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Local AI

Clinical AI that stays under your control.

Basis runs on purpose-built hardware or computers your practice owns. Patient audio, transcripts, and drafts are processed on your network, and the clinician reviews every note before anything reaches the chart.

On your network

The AI runs on-prem, not on a company's servers.

Most AI scribes send the visit to a company's servers to turn it into a note. Basis is different. It runs as an on-prem or edge/private deployment on the computer or device in your office, so the conversation, the transcript, and the draft never leave your network.

Cloud AI scribes

The visit is processed on hardware you don't control

  • The visit is uploaded to an AI company's servers, such as OpenAI or Google.
  • Your patient's words may be retained, and can be used to train their models.
  • It only stays HIPAA compliant if that vendor signs a BAA and you map where the audio goes.
  • If the internet drops, the visit drops with it.

Basis, on-prem

The visit stays on your network

  • The on-prem AI runs on your own computer or device.
  • Audio, transcript, and draft stay on your network during capture and drafting.
  • No visit is uploaded to an outside AI company to produce the note.
  • Usage cost is predictable because capture and drafting do not ride a per-minute hosted AI meter.
  • A dropped internet connection does not drop the visit.
  • Exports leave only through the EHR and PM paths your practice approves.

Sending the visit off site is the path the HIPAA Security Rule now asks every practice to map, and the first question Medicare deployments raise. Keeping the audio on-prem shrinks the proof you owe. More in Where the scribe runs.

01On your network

On-prem processing runs on a computer or device in your office, so patient audio never leaves your network to be processed.

02Clinician review

Drafts become chart text only after you read the transcript, edit the note, and sign off.

03Approved exports

Chart text, codes, and files use the EHR and PM access paths the practice approves.

04HIPAA compliant

A BAA is available, and the review log and version history stay under your control.

Benchmark

73.7 on the medical AI benchmark.

Basis scores ahead of nearby on-prem and edge/private deployment baselines on a standard medical test. The number reflects structured clinical tasks, not final chart quality. A clinician still reviews every note before it is signed.

Basis

73.7

On-prem

On-prem medical baseline

72.9

On-prem

Edge/private baseline

71.4

Private

Small cloud model

70.7

Cloud

Nano cloud model

69.0

Cloud

The comparison rows are category baselines, not specific products. See the full method and per-model results in the truesilver medical LLM benchmark.

Buy Basis

Start with the appliance that runs on your network.

Buy the appliance and the Basis Voice Devices you need. Add an annual software and support plan, then scope the EHR and RCM workflow with us. US shipping is included. Orders ship in about two weeks.

Practice network appliance

$999

Basis appliance

Basis appliance

One local appliance for transcription, note drafting, and workflow automation on the practice network.

Room capture microphone

$299

Basis Voice Device

Basis Voice Device

The voice device records from desks, side tables, or staff areas.

Annual software and support

Updates, maintenance, and support keep the appliance current.

Workflow implementation

Structured exports, RCM support, and EHR integration scoped per practice.

US shipping included

Ships in about two weeks. US addresses only.

Questions

What practices ask about local AI.

What does on-prem AI mean?

The AI runs on a computer or Basis appliance inside your practice instead of sending each visit to an outside AI company's servers for processing.

Does Basis send patient conversations to third-party AI providers?

No. Audio, transcripts, and drafts stay on your network while Basis captures and prepares the note. Information leaves only through export paths your practice approves.

What happens if the internet connection drops?

Local capture and drafting continue on the computer or Basis appliance running Basis, so an internet interruption does not interrupt the visit.

What hardware can run Basis?

Basis can run on a compatible Mac or Windows PC, or on the dedicated Basis appliance when the practice wants shared, purpose-built local compute.

Is an on-prem deployment HIPAA compliant?

Yes. Processing stays on your network, a BAA is available, and Basis provides review logs, version history, and diligence documentation.

Can local Basis connect to our EHR?

Yes. Approved notes, codes, and files can move through EHR and PM export paths that are scoped and tested against your practice's instance before go-live.