The answer
Elation is built around the primary care record and its billing, and wai is built to run the whole patient journey around the visit. wai drafts the note, letters and codes in 60 languages for the physician to sign, drafts every reply to calls, WhatsApp and email for your team to send, and runs booking, deposits, payments and the patient app on the same record, with a SOC 2 Type II report on request and The Wellness in London running on it every day.
The table below compares Elation Health and wai row by row on the record, booking, payments, the note, letters, the front desk and cited answers. Every Elation Health cell is footnoted to Elation Health's own page as it read on 23 October 2026, and the wai cells come from our own product and pricing pages.
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| What you get | Elation Health | wai |
|---|---|---|
| Published price | Not published. A personalised quote on request8 | Clinician Plus $550 and Clinician $350 a clinician a month, both published |
| Clinical record and notes | EHR for primary care with orders, referrals and documentation tools8 | One record for the consult, the front desk and the patient's own profile |
| Patients book online | Scheduling and intake8 | Yes, booking links that read each doctor's calendar, with waitlist backfill |
| Deposits and payments at booking | Elation Billing with claims and eligibility checks, and Patient Payments8 | Yes, deposits, invoices and memberships through the clinic's own Stripe |
| Note drafted from the consultation | Note Assist, its AI medical scribe8 | Yes, in the room or on video, for the clinician to sign |
| Referral and clinic letters | Referral management named8 | Referral and clinic letters, prescriptions and result explanations |
| Calls and patient messages answered | Not listed on its home page. Patients message the provider through Patient Passport8 | Calls, email, web forms and WhatsApp in one thread per patient, replies drafted for approval |
| Cited answers to clinical questions | Not listed on its home page8 | Yes, cited to current guidance and peer-reviewed papers |
Where wai is ahead
The visit and the front desk together. wai drafts the note, referral letters, ICD-10 codes and cited answers from each visit for the physician to sign, and answers the practice's calls, WhatsApp and email on the same record. Elation's home page lists no front desk inbox and no cited answers.
Every patient answered by a person, from a finished draft. Calls, email, web forms and WhatsApp land in one thread per patient, and wai drafts each reply in the language the patient wrote in, for your team to approve and send.
One record for the consult, the front desk and the patient's own app, with booking links that read each physician's calendar, waitlist backfill, and deposits, invoices and memberships through the practice's own Stripe. The physician signs every clinical document, and wai holds a SOC 2 Type II report, sent on request.
The evidence behind wai's method
The note is one part of the day the evidence measures. In a randomised trial of 238 outpatient physicians across 14 specialties at UCLA Health, the ambient scribe with a significant effect cut the time spent writing each note by about 41 seconds, against 18 seconds in usual care.1 At The Permanente Medical Group, 3,442 physicians used an ambient scribe across 303,266 encounters in its first ten weeks, and reported more personal conversations with patients and less clerical work after hours.2 wai is built on that finding, so it takes on the letters, the replies, the booking and the follow-up as well as the note.
A draft stays a draft until a person signs it. Article 14 of the EU AI Act requires high-risk AI systems to be designed so that people can oversee them effectively,3 and in the UK the MHRA and NHS England publish guidance on ambient voice technology in health and care.45 wai holds every draft until the doctor signs it, and every reply until a person at the clinic sends it.
The patient's own language. In a systematic review of 33 studies, 76% found at least one outcome better when patient and physician shared a language other than English.6 wai works in 60 languages, so the consultation can happen in the patient's own and the signed note is still written for the record.
Measured in a working clinic. At The Wellness in London, which runs on wai every day, every clinician has 15 hours a week back, as published in the customer story.7
Moving from Elation Health to wai
Start with one clinician, alongside what you use today. Request a demo and bring one real consultation. In fifteen minutes you see the note, the letter and the codes it produces, on your own workflow.
Your history can stay in Elation while wai runs the consultation and the front desk alongside it. Signed notes and letters export to your record, and calendars connect from Google, Outlook and Apple. The switching checklist covers what to move, and when.
Then a 90 day pilot shaped around your team, which ends with three numbers from your own clinic, revenue, hours saved and patients cared for. The decision is then made on your data, not ours.
What it costs
wai publishes its prices. Clinician Plus is $550 a clinician a month, with bespoke templates, a records sync and a larger allowance, and Clinician is $350, with the note, letters, coding and cited answers from every consultation. Admin, the front desk, is priced per location after a demo.
Elation does not publish a price, as its own page read on 23 October 2026, and the first row of the table says so with its source. Set the seat against what it replaces. A medical transcriptionist earns a national median of $37,550 a year, and a chart written after hours, a call that goes to voicemail and a patient who books elsewhere each cost more than the line on the invoice.
For the rest of the field, the US scribe roundup, the SimplePractice comparison and the Freed comparison set the products US practices weigh beside wai. The direct primary care software page has the whole product.
Would one real consultation settle it? Bring one, and see the note, the letter and the codes it produces.
Frequently asked questions
Is Elation or wai better for a private practice?
For a practice that wants the visit charted and every patient answered on one record, wai. It drafts the note, letters and codes in 60 languages for the physician to sign, drafts every reply for your team to send, and runs booking, deposits and payments at a published price.
What does wai take off the team's day?
wai drafts the note and letters from the consultation for the clinician to sign, and drafts every reply to calls, WhatsApp and email for the team to send, on the same record as booking, deposits and payments. It holds a SOC 2 Type II report, sent on request.
How much does Elation cost compared with wai?
Elation publishes no price and offers a personalised quote, as its own page read on 23 October 2026. wai Clinician Plus is $550 and Clinician is $350 a clinician a month, both published, and Admin is priced per location after a demo.
Does Elation answer patient calls and messages?
Elation's home page, read 23 October 2026, lists no front desk inbox, and patients message the provider through Patient Passport. wai answers calls, email, web forms and WhatsApp in one thread per patient, with every reply drafted for your team to send.
Can we move from Elation to wai without losing records?
Yes. Start with one physician alongside Elation. Signed notes and letters export to the record you already keep, so nothing has to be switched off on the first day, and a 90 day pilot ends with revenue, hours saved and patients cared for from your own practice.
Sources
- Ambient AI Scribes in Clinical Practice, A Randomized Trial, read 23 October 2026
- Ambient Artificial Intelligence Scribes to Alleviate the Burden of Clinical Documentation, read 23 October 2026
- Regulation (EU) 2024/1689, the Artificial Intelligence Act, Article 14, human oversight, read 23 October 2026
- Ambient voice technology enabled products, read 23 October 2026
- Guidance on the use of AI-enabled ambient scribing products in health and care settings, read 23 October 2026
- A Systematic Review of the Impact of Patient-Physician Non-English Language Concordance on Quality of Care and Outcomes, read 23 October 2026
- The Wellness, customer story, read 23 October 2026
- Elation Health, elationhealth.com, read 23 October 2026
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