Glass Health vs Nuance DAX Copilot — 2026 Comparison

Glass Health delivers ambient scribing plus real-time clinical insights — including differential diagnosis, suggested history questions, and potential next steps — along with assessment and plan generation and clinical Q&A with citations to clinical guidelines and medical literature, starting free. Nuance DAX Copilot is an enterprise ambient scribe built on Microsoft’s infrastructure, typically costing $369-$600+/month per provider with no clinical decision support or diagnostic reasoning.

DAX Copilot is an enterprise ambient documentation tool built for Epic-heavy health systems, embedded within Microsoft’s healthcare cloud infrastructure. Glass Health occupies a fundamentally different position: an accessible clinical platform that pairs ambient scribing with real-time clinical insights — including chief complaint identification, differential diagnosis support, suggested history questions, and potential next steps — plus assessment and plan generation and evidence-based clinical Q&A, starting with a free tier that any physician can use today.

Key Takeaways

DAX Copilot is an enterprise documentation tool built on Microsoft’s infrastructure with Epic integration. It generates structured A&P sections from conversation context but does not generate differential diagnoses or evidence-cited clinical reasoning.
Glass Health is the only platform that combines ambient scribing with native clinical decision support — including real-time clinical insights (differential diagnosis, suggested history questions, and next steps), three-tier differential diagnosis, A&P generation, and clinical Q&A with citations to clinical guidelines and medical literature.
DAX Copilot typically costs $369-$600+ per provider per month with 12-month minimum contracts and implementation fees. Glass Health starts free with its Lite tier.
Both platforms are HIPAA-compliant. Glass Health integrates with Epic, eClinicalWorks, and Athena. DAX Copilot integrates deeply with Epic, with expanding support for athenahealth.

How Does Glass Health Compare to DAX Copilot on Features?

The fundamental difference between Glass Health and DAX Copilot is product scope. DAX Copilot is an enterprise ambient documentation tool — it captures clinician-patient conversations and generates structured notes, primarily within Epic environments. Glass Health is an AI clinical platform — it captures conversations, provides real-time clinical insights during the encounter, generates structured differential diagnoses, drafts evidence-based assessment and plans, answers clinical questions with citations to clinical guidelines and medical literature, and produces documentation across six formats.

The U.S. AI medical scribing market was valued at $397 million in 2024 and is projected to grow at a 25.09% CAGR through 2033 (Grand View Research, 2024). Within this market, DAX Copilot focuses on enterprise documentation within Microsoft’s ecosystem. Glass Health is the only platform that pairs ambient scribing with a full clinical decision support layer, accessible to practices of all sizes.

Feature	Glass Health	DAX Copilot
Ambient scribing	Yes — real-time listening with live clinical insights	Yes — structured drafts (HPI, ROS, PE, A&P sections)
Real-time clinical insights	Yes — real-time clinical insights including differential diagnosis, suggested history questions, and next steps	No
Structured differential diagnosis	Yes — three-tier DDx: Most Likely, Expanded, Can’t Miss	No
Assessment & plan generation	Yes — problem-based A&P with evidence citations	Conversation-derived (AI-structured from conversation context; not guideline-cited)
Clinical Q&A	Yes — search of clinical guidelines and medical literature with in-text citations	No
Documentation types	6 types: H&P, Progress Note, Clinic Note, Discharge Summary, Discharge Instructions, Patient Handout	Encounter notes, referral letters, after-visit summaries
Custom templates	Yes — DDx, A&P, and documentation templates customizable to your style	Yes — built-in style wizard for formatting preferences
Longitudinal patient encounters	Yes — patient context persists across encounters	Within EHR chart context
Deep Reasoning mode	Yes — maximum analytical depth for complex multi-system cases	No
Encounter timeline & summary	Yes — AI-generated encounter summary with chronological timeline	Encounter summaries (yes); timeline format (no)
Order suggestions in EHR	No	Yes — surfaced from ambient conversation in Epic
Nursing workflows	No	Yes — Dragon Copilot for nurses via Epic Rover
EHR integration	Epic, eClinicalWorks, Athena	Epic (deep native), athenahealth (coming 2026), 40+ via browser
Language support	English	English, Spanish
HIPAA compliance	Yes — BAA, encryption	Yes — BAA, HITRUST, SOC 2 Type II
Target customer	Individual physicians, small-to-mid practices	Enterprise health systems (600+ organizations)
Pricing model	Free tier + paid plans ($20-$200/month)	$369-$600+/month per provider + implementation fees

What Can DAX Copilot Do Well?

DAX Copilot is an enterprise ambient documentation tool built on Microsoft’s healthcare cloud infrastructure, with integration into Epic.

DAX Copilot’s core strengths include:

Epic integration: DAX Copilot is embedded in Epic’s Haiku (mobile) and Hyperdrive (desktop) interfaces (Healthcare IT News, 2024). Clinicians can record encounters and generate draft notes without leaving the EHR.
Enterprise infrastructure: Built on Microsoft Azure with enterprise-grade identity management, SSO, and centralized analytics.
Specialty-aware documentation: DAX Copilot supports 30+ medical specialties with structured note sections (HPI, ROS, PE, A&P) and added specialty-specific A&P summaries with precision terminology in April 2025.
Order suggestions: Within Epic, DAX Copilot surfaces order suggestions directly from the ambient conversation — a workflow-specific feature not available in most ambient scribes.
Nursing workflows: Dragon Copilot for nurses launched in December 2025, integrating ambient observation capture with flowsheet data transfer via Epic Rover.
Expanding platform vision: In March 2025, Microsoft rebranded DAX Copilot as part of the broader Dragon Copilot platform — unifying ambient documentation (DAX), voice dictation (Dragon Medical One), and third-party partner integrations (Elsevier, OpenEvidence, Wolters Kluwer UpToDate) into a single product (Microsoft, 2025).
Clinician outcomes data: A multicenter study found that ambient AI scribes reduced physician burnout from 51.9% to 38.8% in 30 days (Olson et al., JAMA Network Open, 2025). Note: this study used a different ambient AI platform, not DAX Copilot specifically, but reflects general ambient AI scribe outcomes.

DAX Copilot’s EHR integration is in service of documentation delivery. It does not enable clinical reasoning, generate a differential, or produce a treatment plan — those capabilities do not exist in DAX at any tier.

What Can’t DAX Copilot Do That Glass Health Can?

DAX Copilot is a capable charting engine within Epic. What it has not produced is any form of clinical reasoning — DAX Copilot does not generate a differential diagnosis, does not draft an evidence-based assessment and plan, and does not answer clinical questions. Despite Microsoft’s scale and its third-party partnerships with UpToDate, Elsevier, and OpenEvidence, the product remains documentation-only. Those partnerships surface reference links that require separate subscriptions — they are not reasoning engines built into the workflow.

Glass Health addresses the clinical reasoning layer that DAX Copilot’s architecture leaves out entirely:

In-encounter diagnostic support, not post-visit documentation: DAX Copilot generates structured note drafts after the visit concludes — HPI, ROS, PE, and A&P sections drawn from the conversation. Glass Health operates on a different timeline: it analyzes the encounter as it unfolds, constructing a live differential, flagging pertinent history questions the clinician may not have asked yet, and proposing next steps before the patient leaves the room. One produces a note; the other provides clinical reasoning while the note is still being formed.
Independent DDx generation organized into three clinical tiers: Glass Health outputs a structured differential with Most Likely Diagnoses (order initial workup), Expanded Differential (consider if primary testing is unrevealing), and Can’t Miss Diagnoses (high-morbidity conditions to exclude early). DAX Copilot does not generate any differential diagnosis — if the clinician does not verbalize one, it does not appear in the note. For the $369-$600+ per month DAX costs per provider, diagnostic reasoning is not part of the package.
A&P generation driven by evidence, not conversation synthesis alone: DAX Copilot generates structured A&P sections with specialty-specific precision terminology, synthesized from the conversation context using AI. Glass Health takes a fundamentally different approach: it independently drafts a problem-based assessment and plan with an overall assessment, individual problem analyses, diagnostic workup bullets, treatment plans, and chronic disease documentation — each grounded in evidence-based guidelines with in-text citations. DAX derives its A&P from what was discussed in the encounter; Glass generates its A&P from clinical guidelines and medical literature, catching gaps the conversation may have missed.
Integrated clinical Q&A without additional subscriptions: Glass Health provides an agentic search across clinical guidelines and the broader medical literature, delivering answers with inline citations and a complete reference list — all built into the platform. Microsoft’s approach to clinical knowledge is to partner with third parties: Elsevier, OpenEvidence, and Wolters Kluwer UpToDate. Each requires its own subscription, its own interface, and its own login. Glass Health consolidates evidence access into the same tool that handles scribing and CDS.
Clinician-controlled patient context across encounters: Glass Health’s Patient and Encounter system accepts uploaded outside records, prior notes, labs, imaging, and consult reports that persist across visits and inform every DDx and A&P. DAX Copilot relies on whatever chart context Epic exposes — and for physicians at organizations locked into 12-month DAX contracts, the context boundary is set by the EHR administrator, not the clinician.
Dedicated analytical depth for challenging cases: Glass Health’s Deep Reasoning mode applies maximum computational processing to multi-system presentations, unusual symptom constellations, and teaching cases — scenarios where deeper analysis yields measurably higher accuracy against clinical benchmarks. DAX Copilot applies the same documentation logic regardless of whether the case is a routine follow-up or a diagnostically complex new presentation.

A physician paying $369-$600+ per month for DAX Copilot — plus Dragon Medical One fees, implementation charges, and a 12-month minimum contract — still needs to open UpToDate in another window, run through a mental differential, and synthesize evidence manually. Glass Health delivers scribing, DDx, A&P, and clinical Q&A in a single platform at a fraction of that cost.

How Does Pricing Compare Between Glass Health and DAX Copilot?

DAX Copilot pricing:

DAX Copilot uses a per-provider monthly subscription with a 12-month minimum commitment. Pricing varies by channel:

Channel	Monthly Cost per Provider	Notes
Direct / Enterprise	~$600/month	Negotiated per deal; 1-3 year contracts typical
Reseller (DictationOne)	$444-$600/month	Tiered: $600 (1-10 users) to $444 (76+ users) (DictationOne)
Reseller (TryDAX)	$369/month	Plus $700 implementation fee per user (TryDAX)

Additional costs include a required Dragon Medical One subscription, $650-$700 one-time implementation fee per user, and early termination penalties per contract terms.

Glass Health pricing:

Plan	Monthly Price	Annual Price	Includes
Lite	Free ($0)	Free ($0)	Limited clinical decision support and ambient scribing
Starter	$20/month	$18/month	Extended CDS and ambient scribing
Pro	$90/month	$81/month	Unlimited ambient scribing, CDS, and more
Max	$200/month	$180/month	Everything in Pro + EHR integration (Epic, eClinicalWorks, Athena)

The pricing comparison: DAX Copilot costs $369-$600+ per provider per month for documentation only — plus implementation fees, Dragon Medical One prerequisites, and multi-year contract commitments. A 10-physician practice would pay $44,000-$72,000+ per year before implementation costs. Glass Health’s Pro plan at $90/month ($1,080/year) includes unlimited ambient scribing plus the full clinical decision support platform — real-time clinical insights (differential diagnosis, suggested history questions, and next steps), three-tier differential diagnosis, assessment and plan generation, clinical Q&A with citations to clinical guidelines and medical literature, Deep Reasoning, patient context persistence, and six documentation types. Glass Health’s free Lite tier lets individual clinicians evaluate both ambient scribing and CDS before committing.

Try Glass Health free — no contracts or implementation fees →

When Should You Choose DAX Copilot Over Glass Health?

If you don’t need clinical decision support, differential diagnosis, or treatment plan drafts — and your primary requirement is ambient documentation embedded within Epic at enterprise scale — DAX Copilot addresses that specific need.

Your organization runs Epic and needs ambient documentation inside the EHR: DAX Copilot operates within Epic’s Haiku and Hyperdrive interfaces with order suggestion support.
You need nursing ambient documentation: Dragon Copilot for nurses via Epic Rover is a capability specific to this platform.
Your organization is already running Microsoft infrastructure: If you use Azure, Dragon Medical One, and Microsoft 365, DAX Copilot integrates with that stack.
Your budget and procurement process support enterprise pricing and 12-month contracts: DAX Copilot is designed for organizational deployment, not individual or small practice use.

When Should You Choose Glass Health Over DAX Copilot?

Glass Health is the better choice when your workflow demands go beyond note generation:

You need clinical decision support during encounters: Glass Health provides real-time clinical insights — including differential diagnosis, suggested history questions, and potential next steps — that refine as you gather information. This is a capability DAX Copilot does not offer at any price point.
You want structured assessment and plan drafting grounded in evidence-based guidelines with in-text citations, not just transcribed conversation.
You want clinical Q&A with citations to clinical guidelines and medical literature: Glass Health’s clinical chat searches clinical guidelines and the broader medical literature to answer questions with citations. DAX Copilot has no native clinical Q&A.
You are an individual physician or small practice: Glass Health’s free Lite tier lets you start today. DAX Copilot requires enterprise procurement, 12-month contracts, and implementation fees.
You use Epic, eClinicalWorks, or Athena: Glass Health offers live EHR integrations for these widely-used ambulatory EHRs. DAX Copilot’s deepest integration is Epic-only.
You want patient context that persists across visits: Glass Health’s Patient and Encounter system maintains a longitudinal record that informs clinical reasoning over time.
You want to avoid enterprise pricing: Glass Health’s Pro plan at $90/month includes more clinical functionality than DAX Copilot at $369-$600+/month.
You want to start free: Glass Health’s Lite tier includes both ambient scribing and clinical decision support at no cost.
You’re evaluating other enterprise scribes: Compare Glass Health against Abridge for another enterprise perspective, or Suki for broader EHR coverage.

Get started with Glass Health’s free Lite plan →

FAQ

Does DAX Copilot offer clinical decision support?

No. DAX Copilot is a documentation automation tool. Microsoft has opened the Dragon Copilot platform to third-party CDS partners including Elsevier, OpenEvidence, and Wolters Kluwer UpToDate, but these are reference link integrations requiring separate agreements — not native clinical reasoning capabilities. Glass Health includes DDx generation, A&P drafting, Deep Reasoning, and clinical Q&A as built-in features at every tier including the free Lite plan.

How much does DAX Copilot cost compared to Glass Health?

DAX Copilot typically costs $369-$600+ per provider per month depending on the purchasing channel, plus Dragon Medical One subscription fees and $650-$700 implementation fees per user. Contracts require 12-month minimums. Glass Health’s Lite tier is free and includes both ambient scribing and clinical decision support. Glass Health’s Pro plan at $90/month includes unlimited scribing plus the full CDS platform — a fraction of DAX Copilot’s cost with more clinical functionality.

Is DAX Copilot the same as Dragon Copilot?

DAX Copilot is now part of the broader Microsoft Dragon Copilot platform, announced in March 2025. Dragon Copilot unifies DAX ambient documentation with Dragon Medical One voice dictation and third-party integrations. DAX Copilot remains the ambient documentation experience within Dragon Copilot.

Can DAX Copilot generate a differential diagnosis?

No. DAX Copilot generates clinical documentation from ambient conversations but does not produce differential diagnoses, evidence-based assessments, or treatment plan suggestions. Microsoft explicitly states that DAX Copilot is “not designed, intended or made available as a medical device.” Glass Health generates structured three-tier DDx lists — Most Likely, Expanded Differential, and Can’t Miss Diagnoses — with specific diagnostic next steps for each category.

Does DAX Copilot work with EHRs other than Epic?

DAX Copilot’s deepest integration is with Epic. For non-Epic EHRs, workflows typically use browser-based or mobile app capture with copy-to-EHR transfer. Athenahealth announced native Dragon Copilot embedding in athenaOne for 2026. Glass Health integrates with Epic, eClinicalWorks, and Athena — EHRs widely used by independent and ambulatory practices.

Can smaller practices afford DAX Copilot?

DAX Copilot’s enterprise pricing ($369-$600+/month per provider), 12-month contract minimums, implementation fees, and IT deployment requirements make it impractical for most small practices. A 5-physician group would pay $22,000-$36,000+ per year for documentation only. Glass Health provides a free Lite tier and a Pro plan at $90/month that includes both scribing and clinical decision support.

Is DAX Copilot HIPAA compliant?

Yes. DAX Copilot is HIPAA compliant with a BAA, HITRUST CSF certification, SOC 2 Type II controls, and runs on Microsoft Azure with FIPS compliance (Nuance HIPAA). Glass Health is also HIPAA compliant with BAA and encryption. Both platforms meet security requirements for clinical use.

Is Glass Health free to use?

Yes. Glass Health’s Lite tier includes ambient scribing, clinical decision support, differential diagnosis generation, assessment and plan creation, and clinical Q&A at no cost. Paid plans (Starter $20/month, Pro $90/month, Max $200/month) provide additional capacity and features. Sign up here.

Bottom Line

DAX Copilot is an enterprise documentation tool embedded in Epic, built on Microsoft’s infrastructure. For organizations whose primary need is documentation within Epic at enterprise scale, it addresses that use case.

At $369-$600+ per provider per month, DAX Copilot delivers charting without clinical reasoning. Glass Health costs a fraction of that price and adds the diagnostic and planning capabilities that Microsoft’s platform does not attempt — structured DDx, A&P generation, clinical Q&A with citations to clinical guidelines and medical literature, and patient context that carries forward across visits. Every tier includes CDS. The Lite tier is free. No procurement cycles, no implementation fees.

Start with the Glass Health free tier to compare directly, or explore all comparison pages.