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Microsoft Dragon Copilot: AI clinical documentation, priced by quote

Q: Does Dragon Copilot work with my EHR?

Microsoft built Dragon Copilot to work inside the clinician's workflow and integrate with the electronic health record. Whether it connects cleanly to your specific system is a question for Microsoft sales. Ask them to confirm support for your exact electronic health record before you commit.

Our verdict: Dragon Copilot is Microsoft's AI clinical assistant. It brings three things together in one tool: dictation (speaking your notes instead of typing), ambient listening (the tool listens to the visit and drafts the note), and generative AI that writes a first draft of your clinical documentation. It runs inside your normal workflow and connects to your EHR (electronic health record -- the digital chart). Microsoft built it from Nuance DAX Copilot and renamed it Dragon Copilot in March 2025. The capability is strong. The price is not public: Microsoft posts no rate for Dragon Copilot, so you get a number only after talking with its sales team. That makes it hard to judge on cost alone. Line it up against scribes that publish a price, like Freed, before you sign.

The short version:

What it is: Microsoft's AI clinical assistant. It combines dictation, ambient listening, and generative AI to draft your visit notes inside your EHR.
Where it came from: it was Nuance DAX Copilot until March 2025, when Microsoft renamed it Dragon Copilot and brought in Dragon Medical dictation.
What it costs: by quote. Microsoft publishes no public price. You get a number after talking with Microsoft sales, and it varies with practice size and setup.
Before patient data touches it: get a signed BAA (Business Associate Agreement -- the HIPAA contract that lets a vendor handle patient data) and have your compliance lead review the terms.
The comparison to run: price it against scribes that post a rate, like Freed, and against other ambient scribes such as Abridge and Suki AI.

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See it explained

Explainer video coming soon. [VIDEO PLACEHOLDER -- Microsoft Dragon Copilot]

Dragon Copilot is Microsoft's AI clinical assistant for dictation, ambient listening, and AI-drafted notes inside your EHR. Pricing is quote-only through Microsoft sales.

What does Microsoft Dragon Copilot actually do?

It puts three jobs in one place. Dictation lets you speak a note instead of typing it. Ambient listening means the tool listens to the visit and drafts the note for you, so you are not stuck writing after hours. Generative AI writes that first draft, pulling the visit into a structured clinical note. You review and sign it. Nothing leaves as final until a clinician checks it.

Two things set it apart. First, it runs inside your existing workflow and connects to your EHR, so the draft lands where your chart already lives instead of in a separate app you copy and paste from. Second, it comes from Microsoft, which bought Nuance and its long-running Dragon Medical dictation line. Whether that mix fits your practice depends on your EHR and how you like to document. Confirm the details with Microsoft before you count on any one feature.

What does it cost?

Microsoft does not publish a price for Dragon Copilot. It is quote-based. You contact Microsoft sales, describe your practice, and get a number back. That number moves with how many clinicians you have, which EHR you run, and what setup you need.

Treat any figure you hear secondhand as unconfirmed. Ask Microsoft for the price in writing, get the term length and renewal terms spelled out, and ask what is included versus what costs extra. Then benchmark it. A solo physician can price a published-rate scribe like Freed in a minute and use that as a floor before weighing a quote-only tool. Pricing basis: quote-only through Microsoft sales; no public rate card. Checked 2026-08-06.

What about HIPAA and patient data?

HIPAA note: HIPAA is the federal law that protects patient health information. Before this tool touches any of that, you need a signed BAA (Business Associate Agreement -- the contract that lets a vendor handle patient data under HIPAA) and a review of the vendor's data-handling and model-training terms by your compliance or IT lead. Ask, in writing, whether your patient data is used to train any model, where it is stored, and who can see it. We screen and review the tools we list; we do not endorse, certify, or hire on your behalf, and nothing here is legal, compliance, or medical advice.

Who is it the right call for?

Strong if…

You want dictation, ambient scribing, and AI note drafting in one tool instead of stitching several together.
Your practice or group already runs Microsoft products and wants documentation that sits close to them.
Your EHR is one Microsoft can integrate with, and you have confirmed that in writing.
You have someone who can run a quote-only enterprise buy and a compliance review.

Maybe not if…

You are a solo doctor who wants to see a price today -- a published-rate scribe like Freed is faster to size up.
You only need one job, such as note drafting, and a single-purpose scribe covers it for less.
Quote-only pricing is a dealbreaker for how you buy.
Your EHR is not one Microsoft has confirmed it supports.

Common questions

How much does Microsoft Dragon Copilot cost?

Microsoft does not publish a public price for Dragon Copilot. It is quote-based, so you contact Microsoft sales for a number. The figure depends on things like how many clinicians you have, your EHR, and setup. Ask for the price in writing and confirm a signed BAA before patient data touches the tool.

Is Dragon Copilot the same as Nuance DAX Copilot?

Yes. Microsoft renamed Nuance DAX Copilot to Dragon Copilot in March 2025. The rebrand brought the ambient documentation tool together with Microsoft's Dragon Medical dictation under one name.

What does Dragon Copilot actually do?

It combines three things in one tool. Dictation lets you speak your notes instead of typing. Ambient listening means the tool listens to the visit and drafts the note for you. Generative AI writes that first draft of your clinical documentation. It runs inside your normal workflow and connects to your EHR, which is the digital chart.

Can I put patient information into Dragon Copilot?

Only after your compliance or IT lead has reviewed the vendor's data-handling terms and you have a signed BAA in place. Purpose-built medical tools sign a BAA and state whether they train models on your data. Confirm both before the tool touches any patient information.

Does Dragon Copilot work with my EHR?

Microsoft built it to work inside the clinician's workflow and connect to the EHR. Whether it fits your exact system is a question for Microsoft sales. Ask them to confirm support for your specific EHR before you commit.

Is Dragon Copilot worth it for a solo doctor?

It depends on your setup and budget. Because the price is quote-only and the product leans toward larger groups, a solo physician may find it easier to price a scribe that posts a rate, such as Freed. Compare a written quote against published-price options before deciding.

This page is part of our independent directory. For the wider rundown of AI tools for doctors, see The Agentic AI Index.

Last reviewed: 2026-08-06. Nothing on this page is legal, compliance, tax, or medical advice, or a recommendation to hire any provider. Verify pricing, features, and any BAA with the vendor and your own compliance lead.

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