Alcove is an AI medical scribe for independent practices on Practice Fusion. It writes the SOAP note from the visit, fact-checks it against what was actually said, and injects the verified note into the chart. Here is how it handles the things clinicians care about most.
Yes. Alcove is built to be HIPAA-compliant, and a Business Associate Agreement (BAA) is available for every practice. Patient data is encrypted in transit and at rest and stored in access-controlled cloud infrastructure.
You can review the BAA and the Privacy Policy before you sign up.
AI scribes are known to add clinical detail that was never discussed: a symptom that never came up, a physical exam that never happened. Alcove was built to counter this.
Before you ever see the note, a second, separate AI model re-reads it against the transcript of what was actually said and strikes claims the visit does not support, so you can confirm or remove them before you sign. This second-AI review acts as a built-in second opinion on every note.
Yes. You always review and sign every note. Alcove drafts documentation, it does not replace your clinical judgment or your signature.
What Alcove changes is how fast that review is: it flags and strikes claims the transcript does not support, so your review starts from a note that has already been checked against the visit rather than a blank draft. You still confirm every note before you sign.
Yes. Alcove runs as a Chrome extension directly inside Practice Fusion. You install it once, and it opens in your Practice Fusion workspace.
When the note is ready and you approve it, Alcove injects it into the correct SOAP fields of the chart with one click. There is no copy-and-paste between a separate app and the EHR.
Every plan starts with 10 free encounters per month and no credit card. Paid plans are billed monthly:
Solo is $89/month for 90 visits. Professional is $169/month for 170 visits. Clinic is $299/month for 300 visits.
All plans include verified notes, HIPAA-compliant storage, and encryption in transit and at rest. You can cancel anytime.
You are responsible for obtaining patient consent to record in line with the laws of your state and your practice's own policy. Recording-consent rules vary by jurisdiction, so Alcove does not assume consent on your behalf. Obtaining and documenting it remains part of your workflow.
Alcove records the encounter only when you start it and stops when you stop it.
How your data is used is governed by the Alcove Privacy Policy and the BAA you sign, which set out the permitted uses of protected health information.
Rather than rely on a summary here, review those documents directly. The Privacy Policy and the BAA set out the exact, governing terms.
Alcove is built for independent and small clinical practices that work in cloud EHRs, and it integrates directly with Practice Fusion today.
It is designed for solo physicians and small groups who want an accurate note and a faster review, not for large hospital systems with custom on-premise EHR installations.
Setup is installing the Chrome extension once and signing in. There is no server to configure and no IT project.
After that, Alcove opens inside Practice Fusion and you can record your next visit. You can start on the free tier and try it on real encounters before choosing a paid plan.
Yes. Alcove supports custom note templates by specialty, so the SOAP note is structured the way your documentation should read rather than a single generic format. Templates apply automatically to the notes Alcove generates.
How it compares
Most independent physicians either type the note themselves or reach for a general-purpose AI scribe. Here is how those choices differ from Alcove.
| Typing the note yourself | A generic AI scribe | Alcove | |
|---|---|---|---|
| The note is written for you | No. You write every line during or after the visit | Yes | Yes |
| Checks the note against what was actually said | You are the check | Usually not. It writes, you catch the errors | Yes. A second AI re-reads every note |
| Flags and strikes made-up clinical detail | N/A | Rarely. Fabrications reach you unmarked | Yes. Struck before you sign |
| Gets into the Practice Fusion chart | You type it in the fields | Usually copy-and-paste from a separate app | One-click injection into the SOAP fields |
| You review and sign before it's final | Yes | Yes | Yes, always |
| Custom templates by specialty | Your own macros | Varies | Yes |
| HIPAA-compliant, BAA available | N/A | Varies. Check each vendor | Yes |
| Built for independent practices on Practice Fusion | N/A | Varies. Often EHR-agnostic, not purpose-built for Practice Fusion | Yes |
| Price | Your time | Varies | Free for 10/month, then from $89/month |
"A generic AI scribe" describes the general category of ambient AI documentation tools, whose well-documented shared failure mode is adding clinical detail that was never discussed. Individual products differ; check each vendor's current terms. This comparison reflects Alcove's design as of September 2026.
Ten encounters free. No credit card. See a note you'd actually put your name on.
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