palmERpalmER vs Commure.
Commure sells ED documentation to the hospital. palmER puts the whole shift in your hands.
An ED workspace you can choose yourself
Commure sells ED documentation to the hospital. palmER puts the whole shift in your hands.
palmER puts your MDM, clinical questions, consult preparation, chart review, and discharge documents in one subscription. Keep multiple workups moving and use the same workflow beside any EMR. You can start with your own account and your next patient.
Try every palmER tool free for 30 days. No credit card. No automatic billing.
At a glance
| palmER | Commure | |
|---|---|---|
| Built for | Emergency medicine and urgent care | Multiple specialties and clinical settings |
| Access | Direct individual subscription | Ambient AI through hospitals and health systems; Commure Scribe available directly |
| Ambient documentation | Drafts the HPI and Physical Exam automatically | Ambient clinical documentation |
| The MDM | A structured MDM: differential, risk, data reviewed, disposition | Not described in Commure's public materials |
| The rest of the shift | Clinical questions, consult calls, discharge papers (work and school notes), pre-sign chart review, palmEM reference | Clinical assistance within Ambient AI |
| Your EMR | Works alongside any EMR; no integration required | Integrated with health-system EHRs through Commure Ambient AI |
| Audio retention | Audio is never saved | Commure Scribe publishes a default of at least seven years for audio |
Two Commure products, two different ways to get them
Commure explicitly markets Ambient AI to emergency departments through its hospital and health-system offer.
Commure Scribe is available directly to individual users, but its public specialty positioning focuses on outpatient care rather than emergency medicine.
palmER is available directly to emergency medicine and urgent care clinicians, with a product built specifically for those shifts.
That distinction matters if you are choosing a tool for yourself. A product your hospital purchases for many departments and a product built around your own shift solve different problems.
MDM and clinical tasks throughout the shift
An ambient scribe hands you a visit note. In acute care, that initial note is just a fraction of your total documentation workload.
Your MDM must clearly communicate your differential, risk assessment, data reviewed, and clinical reasoning to anyone opening the chart later. palmER generates a structured MDM straight from your raw chart input, so you can review the draft against your reasoning before signing.
palmER builds a structured MDM from your chart, clinical reasoning included. palmER helps you manage multiple active workups, reviews charts for missing documentation before sign-off, answers clinical questions, drafts specialty consult calls, writes discharge instructions with work and school notes, and includes the palmEM emergency medicine reference.
Different approaches to the EMR
Commure's Ambient AI is designed for integration into health-system EHRs.
palmER works alongside any EMR without requiring an integration project. You review the documentation, make any changes you want, and copy the final version into the chart. You control exactly what enters the medical record, and the same copy and paste works wherever you practice.
Also check what information the vendor retains outside the EMR after the encounter.
Commure Scribe's published default keeps audio for at least seven years
palmER never stores ambient audio. Transcripts, drafts, edits, and questions are automatically deleted within 24 hours. Nothing you enter is used to train AI models. Read how palmER handles data on our security page.
The open-source medical transcription stack provides a closer look at the code that handles audio.
Commure publishes retention information for Commure Scribe that is substantially different. Its HIPAA guidance describes a default of one year of active audio storage followed by at least six years in an archive. The guide also says practices can set retention policies and that audio is not used for AI training. This is the Scribe policy, not a published retention schedule for hospital-deployed Ambient AI.
The exact retention terms for a hospital-deployed product may depend on the agreement and configuration chosen by the health system.
Ask about retention and training permissions for each type of content, including transcripts, generated notes, prompts, and questions.
We wrote about what AI scribes keep, and why it is discoverable, in what does your AI scribe save.
Put palmER to work on your next shift
Choose the tool built around your work: EM-native MDM, clinical questions, consult preparation, chart review, and discharge documents, with multiple active workups in one space. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes.
Start your own full-access trial today. Every tool is free for 30 days, then $199/month. No credit card and no automatic billing.
Start your 30-day free trial. Your next patient is a good place to start.
See the full palmER vs Commure comparison for features, pricing, and sources.
Frequently asked questions
- Is palmER a good Commure alternative?
- Yes. palmER was built for emergency and urgent care clinicians who want help with their entire shift: EM-native MDM, multiple active workups, clinical answers, consult preparation, chart review, and discharge documents. You can start yourself, use it beside any EMR, and try every tool free for 30 days.
- How does palmER compare on MDM?
- Paste your chart and palmER builds a structured ED MDM, including clinical reasoning, differential, data reviewed, risk, and disposition. You do not need to write out the reasoning first. A dedicated ED MDM workflow was not established in the Commure sources reviewed. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
- What does Commure cost?
- Commure Scribe lists $708/year billed annually, equivalent to $59/month. Ambient AI pricing is not public. palmER is $199/month for unlimited access to every tool. Approved students and residents pay $49/month after verification. The full-access 30-day trial requires no credit card and ends without automatic billing.
- What does Commure retain after an encounter?
- Commure Scribe publishes a default of one year of active audio storage followed by a minimum six-year archive. Its guide says practices can set retention policies, users can delete transcripts and notes, and audio is not used for AI training. These are Scribe terms; hospital Ambient AI retention and training depend on separate agreements. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
From the palmER clinical team — built by board-certified emergency physicians.
See the full comparison