SpecScribe listens to your encounter, drafts the note, and handles documentation — so Canada's physicians can do what they trained for: practice medicine.
Clinical Workflow
Three steps. No templates to click through. No after-hours charting.
SpecScribe listens to your natural clinical conversation. No dictation commands or templates to navigate during the encounter.
Medical-grade AI generates a specialty-specific note (SOAP, DAP, BIRP) with billing codes and patient handout — in under 60 seconds.
Your reviewed note syncs directly to Connect Care or your EHR via SMART on FHIR. No copy-paste. No double entry. No after-hours charting.
Connect Care Integration
SpecScribe pulls directly from your EHR. Problem lists, medication records, specialist letters, and prior visit summaries are surfaced at the point of care — so you spend your visit listening to your patient, not hunting through charts.
Live EHR sync — schedules, problems, and meds auto-populated before the encounter begins.
Patient Recap — a one-glance summary of everything relevant from the last 12 months, generated before you walk in.
Cross-referral context — pulls specialist consult notes from other providers into a single view.
Patient #4821 — M.T., 54F
Seen last: Feb 3, 2026
Active Conditions
Generalized anxiety disorder · Hypertension (controlled) · Hypothyroidism
Current Medications
Sertraline 100mg · Ramipril 5mg · Levothyroxine 75mcg
Recent Consult
Psychiatry at UAH — Jan 12, 2026 · No med changes recommended
Subjective
Patient reports worsening low mood over the past 3 weeks. Sleep is disrupted — averaging 4–5 hrs/night. Denies active suicidal ideation. PHQ-9 score today: 14 (moderate).
Objective
Alert and oriented ×3. Affect flat, psychomotor slowing observed. No formal thought disorder. Cognition grossly intact.
Assessment
Major depressive disorder, recurrent moderate episode (F33.1). Partial response to current Sertraline dose.
Plan
Increase Sertraline to 150mg. Referral to counseling. Follow-up in 4 weeks or sooner if deteriorating.
Specialty-Specific Notes
SpecScribe adapts to your specialty and clinical reasoning style — not the other way around. Whether you dictate in DAP, SOAP, or BIRP format, the AI structures the note to match your preferences and CPSA documentation standards.
PIPEDA & HIA aligned — notes built to satisfy Federal and Provincial documentation standards.
Format memory — the AI remembers your preferred physical exam normals, section order, and abbreviation style.
Lay-language patient summaries — generate plain-language handouts in English or French for patients to take home.
96.4% accuracy — validated against physician-authored notes in clinical studies.
AHCIP Billing Guidance
SpecScribe is built around the Alberta Health Care Insurance Plan and the AMA Physician's Schedule of Medical Benefits. Every note comes with in-flow billing suggestions — so you capture the right service code before the encounter closes.
Service code suggestions — AI recommends the correct billing service code based on the documented encounter complexity.
Time-based billing alerts — flags encounters qualifying for extended visit codes when documentation supports it.
Modifier guidance — identifies when after-hours, emergency, or telehealth modifiers apply.
Always a draft — you review and submit. SpecScribe never auto-submits a claim on your behalf.
Possible underbilling flagged
Documentation supports 03.04C (complex, 30+ min). Consider upgrading before submission.
Canadian Specialties
Starting with the highest documentation burden specialties — with more launching through 2026.
DAP, SOAP, and BIRP note formats. PHQ-9, GAD-7 and MADRS scoring auto-inserted. Multi-provincial referral pathways pre-configured.
Procedure notes and surgical reports. Functional outcome measures (ASES, DASH, KOOS). Surgical specialty referral integration.
Biopsy and excision notes with ICD-11 mapping. Lesion documentation with photographic attachment support.
Stress test, echo, and catheterization report templates. Advanced specialized cardiovascular–aligned workflows.
Oncology-aligned staging and treatment plan notes. Provincial Cancer Registry coding and tumour board summaries.
Opioid treatment agreement documentation, compliance notes. National and Provincial Guideline-aligned templates.
Authorization For
MRI lumbar spine — suspected disc herniation L4-L5
Clinical Justification
6-week conservative management failed (physiotherapy × 12 sessions, NSAIDs). Progressive radiculopathy with diminished L5 reflex. MRI required to rule out surgical pathology.
Supporting Documentation
3 encounter notes attached · Physiotherapy discharge summary · X-ray report (Jan 2026)
Prior Authorization
SpecScribe auto-populates prior authorization forms with clinical data gathered during the encounter. Supporting documentation is compiled automatically — so first-pass approvals go from hope to expectation.
Auto-populated forms — clinical justification written from encounter data, not from memory.
Supporting docs compiled — relevant encounter notes, lab results, and imaging reports attached automatically.
PDF generation — insurer-ready PDF documents formatted to each payer's specifications.
PIPEDA & HIA Compliance
SpecScribe was designed from day one around PIPEDA and Provincial laws like HIA. Patient data never crosses national borders for processing. All health information is stored and processed on Canadian infrastructure.
Read our Privacy PolicyPIPEDA (Federal) and HIA (Alberta)
Full compliance with custodian and Information Manager obligations under Federal and Provincial laws.
Canadian Data Residency
All PHI stored and processed on infrastructure located in Canada — no cross-border transfer.
AES-256-GCM Encryption
PHI encrypted at the application layer before database write. Zero plaintext stored at rest.
Complete Audit Trail
Every PHI read, write, and delete logged with user, timestamp, IP address, and resource.
FAQ
SpecScribe works alongside or replaces traditional dictation. Instead of dictating into a recorder, you simply have your normal conversation with the patient. The AI captures everything and generates a structured note in your preferred format.
SpecScribe excels at multi-problem encounters. The AI identifies distinct clinical threads in the conversation and organizes them under separate assessment/plan sections. For psychiatry, it handles concurrent mood, anxiety, and substance use documentation in a single note.
Every AI output is a draft that requires your review and approval. The note editor highlights AI-suggested content in a distinct color, making it easy to spot and correct any inaccuracies before finalization. You maintain full clinical authority.
Most physicians are productive on day one. Our 7-Day Pre-filled Migration imports your last 90 days of patient encounters, so you start with your own data. The clinical team provides hands-on onboarding for your first week.
Absolutely. SpecScribe captures audio from virtual visits just as effectively as in-person encounters. Telehealth modifiers are automatically flagged in billing suggestions when applicable.
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