Casey for nocturnists & hospitalists · any EHR · no integration

Nobody reads the whole chart. Casey does.

Drop in six years of records. Casey works it up and hands you a draft HPI and A&P in about three minutes. And when the pager goes off at 4am, Casey already knows the patient. You’re not starting from zero.

No credit card · BAA on every plan · PHI never trains models

How Casey follows one patient One shift · nothing dropped

Patient story

New overnight admit · a patient you’ve never met

active
  1. 00:00

    The chart lands

    Years of records, labs, meds, and imaging. Casey reads all of it.

  2. ~03 min

    HPI + A&P ready to review

    You check the reasoning, fix what’s off, and sign off on orders, med rec, and dispo.

  3. ~30 min

    Dispo’d and stable

    Workup done. Casey keeps following the patient.

  4. Later

    The pager goes off

    A 4am lab, a nurse’s question, an ED callback. Casey already has the picture.

Representative workflow · current nocturnist use nothing resets →

One patient · all night

The admission is the beginning.

Casey follows the patient all night, so you’re not re-reading the chart every time something happens. Less time reconstructing, more time deciding.

chart reasoning changes one patient story
  1. New admit

    Get the whole story

    Drop in records from any EHR. Casey reads the whole thing — every encounter, every med change, every scan — and pulls out what explains tonight.

  2. About 3 minutes

    Review the HPI and plan

    Casey hands you a draft HPI and A&P. You fix what’s wrong, keep what’s right, and nothing moves without you.

  3. Within about 30 minutes

    Dispo’d and stable

    On our nocturnist’s shifts, patients are typically dispo’d and stable within 30 minutes of starting the workup.

  4. The rest of the night

    Cross-cover without the cold start

    A nurse pages. A lab comes back. The ED calls. Ask Casey — it already knows the patient, so you’re not digging through the chart again.

  5. Sign-out and beyond

    Carry it forward

    Progress notes, I-PASS handoffs, and discharge summaries draft from work you’ve already done.

You don’t have to reload the patient into your head every time the pager goes off.

The first three minutes

Know the story before you walk in.

Casey’s team works the chart the way you would: connect the history across encounters, build the assessment problem by problem. About three minutes later you’ve got a draft HPI and A&P. The AI drafts; you decide what moves forward.

  1. Extraction

    Raw chart data — labs, vitals, med lists, imaging, prior notes — parsed into structured clinical facts.

    — you validate
  2. Patient summary

    The one-paragraph picture: who this patient is and why they’re here.

    — you validate
  3. History

    The narrative history: prior findings that explain tonight’s picture, surfaced and connected across every encounter you dropped in. The HPI drafts from this synthesis.

    — you validate
  4. Exam findings

    Findings organized against the history, with what to confirm at the bedside.

    — you validate
  5. Assessment and plan

    Problem-by-problem clinical reasoning: which diagnoses are most likely, how to manage each, what’s missing. The admission orders, medication reconciliation, consults, and billing attestation draft from this assessment — nothing is final until you review and sign.

    — you validate
Real chart · unedited run

Figure 1 — A complete admission worked up in real time: raw chart data through five physician-reviewed stages to a finished H&P.

Start free trial

Just watched a full admission? Run one on your own chart tonight — free, no card.

The byproduct

Documentation isn’t the work. It’s what’s left over.

Casey gets to know the patient once, then keeps that knowledge all shift. The clinical work comes first; the documents fall out of it.

Clinical pictureAdmission ordersMedication reconciliationBilling determinationH&PProgress notesI-PASS handoffsDischarge summaries

Each one carries its reasoning: orders with inline rationale, the reconciliation with per-drug logic and drug-interaction flags, the billing determination with a suggested E/M level and the documentation gaps to close. Chart answers cite the source by line number; recommendations cite the guidelines behind them. The ambient scribe (beta) drafts eight note types from live encounters. Everything is a draft until you sign.

What stays connected

The chart

Years of encounters, results, meds, and imaging — with the source lines behind every answer.

Your decisions

The assessment, plan, orders, med rec, and dispo you signed off on — as you signed them.

What changed

Overnight labs, pages, and questions, read against everything above.

The note isn’t a second job. It’s a draft of work you already did.

Built by a software engineer and a practicing nocturnist — used on every shift.

The evidence

We didn’t fine-tune. On purpose.

Most clinical AI is a small model fine-tuned on a narrow dataset. CasePanel pairs frontier models with structured clinical workflows and staged physician validation instead — a design decision, and a defensible one.

Independent studies
2025–2026

  • Generalist frontier models outperformed specialized clinical tools across a 1,000-item medical benchmark.[1]
  • Inference-time alignment beat fine-tuning: +6% accuracy, +7% factual consistency, and half the safety errors.[2]
  • Fine-tuned biomedical LLMs underperformed general-purpose models — and hallucinated more.[3]

References

  1. [1] Vishwanath et al., “Generalist LLMs Outperform Clinical Tools on Medical Benchmarks,” arXiv, Dec 2025. arxiv.org/abs/2512.01191
  2. [2] Ray et al., “Do Clinical QA Systems Really Need Specialised Medical Fine Tuning?” arXiv, Jan 2026. arxiv.org/abs/2601.12812
  3. [3] Dorfner et al., “Evaluating the effectiveness of biomedical fine-tuning for LLMs on clinical tasks,” JAMIA, Jun 2025. doi.org/10.1093/jamia/ocaf045

Fine-tuning freezes a model the day it ships. CasePanel upgrades to the most capable frontier model available — so the clinical reasoning gets better every time the frontier moves.

Security

Identifiable patient data is never used to train AI models.

CasePanel runs on Azure infrastructure with HIPAA-compliant security and data handling that follows Azure OpenAI’s enterprise data privacy standards. A Business Associate Agreement is included with every plan.

HIPAA §164.312 Full compliance with the HIPAA Security Rule.
TLS 1.2+ / AES-256 All data encrypted in transit and at rest.
Private endpoints Isolated Azure infrastructure.
90-day audit logs Complete access and action logging.
Session timeouts Automatic, on every plan.
BAA Business Associate Agreement included with every plan.

Pricing

One plan. Your whole census.

Built for individual hospitalists. No per-note limits, no usage caps, no enterprise contract. Try it free for 14 days.

Pro

Launch price
$ 99 /month

or $999/year — 2 months free Save $189

  • Casey follows each patient from admission through cross-cover, handoff, and discharge
  • Draft HPI and A&P in about three minutes
  • Admission orders, medication reconciliation, and billing attestation — each drafted from the clinical picture you validated
  • H&Ps, progress notes, I-PASS handoffs, discharge summaries — every document follows from reasoning you’ve signed off on
  • Works with raw chart data from any EHR — no integration required
  • Unlimited use across your full census
Start free trial

Free for 14 days. No credit card required.

The math

For most hospitalists, the year costs less than a single shift.

monthly, $99 × 12 $1,188
annual $999
2 months free Save $189

Questions

Asked by skeptics. Answered plainly.

How is CasePanel different from ambient scribes like Abridge or DAX?

Ambient scribes transcribe conversations. Casey reads the chart — all of it — and helps you work the patient: get oriented on a new admit, answer cross-cover questions, and draft progress notes, handoffs, and discharge summaries from what you've already decided. The documentation falls out of the clinical work instead of being the product. An ambient scribe is included in beta.

What happens after the admission is done?

The admission is just the start. Casey keeps the chart, your reasoning, your orders and med decisions, and everything that happens overnight in one place. Ask a question and get an answer with line-numbered chart citations. New results get read against the patient you already know. Progress notes, I-PASS handoffs, and discharge summaries draft from the same thread.

Does CasePanel have an ambient scribe?

Yes, in beta. CasePanel includes an Ambient Scribe that records an encounter — after you confirm patient consent — and drafts any of eight note types: SOAP, HPI, A&P, H&P, discharge summary, consultation note, procedure note, or I-PASS handoff. Audio is processed in real time and is not stored after transcription. The scribe is a complement — the center of the product is Casey following your patients through the shift.

Is my patients' data safe?

CasePanel runs on Azure with HIPAA-compliant infrastructure. All data is encrypted in transit (TLS 1.2+) and at rest (AES-256). Identifiable patient data is never used to train AI models — only data stripped of all identifiers under the HIPAA Safe Harbor standard may be used to improve the product. Private endpoints, 90-day audit logs, automatic session timeouts, and a Business Associate Agreement are included with every plan.

Does CasePanel integrate with my EHR?

CasePanel works with data from any EHR. You upload raw chart data — labs, vitals, med lists, imaging, progress notes, prior encounters — and Casey builds the patient picture. No Epic integration, no IT tickets, no institutional approval required. You can start using it on your next shift.

What does the AI actually do vs. what do I do?

A team of specialized agents works the chart — Casey structures the patient data, The Historian assembles the history and exam findings, and The Resident reasons through the assessment and plan. About three minutes later you've got a draft HPI and A&P. You can watch the work, check every step, and keep asking questions as the night goes on. Nothing is finalized without your approval. The AI drafts; you decide what's accurate and what moves forward.

Who is CasePanel built for?

Nocturnists and hospitalists who take sequential admissions and cross-cover — the doc who gets handed patients they've never met and needs to get oriented fast, make them safe, and keep a dozen stories straight until morning. On our nocturnist's shifts, patients are typically dispo'd and stable within 30 minutes of starting the workup.

What document types does CasePanel generate?

H&Ps, progress notes, I-PASS handoffs, and discharge summaries — plus the pieces around the note: a draft admission order set with stated rationale, a full medication reconciliation (continue, hold, adjust, discontinue, with drug-interaction and prophylaxis-gap checks), and a billing attestation with the suggested E/M level. Each document drafts from work you've already reviewed — the note is a byproduct, not a second job.

How much does CasePanel cost?

$99 per month or $999 per year. No per-note charges, no usage caps, no enterprise contracts. One physician, one subscription, unlimited use across your full census. Start with a free 14-day trial — no credit card required.

Before your next overnight shift

Try it on tonight’s census.

Start with one patient. You’ll have a draft HPI and A&P in about three minutes. Fourteen days free, no card.