Best fit: Large health systems, especially on Epic, that want in-chart ambient documentation with line-level verification and coding support.
Poor fit: Independent practices and individual clinicians; there is no self-serve plan.
Overview
Abridge was founded in Pittsburgh in 2018 by cardiologist Dr. Shiv Rao. It raised $250 million in February 2025 and a $300 million Series E in June 2025 led by Andreessen Horowitz with Khosla Ventures, at a reported $5.3 billion valuation (Reuters, WSJ). Abridge's site now says it is trusted by 300+ health systems and powers 100M+ conversations a year; named customers include Kaiser Permanente, Johns Hopkins Medicine, Duke Health, Yale New Haven Health, Geisinger, and Sutter Health. It is ranked Best in KLAS for ambient AI in 2025 and 2026 (vendor-cited). Abridge sells only to organizations; there is no individual plan.
Pricing
Not publicly disclosed (ask vendor). Enterprise contracts only; no self-serve plan or published price Not verified
Free tier or trial: No free plan or self-serve trial; pilots are arranged through sales
Source: Abridge Trust Center, checked 2026-10-12.
EHR integration depth
Abridge Inside runs within Epic, from recording in Haiku to notes in Hyperspace and Hyperdrive, and Abridge also offers orders support. This is the deepest Epic-native workflow in our coverage based on public documentation.
Listed integrations: Deep Epic integration (Abridge Inside: Haiku, Hyperspace, Hyperdrive) plus other enterprise EHRs; full list: Not publicly disclosed (ask vendor)
Note quality
Not yet independently tested ClinicalAIWeekly has not run hands-on clinical testing of Abridge. Any accuracy figures you see in vendor marketing are vendor-reported. Test with your own templates and simulated visits during a trial or pilot before relying on it.
Specialty suitability
Templates: 50+ specialties including behavioral health (vendor support docs as reported)
Abridge lists behavioral health among supported specialties, and its enterprise retention model means the health system, not the clinician, controls how long audio and transcripts exist. That is good for governance but means an individual psychiatrist cannot delete a single sensitive encounter early. Health systems running SUD programs should map Abridge data flows against 42 CFR Part 2 consent and redisclosure rules; Part 2 specific controls are not publicly disclosed (ask vendor).
Security and privacy
- BAA: Yes. Published Business Associate Agreement terms; signed as part of the enterprise contract Documentation reviewed
- Certifications: SOC 2 Type 2, HIPAA, TX-RAMP, CCPA listed on Trust Center. ISO 27001 / HITRUST for Abridge itself: Not publicly disclosed (ask vendor) Vendor-reported
- Data location: HIPAA-secure, US-based data centers (Google Cloud per a VA privacy assessment) Documentation reviewed
- Retention: Audio, transcripts, and drafts retained per the organization's configured policy, then audio permanently deleted; early deletion of single encounters not supported Documentation reviewed
- Model training: Not publicly disclosed (ask vendor) Not verified
Workflow and UX
In an Abridge deployment the clinician opens the patient in Epic Haiku or Hyperspace, confirms consent, records, and a draft note appears inside the chart. Each sentence links back to the transcript and audio (Linked Evidence), which is the main tool for verification. Orders, coding support, and nursing documentation are separate product lines layered on the same capture. Setup is done by the health system's IT and informatics teams.
Clinicians start from the Epic schedule, confirm consent, record, and review a draft in the chart. Linked Evidence lets them jump from any sentence to the source transcript and audio.
Full fact table
| Feature | Abridge |
|---|---|
| Note quality and accuracy | Not yet independently tested by ClinicalAIWeekly Not yet independently tested |
| Pricing tiers (exact, as published) | Not publicly disclosed (ask vendor). Enterprise contracts only; no self-serve plan or published price Not verified |
| Free tier / trial | No free plan or self-serve trial; pilots are arranged through sales Documentation reviewed |
| EHR integrations | Deep Epic integration (Abridge Inside: Haiku, Hyperspace, Hyperdrive) plus other enterprise EHRs; full list: Not publicly disclosed (ask vendor) Vendor-reported |
| Specialties and templates | 50+ specialties including behavioral health (vendor support docs as reported) Vendor-reported |
| Languages | 28 languages with automatic detection; note written in English Vendor-reported |
| Platforms | Epic Haiku and Rover mobile, Hyperspace desktop, Abridge web portal; standalone apps vary by deployment Documentation reviewed |
| In-person, telehealth, offline | In-person, inpatient, ED, and telehealth workflows per deployment; offline recording: Not publicly disclosed (ask vendor) Vendor-reported |
| Note styles (SOAP/DAP/BIRP) | Specialty note settings chosen per encounter; named DAP/BIRP: Not publicly disclosed (ask vendor) Vendor-reported |
| Editing and customization | Linked Evidence maps each note line to transcript and audio for verification; customization through organization settings Vendor-reported |
| Coding and billing help | Revenue cycle product with coding and billable documentation support Vendor-reported |
| Patient instructions and letters | Patient-facing summaries and orders (Abridge Inside for orders); letters: Not publicly disclosed (ask vendor) Vendor-reported |
| Data retention and deletion | Audio, transcripts, and drafts retained per the organization's configured policy, then audio permanently deleted; early deletion of single encounters not supported Documentation reviewed |
| HIPAA BAA (and which plan) | Yes. Published Business Associate Agreement terms; signed as part of the enterprise contract Documentation reviewed |
| SOC 2 / ISO / HITRUST | SOC 2 Type 2, HIPAA, TX-RAMP, CCPA listed on Trust Center. ISO 27001 / HITRUST for Abridge itself: Not publicly disclosed (ask vendor) Vendor-reported |
| Where data is stored | HIPAA-secure, US-based data centers (Google Cloud per a VA privacy assessment) Documentation reviewed |
| Data used for model training? | Not publicly disclosed (ask vendor) Not verified |
| Consent features | Epic workflows prompt clinicians to obtain consent from everyone recorded; consent language can be added to templates Documentation reviewed |
| Support | Enterprise implementation and support via contract Vendor-reported |
| Contract terms | Annual or multi-year enterprise contracts; specifics: Not publicly disclosed (ask vendor) Documentation reviewed |
Pros and cons
Pros
- Deepest Epic-native workflow in this group
- Linked Evidence for line-by-line verification
- Large health system track record and KLAS recognition
- Coding and revenue cycle products
- Organization-controlled retention and published BAA
Cons
- No individual or small-practice plan
- No public pricing or free trial
- Less seamless outside Epic (reviewer reports)
- Single encounters cannot be deleted early
- ISO 27001 / HITRUST not listed on Trust Center
Alternatives
- Dragon Copilot review
- Nabla review
- Freed review
- Abridge vs DAX Copilot (Dragon Copilot)
- Freed vs Abridge
- Best AI scribe for psychiatry
What we could not verify
- Pricing tiers (exact, as published): Not publicly disclosed (ask vendor)
- EHR integrations: Not publicly disclosed (ask vendor)
- In-person, telehealth, offline: Not publicly disclosed (ask vendor)
- Note styles (SOAP/DAP/BIRP): Not publicly disclosed (ask vendor)
- Patient instructions and letters: Not publicly disclosed (ask vendor)
- SOC 2 / ISO / HITRUST: Not publicly disclosed (ask vendor)
- Data used for model training?: Not publicly disclosed (ask vendor)
- Contract terms: Not publicly disclosed (ask vendor)
- Note accuracy and clinical safety: not yet independently tested.
Methodology
Facts come from Abridge's official pricing, security, trust, legal, and help pages, checked 2026-10-12, with news sources used only for company background. Safety and BAA availability are treated as eligibility gates, not scores. No hands-on clinical testing has been done. Read the full methodology and editorial policy.
Bottom line
For Epic health systems, Abridge is a leading enterprise option. For anyone else, it is not purchasable, and public pricing and some policies are not disclosed.
Evaluating Abridge in a demo? Use the free vendor evaluation scorecard (printable, PDF) to compare up to 3 vendors.
Sources and last checked
- Abridge Trust Center (checked 2026-10-12)
- Abridge BAA terms (checked 2026-10-12)
- Abridge data security support article (checked 2026-10-12)
- Abridge retention (support article) (checked 2026-10-12)
- Abridge languages (support article) (checked 2026-10-12)
- Abridge Series E (checked 2026-10-12)