For hospitalists & nocturnists · any EHR · no integration

Know the story before you walk in.

Drop in raw chart files from any EHR. CasePanel builds the clinical picture through five stages — extraction, patient summary, history, exam findings, assessment and plan — and you validate every checkpoint. Clinical notes, orders, med reconciliation, and billing attestation all draft from your validated reasoning.

No credit card · BAA on every plan · PHI never trains models

Admission H&P — draft Sample patient · synthetic data

One-liner

72F with ischemic cardiomyopathy/HFrEF (EF 10–15%) s/p AICD, CAD s/p DES, CKD, prior LV thrombus/DVT on apixaban, prior CVA, and uterine cancer, admitted for acute decompensated HFrEF with volume overload and new O2 requirement.

Data snapshot

HR 110, SpO2 90% RA → 2L NC. Labs: NT-proBNP 21,633, Cr 1.90 (baseline 1.2–1.5), BUN 82, K 5.1, Na 134, troponin 253. CXR no acute abnormality.

Meds — reconciliation

DISCONTINUE Carvedilol 6.25 mg PO BID — therapeutic duplication with metoprolol succinate; dual beta-blockade increases bradycardia/hypotension risk.

Active problems

Acute decompensated heart failure with reduced ejection fraction (ischemic) | Acute hypoxic respiratory failure, POA

  • Admit to telemetry
  • IV furosemide 40 mg now, then 40 mg IV BID
  • Strict I/Os; daily standing weights
  • Wean O2 to maintain SpO2 ≥92%
  • Hold ACEi/ARB/MRA given AKI and K 5.1
  • BMP + Mg q12h while IV diuresing

Acute kidney injury on chronic kidney disease (suspected cardiorenal/prerenal) | Mild hyperkalemia, POA

Synthetic patient. Real output. AI draft — requires physician review

The pipeline

Five stages. Your sign-off at every one.

The pipeline mirrors how you work up a new admission. No stage’s output is final until you sign off on it — the AI drafts, you decide what moves forward. The drafting is done by a named team — Casey orchestrates, The Historian assembles the history, The Resident reasons through the assessment — and you watch them in the Agent Workroom: every tool call visible, every decision expandable with a View Reasoning trace.

  1. Extraction

    Raw chart data — labs, vitals, med lists, imaging, prior notes — parsed into structured clinical facts.

    — you validate
  2. Patient summary

    The one-paragraph picture: who this patient is and why they’re here.

    — you validate
  3. History

    The narrative history: prior findings that explain tonight’s picture, surfaced and connected across every encounter you dropped in. The HPI drafts from this synthesis.

    — you validate
  4. Exam findings

    Findings organized against the history, with what to confirm at the bedside.

    — you validate
  5. Assessment and plan

    Problem-by-problem clinical reasoning: which diagnoses are most likely, how to manage each, what’s missing. The admission orders, medication reconciliation, consults, and billing attestation draft from this assessment — nothing is final until you review and sign.

    — you validate
Real chart · unedited run

Figure 1 — A complete admission worked up in real time: raw chart data through five validated stages to a finished H&P.

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Just watched a full admission? Run one on your own chart tonight — free, no card.

The output

A reasoning engine first. Documentation second.

CasePanel works the case — extraction through assessment — with your sign-off at every stage. The clinical picture comes first; the orders, the reconciliation, the billing, and the documents all draft from the reasoning you validated.

Clinical pictureAdmission ordersMedication reconciliationBilling determinationH&PProgress notesI-PASS handoffsDischarge summaries

Each one carries its reasoning: orders with inline rationale, the reconciliation with per-drug logic and drug-interaction flags, the billing determination with a suggested E/M level and the documentation gaps to close. Chart answers cite the source by line number; recommendations cite the guidelines behind them. The ambient scribe (beta) drafts eight note types from live encounters. Everything is a draft until you sign.

One overnight shift

The admit

A 3 a.m. admit from the ED. Six years of records. You’ve never met them.

The interruption

A cross-cover page mid-workup. The chart stays open. The story doesn’t leave.

Sign-out

Every admit worked up before you walked in — not just written up after.

The data is all there. The story never is.

Built by a software engineer and a practicing nocturnist — used on every shift.

The evidence

We didn’t fine-tune. On purpose.

Most clinical AI is a small model fine-tuned on a narrow dataset. CasePanel pairs frontier models with structured clinical workflows and staged physician validation instead — a design decision, and a defensible one.

Independent studies
2025–2026

  • Generalist frontier models outperformed specialized clinical tools across a 1,000-item medical benchmark.[1]
  • Inference-time alignment beat fine-tuning: +6% accuracy, +7% factual consistency, and half the safety errors.[2]
  • Fine-tuned biomedical LLMs underperformed general-purpose models — and hallucinated more.[3]

References

  1. [1] Vishwanath et al., “Generalist LLMs Outperform Clinical Tools on Medical Benchmarks,” arXiv, Dec 2025. arxiv.org/abs/2512.01191
  2. [2] Ray et al., “Do Clinical QA Systems Really Need Specialised Medical Fine Tuning?” arXiv, Jan 2026. arxiv.org/abs/2601.12812
  3. [3] Dorfner et al., “Evaluating the effectiveness of biomedical fine-tuning for LLMs on clinical tasks,” JAMIA, Jun 2025. doi.org/10.1093/jamia/ocaf045

Fine-tuning freezes a model the day it ships. CasePanel upgrades to the most capable frontier model available — so the clinical reasoning gets better every time the frontier moves.

Security

Identifiable patient data is never used to train AI models.

CasePanel runs on Azure infrastructure with HIPAA-compliant security and data handling that follows Azure OpenAI’s enterprise data privacy standards. A Business Associate Agreement is included with every plan.

HIPAA §164.312 Full compliance with the HIPAA Security Rule.
TLS 1.2+ / AES-256 All data encrypted in transit and at rest.
Private endpoints Isolated Azure infrastructure.
90-day audit logs Complete access and action logging.
Session timeouts Automatic, on every plan.
BAA Business Associate Agreement included with every plan.

Pricing

One plan. Your whole census.

Built for individual hospitalists. No per-note limits, no usage caps, no enterprise contract. Try it free for 14 days.

Pro

Launch price
$ 99 /month

or $999/year — 2 months free Save $189

  • Multi-stage clinical pipeline with physician validation at every checkpoint
  • Admission orders, medication reconciliation, and billing attestation — each drafted from the clinical picture you validated
  • H&Ps, progress notes, I-PASS handoffs, discharge summaries — every document follows from reasoning you’ve signed off on
  • Ambient Scribe in beta — eight note types from SOAP to I-PASS handoff, patient-consent gated, audio never stored after transcription
  • Works with raw chart data from any EHR — no integration required
  • Unlimited use across your full census
Start free trial

Free for 14 days. No credit card required.

The math

For most hospitalists, the year costs less than a single shift.

monthly, $99 × 12 $1,188
annual $999
2 months free Save $189

Questions

Asked by skeptics. Answered plainly.

How is CasePanel different from ambient scribes like Abridge or DAX?

Ambient scribes transcribe conversations you're already having. CasePanel processes raw chart data — labs, vitals, meds, imaging, prior encounters — through a multi-stage clinical pipeline that drafts the clinical picture before you see the patient. It is built for the cognitive work of getting up to speed on patients you didn't admit or haven't seen yet. An ambient scribe is included in beta for encounter notes, but the core product is the pre-encounter pipeline. You validate every stage before anything is finalized.

Does CasePanel have an ambient scribe?

Yes, in beta. CasePanel includes an Ambient Scribe that records an encounter — after you confirm patient consent — and drafts any of eight note types: SOAP, HPI, A&P, H&P, discharge summary, consultation note, procedure note, or I-PASS handoff. Audio is processed in real time and is not stored after transcription. It's a complement, not the core: most of CasePanel's value lands before the encounter, when it turns raw chart data into a validated clinical picture.

Is my patients' data safe?

CasePanel runs on Azure with HIPAA-compliant infrastructure. All data is encrypted in transit (TLS 1.2+) and at rest (AES-256). Identifiable patient data is never used to train AI models — only data stripped of all identifiers under the HIPAA Safe Harbor standard may be used to improve the product. Private endpoints, 90-day audit logs, automatic session timeouts, and a Business Associate Agreement are included with every plan.

Does CasePanel integrate with my EHR?

CasePanel works with data from any EHR. You upload raw chart data — labs, vitals, med lists, imaging, progress notes, prior encounters — and the pipeline processes it. No Epic integration, no IT tickets, no institutional approval required. You can start using it on your next shift.

What does the AI actually do vs. what do I do?

A team of specialized agents works the chart in parallel — Casey runs extraction and data structuring while The Historian assembles the history and exam findings; The Resident then reasons through the assessment and plan. You watch them work in the Agent Workroom: every tool call is visible, each agent's reasoning is inspectable, questions about the chart are answered with line-numbered citations to the source data, and clinical recommendations cite the current guidelines and research behind them, sources named and linked. You review and validate at every checkpoint. Nothing is finalized without your approval. The AI drafts; you decide what's accurate and what moves forward.

Who is CasePanel built for?

Hospitalists and nocturnists who manage sequential admissions and cross-cover patients — particularly those who need to get up to speed fast on patients they didn't admit. If you've ever been tagged for a new ED admission and spent too long reviewing the chart before you could even think about seeing the patient, CasePanel was built for that exact problem.

What document types does CasePanel generate?

H&Ps, progress notes, I-PASS handoffs, and discharge summaries — plus the pieces around the note: a draft admission order set with stated rationale, a full medication reconciliation (continue, hold, adjust, discontinue, with drug-interaction and prophylaxis-gap checks), and a billing attestation with the suggested E/M level. Each document is drafted from the clinical pipeline you validated. CasePanel is a reasoning engine first; every document follows from reasoning you've already signed off on.

How much does CasePanel cost?

$99 per month or $999 per year. No per-note charges, no usage caps, no enterprise contracts. One physician, one subscription, unlimited use across your full census. Start with a free 14-day trial — no credit card required.

Before your next shift

Try it on tonight’s census.

Upload your first chart in two minutes. Fourteen days free, no credit card required.