Ambient AI and smart glasses refocus visits as eClinicalWorks expands EHR and automates revenue cycle

eClinicalWorks unveils ambient AI, RCM automation and interoperability moves at 2025 conference

At its 2025 National Conference in Orlando, eClinicalWorks leaders showed how ambient AI is moving from concept to clinic. The company demonstrated smart glasses integrated with Sunoh.ai, keyboard-free exam rooms and LCD "Cards" that surface the right patient data at the right moment. The stated goals: better patient outcomes, less clinician burnout and simpler access to care.

"We are in the midst of the user interface changing," said CEO and cofounder Girish Navani. The message: remove the computer as the center of the visit, keep the clinician present and let AI handle documentation and data retrieval in the background.

Ambient tools: smart glasses, keyboard-free rooms and responsive Cards

Smart wearables listen, transcribe and draft notes while physicians focus on the patient. Sunoh.ai also provides contextual data in view, so clinicians can glance at medications, labs or problems without clicking through charts. Navani framed the glasses as augmenting in-clinic care and saving time after hours.

For the exam room, eCW's Cards interface turns a display into a visual companion to the conversation. Talk about labs, and lab results appear. Discuss a recent hospitalization, and the discharge summary surfaces. Cards can also display in smart glasses.

On-demand "podcasts" and AI agents for operations

Through the Healow Genie AI-Powered Contact Center, AI agents handle appointment management, refills, referrals and payments. Physicians and managers can request a personalized, voice-driven briefing that summarizes messages, refills, lab results and today's schedule, then act on items by voice.

Finance leaders get a similar morning snapshot: visits scheduled and checked out, no-shows against 30-day averages, claims submitted or held for errors and co-pay collection rates. It's a push model for operational awareness-no dashboards to chase.

Value-based care analytics and remote monitoring

eCW's CIPHR analytics flags at-risk patients for early intervention and tracks value-based performance. The company also extended remote patient monitoring to support cellular devices, widening access for patients without reliable Wi-Fi.

On the revenue cycle side, new automation manages eligibility checks and appeals. The aim is fewer manual handoffs and faster issue resolution.

RCM pilot: faster posting of paper EOBs

In an Autonomous Claims Verification pilot, users reported a 300% increase in efficiency when posting paper remittances. eCW said broader metrics are forthcoming as more specialties and practice sizes weigh in.

Inpatient EHR and interoperability updates

eClinicalWorks is expanding beyond ambulatory into pharmacies, emergency departments and inpatient residential settings. An inpatient EHR built for critical access and rural hospitals is expected in 2026, with a focus on improving access in underserved areas.

Interoperability enhancements include an expansion of PRISMANet as a qualified health information network, plus AI that summarizes large document sets and streamlines search across internal and external data. These moves support national exchange goals, including TEFCA. For context on QHINs and data exchange, see the ONC's overview of TEFCA here.

What healthcare teams should do next

• Clarify consent, privacy and HIPAA posture for ambient listening. Ask where audio is processed, retention policies and audit trails.
• Define documentation workflows: edit time, sign-off steps, error correction and attribution in the note.
• Set success metrics: provider time saved per visit, note quality scores, time-to-close encounters and patient satisfaction.
• For contact centers, track no-show rate, first-contact resolution, average handle time and refill turnaround.
• For VBC, measure care-gap closure speed, risk identification lead time and avoidable admissions.
• For RCM, monitor first-pass claim acceptance, days in A/R, denial rate by reason code and EOB posting throughput.
• Plan change management: training, superusers, playbooks for downtime and clear escalation paths.
• Budget with a realistic ROI model that includes integration, device costs and ongoing optimization.

Feature rollup

eCW says it has released 125 AI-driven features across its products. Highlights include converting transcribed conversations into progress notes, coding assistance and summarizing scanned or faxed documents.

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