Frequently Asked Questions

Unlike legacy dictation systems, AutoScribe offers:

• Omnibox with intent understanding: Speak naturally and AutoScribe intelligently routes content to the correct report sections
• Ask Mode: Query AI mid-dictation and inject responses directly into your report
• Industry-leading accuracy: 96.6% accuracy with the lowest error rate on the market
• Setup within hours vs. weeks or months with competitors
• No contracts: Volume-based pricing with no long-term commitments
• SDK for PACS/EHR/RIS integration: Platforms can embed AutoScribe for their customers

AutoScribe is designed for radiologists, radiology practices, imaging centers, hospital networks, and PACS/EHR/RIS companies looking to offer best-in-class dictation. We support practices of all sizes – from solo radiologists to large hospital systems.

All of them. AutoScribe works across all radiology subspecialties, including neuroradiology, musculoskeletal, body imaging, pediatrics, interventional radiology, breast imaging, and more.

Absolutely. AutoScribe is designed to be specialty-agnostic for any providers wishing to dictate medical reports. Anyone can use us: cardiologists, neurologists, urologists, dentists, optometrists, + so many more.

Ask Mode lets you query AI on the fly during dictation. Have a clinical question? Need reference ranges? Want a differential diagnosis? Just ask, and AutoScribe's AI provides an answer that you can inject directly into your report with one click.

Yes. AutoScribe can auto-generate impressions, follow-up recommendations, and comparison text based on your findings. You review, edit if needed, and approve – saving significant time on every report.

Yes. AutoScribe automatically generates appropriate follow-up recommendations based on your findings and clinical context. These suggestions follow evidence-based guidelines and can be edited or approved with one click.

Yes. When previous studies are available, AutoScribe automatically generates comparison text, highlighting interval changes and clinically relevant differences. This saves you from manually reviewing and dictating comparisons for every case.

Absolutely. You can build highly customized or general report templates, define macros for common phrases, create "no adverse findings" macros, and tailor the system to match your practice's workflow and preferences.

AutoScribe achieves 96.6% accuracy – the highest in the industry with the lowest recorded error rate on the market. Our AI continuously learns and improves based on your dictation patterns.

AutoScribe cannot be used without an internet connection as we use cloud-based AI transcription.

Yes you can. You can add any number of images to any section in your reports. Simply copy images to your clipboard in your diagnostic viewer and paste into the report. This is ideal for enhancing both patient and referring provider understanding.

AutoScribe supports all major languages, making it ideal for international practices and multilingual radiologists.

Yes. AutoScribe's AI helps translate complex radiological findings into language that empowers patients and referring providers to better understand results, improving communication and outcomes. Each section can also receive an optional severity level to enhance patient and referring provider understanding.

Yes. We have built-in workflows specifically designed for report addendums. You can add any number of addendums to any report whenever you would like.

Yes. AutoScribe automatically saves all changes as you work (like Google Docs) so you won't lose your place, and can leave and come back to reports.

AutoScribe automatically saves all progress as you dictate. You will not lose your report if your internet goes out mid-report.

Navigate to the completed study, click Add Addendum in the Report Status section, and the study returns to your worklist with an 'Addendum Active' status. Dictate your supplemental content in the dedicated Addendum section at the top of the report, then sign and submit as normal. The addendum appears at the top of the completed report, preserving all original content below.

Yes. Reports can have any number of addendums. Each addendum is timestamped with the date and time of signature, creating a clear chronological record of all updates.

Yes. Navigate to the study page and click Cancel Addendum in the Report Status section. This deletes the in-progress addendum and removes the study from your worklist. The original completed report remains unchanged.

For audit trail and compliance purposes, original report content cannot be modified after signing. All corrections must be made through addendums. Each addendum includes a timestamp, author identification, and preserves the original content – maintaining a complete, unaltered history for regulatory compliance.

Yes. AutoScribe supports both dark and light themes. Your preference is saved to your account and persists across sessions, devices, and browsers.

Click the profile icon in the top-right corner, scroll to the Dark Mode toggle, switch to your preferred setting, and save. The theme updates instantly across the entire interface.

Yes. Your theme preference syncs across AutoScribe, Avara Viewer, and Clinical Platform. Set it once and it applies everywhere. Change your theme preference anytime.

Yes. The Avara PowerMic Adapter is a lightweight utility that connects your PowerMic directly to AutoScribe. It runs in the background, auto-detects your PowerMic, and enables seamless dictation with all hardware button controls.

No. The Avara PowerMic Adapter lets you use your PowerMic hardware with AutoScribe without any Nuance or Dragon Medical license. Your existing hardware investment continues to provide value with no additional software costs.

AutoScribe supports:

• Nuance PowerMic II
• Nuance PowerMic III

The adapter works on macOS (Intel & Apple Silicon) and Windows 10/11.

The PowerMic provides dedicated hardware buttons for hands-free control:

• Toggle dictation on/off
• Navigate sections (previous/next)
• Navigate paragraphs (previous/next/new)
• Send to Omnibox for AI processing
• Toggle Omnibox Mode
• Sign/Confirm reports
• Mouse controls (left click, right click, move)

No keyboard required for most workflows.

Omni Mode is the default Omnibox experience: speak naturally and AutoScribe structures unstructured thoughts into professional radiological language, routing content into the correct report sections.

Ask Mode lets you query AI mid-dictation – clinical questions, differentials, reference ranges – and inject the response into your report with one click. You can switch modes by voice or PowerMic.

Yes. You can dictate section-by-section in a traditional workflow when you prefer not to use the Omnibox. Most readers keep Omnibox on for speed, but the choice is yours.

Yes. AI-assisted merges and injections are tracked so you retain visibility into what the model suggested versus what you accepted into the signed report.

Yes. Before you sign, AutoScribe can run an automated validation check – essentially your own AI editor – to flag issues such as spelling, erroneous info, terminology, contradiction, and inconsistency. You review each recommendation, apply the fixes you want, or ignore any you disagree with. You remain in control.

Each report section can receive an optional severity classification to help patients and referring providers understand urgency. Severities are visual indicators in the report – they are not required, and you can set them by voice command or in the UI.

No. Severities are optional. Use them when they help referring providers and patients understand which findings need attention first.

Voice commands cover hands-free control of the report workflow, including:

• Navigate sections and paragraphs
• Switch Omnibox modes
• Generate impressions, follow-up recommendations, and comparisons
• Set section severities
• Sign and confirm

Some commands are disabled in addendum mode to protect the original signed content.

Yes. Templates and macros can be shared across your organization so readers work from the same standards, while still allowing personal macros where you want them.

"No adverse findings" macros let you insert common normal or expected phrasing with one command, then merge or edit as needed – useful for high-volume normal studies without rewriting the same language every time.

Yes. AutoScribe is designed to integrate seamlessly with PACS, RIS, and EHR systems through our SDK. PACS and EHR companies can also offer AutoScribe as a Software-as-a-Service product to their customers using our highly programmable SDK.

Temporary access views allow radiologists to use AutoScribe without ever leaving their PACS or EHR platform. They stay in their familiar workflow while leveraging AutoScribe's powerful features – no separate dashboard or login required. This powerful workflow allows PACS and RIS companies to integrate AutoScribe directly into their platform with ease.

Avara Express allows companies to sell AutoScribe as a service to their customers. As a "platform account," you can serve any number of your customers with one account with robust study access permissions scoping based on organization membership. Maximize your revenue with Avara Express.

AutoScribe is designed with a platform-agnostic SDK that enables PACS, RIS, and EHR companies to offer AutoScribe to their customers. While we don't currently have pre-built integrations with specific vendors, our SDK allows for rapid integration with any system – typically completed end-to-end within hours.

There are rate-limits in place to prevent abuse, but they are never exceeded for traditional workflows.

All data is stored in secure, encrypted cloud infrastructure compliant with healthcare industry standards.

One price covers the full reporting workflow for each study you dictate: speech-to-text, Omnibox, Ask Mode, AI impressions, follow-up recommendations, comparisons, voice commands, report validation, templates, and macros. Avara Viewer is included free with AutoScribe.

No. When you integrate AutoScribe into your existing PACS, there are no PACS fees, no integration fees, and no setup fees – you pay the $0.99 per study dictation cost only.

No. You pay based on volume with no long-term commitments or strings attached, giving you complete flexibility.

Yes. We offer a 30-day free trial so you can experience AutoScribe's features and see how it transforms your workflow before committing.

Contact our sales team and you'll receive a response within one business hour – not days or weeks like other vendors. We can get you set up same-day.

AutoScribe uses per-study pricing – you only pay for what you read. There are no seat licenses, no monthly minimums, and no long-term contracts. This model is ideal for teleradiology groups with variable volume across multiple partners.

Yes. AutoScribe is highly customizable. You can build custom templates, define macros, configure report structures, and tailor the platform to your exact needs.

Our team is here to guide you through every step. Most integrations are completed within hours, and our documentation is comprehensive. Plus, you can contact sales or support anytime for assistance.

Yes. We track active time reporting and AI-tool usage – granular per modality and study-type analytics for performance as well.

Very easy. Enable your account to be a platform account in one click. Add customers with ease and our intuitive, developer-friendly SDK (supports multiple languages) makes full set-up end-to-end in hours, not days or weeks.

Highly programmable. Our SDK is designed for developers, with clean APIs, comprehensive documentation, and flexibility to customize the experience for your platform and customers.

Most platform companies complete SDK integration within hours. We provide full documentation, sample code, and responsive developer support.

We currently support TypeScript, Python, and Java. If you need another language, let us know and we will likely be able to get it for you in under a day.

Yes. You can fully white-label the AutoScribe platform to offer it to your existing customers.

Most PACS companies complete integration in under an hour. Our SDK handles the complexity – you just need to generate reroute URLs and set up a webhook for report delivery. We provide sandbox access and hands-on support throughout.

We use volume-based wholesale pricing that scales with your business. You pay per study with tiered pricing based on volume, and you control what you charge your customers. Contact sales for specific partnership pricing.

Avara Express handles multi-tenant complexity for you. Host multiple customers under one platform account with automatic study restrictions based on organization membership. Add new customers via API or dashboard in seconds.

Request a demo or watch our product videos on our website to see AutoScribe's features in action.

Click "Contact Sales" on our website or email us directly. We guarantee a response within one business hour.

Avara is designed for:

• Outpatient imaging centers (MRI, CT, X-ray, ultrasound, etc.)
• Urgent care centers with imaging
• Specialty practices with in-house imaging (orthopedics, sports medicine, cardiology)
• Mobile imaging companies
• Teleradiology groups
• Any medical practice or specialty looking for a modern, efficient practice management system

Avara is built for speed, simplicity, and completeness:

• Setup in minutes vs. weeks or months with legacy systems
• All-in-one platform: EHR/RIS + PACS + dictation + viewer – no integrations needed
• Modern, intuitive interface designed for today's workflows
• Responsive support: 24/7 availability, fast response times
• Affordable: Volume-based pricing that scales with your practice
• Self-serve setup: PACS connection in 60 seconds – fastest on the market

Unlike competitors that cobble together acquisitions or require IT teams for setup, Avara is a purpose-built, unified platform you can start using today.

Yes! Avara works beautifully for any medical practice – primary care, specialty clinics, urgent care, telehealth practices. It's similar to SimplePractice but with advanced imaging capabilities built in. If your practice doesn't do imaging, you simply won't use the PACS/viewer modules – everything else (EHR, scheduling, patient portal, billing, messaging) works perfectly for general medical practices.

Insurance billing and RCM (claims, eligibility, prior authorization, ERA) are launching Q3 2026. Today, Clinical Platform supports cash-pay and self-pay workflows with Stripe Connect for patient payments. Contact our team to discuss timing and early access if insurance reimbursement is central to your practice.

Yes! While the platform is designed to work as an integrated whole, you can start with specific components like AutoScribe or the Viewer and add more as needed. Each product can also integrate with your existing systems via our comprehensive API.

Everything an imaging center needs: EHR/RIS for scheduling and patient management, PACS for cloud-native DICOM storage, AutoScribe for AI-powered dictation, Avara Viewer (FDA-cleared diagnostic viewer, included free forever), patient portal, billing with Stripe, and HIPAA-compliant messaging.

For medical clinics, the core platform includes: EHR/RIS for scheduling and patient management, patient portal for online booking and forms, charting with dictation and AutoChart ambient documentation, billing with Stripe Connect, and HIPAA-compliant messaging. For practices with imaging, you can optionally add PACS (per study) and AutoScribe dictation (per study). Avara Viewer is included free forever.

No. Avara is fully modular. If you don't do imaging, you don't pay for imaging features. Use only what you need – scheduling, charting, patient portal, billing, messaging. If your practice adds imaging later (cardiology echo, orthopedic X-ray, etc.), you can turn those features on anytime.

Yes. Avara offers a 30-day free trial with full platform access – no credit card required. Try every feature, see how it fits your workflow, and decide if it's right for your practice.

Patient data migration is handled after you become a customer. Our team provides white-glove data migration support to ensure a smooth transition from your existing EHR or practice management system.

Comprehensive training is included with your Avara subscription. We provide onboarding, documentation, and ongoing support to ensure your team gets up to speed quickly.

You can connect imaging machines in 60 seconds – the fastest on the market. Avara's PACS uses simple, self-serve DICOM configuration. No need to wait for vendor support or IT assistance. We offer ultra-secure on-prem server options for customers with elevated security requirements.

You can set up the same day you sign up. Our self-serve PACS configuration lets you connect imaging machines in 60 seconds, but we're here to help if you need. Most imaging centers are fully operational within hours, not weeks.

Medical clinics can set up the same day you sign up. Our intuitive interface lets you configure scheduling, forms, and workflows without any technical expertise. Most practices are fully operational within hours, not weeks.

Yes. We offer white-glove migration support to help you transition from any existing system. We handle patient data, studies, and configurations so you don't skip a beat.

1. Start your free trial: Sign up at avarasoftware.com and get instant access
2. Set up your practice: Configure settings in minutes (or reach out for help)
3. Connect your imaging machines: Self-serve PACS setup in 60 seconds
4. Invite your team: Add unlimited users and providers
5. Go live: Start scheduling patients, processing studies, and delivering care

Request a demo or watch our product videos on our website to see Avara's features in action.

Click "Contact Sales" on our website or email us directly. We guarantee a response within one business hour.

Avara includes built-in speech-to-text for chart notes. Simply dictate and Avara transcribes your notes in real time.

AutoChart (formerly referred to as Record a Visit) is ambient AI documentation that listens to your conversation with a patient – in-person or virtual – and automatically generates a comprehensive chart note. No need to type or dictate during the visit. Non-clinical small talk is excluded from the note. You can pause and resume if Wi‑Fi drops, and access is permission-gated. AutoChart is $0.25 per session.

$0.25 per session. Core charting and dictation remain part of the platform; AutoChart is a usage-based ambient documentation add-on.

No. Chart notes are staff-facing clinical documentation. They are not shown in the patient portal and are not included when you share appointments or records through Connect.

Yes. Avara's form builder lets you create custom intake forms, consent forms, questionnaires, and more. Forms support:

• Multiple choice, short answer, long answer, select-all questions
• Conditional questions (ask follow-up questions based on previous answers)
• Electronic sending and patient portal access

Task workflows help you manage practice operations, including:

• Appointment confirmations
• Radiology report worklist
• Follow-up reminders
• Quality assurance tasks
• Custom workflows tailored to your practice

Avara includes:

• Study volume (by modality, provider, time period)
• Revenue reports (payments, outstanding balances, reconciliation)
• Productivity metrics (radiologist turnaround time, study volume per provider)
• Telemetry and operational statistics
• Want a dashboard we don't have? We'll build it for you

Avara offers role-based access control with granular permissions. You have complete control over what each user can see and do – from front desk staff to administrators to providers.

Some customers require enhanced security requirements, and we have you covered. We simply ship you a server you plug into power/internet and it automatically connects with our PACS in the most secure internet connection possible (mTLS). Our on-prem server acts as a local DICOM node on your network that routes data to our cloud servers.

Studies are stored for as long as legally mandated (typically 7 years), but oftentimes longer.

Yes. Avara supports unlimited DICOM nodes, so you can connect as many CT scanners, MRI machines, X-ray units, ultrasound devices, or other modalities as your practice needs.

Yes. Avara supports HL7 integration, enabling seamless communication with hospital information systems, EMRs, and other healthcare IT infrastructure.

No. We scale to your needs seamlessly with impacts on performance. Your costs scale linearly with volume – you only pay for what you use.

Yes. Clinical Platform and Avara PACS can route studies into specialty workstations your readers already use (for example Circle CVI, TeraRecon, 3mensio, Medis, Ziosoft). Remote readers can reach on-prem workstations over WireGuard when needed.

Specialty workstation reads are $0.20 per study read, with gateway instance tiers for remote connectivity. Contact sales for a quote based on your volume.

AutoScribe includes:

• Omnibox: Speak naturally and AI routes content to the correct report sections
• Ask Mode: Query AI mid-dictation and inject responses into your report
• Auto-generate impressions, follow-up recommendations, and comparisons
• Custom templates and macros
• 96.6% accuracy – the highest in the industry

For more details, see the AutoScribe FAQ.

Avara Viewer includes:

• FDA-cleared for all modalities (including mammography)
• Comprehensive DICOM tools (measurements, annotations, MPR, MIP, CPR, 3D reconstruction)
• Fusion imaging (PET/CT, multimodality)
• Fastest performance on the market (GPU-optimized, zero lag)
• Web-based (no downloads, works on any device)

For more details, see the Avara Viewer FAQ.

Connect-only covers referrals, imaging and document exchange, and partner messaging. Clinical Platform adds direct partner booking on your calendar, automatic appointment sharing back to referrers, patient messaging, and free unlimited study sharing through Connect.

Yes. Mark appointment types as Connect available and optionally enable direct booking. Approved partners can book eligible types on your calendar, and booked referral appointments are shared back under continuity of care.

Rooms represent physical spaces and attached modalities in your practice. Appointment types can reserve rooms without double-booking, and rooms/modalities drive DICOM worklists and imaging workflows for PACS-connected studies.

Yes. Special unavailability lets you block clinic-wide, provider, or room time for holidays, maintenance, and exceptions without rewriting every appointment type.

Yes. You can configure Google and Meta advertising pixels on the public booking page, and incomplete bookings can be captured as CRM leads.

The patient portal is web-based and works seamlessly on mobile browsers (iOS, Android). A dedicated mobile app is on our roadmap.

Yes. Avara provides a public booking page that you can embed on your website or share via a custom URL. See an example: https://www.avarasoftware.com/booking/truescan

Yes. You can create unlimited appointment types with custom rules – different durations, resources, modalities (MRI vs. X-ray), in-person vs. telehealth, and more.

Avara sends automated email reminders to patients before their appointments. SMS reminders are coming soon.

Yes. You connect your Stripe account once so patient payments can deposit to your practice. Our team can walk you through onboarding.

Yes. Refunds and voids are handled directly in the platform. Note that Stripe processing fees are not returned when you refund a patient.

Avara offers comprehensive payment reporting, including:

• Revenue by time period, provider, or modality
• Outstanding balances
• Payment reconciliation

Insurance billing (RCM) launching Q3 2026 is planned to cover eligibility, prior authorization, claims submission (including 837P/I/D), and 835 ERA workflows. Eligibility and prior auth are also being built into Connect referrals. Contact sales for early access discussions.

Yes. All patient messaging is HIPAA-compliant and encrypted, ensuring privacy and security.

Yes. Internal, Connect, and patient messaging update in real time so your team and partners stay in sync without refreshing.

Yes. Avara tracks all user activity.

No. You pay based on usage with complete flexibility, no strings attached.

Yes. Avara offers a 30-day free trial with full platform access – no credit card required. Try every feature, see how it fits your workflow, and decide if it's right for your practice.

Contact our sales team and you'll receive a response within one business hour.

For imaging centers, we charge per provider and per study – that's it. All other seats (front desk, technologists, billing staff) are unlimited at no extra cost. No hidden fees, no surprises. Contact sales for a custom quote tailored to your imaging center.

For medical clinics, core EHR features are charged per provider. Imaging features (PACS, AutoScribe) are charged per study – so you only pay when you use them. All other seats (front desk, nurses, billing staff) are unlimited at no extra cost. No hidden fees, no surprises.

We strive for 99.9% uptime and have robust infrastructure to minimize downtime.

Avara Viewer is built for speed, simplicity, and modern workflows:

• Fastest performance: GPU-optimized with the lowest latency on the market – zero lag
• Setup in under 1 hour vs. weeks or months with legacy systems
• Modern, beautiful interface designed for intuitive use
• Low cost: $0.25 per study for Pro and Enterprise (free under the free tier, or when bundled with AutoScribe or Clinical Platform)
• SaaS-ready: PACS, RIS, and EHR companies can offer Avara Viewer to their customers via our SDK
• FDA-cleared for mammography in addition to general radiology

Unlike desktop viewers (Horos, OsiriX) or enterprise systems (Visage 7), Avara Viewer is web-based with zero footprint.

Unlike other web-based viewers that rely on server-side rendering, Avara is GPU-optimized client-side, which avoids the SSR performance bottleneck.

Avara Viewer is designed for:

• Radiologists needing a primary diagnostic workflow viewer
• Referring physicians reviewing imaging studies
• Teleradiology companies requiring fast, reliable remote access
• Research institutions analyzing imaging data
• PACS, EHR, and RIS companies looking to offer a modern viewer to their customers

Yes. Avara Viewer is FDA-cleared under K number K262120 for diagnostic use with mammography and breast tomosynthesis (DBT).

Yes. Avara Viewer is a zero-footprint web application, so there are no software downloads, installations, or updates to manage. Access it from any browser on any device with an internet connection.

Avara Viewer works on:

• Browsers: Chrome, Firefox, Safari, Edge
• Devices: Desktop, laptop, tablet (iOS, Android), and mobile

No. Avara Viewer requires an internet connection to access studies and leverage its advanced features.

Avara Viewer runs in the browser and requires:

• WebGL2 for diagnostic image rendering (Chrome, Edge, Firefox, or Safari)
• Web Workers for DICOM parsing
• HTTPS for all DICOM data retrieval
• A capable GPU – performance is typically best on Apple Silicon Macs, and fully supported on Windows and Linux with discrete or integrated graphics

8GB of RAM is the absolute minimum for diagnostic use. Below 8GB you should expect severe performance degradation.

For production reading, plan from how you actually work: number of simultaneous viewer instances × largest anticipated study size (GB) × 6. Example: 2 instances and a 500MB study → 2 × 0.5 × 6 = 6GB of workload headroom, so the recommended system target remains the 8GB floor. Memory-intensive workflows (large CT/MR, tomosynthesis, multiple monitors) may need 16GB, 32GB, or more.

Mandatory:

• WebGL2, Web Workers, and HTTPS
• Modern Chromium (Chrome/Edge), Firefox, or Safari
• 8GB RAM minimum

Optional / advanced:

• WebGPU for accelerated MPR, 3D, and fusion (falls back to WebGL2 with identical accuracy)
• Window Placement API (Chrome/Edge) for true multi-monitor hanging protocol window placement – Firefox and Safari open all viewports in the originating window
• BroadcastChannel for multi-tab collaboration sync

Avara Viewer offers a comprehensive DICOM tool suite, including:

• Measurements: Lines, angles, regions of interest (ROIs), calibrated measurements
• Annotations: Spine labeling, text, arrows, shapes
• Advanced imaging: MPR (multiplanar reconstruction), MIP (maximum intensity projection), CPR (curved planar reconstruction), 3D reconstruction, and fusion
• Cine mode: Scroll through dynamic series
• Sync scroll & cross-reference: Compare multiple series or studies side-by-side
• Windowing & leveling: Preset and custom window/level adjustments
• Zoom, pan, rotate, invert

Every tool a radiologist needs, and more.

Continuous actions bind a mouse click (left or right) to an operation such as windowing, pan, zoom, crosshairs, measure, or annotate – then you click and drag in the viewport.

Discrete actions apply immediately on click: layout changes, MPR/3D/fusion, color inversion, rotation, reset view, sync scroll, secondary capture, clear viewports, and study download.

Yes. Avara Viewer includes MPR, MIP, CPR, and 3D reconstruction for advanced visualization of CT, MRI, and other modalities.

Yes. Avara Viewer supports multimodality fusion, including PET/CT and other hybrid imaging studies, allowing you to overlay spatially co-registered sequences for comprehensive analysis.

Avara Viewer is FDA-cleared for mammography and includes:

• Powerful hanging protocols for screening and diagnostic workflows
• Prior comparison side-by-side for interval change detection
• Tomosynthesis (3D mammography) support
• Full DICOM mammography tool suite

Yes. Powerful hanging protocols can be configured for different study types and appointment types, spanning multi-monitor and multi-viewport setups – including toolbar configuration for each hanging protocol. Automatic mammography hanging protocols choose layouts based on laterality, view, and display tags. Our team is happy to help you set up protocols for your readers.

Yes. You can drive hanging protocol layouts and common protocol actions from the keyboard so readers stay in flow without reaching for the mouse. Shortcuts work alongside toolbar and viewport keyboard controls for a fully keyboard-capable reading session.

Yes. Common viewport and toolbar actions have keyboard shortcuts, including:

• Up/Down arrows: navigate frames in the active series
• Left/Right arrows: move to the previous or next series in the active viewport
• Delete / Backspace: delete the selected annotation
• Esc: cancel an in-progress annotation

Toolbar actions are also split into continuous tools (window, pan, zoom, measure, annotate) and discrete actions (layout, MPR, 3D, fusion, invert, reset, download) so bindings stay predictable. Tools and settings can also be configured with customizable keyboard shortcuts so each reader can bind the actions they use most.

Avara Viewer is GPU-optimized at every turn with the lowest latency on the market. Studies load at blazing speeds, MPR/3D/Fusions are generated in under a second, interactions are fluid, and there's no lag – ever. Whether you're scrolling through a 2,000-slice CT or manipulating 3D reconstructions, Avara Viewer delivers seamless performance.

Try it yourself here (https://avarasoftware.com/open-dicom)

Theoretically infinite. There are no bottlenecks on the number of concurrent viewers of the same or different studies with our viewer.

3D reconstructions render in under one second for most studies. Our GPU-optimized rendering engine ensures smooth, lag-free interaction even with large datasets.

Avara Viewer is optimized for dark mode environments, which is standard for diagnostic reading rooms. While the interface does not include a light mode toggle, you can invert colors within individual viewports to adjust image appearance as needed – useful for certain modalities or personal preference.

No. Avara Viewer can display QT Ultrasound DICOM without the module. The module adds the dedicated hanging protocol and on-viewport density overlays.

The module includes:

• Dedicated hanging protocol that applies automatically on load
• FGV (fibroglandular volume), TBV (total breast volume), and FGR (fibroglandular ratio) density overlays

Laterality labels and QT window/level units are included in Avara Viewer even when the module is not enabled.

No. Avara does not calculate any biomarkers or values. All density values are calculated at acquisition time by the QT Ultrasound machines.

Yes. Avara Viewer is FDA-cleared under K number K262120 as a Class II medical device for diagnostic use. That clearance is DICOM modality-agnostic. QT Ultrasound is enhanced US DICOM, so Avara Viewer is cleared to render and display it for diagnostic purposes.

The QT Viewer Module is $99 per month per user. It is billed only for users who have the module enabled.

Imaging centers and readers who interpret QT Ultrasound breast studies and want a predictable hang plus on-viewport density metrics, without a separate workstation.

Enable it per user from the PACS tab, under Viewer Modules.

Yes. Avara Viewer integrates seamlessly with PACS, RIS, and EHR systems through our easy-to-use API and SDK. We work with all modern web infrastructure – similar to how Stripe integrates with payment systems.

Temporary access views allow users to access Avara Viewer without ever leaving their PACS, EHR, or RIS platform. They stay in their familiar workflow while leveraging Avara Viewer's powerful features, with no separate dashboard or login required.

Yes. Avara Viewer's SDK allows PACS, EHR, RIS, and teleradiology companies to embed Avara Viewer as a Software-as-a-Service offering for their customers. You provide best-in-class imaging without building it yourself.

Avara Express allows companies to sell our viewer as a service to their customers. As a "platform account," you can serve any number of your customers with one account with robust study access permissions scoping based on organization membership. Maximize your revenue with Avara Express.

Yes. Avara Viewer works with modern cloud infrastructure, including AWS S3, Azure, R2, GCP, and any blob-storage cloud system, in addition to traditional DICOM servers and PACS.

While Avara Viewer is optimized for cloud deployment, we can support on-premise deployments for customers with specific infrastructure requirements. Contact our sales team to discuss your needs.

There are rate-limits in place to prevent abuse, but they are never exceeded for traditional workflows.

Yes. All data transmitted through Avara Viewer is encrypted end-to-end, and storage complies with healthcare industry security standards.

No. You pay based on usage with no long-term commitments or strings attached, giving you complete flexibility.

Yes. You can start a 30-day free trial immediately and experience Avara Viewer's features before committing.

Contact our sales team and you'll receive a response within one business hour.

Yes. Avara Viewer is included free when you use AutoScribe or our Clinical Platform.

Yes. Avara Viewer can be accessed for free in our free tier or purchased as a standalone product for $0.25 per study in our pro and enterprise tiers.

Yes. We offer a live demo and free trial so you can experience Avara Viewer's speed, tools, and interface firsthand.

Try it first here (https://avarasoftware.com)

Our team is here to guide you through every step. Most integrations are completed in under 1 hour, and our documentation is comprehensive. Plus, you can contact sales or support anytime for assistance.

Highly programmable. Our SDK is designed for developers, with clean APIs, comprehensive documentation, and flexibility to customize the experience for your platform and customers.

Most platform companies complete SDK integration in under 1 hour. We provide full documentation, sample code, and responsive developer support.

Yes. You can fully white-label the Viewer platform to offer it to your existing customers.

Request a demo or watch our product videos on our website to see Avara Viewer's features in action. You can also test it out live on our website.

Click "Contact Sales" on our website or email us directly. We guarantee a response within one business hour.

Yes. Avara Viewer integrates with DICOM worklists and can pull studies directly from your PACS or RIS.

Yes. Avara Viewer supports standard export formats for images, measurements, and annotations.

Avara Viewer can integrate with third-party CAD systems. Contact our team to discuss specific CAD integration needs.

Yes. Avara Viewer is ideal for research institutions analyzing imaging data, with support for all modalities and advanced visualization tools.

Yes. PACS works as a standalone archive. You can add Avara Viewer, AutoScribe, Clinical Platform, or Connect later when your organization is ready – without purchasing the full stack up front.

Organizations that want a modern archive without an enterprise imaging project:

• Imaging centers replacing aging on-premise PACS
• Specialty practices with office modalities and modest volumes
• Teleradiology groups consolidating client imaging
• Hospitals standardizing on a vendor-neutral archive across campuses

Legacy archives usually mean a server room, a multi-week implementation, per-interface fees, and a multi-year contract. With Avara you connect sites in minutes, pay per study with no minimums or contracts, get migration and setup at no cost, and reach support that understands DICOM around the clock.

Yes. Avara connects standard DICOM-compatible modalities and systems across manufacturers. It also integrates with existing EHR/RIS environments, specialty workstations, and Avara products including Viewer, AutoScribe, Clinical Platform, and Connect.

Any DICOM-conformant modality, including CT, MR, X-ray, ultrasound, mammography, PET/CT, nuclear medicine, fluoroscopy, and OCT. If a device speaks DICOM, it can send to Avara without a custom interface project.

Yes. Avara Viewer is included at no extra cost. It is FDA-cleared for diagnostic reading across all modalities including mammography, runs in the browser, and opens studies straight from the archive.

Yes. Multiple locations and multiple machines can send into a single archive while keeping site context on each study, which makes shared worklists and cross-site priors possible.

Studies are stored for as long as legally mandated, typically seven years, and often longer. Retention can be aligned to your state requirements and internal policy.

In secure, encrypted cloud infrastructure with multi-cloud vendor redundancy. Copies are held across providers so a single vendor incident does not put your archive at risk.

Backup and disaster recovery are automated and included – there is no backup tape rotation and no separate DR contract.

No. The archive scales to millions of studies without performance penalties, and your cost scales linearly with volume.

The archive is latency-optimized for reading workflows. Large multi-series CT and MR studies stream progressively so readers are not waiting on a full download.

Yes. Your imaging is yours, and you can export in standard formats including DICOM. There is no exit fee.

You can connect a modality in about 60 seconds with self-serve DICOM configuration. You do not need to wait on vendor support or IT assistance.

We ship a preprovisioned routing appliance – plug it into power and Ethernet and it works on your imaging network as a DICOM node, relaying to the cloud over mTLS. The appliance is a $300 one-time cost with no recurring fee. It is a relay, not a local PHI store.

Yes – direct cloud connectivity is available upon request. It gives you a secure DICOM node with an encrypted relay and no appliance on site. For most deployments we still recommend the on-prem Avara PACS proxy node as the default for security, reliability, and transfer speed.

Unlimited. Connect as many modalities as you operate across as many locations as you need. There is no per-node or per-interface fee.

Studies can be routed automatically to the destinations that need them:

• Avara Viewer for diagnostic reading in the browser
• Specialty workstations for advanced post-processing
• AutoScribe and Radiology Orchestrator for reporting workflows
• EHR or RIS for clinical context and results
• Connect partners for outside organizations

Yes. HL7 and HTTPS/API integrations let the archive exchange orders, demographics, and results with hospital information systems and EHRs so studies arrive with correct patient and order context.

No. The on-prem appliance connects to the cloud over mTLS. Your modalities never need to be exposed directly to the internet.

Yes. Avara Viewer holds FDA 510(k) clearance (K262120) for diagnostic interpretation across modalities, including mammography.

Yes. Avara PACS is vendor-neutral on the reading side too. You can keep a bespoke viewer or specialty workstation for the reads that need it and use Avara Viewer for everything else.

Yes. Avara Viewer is FDA-cleared for mammography and includes dedicated hanging protocols and comparison tools for breast imaging workflows.

Specialty workstation reads are priced at $0.20 per study read, with gateway instance tiers for remote workstation connectivity. Contact sales for a quote based on your throughput.

We target full migration and setup quickly – often within days – with 24/7 support throughout. New studies start flowing to Avara on day one while historical priors move behind the scenes.

No. We cut over first, then backfill – new studies never stop while your archive migrates in the background.

Any DICOM-conformant archive. We handle coordination with your legacy PACS vendor so your staff is not stuck mediating.

Three steps:

1. Connect sites: modalities, workstations, and clinical systems
2. Start sending studies: live cutover first
3. Backfill the archive: priors migrate behind the scenes with no downtime

Each study you store. Viewing, retrieving, and routing a study you already have are included – a case opened repeatedly for comparison does not generate new charges.

No. Per-study pricing is the whole bill. There are no storage tiers, egress charges, or retrieval fees.

$300 one time per appliance. There is no recurring hardware fee. Sites that connect through cloud connectivity do not need one.

No. No minimums, no maximums, no spend commitments, and no long-term contracts.

Contact sales and you will hear back within one business hour.

Studies are encrypted in transit and at rest. On-premise gateways connect to the cloud over mTLS.

Yes. Access and activity are logged, including who viewed or retrieved a study and when.

We target 99.9% uptime with redundant, multi-cloud infrastructure.

You do. Your archive is yours, exports are available in standard formats, and there is no fee to take your data with you.

Yes. You can connect a modality and send real studies to see performance and workflow before committing. With no contracts or minimums, there is nothing to unwind if it is not the right fit.

1. Talk to us or start an account: we respond within one business hour
2. Connect your sites: modalities, workstations, and clinical systems
3. Start sending studies: live cutover on day one
4. Backfill your archive: priors migrate with no downtime

Contact sales from our website or schedule a demo. We guarantee a response within one business hour.

Groups whose reading operation spans more than one system:

• Teleradiology groups unifying client sites and routing by credentials, SLAs, and capacity
• Multi-site imaging centers consolidating separate stacks into one queue
• Hospitals and health systems giving every campus one rules-based reading layer

If you run a single site on a single PACS, Avara PACS with Viewer and AutoScribe is usually the better fit.

A broker moves studies between systems and a RIS manages a single organization's operations. Orchestrator sits above both: it normalizes studies from every connected archive, applies eligibility and capacity rules to decide who should read each one, and lands the reader in a complete reporting workspace.

No. It is a control layer over the archives you already have. Studies stay reachable in their source environments, and Orchestrator gives your readers one queue and one workspace across all of them. It also works with Avara PACS when you want the full stack.

Connectivity to each PACS you want to unify, and AutoScribe, which is required for AI-powered reporting. Most teams also use Avara Viewer for diagnostic reading, and specialty workstations can still be launched from the same worklist when a case calls for one.

There is no practical limit. Groups routinely run hospitals, imaging centers, and client-owned PACS side by side in one worklist.

Yes, over HL7 or HTTPS/API. That connection lets AutoScribe surface an AI summary of the patient chart and clinical context in the reading workspace, and carries finalized reports back to the systems your clients and clinicians use.

No. Each reader gets a worklist tailored by their licensing, credentials, subspecialty, and preferences. Operations leaders can still see the full network view.

Through DICOM nodes or API/HTTPS. Connect any PACS to the orchestration layer and add or remove sites seamlessly, with no interfacing or setup fees.

You add or remove the site without a project – we handle the site PACS setup. New sites join the same rules engine and existing readers pick up the work under the credentials they already have.

Realtime sync keeps state consistent for everyone. When a study is claimed, assigned, or completed, every reader's queue reflects it immediately.

Yes. Priors from connected archives and clinical context from your EHR or RIS are surfaced with the study, including an AI summary of the patient jacket in AutoScribe.

Yes. Site origin travels with every study, so readers know whose protocols and templates apply, and operations can report volume and turnaround per site.

The factors that actually decide who should read a study:

• Licensing, credentials, and subspecialty for eligibility
• Scheduling and availability so studies go to readers who are on
• Current workload and capacity across the network
• Priority, SLAs, and turnaround targets
• Modality and body part preferences
• Client-specific requirements per contract

Licensing and credentialing are eligibility inputs, not reminders. A reader who is not licensed in the state or credentialed at the facility is never offered the study.

Either. You can auto-assign studies or let radiologists pull from the same rules-aware queue. Both paths respect the same eligibility and capacity rules.

Realtime claim sync. When a reader takes a study it leaves everyone else's queue immediately.

Yes. Coordinators can reassign work when a reader goes offline, a case needs a subspecialist, or a client escalates. Reassignment is recorded.

Yes. Each client can have its own turnaround commitments, reader panel, priority conventions, and templates – all running in one worklist.

Approaching SLAs are visible before turnaround slips, and studies at risk are escalated in routing so coordinators can act while there is still time.

Assignment is workload-aware, using live load across the network so studies flow to readers with room instead of piling onto whoever claims fastest.

Throughput and quality-of-service metrics across the network, including read times, turnaround time, and studies per shift – broken out by reader, site, modality, and client.

Yes, when you want it to. Auto-assign removes selective claiming entirely, and pull workflows can be constrained so readers take from a rules-defined slice of the queue.

Yes. AutoScribe is required for AI-powered reporting in Orchestrator. It provides the Omnibox, Ask Mode, auto-generated impressions and follow-up recommendations, comparison text, report validation, and the templates and macros your readers work from.

No. One login, one worklist, one workspace across every connected site – eliminating per-PACS logins, viewers, and dictation tools.

Back to the systems that need them. Reports are delivered to the source environment and to your clients' EHR or RIS over HL7 or HTTPS/API.

Yes. Templates and macros can be scoped by client, modality, and subspecialty so a reader covering several contracts produces reports in each client's expected format.

The ones your readers already use, including 3mensio, Circle CVI, Medis, TeraRecon, Ziosoft, and other major specialty viewers – launched from the same worklist without a per-vendor integration project.

Yes. Avara Viewer holds FDA 510(k) clearance (K262120) for diagnostic interpretation across modalities, including mammography.

Yes. Some contracts require it. Orchestrator still owns the worklist and routing, and the reader opens the client's viewer for that study rather than working outside the queue.

Yes. Protocols are tied to the reader and the normalized study type, so a reader covering several clients gets a consistent layout.

Through a DICOM node or an API/HTTPS connection, depending on what the site supports. Both paths deliver normalized studies into the same worklist.

No. Orchestrator is archive-neutral by design. If you do standardize on Avara PACS, storage, routing, and reading come from one vendor with per-study pricing.

In the archives they came from. Orchestrator reaches into connected environments rather than requiring you to consolidate imaging first.

Orchestrator handles reading inside your network. Connect handles exchange with organizations outside it – sending studies and reports to referring providers or receiving priors. Groups commonly run both.

Yes. Many groups orchestrate first to fix reading operations, then migrate sites onto Avara PACS over time. Migration and setup have no fees.

Because routing rules encode your licensing, credentialing, client commitments, and shift coverage, and those need to be mapped with you rather than guessed at in a signup form. Scoping is free.

It depends on how many archives you are connecting and how complex your rules are. Connecting a site is straightforward, and there are no interfacing or setup fees – timeline is driven by scoping and credentialing rather than integration work. We work as fast as possible and often get sites up in under 3 days. With a cooperative point of contact, we guarantee 7 days.

Orchestrator is free. You only pay the AutoScribe fee ($0.99 per study dictated) and the Avara PACS storage fee ($4.50 per study) when you use those products. Adding and removing sites carries no interfacing or setup fees.

24/7 support, because reading operations run overnight. You also get onboarding and training for the coordinators who manage routing, not just the radiologists who read.

Yes. Connect works as a standalone product. You can send and receive referrals, share medical imaging and documents, and message partner organizations without adopting the full Avara Clinical Platform. Clinical Platform customers get additional capabilities like booking inbound referrals on your calendar, appointment sharing, and patient messaging – and study sharing is free with Clinical Platform.

Any organization that sends or receives care handoffs across organizational lines:

• Imaging centers receiving referrals and returning studies and reports
• Primary care and urgent care sending imaging and specialty referrals
• Specialty practices exchanging studies and results with referring providers
• Hospitals and health systems coordinating inbound and outbound transfers of care
• Teleradiology groups receiving studies from client sites

Connect handles the full handoff, not just images:

• DICOM studies opened in the FDA-cleared Avara Viewer in the browser
• Documents and reports (PDFs, clinical notes, radiology reports)
• Structured referrals with patient context, documents, priority, and expiry
• Appointments (Clinical Platform senders; Connect-only can receive)
• Secure messages with partner organizations and your internal team

Fax and CDs lose context, and per-recipient portals mean a new login for every partner. Connect gives you one approved network: every relationship is explicit and auditable, referrals arrive as structured records, studies open in a diagnostic viewer with no software to install, and you choose continuity of care or patient consent before each release.

No. Partners need a Connect account, which they can create for free from your invitation. They do not need Clinical Platform, PACS, or any other Avara product to receive referrals, view studies you share, or message you back.

Yes. Avara Viewer is included free with Connect. It is FDA-cleared for diagnostic reading, runs in the browser with no downloads, and opens shared studies directly – so recipients never need CDs, VPNs, or separate viewer software.

No. You do not need to connect or move your PACS. Most teams simply drag and drop study files into Connect to share them. If you also use Avara PACS, sharing is available from the archive without an extra step.

You share with approved Connect contacts – other healthcare organizations you invite or accept onto your network. Each contact relationship is explicit and auditable, so you always know which partners have access to shared information.

Search for organizations already on Connect and send a request, or invite a new partner by email. Once they accept, every Connect workflow is available through that relationship. Inviting and being invited are both free.

Yes. Inbound requests require your approval, and you can decline any organization you do not work with. Nothing is exchanged until you accept.

Only what you share with them. Being a contact does not grant access to your patients, schedule, or archive – it opens a channel. Every study, document, and referral is released individually under the sharing method you choose.

Yes. You can remove a contact at any time, which closes the channel for future exchanges. You can also revoke access to records you already shared.

Yes. On a contact's profile you can assign a user to process referral tasks from that organization. Assigned referrals appear in that user's worklist, and you can also configure a notification list when new referrals arrive.

Yes. Connect keeps an auditable record of every exchange: what was shared, by whom, with which organization, when, and under which sharing method.

Referrals arrive with:

• Patient demographics and contact information
• Reason for referral and clinical notes
• Requested study or service
• Priority (normal, high, or stat)
• Expiry date as a signal for your team
• Attached documents such as orders, prior reports, and payer documentation

Inbound referrals live in one worklist ordered by priority (stat, then high, then normal). Statuses cover the path from arrival through scheduling so nothing sits in a fax tray.

Mark appointment types as Connect available. Approved Connect contacts can then send referrals for those appointment types. Clinical Platform customers can optionally allow partners to book those types directly on your calendar.

Yes, for Clinical Platform customers. When direct booking is enabled on an appointment type, approved partners can book patients on your calendar (with optional upfront payment). Connect-only organizations can receive and resolve referrals, but calendar booking from a referral requires Clinical Platform.

When a Clinical Platform customer books a patient from a received referral, that appointment is automatically shared with the referring provider under continuity of care. When the radiology report is finalized, the referring provider is notified by email. You can also share studies and documents manually through the same channel.

Eligibility checks inside the referral workflow are in progress. The goal is to confirm coverage before care is scheduled rather than after the visit. Contact sales if this matters to your workflow and we will share timing and early access.

Prior authorization inside the Connect referrals workflow is in progress. Contact sales to discuss timing and early access.

No. Expiry dates are a signal for your team – expired referrals remain visible so you can review whether they are still actionable. Payers often require referrals to remain valid within a window; you set expiry accordingly.

You can mark a referral as resolved or cancel it. Clinical Platform customers can also book the patient from the referral. The referring organization sees status changes so they can redirect the patient when needed.

You can share:

• DICOM studies with the full diagnostic viewer experience
• Documents only (reports, notes, payer documentation)
• Appointments (Clinical Platform senders; Connect-only customers can receive and onward-share appointment packages)

The recipient receives what the patient can see: patient-visible documents, intake forms, the radiology report when ready, DICOM images when ready, and billing events. Chart notes and clinic-only internal documents are not included.

If you receive a study, appointment, or documents from another provider, you can share that information onward to another healthcare organization using the same continuity of care or patient consent workflow. Every share forms an auditable chain of access.

Yes. You can revoke access at any time. If you revoke as part of an onward-sharing chain, downstream recipients lose access as well. Revocation applies immediately for future access, and the audit log retains the record.

Yes. The embedded Avara Viewer is the same FDA-cleared product as standalone Avara Viewer (K262120). Recipients open shared studies in a cleared diagnostic viewer, not a general-purpose preview.

No. The $4.50 per study send charge (for Connect-only customers) covers that study for unlimited shares – send the same study to as many Connect contacts as needed without additional per-recipient fees.

No. Avara Connect does not act as a PACS node for receiving studies. The archive stays within Avara PACS when you use it, and for Connect you upload studies with drag and drop.

Connect emails the patient a one-time link to sign in and approve or reject the release. Once signed, the receiving organization is granted access with no additional steps on your end.

When you are sharing with a healthcare provider involved in the patient's treatment and your organization has determined the disclosure is permitted under applicable law. Common examples include referrals, treating-provider requests, consultations, and care coordination. Non-healthcare recipients and non-treatment purposes should use patient consent.

Yes. Access can be revoked at any time for any share, regardless of which method authorized it.

Yes. Every release records what was shared, who shared it, which organization received it, when, the authorization method used, and any later revocation.

No. Patient messaging requires the Clinical Platform. Connect on its own covers organization-to-organization messaging and your internal channels.

Yes. Messaging is HIPAA-compliant and encrypted, and conversations are auditable – so you can discuss a specific patient without falling back to unsecured email or fax.

No. Messaging is free, including internal channels and conversations with your Connect contacts.

Sending and receiving referrals, sending and receiving documents, receiving DICOM studies, messaging, and the FDA-cleared Avara Viewer. If your organization never sends studies, Connect remains completely free.

Every Connect-only organization starts with 50 free study sends. After they are used, sends are $4.50 per study. Clinical Platform customers do not pay per-study send fees for Connect study sharing.

No. Receiving is always free, no matter how many studies partners send you.

No. There are no long-term contracts, no minimum volumes, and no spend commitments.

Both are in progress, so pricing is not published yet. Contact sales if these workflows matter to your practice.

Yes. Imaging, documents, and messages are encrypted in transit and at rest on secure cloud infrastructure built to healthcare standards.

Yes. User activity and every cross-organization exchange are logged, including shares, views, revocations, and the authorization method used for each release.

Yes. Role-based permissions determine who can invite partners, release records, and manage sharing settings.

Minutes. Create your account, add the people on your team who handle referrals and imaging, and invite your first partner. There is no implementation project required to start.

Invite them. They can create a free account from your invitation and start receiving your referrals and studies immediately.

Avara provides 24/7 support by phone and email, plus onboarding help for teams rolling Connect out across multiple locations or replacing a fax-based referral process.

Contact sales from our website or schedule a demo. We respond within one business hour.