Nabla

What is Nabla?

Nabla is an ambient AI assistant that listens to consented patient visits and drafts structured clinical notes for the clinician to review and sign. It also provides dictation inside electronic health records and suggests E/M and ICD-10 codes.

The routine is simple. A clinician starts a session on the web app, a phone or the Chrome extension, talks with the patient as usual, and receives a draft note shortly after the visit ends. The clinician edits and approves the draft before it enters the record, so Nabla supports documentation work and does not give medical advice or make clinical decisions.

The company has offices in Brooklyn and Paris. Co-founder Alexandre Lebrun is now executive chairman, and Brian Manning was announced as chief executive in July 2026. Nabla reports more than 85,000 clinicians across 130 organisations and over 20 million patient encounters a year, and it appears on TIME’s 2026 list of top health technology companies.

Key Features

Ambient note drafting leads the feature set, with dictation and coding added so one tool covers most of the paperwork around a visit.

• Ambient notes: Nabla records the visit in the background and turns it into a structured note once the encounter ends. It separates clinician and patient voices and can also draft patient instructions from the same conversation.
• Dictation: Speech recognition works directly inside Epic and other major records, with voice commands for formatting, punctuation, dot phrases and templates. It supports PowerMic and SpeechMike hardware as well as phone microphones on iOS and Android.
• Coding suggestions: The system proposes MDM-based E/M levels and ICD-10 codes with a rationale tied to the note. Nabla reports over 97% agreement with AAPC-certified coders on E/M scoring, and the clinician keeps the final decision.
• Chrome extension: The extension pushes finished notes into browser-based records that lack a direct integration. Small practices can therefore start using Nabla within a day, without waiting for a formal IT integration project.
• Mobile apps: iPhone and Android apps let clinicians record on a phone and review the note on a computer later. This suits home visits, rounds and clinics without a fixed workstation.
• Nabla Connect and API: EHR vendors and health technology companies can embed Nabla through an API and an iframe session. Nabla says partners can go live in about three days and receive model updates without further development.

Pros

Time back at the end of the day is Nabla’s strongest argument: the company says 55% of users save an hour or more of documentation daily.

• Less after-hours charting: Nabla reports a 27% drop in burnout among users and says some see 1.5 times more patients a month. These are vendor figures, but they match the purpose of ambient scribing.
• Broad EHR coverage: Epic, athenahealth, Oracle Health, NextGen, Arya EHR and Greenway Health are listed integrations. Clinicians on other browser-based systems can still use the Chrome extension to move approved notes into the chart.
• Security credentials: Nabla states HIPAA compliance, SOC 2 Type 2, ISO 27001 and GDPR, with configurable data retention. Its public trust centre helps compliance teams complete vendor reviews faster.
• Free way to start: The official site offers a free sign-up, and reviews describe a monthly visit allowance. Individual clinicians can test the tool on real clinic days before involving procurement or the IT team.
• Wide language support: Nabla Connect lists support for more than 35 languages across many specialties. Clinics serving mixed-language communities can document those visits without buying a separate translation or scribe tool.

Cons

Budgeting is hard with Nabla because no official price list exists beyond the free start, and paid tiers are reportedly arranged through sales.

• Unclear paid pricing: Reviews mention a Pro plan near $119 a month, but Nabla does not publish it. One 2026 review says paid access now requires a sales call.
• Enterprise tilt: Deep Epic or athenahealth integration needs a health system project and IT time. Solo clinicians usually stay on the extension or a copy-and-paste workflow, which adds a few clicks per note.
• Drafts need careful review: Nabla publishes coding agreement figures but no overall note accuracy rate. Transcription errors in complex visits are possible, so clinicians must read every draft before signing.
• Limited coding scope: The coding page covers E/M and ICD-10 but not CPT procedure codes. Practices that bill many procedures will still need a separate coding step or a dedicated coder for those claims.
• Needs a steady connection: Notes are generated in the cloud, so a weak internet connection can delay or interrupt a session. Rural clinics should test the service on their own network first.

Who is Using Nabla?

Health systems account for most of Nabla’s 85,000 clinicians, with Carle Health, Denver Health and Children’s Hospital Los Angeles among named customers.

• Health systems: Groups such as Carle Health, LCMC Health and Denver Health deploy Nabla across departments. They use the Epic integration to keep notes inside existing records.
• Primary care clinicians: Doctors with full daily lists use ambient notes to finish charting between patients. Coding suggestions help them choose E/M levels with less guesswork.
• Virtual and hybrid care providers: Companies such as Tia Health and Accolade are listed customers. Their clinicians can document video and in-person consultations without typing during the conversation.
• Residents and students: Trainees are reported to receive free access. They use it to learn note structure while reducing late-night charting.

Pricing

Nabla lets clinicians start free, while paid and enterprise tiers are quoted by sales (official site and reviews, checked October 2026).

The Pro figure comes from third-party reviews, and one 2026 review says paid plans now go through a sales call.

Disclaimer: Visit limits and prices change often, so check them with Nabla and confirm business associate agreement terms before recording real patients.

What Makes Nabla Unique?

One vendor covers ambient notes, in-record dictation and coding suggestions, so a clinic does not need a separate dictation product alongside its AI scribe. Dictation even works with PowerMic and SpeechMike devices that many hospitals already own.

Nabla Connect is the second differentiator. Instead of selling only to clinics, Nabla lets EHR vendors embed its ambient engine inside their own software, which puts the same note drafting in front of clinicians who never sign up with Nabla directly.

Compatibilities and Integrations

Nabla connects natively to six named record systems and reaches others through a Chrome extension and a documented API.

• Platforms: Web app, iOS app, Android app and Chrome extension. Clinicians can record on one device and review on another.
• EHR systems: Epic, athenahealth, Oracle Health, NextGen, Arya EHR and Greenway Health. Notes land in the chart rather than in a separate portal.
• Dictation hardware: PowerMic, SpeechMike and phone microphones. Existing dictation kit can be reused.
• Developer access: A public API with guides at docs.nabla.com and the Nabla Connect toolkit. Builders embed sessions through an iframe and export notes back to their system.

Nabla Tutorials

A first ambient note takes only a few minutes once the app is installed and patient consent is in place.

1. Create an account through the free sign-up on nabla.com.
2. Install the mobile app or the Chrome extension, depending on your record system.
3. Check your note settings, such as documentation style and specialty, before the first visit.
4. Ask the patient for consent, then start recording at the beginning of the visit.
5. Review the draft note and coding suggestions, correcting anything inaccurate.
6. Copy or push the approved note into your record and sign it.

How We Rated It

Nabla earns 4.2 out of 5 for fast, well-integrated notes and strong security, held back by unclear paid pricing and limited self-serve customisation.

Summary

Nabla suits clinicians and health systems that want visit notes, dictation and coding suggestions drafted inside the records they already use. It saves documentation time, but it supports clinicians rather than replacing their judgement, and every draft must be checked before signing. The main limitation is unclear paid pricing, which complicates budgeting beyond the free start. Practices that bill many procedures should also note the missing CPT coding. Test the free option for a week of real visits and compare the drafts with your own notes before committing.