It’s not every day that a healthcare software company grows virally to 25,000 users. Clinicians generally don’t impulse-adopt new tools, and they don’t share software recommendations the way consumers do. The industry moves through purchasing committees, pilot programs, and multi-year implementation cycles — not word-of-mouth and organic adoption curves that hockey-stick upward.

That’s exactly why Freed, an AI scribe built for small practices, stands out as an anomaly. Since its inception in 2023, the startup has achieved something almost unheard of in healthcare: true bottom-up, clinician-driven growth to become a viral AI scribe solution. They’ve scaled without massive sales teams or enterprise contracts that force adoption. Instead, their growth has been driven entirely by individual clinicians who found that the time savings they gained by using Freed have significantly reduced their burnout levels, allowing them to enjoy a better sense of work-life balance and improve patient care outcomes. 

Now, Freed has launched EHR Push — an AI agent that logs directly into web-based EHRs and transfers clinical notes without requiring APIs, integrations, or IT support. A clinician finalizes a note in Freed, clicks a button, and the agent navigates through their EHR like a trained assistant — finding the right fields, mapping sections, and inserting content.

When a company with this kind of traction demonstrates that autonomous agents can reliably automate EHR workflows without APIs or vendor coordination, it signals an early, potentially major, shift in healthcare’s traditional software model. 

“‘Anti-integration’ is the right model now because the underlying agentic AI technology has matured to the point that it is reliable, fast, and getting better every day,” says Erez Druk, Freed’s Co-founder and CEO. “Clinicians get the benefit immediately, without being stuck in an integration queue.”

The Integration Model That Healthcare Is Built On

Generally, every piece of clinical software that talks to an EHR today does it through custom integrations. API access gets negotiated vendor-to-vendor. Engineering teams spend months mapping data fields. IT departments manage ongoing maintenance. When workflows change or systems update, integrations break and need to be rebuilt.

“Traditional API-based EHR integrations are slow to set up, expensive to maintain, and often incomplete,” Druk says. “You can wait months to get partial functionality, and if you switch EHRs or update workflows, you start over.”

That model creates a structural inequality in healthcare IT. Large health systems with dedicated IT departments and enterprise budgets can justify six-month, six-figure integration projects. They can staff the ongoing maintenance. They can negotiate favorable terms with vendors.

Solo practitioners and small group practices cannot. They wait in integration queues that never get shorter. They get partial functionality or none at all, and often struggle with manual workflows that larger systems automated years ago.

“The core problem is that integrations disproportionately serve large systems with budgets and IT teams, while small and mid-sized practices are left behind,” Druk explains.

Now, with EHR Push, Freed is showing there’s another way — one that works from day one, for any practice, without waiting in line.

What Changes When Integrations Become Optional

EHR Push uses an autonomous agent to navigate any web-based EHR and insert finalized clinical notes, without the need for APIs, custom development, or large IT budgets for implementation and maintenance. When a clinician finalizes a note in Freed, they simply click “Push to EHR,” and the Chrome extension navigates through the browser within the EHR — mapping structured sections of the note to the correct fields in the chart and inserting them. 

Setup takes minutes, not months. “That means day-one utility across any web-based EHR, with no tickets and no custom work,” Druk notes.

The technical achievement is significant. Freed’s agent is purpose-built to navigate and understand EHRs — making sense of outdated, inconsistent user interfaces across hundreds of different systems in the marketplace. 

If agents can reliably automate EHR workflows without integrations, then every minute and every dollar currently spent on integration projects, API maintenance, and vendor coordination becomes available for something else, fundamentally changing the economics of healthcare IT. 

This means that small practices suddenly have access to the same capabilities as large health systems. Technology vendors can ship features that work everywhere immediately, instead of rolling them out system-by-system over the years. Innovation speed is no longer limited by integration queue depth.

“EHR Push has consistently pushed the boundaries of what is possible, even with the latest technology,” Druk says. 

From Documentation to Full Ambient Intelligence

Freed recently launched ICD-10 support, which Druk says has proven both highly accurate and well-received. The company is now extending agent capabilities to automatically transfer problem lists. Over the next 12 to 24 months, the roadmap includes chart hygiene, structured data capture, and order preparation.

“In the long run, we envision a world where (clinicians) can simply stop recording and have documentation, orders, prescriptions, and follow-ups fully complete — and we got just one step closer,” Druk explains.

Five years out, Druk envisions clinicians spending their time on patient care while agents handle documentation, coding assistance, follow-ups, and administrative prep that doesn’t require clinical judgment. It’s an ambient intelligence model where the AI works across multiple systems without the clinician needing to switch contexts or manually transfer information.

What 25,000 Clinicians Tell Us About What’s Next

In beta testing, Freed tracked three metrics that correlate with real ROI: first-attempt completion rate, end-to-end latency, and workflow retention. The results validate the idea that clinicians will change their workflows when the time savings are real.

“Across cohorts, considerable time is saved for every patient encounter,” Druk reports. “For solo and small-group practices, that’s the difference between wrapping charts at the end of the day versus burning weekends.”

With engagement and retention both trending upward as EHR Push rolls out, Freed isn’t just proving that agent-based workflows work technically. It’s proving they work operationally, at scale, in the messy reality of everyday clinical practice.

“That speed to value is exactly why we focused on small practices first — it levels the playing field with enterprise capabilities they could never justify before,” Druk says.

The milestones Freed is targeting are concrete: general availability with enterprise-grade SLAs,  clinician adoption and retention, and scale from thousands to tens of thousands of daily agent sessions.

“Hitting those gives us the conviction to keep investing in the agentic platform clinicians are asking for,” Druk says.