Allegro Pediatrics, a physician-owned group practice of 100 providers across nine locations outside Seattle, reports savings of approximately $2,000 per month per practitioner for each provider who moved from virtual human scribes to AI ambient voice scribing. Dr. Steven Schiebel, a pediatrician at the practice, said: "Several practitioners have transitioned from virtual human scribes to the AI ambient voice scribing, which represents approximately $2,000 per month per practitioner in savings". He added that about 20 additional practitioners could realistically move in this direction over time, so the financial impact has the potential to grow as adoption expands. Before the change, much of the cognitive load during visits came from building a patient note in real time while listening to the patient and making sure the documentation supported the care and met coding requirements. Schiebel said notes sometimes ended up abbreviated when multiple issues were discussed, which led to addendums, and that the work also meant more after-hours documentation that contributes to burnout. The practice uses Greenway Health's AI-powered platform for its EHR needs, and the idea behind Greenway's AI ambient voice scribing was to capture the actual conversation during the visit more completely. Practitioners use it in real time during regular patient visits: the system listens, turns the conversation into a draft note within the Greenway system, and the provider reviews the draft, makes any needed edits and signs off. A handful of practitioners first transitioned from virtual human scribes, which gave the practice a direct comparison of workflow and cost, and additional practitioners have since adopted it. Because it works within the existing EHR, the documentation flows directly into the patient chart and supports the billing process. Beyond cost, Schiebel said that when he reviews notes generated through ambient voice documentation versus what a practitioner might have manually entered, the ambient note is much more likely to clearly support the level of code billed. Where the business office has been contacted about charges, reviewing the ambient-generated notes makes it easier to back up the billing office. The practice has also seen fewer addendums and less after-the-fact clarification. Before adoption, the practice had anticipated that stronger documentation up front could potentially reduce some back-and-forth if families call with follow-up questions.