A historical patient summary
Review a summary of the patient’s history before the appointment, so you can come into the conversation with relevant background in mind.
AI Live Scribe
One window.
One window.
The entire encounter.
End death by a thousand clicks. Capture the visit, complete clinical tasks, and sign off on the note—all in one window.
Your clinical judgment. Your final
sign-off.
JD
Jordan DavisFollow-up visit · Encounter in progress
Live
THE CONVERSATION
Patient“I’m here for my follow-up. I’d also like to
talk about my refill.”
Clinician“Let’s review how you’ve been doing and go
through your medications together.”
Listening becomes documentation.
ENCOUNTER TASKS Illustrative
- Capture documentation
- Apply edits
- Order labs & Rx refills
- Capture CPT and ICD-10 codes
- Send referral
- FINAL STEPSign off on the note
One window. Every task connected.Clinician review required
One encounter. One window.
NotesDiagnosis & billing codesLab ordersRx refill requestsReferrals
How it works
How AI Live Scribe Works
From the first word to the final sign-off, complete the encounter in one window.
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01Capture
Conversation in progress
Patient“I’d like to discuss my follow-up and refill.”Capturing the encounterFocus on the conversation.
Review the patient’s historical summary and pre-visit AI HPI, then start Live Scribe. Alethian captures the conversation and turns it into a structured note draft.
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02Review & edit01Patient concerns & history✓02Encounter findings✓03Clinical assessment✓04Care plan & next steps✓
Codes linked to supporting evidence
Your edits. Your clinical judgment.Make the note your own.
Review and refine the note. Check suggested diagnosis and billing codes with their linked evidence, and confirm the details of lab orders and refill requests.
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03Sign off on the note✓ Note reviewed✓ Diagnosis & billing codes confirmed✓ Lab orders completed✓ Rx refill requests completedProvider sign-offConfirmed codes → AI RCM
Your judgment. Your final sign-off.
Review the note, confirm codes, and complete lab orders, prescription refill requests, and referrals in Scribe. Sign off when the record reflects your clinical judgment. The necessary codes pass to AI RCM for insurance claims.
Illustrative workflow previews.
See it in a demo
Before the appointment
Know the history.
Know the history.
Understand today’s concern.
Start the visit with context. Alethian brings together the patient’s historical summary and HPI collected ahead of the appointment for provider review.
The patient’s story, collected ahead
Patient intake AI HPI collects the history of present illness ahead of the appointment. Review the patient’s concerns before the visit and clarify the details together during care.
Historical patient summary+AI HPI intake→Provider review before the visit
Time saved per day
Less time on documentation.
Less time on documentation.
More time back in your day.
Reduce the daily work of documenting visits and completing clinical tasks by bringing the encounter into one window.
90 minutes
saved per provider, per day.
Less time on documentation and clinical tasks. More time for patients.
WHERE THE TIME SAVINGS COME FROM
Stay with the visit.
Stay with the visit.
Finish the work where you started.
Review the patient’s history and AI HPI before the appointment. Capture the conversation, confirm the clinical details, and sign off on the note in Scribe.
The necessary codes then pass to AI RCM for insurance claims.
One-window encounter
Complete the encounter.
Complete the encounter.
Right within AI Live Scribe.
Review the note, confirm codes, and complete lab orders, prescription refill requests, and referrals in the same window.
CODING ASSISTANCE
ICD-10Diagnosis codesSuggested
CPTBilling codesSuggested
Linked to encounter documentation
Diagnosis & billing codes
Review diagnosis and billing code suggestions alongside the note, with linked documentation and coding references to support your review.
LAB ORDER DRAFT
Lab order detailsPrefilled
Encounter contextAttached
Ready for clinician review
Prefilled lab orders
Review prefilled lab order details, make any changes, and complete the orders within the same encounter window.
PRESCRIPTION REFILL
Refill requestPrepared
Clinician approvalPending
Confirm details before approval
Rx refill requests
Review prescription details and complete refill requests right in AI Live Scribe, without switching to another workflow.
REFERRAL WORKFLOW
Referral detailsFor review
Send referralClinician action
Complete within the encounter
Referrals
Review and send referrals from the encounter window, keeping the next step in care connected to the visit.
CONNECTED TO AI RCM
Explore AI RCM
Finish the encounter. Connect the claim.
Complete the clinical work in AI Live Scribe. The necessary diagnosis and billing codes pass to AI RCM for insurance claims.
Illustrative previews. Notes, codes, orders, and refill requests require clinician review.
Evidence & audit defense
Suggested codes.
Suggested codes.
Supporting evidence.
Alethian holds an AMA license for evidence linking, connecting suggested codes with supporting coding references and encounter documentation.
When an insurer denies or downcodes a claim, Alethian’s audit-defense support helps your team back up the suggested codes with the evidence behind them.
AMA-licensed content · Evidence linking · Audit-defense support
SUGGESTED CODE
Encounter-linked billing code
Review the suggestion with the documentation that supports it.
ENCOUNTER EXCERPT
“Medication history reviewed with the patient; refill request discussed.”
CODING REFERENCE
Relevant AMA-licensed reference
Linked coding guidance provides context for reviewing the suggestion.
Support for a coding review
The suggested code, linked encounter documentation, and supporting references provide evidence when responding to denial or downcoding.
Does AI Live Scribe create a complete note?
Yes. AI Live Scribe organizes the encounter into subjective, objective, assessment, and plan sections. The result is a complete draft for the provider to review, edit, and sign off.
Do I need to leave Scribe to complete the encounter?
No. You can review the note, confirm codes, complete lab orders and refill requests, and sign off within AI Live Scribe. AI RCM receives the necessary codes for insurance claims.
How does Alethian support coding and audit defense?
Alethian holds an AMA license for evidence linking. Suggested codes are connected to supporting references and encounter documentation, providing audit-defense support when an insurer denies or downcodes a claim.
What can I review before the appointment?
Alethian provides a historical patient summary for pre-visit review. Patient intake AI HPI also collects the history of present illness ahead of the appointment, giving the provider context to review and clarify with the patient during the visit.
See AI Live Scribe in action
Your patient. Your focus.
Your patient. Your focus.
Your encounter, in one window.
See how AI Live Scribe brings the visit, documentation, and clinical tasks together—with fewer clicks.
Book a demo