How to add an AI scribe to Practice Fusion
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Install the Alcove Chrome extension
Install the Alcove extension from the Chrome Web Store once. There is no server to configure and no IT project.
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Open a patient chart in Practice Fusion
Open any patient's chart in Practice Fusion. Alcove opens in a sidebar directly inside your Practice Fusion workspace.
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Record the visit
Start recording from the Alcove sidebar and speak normally. Alcove records only while you have it running and stops when you stop it.
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Review the verified note
Alcove drafts a SOAP note, then a second AI re-reads it against the transcript and strikes anything the visit does not support. You review every line.
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Inject into the chart with one click
When you approve the note, Alcove injects it into the correct SOAP fields of the Practice Fusion chart with one click. There is no copy and paste between a separate app and the EHR.
Why a browser extension, not a FHIR integration
Practice Fusion's third-party API is effectively read-only for clinical data: it lets approved apps read patient data, but it does not expose a write API that lets an outside application file a finished note into the chart. So an AI scribe that actually puts your note where it belongs has to work through the Practice Fusion interface, not around it.
That is exactly what Alcove does as a Chrome extension: it reads the chart you have open, and when you approve the note it types it into the correct SOAP fields with one click. This one-click, in-EHR filing is the difference between Alcove and a copy-paste overlay that leaves you pasting text between two windows.
Practice Fusion's own developer materials describe a certified FHIR API for third-party apps to connect and access patient data; see the Practice Fusion API pages and developer center.
The note is checked before you sign
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 and strikes claims the visit does not support, so you can confirm or remove them before you sign. See how verification works ›
You always review and sign every note. Alcove drafts documentation; it does not replace your clinical judgment or your signature.
HIPAA, BAA, and pricing
A Business Associate Agreement is available to every practice, including the free tier. Patient data is encrypted in transit and at rest and stored in access-controlled AWS infrastructure. See the Security page for the full data-handling detail.
Every plan starts with 10 free encounters per month and no credit card. Paid plans are billed monthly: Solo $89 for 90 visits, Professional $169 for 170 visits, Clinic $299 for 300 visits. Cancel anytime.
Common questions
Does Practice Fusion have a built-in AI scribe?
No. Practice Fusion does not include a native AI scribe. You add one with a Chrome extension that works inside the Practice Fusion interface. Alcove is built for exactly this: it records the visit, drafts the note, and injects it into the chart.
How do I add an AI scribe to Practice Fusion?
Install the Alcove Chrome extension once, open a patient's chart in Practice Fusion, start recording from the Alcove sidebar, review the note (a second AI has already checked it against the transcript), and inject it into the SOAP fields with one click. Setup is installing the extension and signing in; there is no server to configure.
Why a browser extension instead of a FHIR integration?
Practice Fusion's third-party API is effectively read-only for clinical data. It does not expose a write API that lets an outside app put a finished note into the chart. So an AI scribe that actually files your note has to work through the Practice Fusion interface. Alcove does this as a Chrome extension and injects the approved note into the correct SOAP fields with one click.
Is it HIPAA-compliant, and can I get a BAA?
Yes. A Business Associate Agreement is available to every practice, including the free tier. Patient data is encrypted in transit and at rest and stored in access-controlled AWS infrastructure. See the Security page and the BAA for details.
What does it cost?
Every plan starts with 10 free encounters per month and no credit card. Paid plans are billed monthly: Solo is $89 per month for 90 visits, Professional is $169 per month for 170 visits, and Clinic is $299 per month for 300 visits. You can cancel anytime.