circleOS vs. Tandem Health

Tandem is a scribe. circleOS is the EMR worth scribing into.

Tandem Health is a great AI scribe layer that plugs into someone else's EMR. circleOS is the EMR layer — Scheduling, Plans, Charge and a real Patient Portal — with AI Notes and pre-visit briefings already inside it.

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circleOS dashboard — appointments this week, latest bookings, latest comments

Where do the notes go?

Tandem produces a clinical note. Then the clinic asks the question every Tandem customer asks: into which EMR, attached to which appointment, linked to which plan, against which invoice? circleOS already knows. Notes land in the patient record automatically — wired to the schedule, the plan, and the billing run that comes after.

See ProfilesSee Notes
circleOS — the EMR a scribe writes into

AI notes are one feature inside Circle Intelligence, not the product.

circleOS does the same job a scribe does — voice and shorthand turned into structured documentation. The difference is the model also knows the schedule, the plan, the invoice and the patient. One understanding, not a connector. The note that mentions session four of six already knows it's session four of six.

See NotesSee Circle Intelligence
AI notes inside circleOS, attached to the patient record

The day before, not just the consult.

Tandem joins when the clinician hits record. By 8am, circleOS has prepared a briefing on every patient on the day's calendar — last visit, plan progress, outstanding items, relevant context. The clinician arrives prepared. Live Mode shows the day with all of it already in place.

See Live Mode
Live Mode — AI briefings on every patient before they walk in

No connector to babysit.

The Tandem-into-your-EMR integration is somebody's job — and the day either side ships an update, that job becomes urgent. Notes inside circleOS skip the integration entirely: the same product that scheduled the appointment also writes the note and reconciles the invoice.

See NotesSee Plans
Notes linked to the plan and the invoice — no connector

And the rest of the day.

A scribe fixes one problem. The other problems still arrive every morning: scheduling, Plans, Charge, intake, multi-location, payments, the live operational view, a real Patient Portalon the patient's phone. circleOS ships them all native — so picking an EMR and picking AI documentation are one decision, not two.

See Patient PortalSee Charge
Patient Portal and the rest of the operating system

Honest, side-by-side

How circleOS compares to Tandem Health.

Tandem is a great scribe layer that plugs into someone else's EMR. circleOS is the EMR layer — scheduling, plans, billing and patient app — with AI notes and briefings already inside it.

Capability
circleOSOperating system
Tandem HealthAI scribe + EMR connectors
Doc-CirrusLegacy KBV-cert PMS
Eterno CloudAll-in-one cloud + GenAI
NellyIntake + AI docs + payments
Heidi HealthAI ambient scribe
Online patient bookingPatient-facing self-scheduling.
Supported
Not supported
Supported
Supported
Not supportedActivates after booking elsewhere
Not supported
Multi-disciplinary schedulingRosters across providers, rooms and locations.
Supported
Not supported
SupportedResource planning
Supported
Not supported
Not supported
Recurring care plansMulti-session care priced & tracked as one object.
Supported
Not supported
Not supported
Not supported
PartialAI Treatment Plan Agent
Not supported
AI-assisted clinical notesAmbient/voice → structured documentation.
Supported
SupportedTheir core product
Via integrationviaVia Tandem partnership
Supported
Supported
SupportedTheir core product
AI pre-visit briefingsPer-patient context generated before the consult.
Supported
Not supported
Not supported
Not supported
Not supported
Not supported
Digital intake formsPatient-completed anamnesis, multi-language.
Supported
Not supported
Via integrationviaVia Nelly Connect
Supported
Supported50+ languages — their core
PartialForm-fill, not patient-facing
Invoicing & paymentsVisit → invoice → paid.
Supported
PartialSuggests codes only
SupportedEBM/GOÄ/HzV
Supported
SupportedPlus patient financing
Not supported
Real patient appPatients manage bookings, plans, invoices, documents.
Supported
Not supported
PartialWeb portal
PartialPatient files / portal
PartialWeb portal, intake-led
Not supported
Multi-location & rolesSites, teams, role-based permissions.
Supported
Partial
Supported
Supported
Supported700+ Colosseum Dental sites
Partial
AI-native architectureBuilt around AI from day one, not retrofitted.
Supported
Supported
Not supportedAI bolted onto 2012 platform
Partial
Partial
Supported
GDPR + DE/EU residencyPatient data resident in the EU.
Supported
SupportedEU data centres
SupportedDE, ISO 27001
SupportedCertified DE cloud
SupportedAWS Frankfurt, TÜV
PartialAU HQ, global hosting
Webhooks & public APIBuild on top of the platform.
Supported
Partial100+ EHR integrations
Not supportedPartner integrations only
Not supportedNot publicly documented
PartialPMS Connector
SupportedPublic roadmap

Comparison reflects publicly documented capabilities as of May 2026. Competitor products evolve fast — corrections welcome at peter@circle.health.

Built for clinics that have grown

Multi-location, multi-role, multi-everything.

Sites in three cities, a finance team that needs a real reporting layer, a developer team that wants webhooks. circleOS scales with you.

  • Multiple Locations

    Beta

    Offer services at multiple locations.

  • Roles & Permissions

    v0.0.9

    Granular permissions to control who accesses what.

  • Rich Analytics

    v0.1.5

    circleOS integrates with Metabase to enable you to build custom reports on top of your data.

  • Webhooks

    Beta

    circleOS emits events such as `booking.created` → use them.

We didn't reinvent these

Powered by industry-leading tech.

Stripe handles money. InSuite handles clinical billing. Fillout handles forms. circleOS is the layer that ties them to a patient.

  • InSuite logo
    InSuiteLaunched

    Invoice sync, status refresh, and checkout handoff for billing.

  • Front logo
    FrontLaunched

    Create patients from conversations and open the linked profile in context.

  • Fillout logo
    Filloutv0.1.2

    Build forms via Fillout & have them show up in circleOS.

  • Metabase logo
    Metabasev0.0.1

    Configure dashboards via Metabase & view them in circleOS.

  • Slack logo
    Slackv0.0.1

    Notifications for key events in Slack.

  • Knock logo
    Knockv0.0.1

    Powerful notification infrastructure.

  • Typesense logo
    Typesensev0.0.9

    Typo-tolerant global search engine.

  • Medusa logo
    Medusav0.1.2

    Commerce & inventory features.

  • Langdock logo
    Langdockv0.0.1

    Powers Circle Intelligence & other AI features.

  • Stripe logo
    Stripev0.0.9

    Use Stripe as a payment provider for online checkout.

  • Mixpanel logo
    Mixpanelv0.0.1

    Server-side, event-driven analytics.

  • Supabase logo
    Supabasev0.0.1

    Database and authentication.

Thinking about a switch?

Peter (CEO) will walk you through how circleOS would fit your clinic and what a migration would actually look like. Thirty minutes, no slides.

Read the docs

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