palmERAbridge.palmER.
A health system-purchased ambient documentation tool designed to run inside supported EHR workflows. Access generally comes through an employer deployment rather than direct signup.
Abridge
Abridge is typically selected and configured by a health system. For emergency medicine teams, access, workflow, and data-retention terms depend on the employer's deployment, and the public materials reviewed do not describe an ED-specific MDM workflow.
When palmER is the right call.
When the chart is written between rooms, not after a scheduled visit. Chart-paste MDM with a real differential, a patient board for the shift, structured consult scripts, and a pre-sign-off check. Available directly, with no health-system purchase or IT rollout required. Encounter audio is never stored, and patient data automatically deletes within 24 hours.
You signed one note. What else still exists?
AI documentation can create more than the note you sign: audio, transcripts, draft notes, edits, prompts, and questions. What remains depends on the tool, the vendor's terms, and sometimes your health system's contract.
What the public documents say.
No vendor-published retention window covers audio, transcripts, draft notes, and clinician edits. Documented health-system deployments report audio or transcript deletion periods ranging from one week to 30 days; retention for drafts and edits is not publicly documented. Models are trained with de-identified encounter data.
No lasting shadow record.
Encounter audio is never stored. Inputs, transcripts, chats, drafts, and questions automatically delete within 24 hours. AI providers operate under zero-retention agreements.
Seventeen rows. No spin.
Multi-specialty platform; emergency medicine is supported as one of many, not the core product focus stated on the homepage.
Built by board-certified emergency physicians for ED/UC workflows.
Homepage emphasizes ambient note generation and clinical decision support; depth of ED-specific MDM structure is not publicly documented.
MDM Assistant generates differential, risk stratification, disposition, and a Clinical Insights sidebar (Most Serious / Most Likely).
Ambient documentation is a core product.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed in real time and immediately discarded.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Paste a full chart into the MDM Assistant for a complete, defensible MDM in seconds.
Public materials describe clinical decision support, but not a structured ED differential workflow.
Most Serious and Most Likely differential panels generate alongside the MDM.
Encounter-based workflow; ED-specific multi-patient panels are not the public emphasis.
Patient Mode panel for active and completed patients across the shift.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
palmER Colab side panel inherits patient and conversation context automatically.
ConsultER generates structured specialty consult scripts.
Public materials focus on revenue-cycle and prior-authorization workflows, not a clinician-facing pre-sign ED chart review.
Chart CheckER flags documentation gaps, billing opportunities, and medico-legal vulnerabilities before sign-off.
Not positioned as a clinical reference product (UpToDate is a third-party integration).
Integrated palmEM AI knowledge base for instant EM clinical reference.
No vendor-published retention window covers audio, transcripts, draft notes, and clinician edits. Documented health-system deployments report audio or transcript deletion periods ranging from one week to 30 days; retention for drafts and edits is not publicly documented. Models are trained with de-identified encounter data.
Audio is never stored: it is transcribed in real time and immediately discarded. Everything else, inputs, transcripts, chats, and generated drafts, auto-deletes within 24 hours, and AI providers operate under zero-retention agreements.
Pricing not publicly listed on the homepage.
Two tiers publicly listed: Clinician at $199/month and Trainee at $49/month for verified students and residents.
Sales-led; no public self-serve trial advertised on the homepage.
30-day free trial, no credit card required.
Designed to run inside Epic workflows.
Works alongside any EMR via copy and paste; no direct EHR integration.
Health systems; clinician access depends on an employer deployment.
Emergency and urgent care clinicians, groups, and health systems.
Built broad, or built for the ED.
If your health system has deployed Abridge, it may already sit inside your EHR. If you are choosing a tool for your own ED workflow, palmER can be started directly and adds chart-paste MDM, a structured differential, a patient board, ConsultER, and Chart CheckER.
- 15s
- 30
- 24h
Asked often. Answered plainly.
How does Abridge fit emergency medicine?+
Abridge supports emergency medicine as one of multiple specialties; it is not exclusively positioned for the ED. palmER is purpose-built around emergency-department documentation: chart-paste MDM with Most Serious / Most Likely differential, multi-patient panel, ConsultER, Chart CheckER, and the integrated palmEM AI clinical reference.
Does Abridge offer a public free trial?+
No public self-serve trial; access is arranged through a health system. palmER offers a 30-day free trial with full access to every tool, no credit card required.
What does Abridge cost?+
Pricing is not publicly listed; purchase is arranged through a health system. palmER is publicly listed at $199/month for clinicians. Approved students and residents can apply for the $49/month trainee rate. The 30-day free trial includes every tool and requires no credit card.
What does Abridge retain after an encounter?+
No vendor-published retention window covers audio, transcripts, draft notes, and clinician edits. Documented health-system deployments report audio or transcript deletion periods ranging from one week to 30 days; retention for drafts and edits is not publicly documented. Models are trained with de-identified encounter data. palmER never stores encounter audio, automatically deletes patient data within 24 hours, and uses AI providers under zero-retention agreements.
How does palmER compare on MDM?+
The palmER MDM Assistant takes a full pasted chart and returns a complete MDM with clinically appropriate differential diagnoses, risk stratification, justification for orders and consultations, shared decision-making documentation, and support for appropriate E/M billing levels. The Most Serious and Most Likely differential panels and Clinical Insights sidebar generate alongside the MDM. Public materials for Abridge do not detail an equivalent ED-specific MDM workflow.
What about EHR integration?+
Designed for Epic integration through a health-system deployment. palmER works alongside any EMR via copy and paste, there is no integration step or IT setup required.
Every claim about Abridge on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Abridge, homepage ↗
Health-system purchasing, Epic integration, multi-specialty ambient documentation, and clinical decision-support features.
- Abridge, privacy policy ↗
No specific audio or transcript retention period published (policy last updated August 22, 2025); data-rights requests for health-system deployments are routed to the health system.
- UC Davis Health, clinical note-taking technology ↗
"All recordings are deleted after 30 days" in UC Davis Health's Abridge deployment; UChicago Medicine's deployment states recordings are never kept more than one week.
Fairness note: vendors update positioning, pricing, and features over time. If something on this page is out of date, tell us. A physician reviews every report, and the page gets refreshed, whichever way the correction cuts.
Try the one built for your shift.
Start a trial tonight, paste your messiest chart, and read what comes back. Thirty days free, no card, no auto-billing.