Available on iPhone

HIPAA Dictate

Dictate once.
Finished note.

Not a transcript. A structured clinical note with ICD-10 codes, CPT level, and gap detection from a 30-second dictation.

Download Free on App Store → See it in action

No contracts. Cancel anytime during your trial.

On a desktop? Send the link to your phone.

<1m
Per note
$49
Per month
0
PHI in cloud

Sample dictation. Synthetic content, not a real patient.

The part nobody schedules

The last patient left at five.
You are still here.

It is half past eight. You are working the day backwards, trying to remember whether the shoulder was the left or the right, and whether you actually said the thing about the lifting restriction or only thought it.

Nobody scheduled this. It is not on the calendar and it is not in your contract. It is what happens when documentation is the one part of the visit that cannot be handed to anybody else, and there were twenty of them today.

You did not train for this part. A machine should have done it at four o'clock, while the detail was still fresh and the patient was still in the room.

See it work

30 seconds. One tap. Done.

Real dictation, real note. No edits.

Rather drive it yourself? Step through a dictation and watch the note build.

The arithmetic

Fifteen minutes a note.
Twenty notes a day.

That is not a productivity statistic. That is where your evening went, and it is the same every day.

15 min
Per note today
<1 min
With HIPAA Dictate

20 patients/day × 14 minutes saved = 3+ hours back daily

Before & after

You dictate this.
We give you this.

Raw dictation

"So uh this patient is a 45 year old male he came in with low back pain... he was lifting a heavy box at work on February 20th um rates his pain 7 out of 10. Physical exam shows tenderness over the lumbar paraspinalis. Assessment is lumbar strain. Let's put him on light duty no lifting over 10 pounds and follow up in 2 weeks."

AI-structured note
History of present illness
45-year-old male presenting with acute onset low back pain following lifting injury at workplace on February 20, 2026. Patient reports pain severity of 7/10.
Physical examination
Tenderness to palpation over lumbar paraspinal musculature. Range of motion limited by pain.
Assessment
Lumbar strain, acute, work-related.
Work status
Light duty. No lifting over 10 pounds. Follow-up in 2 weeks.
M54.5 S39.012A CPT 99213 ⚠ ROM not documented

Gap detection

It tells you what is missing.
Before you sign.

Every note you sign is an attestation. The gap between what you actually dictated and what the code you are billing requires is invisible at the moment you sign it, and expensive three weeks later when the denial arrives with somebody else's name on the follow-up.

HIPAA Dictate reads the finished note against the requirements for that visit type and tells you what is not there. Range of motion never documented. Mechanism of injury absent. A work restriction implied in the plan but never actually stated.

Before you sign. Not after somebody in billing finds it. Which is the difference between a ten second fix and a resubmission.

Documentation gaps do not stay a documentation problem. They become denials, and denials cluster into patterns nobody is looking at. That is what Billing Intelligence exists to find.

The real-time checklist

Know you covered it
while the patient is still in the room.

Dictating is blind. You talk, words appear, and you find out what you left out at some point after the person who could have answered it has gone home.

The checklist runs while you speak. Chief complaint, mechanism, exam findings, plan, work restrictions. Each item lights up the moment you cover it, so what is left unlit is the list of things you still need to ask.

No competing tool we have found ships this. Dragon does not, and neither did Freed or Twofold when we checked their published documentation in August 2026, because an ambient scribe is built to transcribe an encounter rather than to steer one. The JAMA ambient scribe study measured what that costs in review time. Twenty-nine visit templates here, each with the checklist that visit type actually requires.

Features

Simple by design.

No training. No setup fee. No IT department.

On-device transcription

WhisperKit runs locally on your iPhone. Audio never leaves your device. Ever.

Real-time checklist

Items light up green as you dictate. Know what's covered and what's missing before you stop.

AI-structured notes

Proper HPI, exam, assessment, and plan sections. Formatted and ready to paste.

ICD-10 & CPT codes

Diagnostic and billing codes detected from your dictation automatically.

Gap detection

AI flags missing documentation elements. Catch gaps before you close the chart.

29 templates

Work comp, DOT, personal injury, primary care, ortho, cardiology, and more across 9 specialties.

Works with any EHR

One tap. Into your chart.

"Copy for EHR" pastes a finished, coded note directly into Practice Fusion, Epic, Cerner, or any system. No integration to buy, no IT ticket to raise.

HIPAA Dictate structured note pasted into Practice Fusion EHR showing ICD-10 codes and structured sections

Actual HIPAA Dictate output pasted into Practice Fusion EHR.

Built for healthcare. HIPAA from day one.

Signed BAA (AWS Bedrock) On-device audio TLS 1.3 encrypted 7-year audit log

Compare

Dragon gives you transcription.
We give you a finished note.

Dragon is a keyboard replacement. HIPAA Dictate is a documentation engine.

HIPAA Dictate
Dragon Medical
Suki
Price / provider / month
$49
$99+*
$399+
Structured note output
✓
✕
✓
ICD-10 code suggestions
✓
✕
✕
Gap detection
✓
✕
✕
Real-time checklist
✓
✕
✕
On-device transcription
✓
Cloud
Cloud
Hardware required
iPhone only
$300-500 mic
None
IT setup required
None
Yes
Yes
Free trial
7 days
7 days
✕
Enterprise contract
No
Required
Required

*Dragon Medical One: $79-99/mo + $525 onboarding fee + $300-500 hardware (PowerMic, now discontinued). Effective first-year cost: ~$140/mo+

The longer version of how Dragon got here is in what happened to Dragon Dictate.

Pricing

One plan. Everything included.

No tiers. No per-seat fees. No enterprise negotiations.

$49/month

Per provider, billed monthly. 7-day free trial.

  • On-device Whisper transcription
  • 29 visit type templates
  • AI-structured clinical notes
  • ICD-10 & CPT code suggestions
  • Documentation gap detection
  • Real-time dictation checklist
  • Unlimited dictations
  • Copy for any EHR
Download on the App Store →

Cancel anytime. No contracts. No onboarding fees.

Need more than dictation? See the full HIPAA Agents suite →

Stop typing tonight.

Download it free, dictate your first note tomorrow. Downloading the app is the whole onboarding.

Download on the App Store →

Running a multi-provider practice? Documentation is usually one of several things costing you, and the others do not have an app. A practice assessment looks at all of it, or you can see the other five agents first. The Reputation Agent is the one most practices add next.

FAQ

Common questions

Yes. Audio is transcribed entirely on your iPhone using WhisperKit. Your voice never leaves the device. When you tap "Process with AI," only the text transcript is sent to our HIPAA-eligible cloud infrastructure (AWS Bedrock) covered by a signed Business Associate Agreement. All data is encrypted in transit via TLS 1.3, and every AI interaction is logged to a 7-year audit trail in AWS CloudWatch.
Dragon gives you a raw transcript of what you said. You still need to manually structure the note, look up ICD-10 codes, and check for documentation gaps. HIPAA Dictate gives you a finished, structured clinical note with ICD-10 codes, CPT suggestions, and gap detection included. Dragon also requires a $300-500 microphone, Windows, IT setup, and a $525 onboarding fee. HIPAA Dictate requires your iPhone and $49/month.
Yes. HIPAA Dictate works with any EHR system. Tap "Copy for EHR" and paste the finished note directly into Practice Fusion, Epic, Cerner, athenahealth, eClinicalWorks, DrChrono, or any system that accepts pasted text. No integration required, no IT setup.
HIPAA Dictate includes 29 visit templates across 9 specialties: General, Occupational Medicine, Primary Care, Urgent Care, Orthopedics/Sports Medicine, Pain Management, Psychiatry/Behavioral Health, Chiropractic, and Physical Therapy. Each template has a specialty-specific documentation checklist. You can also create custom templates for any visit type.
No. Your iPhone's built-in microphone is all you need. The on-device WhisperKit speech model is optimized for conversational clinical dictation. No PowerMic, no USB microphone, no desktop setup.
$49/month per provider with a 7-day free trial. No contracts, no onboarding fees, no per-seat minimums. Dictation and the real-time checklist are free to use. The subscription unlocks AI note processing with ICD-10 coding and gap detection. Cancel anytime through the App Store.
Yes. Download the app for free and start dictating immediately. The on-device transcription and real-time documentation checklist work without a subscription. When you're ready to generate structured notes with AI coding and gap detection, start your 7-day free trial. Cancel anytime during the trial and you won't be charged.
Yes. Audio transcription happens entirely on your device (no audio is ever uploaded). AI note processing runs on AWS Bedrock, which is covered by a signed Business Associate Agreement. All data in transit is encrypted with TLS 1.3. Every AI interaction and data export is logged to a HIPAA-compliant audit trail with 7-year retention in AWS CloudWatch. We take compliance seriously because our founders run medical clinics.

Written by Ryan Harwood Founder, 4th Axis LLC. Builds and operates this agent in production.