palmERpalmER vs Freed.
Freed is a visit scribe. palmER is built for your entire shift.
A visit note is a fraction of your shift
Freed is a visit scribe. palmER is built for your entire shift.
At 4 AM, the MDM, consult call, and discharge paperwork are still real work. palmER puts dedicated help for those jobs beside your active patients. Turn chart input into a structured MDM, prepare the call, and send the patient home with clear instructions. One subscription covers the work around the note, too.
Try every palmER tool free for 30 days. No credit card. No automatic billing.
At a glance: palmER vs. Freed
| Feature | palmER | Freed |
|---|---|---|
| Primary Focus | Emergency medicine and urgent care | Visit scribing, including ED |
| Ambient Documentation | Auto-drafts focused HPI and Physical Exam | Generates SOAP notes from patient encounters |
| MDM Generation | Structured MDM: differential, risk, data reviewed, disposition | No ED-specific MDM workflow described in Freed's public materials |
| Work around the note | Clinical questions, consult scripts, discharge papers, chart review, palmEM reference | Visit-related questions and documents |
| EMR Integration | Works alongside any EMR via copy and paste | Supported EHR integrations |
| Audio Retention | Never stored; discarded immediately | Delete after processing or retain under your settings |
| Transcripts & Notes | Auto-deleted within 24 hours | Note deletion is configurable; terms also describe retention for 30 days or the agreement term, plus backup retention |
| AI Model Training | Patient data is never used for training | Security page describes de-identified note training; terms permit data use for training with settings consent |
The MDM Needs More Than the Bedside Conversation
Both products listen to the initial encounter. Freed outputs a general SOAP note. palmER drafts a focused HPI and Physical Exam tailored specifically to acute care.
An early MDM can describe your assessment and plan. As the encounter progresses, it needs to connect that assessment to labs, imaging, repeat vitals, consultant recommendations, and disposition. Coders, auditors, and malpractice attorneys rely on that rationale to see your clinical thought process.
With palmER, you simply paste your chart input into the MDM Assistant at any stage of the workup. In seconds, it generates a structured MDM complete with differential diagnosis, risk stratification, data reviewed, and disposition justification. Check that it reflects your reasoning and only includes supported details. You review it, make edits in Chart View, and copy it directly into your EMR.
A dedicated ED MDM workflow was not found on Freed's ED scribe page. palmER makes structured MDM writing a core tool in your workspace.
Finishing the work around the note
The MDM is not the last task. Consult calls, discharge instructions, and chart review also take time.
palmER includes tools for those tasks:
- ConsultER: Drafts structured specialty consult calls so you lead with the exact details the consultant needs.
- DischargER: Generates custom discharge instructions, work notes, and school excuses in the patient's language.
- Chart CheckER: Scans your chart before you sign to flag missing documentation for your review.
- Clinical questions and reference: Answers clinical questions and includes the palmEM emergency medicine reference.
Patient tracking helps you return to each encounter after interruptions. palmER puts dedicated emergency medicine tools around your MDM, active workups, consult calls, and chart review.
Transcript retention, discoverability, and AI training permissions
palmER never stores ambient audio. Transcripts, drafts, edits, and questions automatically delete within 24 hours. Nothing you enter is used to train AI models. Details are on our security page.
Freed's security page says recordings are saved until the note is completed, then automatically deleted, and notes can be manually deleted or set to auto-delete after 30 days. Its Platform Terms also let users retain recordings alongside other data for 30 days or the agreement term. The 30-day option includes seven additional backup days. The terms permit submitted data to be used for AI training with consent through platform settings; the security page also describes training on de-identified notes.
Compare retention periods for audio, transcripts, and drafts separately. Check whether encounter data can be used for training and who could produce retained material in litigation.
Read the detailed retention guide: What Does Your AI Scribe Save?.
For a closer look at audio processing, explore palmER's open-source transcription stack.
Put palmER to work on your next shift
A lower subscription price does not finish the MDM or make the consult call. palmER earns its place by helping with the work around the note: clinical questions, chart review, discharge paperwork, and critical care, procedure, and sepsis documentation.
Get the whole workspace for $199/month. Try every tool free for 30 days, with 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 Freed comparison for features, pricing, and sources.
Frequently asked questions
- Is palmER a good Freed 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 Freed sources reviewed. With palmER, chart review, clinical answers, consult preparation, and discharge tools are included in the same subscription.
- What does Freed cost?
- The live pricing page rendered Starter at $39/month for up to 40 notes, Core at $79/month with unlimited notes and Clinical Evidence, and Premier at $104/month billed annually or $119/month monthly. Groups pricing is custom. 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 Freed retain after an encounter?
- Freed's security page describes recording deletion after note completion and optional 30-day note deletion. Its Platform Terms let users delete recordings after processing or retain them with other data for 30 days or the agreement term; the 30-day option includes seven additional backup days. The terms permit AI/ML training with consent through platform settings. 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