palmERCommure.palmER.
A health system-purchased ambient documentation, coding, and revenue-cycle platform integrated with multiple EHRs, plus a separate self-serve Commure Scribe product for small practices. Emergency medicine is named for the enterprise product, but the public materials reviewed do not describe an ED-specific MDM or shift workflow.
Commure
Commure Ambient AI is selected and deployed by a health system and reaches the ED through an enterprise rollout. The self-serve Commure Scribe lists outpatient specialties rather than emergency medicine, and Commure's published default keeps encounter audio for one year before archiving it for at least six more.
The Commure alternative built for the ED.
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.
Commure's published default for Commure Scribe keeps encounter audio for one year, then archives it for a minimum of six years; transcripts and notes persist until the user deletes them. The privacy policy retains account data for up to six years after closure and anonymized data indefinitely, and enterprise retention follows customer contracts. Commure says audio is not used for AI training, while its Scribe FAQ says the models learn and adapt over time.
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.
Emergency medicine is one of more than twenty specialties listed for the enterprise Ambient AI product, and the HCA Healthcare deployment names emergency departments; the self-serve Commure Scribe lists outpatient specialties only.
Built by board-certified emergency physicians for ED/UC workflows.
Public materials emphasize specialty-aligned notes, autonomous CPT and ICD-10 coding, and CareCues documentation prompts; ED-specific MDM structure is not publicly described.
MDM Assistant generates differential, risk stratification, disposition, and a Clinical Insights sidebar (Most Serious / Most Likely).
Ambient AI is a core product.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed 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.
Clinical decision support and an AI assistant for patient-history summaries are named, but not a structured ED differential.
Most Serious and Most Likely differential panels generate alongside the MDM.
Patient Mode panel for active and completed patients across the shift.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
An AI Assistant for history summaries and care plans is named for the enterprise product; Commure Scribe names an AI Copilot.
palmER Colab side panel inherits patient and conversation context automatically.
ConsultER generates structured specialty consult scripts.
CareCues real-time prompts, billing-completeness reminders, and autonomous coding are named; a clinician-facing pre-sign ED chart review is not described.
Chart CheckER flags documentation gaps, billing opportunities, and medico-legal vulnerabilities before sign-off.
Integrated palmEM AI knowledge base for instant EM clinical reference.
Commure's published default for Commure Scribe keeps encounter audio for one year, then archives it for a minimum of six years; transcripts and notes persist until the user deletes them. The privacy policy retains account data for up to six years after closure and anonymized data indefinitely, and enterprise retention follows customer contracts. Commure says audio is not used for AI training, while its Scribe FAQ says the models learn and adapt over time.
Audio is never stored: it is transcribed and immediately discarded. Everything else, inputs, transcripts, chats, and generated drafts, auto-deletes within 24 hours, and AI providers operate under zero-retention agreements.
Enterprise Ambient AI pricing is not public. The self-serve Commure Scribe lists ScribePro at $89/month or $59/month billed annually ($708/year); ScribeEnterprise is custom.
Two tiers publicly listed: Clinician at $199/month and Trainee at $49/month for verified students and residents.
Commure Scribe offers a 7-day free trial with no credit card; the enterprise Ambient AI product is health-system led.
30-day free trial, no credit card required.
Integrates with 60+ EHRs, including Epic (Toolbox designation), MEDITECH Expanse, and Oracle Health.
Works alongside any EMR via copy and paste; no direct EHR integration.
Multi-specialty.
Emergency and urgent care medicine.
Built broad, or built for the ED.
Commure reaches the ED as part of a health-system platform built around documentation, coding, and revenue cycle, and its public materials do not describe an ED-specific MDM workflow. palmER can be started directly and combines chart-paste MDM, a structured differential, a patient board, ConsultER, Chart CheckER, and palmEM AI Reference, and it never stores encounter audio.
- 15s
- 30
- 24h
Asked often. Answered plainly.
Is palmER a good Commure alternative?+
For emergency clinicians, yes. palmER pairs ambient scribing with a chart-based MDM workflow: paste what you have and get a complete MDM with differential in under 15 seconds, alongside the patient board, ConsultER, and Chart CheckER. It is available directly with a 30-day free trial, no health-system purchase or IT rollout required, and it never stores encounter audio.
How does Commure fit emergency medicine?+
Commure 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 Commure offer a public free trial?+
Commure Scribe offers a public 7-day free trial with no credit card; the enterprise Ambient AI product has no public self-serve trial. palmER offers a 30-day free trial with full access to every tool, no credit card required.
What does Commure cost?+
Enterprise Ambient AI pricing is not publicly listed; purchase is arranged through a health system. The self-serve Commure Scribe lists ScribePro at $89/month or $59/month billed annually ($708/year), with custom pricing for groups. 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 Commure retain after an encounter?+
Commure's published default for Commure Scribe keeps encounter audio for one year, then archives it for a minimum of six years; transcripts and notes persist until the user deletes them. The privacy policy retains account data for up to six years after closure and anonymized data indefinitely, and enterprise retention follows customer contracts. Commure says audio is not used for AI training, while its Scribe FAQ says the models learn and adapt over time. 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 Commure do not detail an equivalent ED-specific MDM workflow.
What about EHR integration?+
Integrates with 60+ EHRs, including Epic, MEDITECH Expanse, and Oracle Health, through a health-system deployment; Commure Scribe syncs with practice EHRs on paid group plans. palmER works alongside any EMR via copy and paste, there is no integration step or IT setup required.
Every claim about Commure on this page is grounded in the vendor's own public materials, linked below. Claims about palmER come from palm-er.com.
- Commure, homepage ↗
Health-system purchasing ("150+ health systems", "2,000 Sites of Care"), 40M+ ambient appointments, 60+ EHR integrations, and a product line spanning Ambient AI, dictation, coding, claims, and RCM.
- Commure, Ambient AI product page ↗
Emergency Medicine, Critical Care, and Hospitalist among the listed specialties; specialty-aligned notes, autonomous CPT and ICD-10 coding, CareCues real-time prompts, AI Assistant summaries, and clinical decision support; contact-sales CTAs only.
- Commure, HCA Healthcare partnership announcement ↗
Multi-specialty, EHR-agnostic ambient platform "designed to support critical workflows in emergency departments, hospitalist operations, and ambulatory care."
- Commure Scribe, pricing page ↗
ScribeCore 7-day free trial with no credit card; ScribePro $708/year (30% discount from $1,068) with unlimited notes, template builder, and AI Copilot; ScribeEnterprise custom with EHR sync; no refunds on cancellation. The Commure Scribe homepage lists Family Medicine, Internal Medicine, Psychiatry, Pediatrics, Behavioral Health, and Dentistry.
- Commure, HIPAA-compliant AI note taking guide ↗
"Default retention is one year active, after which recordings are archived. The minimum archive period is six years"; audio "not used for AI training"; transcripts and notes can be permanently deleted by the user at any time.
- Commure, privacy policy ↗
Effective November 18, 2025; personal data retained "for as long as You maintain a User Account and up to six years after the account is closed"; anonymized data retained indefinitely. The trust center states data is "retained according to documented schedules and customer contracts."
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.
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