Ambience from scribe only tools is the surrounding suite: AutoCDI validates the note against ICD-10 and CPT coding requirements at the point of care with audit trails for revenue cycle teams, AutoAVS generates patient friendly after visit summaries in the patient's language, AutoRefer drafts referral letters, and AutoPrep reads prior charts to prepare a visit agenda. A Chart Awareness platform launched in February 2026 grounds notes in the full longitudinal record, including prior notes, labs, imaging, medications, and problem lists. Integrations cover Epic, Oracle Health, and athenahealth through native APIs.
Ambience sells annual enterprise contracts priced per clinical full time equivalent and publishes no pricing. Third party analyses put base AutoScribe near $2,800 to $3,200 per provider per year, with the full module suite reaching $4,000 to $5,000 or more. There is no self serve path, and support is English first, which keeps the product squarely aimed at large health systems rather than independent practices. The bet is that documentation, coding integrity, and revenue cycle belong in one pipeline rather than in separate tools.
Vendor details
Canonical URL
https://www.ambiencehealthcare.com
Category
Healthcare agent
Subcategory
Clinical documentation
Funding status
Independent. Founded 2020 by Mike Ng and Nikhil Buduma, who met at MIT. Raised roughly $373 million, most recently a $243 million Series C in July 2025 led jointly by Oak HC/FT and Andreessen Horowitz at a valuation near $1 billion, with earlier backing from Kleiner Perkins, the OpenAI Startup Fund, and Optum Ventures.
Company status
independent
Use cases & customers
Primary use cases
Target customers
Deployment options
Integrations
Native API integrations with Epic, Oracle Health, and athenahealth. The suite spans AutoScribe ambient documentation, AutoCDI coding validation with audit trails, AutoAVS multilingual after visit summaries, AutoRefer referral letters, AutoPrep pre visit chart preparation, and a Chart Awareness platform grounding notes in the full longitudinal record.
In practice
Your specialty mix spans oncology to emergency medicine and generic scribes miss the vocabulary. Ambience ships specialty tuned models across more than 200 specialties, so notes match how each field documents.
Documentation and coding live in silos and denials keep climbing. AutoCDI validates each note against ICD-10 and CPT requirements at the point of care, with audit trails for revenue cycle teams.
Patients leave visits confused about next steps. AutoAVS turns the encounter into a plain language after visit summary in the patient's own language, with no added clinician work.
Sources & related URLs
Capability coverage
7.0 / 14 capabilities · 50%
| Integrations & Tool CallingNative API integrations with Epic, Oracle Health, and athenahealth; pulls vitals and labs from the EHR and writes structured notes back, Ambience docs 2026-07-06 | Full |
|---|---|
| Workflow OrchestrationChained fixed function modules from documentation through coding, summaries, referrals, and pre visit prep; not general orchestration, Ambience docs 2026-07-06 | Partial |
| Knowledge Grounding & RAGChart Awareness grounds notes in the full longitudinal record and Chart Chat queries the chart with BMJ integration; scoped to the patient record, Ambience docs 2026-07-06 | Partial |
| Human Oversight & GuardrailsClinician review and sign off on every note; AutoCDI validates documentation against coding requirements before submission, Ambience docs 2026-07-06 | Full |
| Security, Identity & GovernanceHIPAA compliant audio and data channels, enterprise governance for major health systems including Cleveland Clinic and UCSF, Ambience docs 2026-07-06 | Full |
| Observability & AuditabilityAutoCDI provides audit trails scoped to revenue cycle teams; no per sentence note provenance comparable to audit first rivals, Ambience docs 2026-07-06 | Partial |
| Memory & State PersistenceAdapts to each provider's documentation style and carries longitudinal chart context into notes; scoped to documentation, Ambience docs 2026-07-06 | Partial |
| Deployment & Data ResidencySaaS only enterprise deployment; no self host or VPC option documented, Ambience docs 2026-07-06 | Partial |
| Prebuilt Agents, Templates & PacksSpecialty tuned model and template library across more than 200 specialties is the flagship differentiator, plus a prebuilt module suite, Ambience docs 2026-07-06 | Full |
| Triggers & Channel CoverageAmbient capture across outpatient, emergency, and hospital settings with point of care module activation; no event trigger system, Ambience docs 2026-07-06 | Partial |
| Model Flexibility & RoutingProprietary specialty tuned models; no customer facing model choice or routing, Ambience docs 2026-07-06 | Unable to verify |
| APIs, SDKs & MCP ExtensibilityNo public developer API or SDK; integration runs through native EHR connections only, Ambience docs 2026-07-06 | Unable to verify |
| Testing, Debugging & OptimizationNo customer facing testing or evaluation tooling documented, Ambience docs 2026-07-06 | Unable to verify |
| Browser & Computer UseNo browser or computer use capability, Ambience docs 2026-07-06 | Unable to verify |
Recent platform changes
No recent material changes tracked yet.
Pricing
Contact sales; third parties estimate $2,800 to $3,200 per provider per year for AutoScribe, $4,000 to $5,000 plus for the full suite
per clinical FTE per year, by module
Included quota
Annual contract per clinical full time equivalent. Base AutoScribe is the entry module; AutoCDI, AutoAVS, AutoRefer, and AutoPrep are added per module.
What is public
Nothing numeric from the vendor. Third party analyses put base AutoScribe at $2,800 to $3,200 per provider per year and the full module suite at $4,000 to $5,000 or more.
Billing mechanics
Annual SaaS contracts priced per clinical full time equivalent, with modular pricing across AutoScribe, AutoCDI, AutoAVS, AutoRefer, and AutoPrep. No individual plan, no self serve signup.
Cost watchouts
The gap between base AutoScribe and the full suite is the main swing: coding integrity, after visit summaries, and referrals are separate modules that push per provider cost from about $3,000 toward $5,000. Implementation and EHR integration scope also factor into negotiated terms.
Variable cost rationale
Priced per clinical full time equivalent, but module selection moves the number materially: adding AutoCDI, AutoAVS, and AutoRefer to base AutoScribe roughly doubles the per provider estimate.
Additional watchouts
Enterprise only with no path for solo or small practices, and support is English first. Module pricing means the sticker for base AutoScribe understates the cost of the suite most buyers actually want.
Overage / add-ons
No usage metering documented; cost scales with clinical FTE count and module selection under annual contracts.
Sales call required
Yes — required for paid access
Free / trial
No self serve trial; enterprise evaluations run through sales
Lowest paid plan
None public; enterprise contract only
Commercial notes
Independent, roughly $373 million raised, near $1 billion valuation after a $243 million Series C in July 2025. Cleveland Clinic selected Ambience for a five year deployment; also runs at UCSF, Memorial Hermann, John Muir Health, The Oncology Institute, and GI Alliance.
Key ambiguities
No vendor published rate; estimates are third party and vary by module bundle, contract length, and deployment scale.
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