Abridge supports upward of 100 million clinical conversations a year, and Cleveland Clinic used Ambience Healthcare’s scribe in more than 3.5 million patient encounters in its first year.

Louisiana requires a spoken disclosure before recording, Rhode Island requires patient notice and a review of the note and California requires a disclaimer on AI messages no clinician has read.

Nearly half of 3,151 physicians surveyed by Doximity said their institution’s AI policies are “still evolving,” and HIPAA has no specific patient-notice rule for AI scribes.

Ambient artificial intelligence (AI) in healthcare starts with a microphone in the exam room. An AI scribe records the conversation between a doctor and a patient, writes a draft note from the audio and hands it to the doctor to review before it enters the medical record. The doctor doesn’t have to type, but the visit becomes a recording.

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Abridge, maker of one of the most widely used AI scribes, is live in more than 300 health systems and supports upward of 100 million clinical conversations a year, Fortune reported in June. More than 100,000 clinicians use Microsoft’s Dragon Copilot scribe in daily practice, Microsoft said in March. Nearly two-thirds of hospitals that run Epic Systems’ electronic health record have adopted ambient AI, PYMNTS reported in February.

Cleveland Clinic brought more than 4,000 outpatient clinicians onto Ambience Healthcare’s scribe in about four months starting in March 2025, according to a paper its clinical leaders published in npj Health Systems.

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