Pretty Good AI vs Notable

An enterprise platform and an athenaOne platform

Pretty Good AI sells one product on one EHR. Notable sells a healthcare automation platform, founded in 2017, funded with a $100M Series B in November 2021 at a $600M valuation, and aimed at large healthcare organizations. Its athenahealth Marketplace listing carries 6 practice connections as of 2 October 2026.

Both automate the work in front of the visit. The difference is which direction the engineering points. Notable’s points across a healthcare enterprise. Ours points into athenaOne, all of it.

Start with the listing, not the brand

One detail decides most of this comparison for an athenaOne practice, and it is printed on Notable’s own Marketplace listing: the required athenahealth products are athenaCollector and athenaPractice.

athenaPractice is a different product line from athenaOne. That does not mean an athenaOne practice cannot work with Notable, and we are not going to guess at what they support off a listing field. It means the question belongs on the first call, before a shortlist forms: which athenahealth configuration is live today, how many practices on that configuration are running, and what the integration writes back.

The 6 connections sit alongside that. We are at 45 with 22 ratings, all five-star, as of October 2026. Connection counts are a crude measure of a lot of things, but they are a direct measure of one: how many athena practices have actually turned this on.

What built-before-2023 means, fairly

Notable has real production scale and has had it for years. TechCrunch’s 2021 coverage of the Series B described automation running inside large systems, and a platform that has survived that long inside hospital operations is not a toy. Where the rules are stable and written down, deterministic automation is an excellent answer and hard to beat.

Where it gets harder is the exception. Our starting point was a phone call, which has no draft and no retry. The patient is on the line, the agent gets one pass, and whatever it decides has to be right and has to land in athenaOne before the call ends. Everything about how we built the integration follows from that constraint, which is why we hold production access to 820+ athenaOne APIs, read and write, instead of a narrower wedge.

So the fair question to put to any vendor founded before 2023 is not “are you AI”. It is which parts were rebuilt for agents and which parts were wrapped.

The rule nobody wrote down

This is where the direction of the engineering shows up in a practice’s week.

At one vascular group, roughly nine in ten visits are a diagnostic ultrasound paired with an office visit with the physician, booked together with specific spacing. Patients do not know this. They call and ask for an appointment with their doctor. Nothing in the scheduling template enforces the pair. The rule exists only as practice convention, so the only way to find it is to read ninety days of that practice’s own booking history, infer the pattern, and confirm it with staff before writing it into a workflow.

We know how it fails, because it failed on a live test call there. The agent booked the ultrasound and the provider visit for one body region, and the follow-up task that should have been created was not. Half the workflow silently did not exist. Staff caught it in review, which is the design: the exception goes to a person who is expecting to look, not to a patient at check-in three weeks later.

A self-service portal does not discover that rule. A playbook deployment does not either. Somebody has to go and find it in the data and then sit with the staff who have been working around it for years.

What runs on our side today

Voice answers and completes the work. Unanswered calls become cases in athenaOne. Secure two-way text runs on the same integration, so a thread and a call share context and write the same records. Around that: referral intake from fax, portal and web, tickler and order outreach, waitlist backfill and no-show recovery, eligibility and prior-auth prep, denials and appeals, balance outreach under your billing team’s rules, post-visit outcome calls and surveys, forms signed inside athenaOne, web scheduling and self-check-in, and per-call review with reporting on all of it. We run the full administrative call in 10 languages, English, Spanish, French, German, Hindi, Russian, Portuguese, Japanese, Italian and Dutch, with the same workflows in each.

Clinical decisions stay with your care team. The Pretty Good AI platform has attained HITRUST i1 certification. Pretty Good AI signs a HIPAA Business Associate Agreement (BAA) before any patient data is touched. SOC 2 Type II and ISO 27001 audit reports are available upon request.

What we would tell you to check

Ask both vendors for a live call and a live booking on your own tenant, and watch whether athenaOne ends up updated with no task created for staff. Ask how many practices on your exact athenahealth configuration are live today. Ask what happens on the ones that fail, who sees the exception, and who rewrites the workflow in January when your scheduling rules change.

Then run the test that actually separates us. Describe the most awkward local rule you have, the one your staff work around every week, and ask each vendor how long it takes to automate that rule as your practice runs it. Our answer is days to weeks inside the same onboarding window, because the depth of the athenaOne integration is what makes an unusual workflow buildable at all, and because we map the workflow your staff already run rather than asking them to re-cut it to suit the product. You do not adapt to us.

Then get the total. Ours is a platform fee per location, a per-provider fee for the modules you switch on, and voice metered per call. We agree on the first workflow, how success will be measured, and the pricing for continued use before launch. There are no setup fees. Your first 30 days live are free. The clock starts when your first agreed workflow goes live in your practice, whether that is voice, web scheduling, referrals or another workflow. When the free 30 days end, service continues automatically, month to month, at the pricing in your order form. New workflows are priced when activated. Every competitor figure on this page was checked against the vendor’s own Marketplace listing and published reporting on 2 October 2026.