Letters, referrals & care plans

Notes are only part of the job. Referrals, certificates, care plans and health assessments drive admin time.

Why GPs care: Some tools cap document actions on free tiers; others bundle care plans with PMS integration.

Ranking chart

Rankings reflect documented criteria and vendor-published information. See our methodology.

Ranking criteria

Points for published care plans, referrals, certificates, assessments, EMR/PMS-linked vs export-only workflows, MBS prompts, native write-back, free-tier document caps and plan-level document limits.

Full rankings

Tap a vendor for cited facts, pricing and product screenshots.

Lyrebird Health

85%

strong

Referrals, certificates, care plans and assessments on paid tiers; Bp bundle includes limited care plan uses
Published care plan support
Free tier caps document actions: 50 transcribe/dictate actions and 10 document actions per month; no EMR integrations on Free

Medow Health

52%

caution

Letters via API into PMS per integrations FAQ
Published clinical letter support

Grounded Scribe

32%

weak

PDF/Word export on paid tiers; no EMR write-back stated
Published PMS/EMR-linked document workflow

EvidenceMD

32%

weak

CDI can write back into scribe-drafted note; standalone paste from any EHR
Published PMS/EMR-linked document workflow

PatientNotes

26%

weak

Clinical letters supported; EMR push not native
Published clinical letter support
Documents supported without native EMR push (vendor-published)

Heidi Health

25%

weak

Templates for letters and admin tasks; depth varies by plan
Published clinical letter support
Document depth depends on bundle or plan — verify on vendor site

AI Notes

22%

weak

Export workflow; no automatic EMR push (terms)
Export-based document workflow published

MedicalDirector Smart Scribe

13%

weak

Depends on bundled scribe engine (Heidi or IntelliTek)
Document features depend on named bundled scribe engines (vendor-published)
Document depth depends on bundle or plan — verify on vendor site

i-scribe

12%

weak

Document/care plan capabilities not published

#10

Coviu AI Scribe

12%

weak

Document/care plan capabilities not published

Vendor	Score	Tier	Why
Lyrebird Health	85%	strong	Referrals, certificates, care plans and assessments on paid tiers; Bp bundle includes limited care plan uses Published care plan support Free tier caps document actions: 50 transcribe/dictate actions and 10 document actions per month; no EMR integrations on Free
Medow Health	52%	caution	Letters via API into PMS per integrations FAQ Published clinical letter support
Grounded Scribe	32%	weak	PDF/Word export on paid tiers; no EMR write-back stated Published PMS/EMR-linked document workflow
EvidenceMD	32%	weak	CDI can write back into scribe-drafted note; standalone paste from any EHR Published PMS/EMR-linked document workflow
PatientNotes	26%	weak	Clinical letters supported; EMR push not native Published clinical letter support Documents supported without native EMR push (vendor-published)
Heidi Health	25%	weak	Templates for letters and admin tasks; depth varies by plan Published clinical letter support Document depth depends on bundle or plan — verify on vendor site
AI Notes	22%	weak	Export workflow; no automatic EMR push (terms) Export-based document workflow published
MedicalDirector Smart Scribe	13%	weak	Depends on bundled scribe engine (Heidi or IntelliTek) Document features depend on named bundled scribe engines (vendor-published) Document depth depends on bundle or plan — verify on vendor site
i-scribe	12%	weak	Document/care plan capabilities not published
Coviu AI Scribe	12%	weak	Document/care plan capabilities not published

Loading rankings…

Vendor

Score

Tier

Why

Lyrebird Health

85%

strong

Referrals, certificates, care plans and assessments on paid tiers; Bp bundle includes limited care plan uses
Published care plan support
Free tier caps document actions: 50 transcribe/dictate actions and 10 document actions per month; no EMR integrations on Free

Medow Health

52%

caution