Commure.palmER.
Commure sells ED documentation to the hospital. palmER puts the whole shift in your hands.
From the first workup to the last discharge, palmER puts MDM writing, clinical answers, consult preparation, and chart review in your hands. Built by emergency physicians. Ready for your next shift.
Commure sells ED documentation to the hospital.
Commure Ambient AI is sold to health systems and includes emergency medicine. Separate self-serve Commure Scribe markets outpatient documentation; its pricing and retention terms are different.
palmER puts the whole shift in your hands.
Keep multiple workups moving. Turn your chart into an EM-native MDM, get clinical answers, prepare consult calls, and review the chart before you sign. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes. Finish with discharge instructions, work notes, and school notes. All in one subscription.
You signed one note. What else still exists?
Commure Scribe defaults to one year of active audio storage plus at least six years archived. Ambient AI has separate contract terms. palmER never stores ambient audio and deletes patient data within 24 hours.
Your signed note belongs in your EHR. The drafts, transcripts, and questions that helped you get there don't need a permanent home in your AI tool. With palmER, they expire automatically.
What the public documents say.
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.
Help on shift. Patient data gone within 24 hours.
Audio is never stored. Transcripts, drafts, edits, and questions automatically delete within 24 hours. Patient data is never used to train AI models.
palmER and Commure compared.
Commure describes Ambient AI that listens, codes, cues, and connects, and separately describes Scribe ambient note generation.
Ambient Scribe auto-generates HPI and Physical Exam from live encounters; audio is transcribed and immediately discarded.
Scribe documentation materials describe clinical note capture and review/finalization across specialties; exact ED HPI/exam field coverage is not enumerated.
Dedicated HPI and Physical Exam Assistants with complaint-specific positives and negatives.
Ambient AI and Scribe materials describe one-click or integrated sync with 60+ EHRs.
Works alongside any EMR without requiring an integration.
Scribe: $708/year billed annually ($59/month equivalent). Ambient AI: contact sales.
$199/month for clinicians. Approved students and residents pay $49/month after verification. Both include unlimited access to every tool.
Scribe publicly offers a seven-day free trial without a credit card; no public Ambient AI self-serve trial was found.
Every tool free for 30 days. No credit card and no automatic billing.
Commure Ambient AI explicitly lists Emergency Medicine and Critical Care among supported specialties and settings, but the platform is broader; Scribe's public examples are mainly outpatient.
Built specifically for emergency medicine and urgent care by emergency physicians.
Multi-specialty; emergency medicine is not the primary audience.
Emergency and urgent care medicine.
Public Ambient AI materials describe an assistant, summaries, findings, care plans, and cues, but do not document structured ED MDM sections or an MDM generator.
Writes a structured MDM from the chart: differential, data reviewed, risk, clinical reasoning, and disposition.
A dedicated pasted-chart-to-ED-MDM workflow was not established in the reviewed pages.
Paste your chart to draft an EM-native MDM in seconds. Review and update it as the encounter progresses.
AI Assistant clinical summaries and care-plan support are described, but a structured differential-diagnosis output is not documented.
Most Serious and Most Likely differential panels generate alongside the MDM.
The checked Ambient AI and Scribe pages do not describe an ED patient list or tracking panel.
Tracks active and completed patients as multiple workups progress throughout the shift.
Ambient AI describes an assistant that summarizes histories and answers queries; a standalone full chart-view surface is not documented.
Unified Chart View renders HPI, Exam, and MDM together for review and refinement.
Ambient AI Assistant summarizes histories, answers questions, and drafts care plans.
Ask clinical questions with the case in context. palmER also spots documentation needs for critical care, procedures, and sepsis and drafts the supporting notes.
Public pages do not describe consult or referral scripts.
ConsultER generates structured specialty consult scripts.
CareCues and coding/documentation completeness support are described, but dedicated clinician pre-sign ED chart-quality review is not documented.
Reviews the chart for missing or incomplete documentation before you sign.
The checked pages do not describe an Emergency Medicine reference library or medical-reference workflow.
Integrated palmEM AI knowledge base for instant EM clinical reference.
Commure's Scribe guide says audio is retained one year active then archived for at least six years, with user-deletable transcripts/notes and no use of audio for AI training/product improvement; Ambient AI retention and training terms are unverified.
Encounter audio is not stored. Patient data automatically deletes within 24 hours and is not used to train AI models.
Less charting. More shift handled.
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 workspace. 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.
- $199
- 30
- 24h
Asked often. Answered plainly.
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 Commure fit emergency medicine?+
Commure includes emergency medicine within its hospital-deployed Ambient AI product. Its separate self-serve Commure Scribe product lists outpatient specialties. palmER was built specifically for emergency medicine and urgent care.
Does Commure offer a public free trial?+
Scribe offers a seven-day free trial without a credit card; no public Ambient AI self-serve trial was found. palmER offers a 30-day free trial with no credit card required.
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.
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 about EHR integration?+
Commure describes Ambient AI and Scribe EHR integration/sync with 60+ EHRs; the public Scribe guide says one-click EHR sync. palmER works alongside any EMR without requiring an integration. You review the documentation and copy the final version into the chart.
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 ↗
Commure Ambient AI is sold to health systems and includes emergency medicine. Separate self-serve Commure Scribe markets outpatient documentation; its pricing and retention terms are different.
Reviewed
- Commure Ambient AI ↗
Describes high-acuity and multi-setting documentation, Emergency Medicine support, the AI Assistant, CareCues, coding, and 60+ EHRs.
Reviewed
- Commure Scribe pricing ↗
Shows a seven-day free trial without a credit card and Scribe annual pricing of $708 billed annually from $1,068; Enterprise is custom.
Reviewed
- Commure Scribe retention guide ↗
States Scribe audio is retained one year active then archived for at least six years, transcripts/notes are user-deletable, and audio is not used for AI training/product improvement.
Reviewed
- Commure privacy policy ↗
Provides generic platform-account retention terms separate from Ambient AI/Scribe product terms; it does not establish Ambient AI clinical-data retention.
Reviewed
Read the full write-up: palmER vs Commure
Vendor plans and features change. Sources and review dates are listed above. Send a correction if a detail has changed.
Put palmER to work. Your next shift is on us.
Start with your next patient: scribe the encounter or paste your chart, generate the MDM, and prepare the discharge. Get every palmER tool free for 30 days. Then $199/month. No credit card to start and no automatic billing.