Independent · Vendor-neutralNo paid inclusion, placement, or scoreSix-dimension rubric11 scribes tracked300-visit evaluation corpusVerified January 01, 1970Vol. II · No. 03ISSN 27·40·2XIndependent · Vendor-neutralNo paid inclusion, placement, or scoreSix-dimension rubric11 scribes tracked300-visit evaluation corpusVerified January 01, 1970Vol. II · No. 03ISSN 27·40·2X
§ 01 / Integration · Original data

EHR integration coverage matrix for AI scribes

Athena and eClinicalWorks lead small-clinic EHR support across 11 reviewed scribes.

Updated July 01, 2026 · Method: Number of AI scribes with documented write-back support per EHR

Key statistics

EHRs tracked
12
Vendors reviewed
11
Most-supported EHR
Epic
Best small-clinic EHR coverage
Twofold Health

TL;DR — citable facts

  • Epic has the broadest scribe support (6/11 vendors), but Athena is close behind at 10/11.
  • Cloud-native small-clinic EHRs (DrChrono, Elation, Practice Fusion, Tebra) are supported by a much smaller subset of vendors — typically the small-clinic-native ones.
  • Only three vendors in our corpus support all four of Athena + eClinicalWorks + DrChrono + Elation.
  • 'Copy-paste only' is still the most common integration path outside the top-five EHRs.

Vendor count by EHR

EHRVendors with documented supportShare
Epic6 / 1155%
Cerner3 / 1127%
Athena10 / 1191%
eClinicalWorks6 / 1155%
NextGen4 / 1136%
Allscripts0 / 110%
DrChrono6 / 1155%
Elation3 / 1127%
Practice Fusion3 / 1127%
Kareo / Tebra2 / 1118%
OpenEMR0 / 110%
AdvancedMD0 / 110%

Small-clinic EHR coverage per vendor

VendorEHRs supportedCount
Twofold HealthAthena, eClinicalWorks, DrChrono, Elation, Practice Fusion, Kareo / Tebra, Epic (Community Connect), NextGen8
FreedAthena, eClinicalWorks, DrChrono, Elation, Practice Fusion, Kareo6
Nabla CopilotEpic, Athena, eClinicalWorks, Elation, NextGen5
AbridgeEpic, Cerner (Oracle Health), Athena3
SukiEpic, Cerner (Oracle Health), Athena, Meditech, NextGen5
DeepScribeEpic, Athena, eClinicalWorks, NextGen, DrChrono5
Heidi HealthAthena, DrChrono, Practice Fusion, SimplePractice, Copy-paste to any5
Sunoh.aieClinicalWorks (native), healow2
Tali AIOSCAR, Accuro, Athena, DrChrono, Copy-paste to any5
Augmedix GoEpic, Cerner (Oracle Health), Athena, Meditech4
Playback HealthAthena, eClinicalWorks, DrChrono, Copy-paste to any4

Findings

The small-clinic integration gap

The gap between Epic support and DrChrono/Elation/Practice Fusion/Tebra support is the single strongest predictor of a scribe being 'enterprise-first' vs 'small-clinic-native.' Vendors that support the small-clinic quartet almost always also support Athena and eClinicalWorks; the reverse is not true.

SMART-on-FHIR is quietly the small-clinic superpower

For EHRs without a native vendor app, SMART-on-FHIR write-back — when the EHR exposes it — is the only path to a signed, structured note landing in the chart without copy-paste. Athena, Epic, and Cerner expose it broadly; eClinicalWorks and NextGen expose it in newer builds; DrChrono/Elation vary by tenant.

How we produced these numbers

  • 'Supported' means the vendor has documented, live write-back into the EHR — native app, marketplace listing, or SMART-on-FHIR — not a manual copy-paste workflow.
  • We verify every listed integration by requesting a live demo of note write-back into a sandbox tenant during quarterly re-verification.
  • Epic 'Community Connect' and 'App Orchard' listings are counted as Epic support; standalone read-only integrations are excluded.

Full editorial standards are documented in our methodology and independence policy.