Sunoh.ai and eClinicalWorks: How the Integration Works

As an embedded feature rather than a connected application. eClinicalWorks describes Sunoh as available in the desktop EHR, in eClinicalTouch for iPad and in eClinicalMobile for iOS and Android. The clinician starts a recording from within the encounter, Sunoh listens, and, in eClinicalWorks' words, "in a matter of seconds, generates a dialogue flow and provides a SOAP note" that the clinician can review, edit and "import into the Progress Note within the eClinicalWorks EHR". On the mobile clients Sunoh also pre fills orders for medications, labs, imaging and referrals from what was said, for the clinician to confirm.

Because it is built in, none of eClinicalWorks' published outside interfaces are involved. The certified FHIR R4 API, the EHI export, HL7 v2 interfaces and browser side push are how other vendors reach eCW; Sunoh uses internal integration that eClinicalWorks does not document publicly and does not need to. That is the advantage: the schedule, the patient context and the note sections are already there. It is also the constraint: you cannot inspect the integration, and if you leave eClinicalWorks, Sunoh's integration leaves with it.

Sunoh runs on Microsoft Azure infrastructure per its pricing page. eClinicalWorks has separately said it uses Azure OpenAI services for its AI features. Ask which models process your audio, where the processing happens, and whether audio or transcripts are retained after the note is imported, because the embedded design makes it easy to assume eClinicalWorks' existing data terms cover it. They may not; Sunoh has its own BAA, listed as included in the price.

The workflow eClinicalWorks describes: record the visit; Sunoh produces a transcript, a dialogue flow and a draft SOAP note organised into the Progress Note sections; the clinician reviews, edits and merges the draft with pre configured defaults in one step; orders pre filled from the conversation are confirmed or discarded; the note is signed as usual. Sunoh also offers PDF export and a patient facing summary.

Two features deserve a closer look before you rely on them. The first is order pre fill. A scribe that proposes medication, lab and imaging orders is doing more than documentation, and it needs the same review discipline you would apply to any order set: who confirms, what the audit trail records, and how a wrongly captured dose is caught. The second is multilingual capture. eClinicalWorks markets Sunoh's language coverage and one FQHC reported better documentation for varied Spanish dialects; test it with your own patient population rather than taking the list of languages as the measure.

On the numbers, eClinicalWorks and Sunoh publish customer stories with figures such as two hours saved per day and, from the December 2025 athenahealth announcement, a reported two minutes saved per encounter and a 22 percent rise in same day closure at one Chicago FQHC. These are vendor selected case studies. Use them to design your pilot, not as your forecast, and put your own baseline into the ROI calculator. The ambient scribe use case page explains what to measure during the pilot.

Less integration work than any outside scribe, and a governance list that is easy to skip precisely because the product arrived with the EHR.

• Business associate agreement. Sunoh's BAA is separate from your eClinicalWorks agreement. Read it for audio and transcript retention, model training, subprocessors and termination.
• Data flow. Where audio is processed, which cloud services and models are used, and whether anything leaves Azure. Ask in writing.
• Order pre fill controls. Decide whether order pre fill is enabled, for whom, and how confirmation is audited.
• Mobile capture. eClinicalMobile and eClinicalTouch on personal devices bring mobile device management, screen lock and lost device procedures into scope.
• Patient consent. A recording notice and consent process consistent with your state's rules; check the healthcare AI law checker.
• HTI-1 disclosures. Sunoh is shipped inside certified health IT. If any of its functions meet the predictive decision support definition, eClinicalWorks owes source attribute information; ask for it. The HTI-1 page explains what to request.

The HIPAA and AI compliance page and the HIPAA compliant AI scribe checklist apply in full, and the fact that the vendor is also your EHR vendor is not a reason to shorten either.

Sunoh is one of the few scribes with a published price. As listed on the vendor's site in September 2026: 149 US dollars per user per month, described as a limited time offer against a regular price of 199, with no long term commitment, a free trial, implementation and round the clock support included, and the BAA included. eClinicalWorks' own Sunoh page repeats the 149 against 199 figure.

Three things to establish before you budget on it. First, whether the 149 rate is locked for a term or reverts to 199 at renewal, and what notice you get. Second, whether "per user" means per clinician who records or per eCW user licence. Third, whether the eClinicalWorks bundle changes the number: practices negotiating an eCW renewal sometimes get Sunoh priced differently from the public rate, and it is worth asking.

At 149 per clinician per month, Sunoh sits below most enterprise ambient scribes and above the cheapest individual plans. Whether it is good value depends on note quality in your specialty and on the manual work it removes, not on the list price. Sunoh pricing covers the published figures in more depth, and the scribe pricing comparison puts it alongside the other vendors.

Specialty depth is the first. Sunoh's material emphasises primary care, paediatrics, behavioural health and FQHC settings, which matches eClinicalWorks' customer base. If you are a surgical or procedural specialty, ask for sample notes in your specialty and pilot on complex visits. The scribe comparison shows where the specialty focused vendors differ.

Lock in is the second. Sunoh's integration is internal to eClinicalWorks. If your practice might change EHR in the life of the contract, the scribe does not come with you in integrated form; Sunoh's browser extension for other EHRs is a different, shallower workflow. That is an argument for the month to month terms Sunoh offers rather than a long commitment.

Comparison is the third. Because Sunoh is the default, few eClinicalWorks practices run a side by side against an outside scribe. Ambience and Waystar are recorded as native on eCW; Nabla, DeepScribe and Dragon Copilot reach it through the API. Even if you expect to choose Sunoh, a two week comparison against one outside scribe tells you what you are getting for the convenience.

Transparency is the fourth. Sunoh publishes less about its models, retention and subprocessors than the enterprise vendors do. Not published. Checked September 2026. Ask, and put the answers in the BAA.

• Is the 149 dollar rate locked for a term, and what is the renewal price?
• Does "per user" mean recording clinicians or all eCW users?
• Which cloud services and models process our audio, where, and what is retained after import?
• Can order pre fill be disabled per user, and what does the audit trail show when an order is confirmed from a Sunoh draft?
• Which languages are validated, and can we test on our own patient population?
• What HTI-1 source attribute information does eClinicalWorks provide for Sunoh's functions?
• Which two practices in our specialty, on eCW V12, can we call?

The small practice buying guide covers the contract terms that matter more than the monthly rate, and the HIPAA questions for AI vendors post gives the privacy list in full.

Sunoh on eClinicalWorks is a sensible default, and defaults are where practices stop asking questions. The integration risk is low; the questions that remain are about note quality in your specialty, order pre fill governance, data handling that your eCW agreement does not cover, and whether the published price holds at renewal. eClinicalWorks has every reason to present Sunoh as the obvious choice, and it may well be, but nobody in that sales conversation is paid to test it against the alternatives.

Our vendor selection engagement runs Sunoh against one or two outside scribes on your encounters, gets the data handling and pricing answers in writing, and documents the decision. If the order pre fill and language features are the concern, our AI governance and compliance work puts the review controls in place before go live. No commissions from Sunoh, eClinicalWorks or anyone else. Book a call.