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FAQs

All Your Questions, Answered

Everything about how Cognivolt works, plans, compliance, and your data — organized by topic.

Getting to know Cognivolt

Cognivolt is a clinical AI documentation and decision-support platform built for mental-health and general clinicians. You record or upload a session, and Cognivolt turns it into a structured clinical note, a differential-diagnosis worksheet, ICD-10/CPT coding, and a longitudinal patient record — all in under a doctor-reviewed, doctor-approved workflow. It was built by a practicing clinician who wanted the documentation tool they wished existed.

Most AI scribes stop at transcription and a note. Cognivolt goes further with a full clinical decision-support layer — differential considerations, guideline references, ICD-10/CPT codes, and a psychoeducation guide — but every one of those only unlocks after you personally confirm the diagnosis, so the AI never gets to decide anything on its own. It's also built specialty-by-specialty (psychiatry, psychology, GP, cardiology, and more each get tailored prompting), captures both in-person and telemedicine sessions natively, and keeps your patient records end-to-end encrypted so not even Cognivolt's own team can read them.

All of them. Psychiatrists, PMHNPs, psychologists, psycho-therapists, counsellors, GPs, family and internal medicine physicians, cardiologists, neurologists, dermatologists, gastroenterologists, nephrologists, orthopaedic and general surgeons, and paediatricians are all supported today — and if your specialty isn't on the list, you can type it in at signup. Each specialty gets its own AI persona — the prompting, note structure, and clinical language are tailored to how that specialty actually documents, not a generic one-size-fits-all template.

No — and it's built specifically not to. Cognivolt is a documentation and decision-support tool, not a diagnostician. It suggests; it does not decide. Differential considerations, coding, guidelines, and psychoeducation content only generate after you review the transcript and confirm a diagnosis yourself. Like any AI, it can make mistakes, so every output is meant to be reviewed by you before it becomes part of the patient's record.

Safety, privacy & compliance

Cognivolt is built on HIPAA-eligible infrastructure and offers a Business Associate Agreement (BAA) that every doctor reviews and accepts during signup, before any patient data is ever processed. Compliance is a shared responsibility between Cognivolt and your practice, which is exactly what the BAA sets out.

Yes, Cognivolt is built to be GDPR compliant — patient data is encrypted, access is restricted to the treating doctor, and you retain full control to export or remove records as GDPR requires.

Yes. Cognivolt's infrastructure and access controls are built to SOC 2-ready standards for security, availability, and confidentiality of clinical data.

Yes. Session summaries and patient records are end-to-end encrypted at rest, so only your account can decrypt them — Cognivolt's own systems and staff cannot read your patients' clinical data.

Once a usable summary has been successfully generated from a session, the raw audio is permanently deleted from Cognivolt's storage. Audio is only ever kept as long as it's needed to produce your note — it isn't archived or reused afterward.

No. Every session requires you to actively check a consent box confirming the patient has consented to recording and AI-assisted documentation before the session can even start. There's no way to bypass this — it's a hard requirement of the workflow, not a suggestion.

Through several layers together: mandatory patient consent before every recording, end-to-end encryption of records, automatic audio deletion after summary generation, HIPAA-eligible infrastructure with a signed BAA, GDPR-compliant data handling, and access restricted entirely to the treating doctor's own account. No patient record is ever visible across doctor accounts.

You are, as the treating clinician — and Cognivolt is designed around that fact. The AI only suggests; nothing it generates becomes part of the medical record until you've reviewed and approved it. Treat every AI output the way you'd treat a note from a junior resident: useful, fast, but always your final call.

How it works — the workflow

Everything happens on one screen. Choose the setting (in person or telemedicine) and visit type, pick the patient — search your existing patients or start a new one — choose a note format, confirm patient consent, and record. You can also upload existing audio, type notes, or add document photos instead of recording. Cognivolt transcribes and diarizes the conversation and generates a structured note. You confirm the diagnosis, and the full clinical decision-support layer (differentials, coding, guidelines, psychoeducation) unlocks and generates. Review, edit anything you like, then save the session to the patient's chart and export.

For most sessions, the full structured note generates in well under a minute after the recording ends — you'll typically see a working draft appear almost immediately and the complete note shortly after, rather than waiting on a long batch job.

You pick the patient before recording — search your existing patients by name or MRN, or tap New patient. That is what keeps every visit on one chart, which matters for trends, treatment response and the safety checks that read a patient's history. For a walk-in whose name you have not caught yet, you can start a new patient with the name left blank: Cognivolt picks it up from the consultation itself and you confirm it before saving. Anything you type is never overwritten by what the AI heard — it only fills in what you left empty.

Four are built in — SOAP, DAP, BIRP and History — and you choose one per session, which decides how the AI structures that specific note. On Standard and Premium you can also write your own: your custom templates appear beside the four built-in formats on the Start Session screen and in the upload window.

Telemedicine mode captures both your microphone and the patient's system audio as two separate streams — for example on a Zoom call, you enable 'Share System Audio' when sharing your screen, and Cognivolt captures the patient's voice through that stream alongside your own microphone. It's built specifically so a virtual consult gets the same diarized, speaker-separated transcript as an in-person one.

Yes — any platform that lets you share or route system audio to your browser/device works the same way; Zoom is simply the one we walk you through directly in the app because it's the most common. The underlying capture (mic + system audio) works the same regardless of platform.

Yes, from the recording screen's Audio Upload tab or the Dashboard's Upload File shortcut. Upload files up to 60 minutes long, and it goes through the exact same transcription, diarization and note-generation pipeline as a live recording — same speaker separation, same note quality. It counts as a session and against your recording minutes, the same as live audio.

Whatever language you consult in — Cognivolt transcribes and diarizes it accurately regardless. The written record defaults to English, matching how medical documentation is written almost everywhere (a consultation in Urdu or Arabic is still routinely charted in English, since that's what referral letters, labs and colleagues expect). From Dashboard → Transcript language, you can switch to writing the record in the language you spoke, or in any other language — drug names, dosages and ICD codes always stay in their standard international form so a prescription remains readable to a pharmacist regardless.

Through automated speaker diarization — the audio is processed to separate who's speaking (clinician vs. patient) before transcription. If diarization only partially succeeds on a recording, Cognivolt flags this in the note with a disclaimer rather than silently guessing; if it fails entirely, you're offered a retry rather than a wrong transcript.

Custom templates, letters & documents

Yes, on Standard and Premium. On your Dashboard, go to Your templates → New template, describe the note you want in one sentence, and Cognivolt drafts the section structure for you — heading, what belongs in each section, and when to leave it out. Edit anything you like (or build the sections by hand instead), save it, and it appears beside SOAP, DAP, BIRP and History whenever you start a session. Everything else still runs exactly as before: coding, differentials, drug interaction and allergy checks, and the audit pass. The template changes the shape of the note, not what the product does.

Every section has four parts and all four are yours. The heading is what gets printed. 'What goes in it' describes the content in a sentence. The 'rule' says when to include or omit the section — that's what stops a section being filled with what's usually true of a diagnosis instead of what was actually discussed. And 'fixed text' is anything that must appear word for word every time, like a practice address, a standard consent line or a medico-legal footer. You can have up to 25 sections in any order; most doctors settle on between two and eight.

No. Anything you enter as fixed text is stamped into the note in code after generation rather than written by the AI, so it comes out character-for-character as you typed it. Reproducing a string unchanged is the one thing a language model shouldn't be trusted with, and those are exactly the strings that must not change.

Yes. Alongside note templates you can save document templates — referral letters, discharge summaries, medical certificates, patient explainers, or anything else you write regularly. They're built the same way, and they appear in the 'Letters & documents' panel at the end of a session and on any past session in your History, so you can write a referral days after the consultation. Choose the template, press Write it, and you get the document back to review, copy or download.

From your approved clinical note, never from the raw audio. The note is the version you reviewed and signed off; the transcript is not. Something said in the room and then corrected must not be able to reach a letter that leaves your practice. The letter is also written to use only what the note documents — it won't fill a gap with what's typically true of the diagnosis, and a section with nothing to draw on says so rather than inventing content.

No. A session keeps the structure it was written with — the template's sections are copied onto the session when it starts, not read back at display time. Editing a template only affects sessions from that point on.

Yes — templates are shared across a practice, the same as patients and sessions. A colleague joining finds the practice's agreed note formats already there rather than rebuilding them. If you work solo, they're simply yours.

Nothing is deleted. Creating and using templates needs Standard or Premium, and documents already generated stay readable on their sessions regardless of plan. Your built-in note formats — SOAP, DAP, BIRP, History — are unaffected on every plan.

How Cognivolt keeps outputs accurate

Several safeguards work together. The clinical model runs on high-reasoning ('thinking') modes tuned per task rather than a single generic pass. Prompts are guardrailed to stay within documented facts from the transcript instead of inventing clinical detail. And critically, the highest-stakes outputs — differential diagnosis, coding, guidelines, psychoeducation — are gated behind your own diagnosis confirmation, so the AI is reasoning from a clinician-verified anchor point, not guessing on its own.

Separate, specialized passes. Patient identification runs as its own step before the clinical note is written, and the note/risk-assessment/differential generation runs as a distinct step after you confirm the diagnosis. This separation exists specifically so an error in one stage (say, a misheard name) doesn't cascade uncorrected into the clinical content — you get a chance to fix it before the rest of the note builds on it.

Cognivolt calculates a diarization success ratio for every session. If diarization partially succeeds, the generated note carries a visible disclaimer so you know to double-check speaker attribution. If it fails outright, you're offered a direct retry rather than being handed an unreliable transcript.

Yes, everything — the note text, the detected patient name and age, the diagnosis, differentials, coding, and every other section are all editable inline before you save or export. Nothing is locked as AI-only content.

Clinical decision support (CDS)

Once you confirm a diagnosis, Cognivolt unlocks differential diagnosis considerations, ICD-10/CPT coding suggestions, relevant clinical guideline references, and a psychoeducation guide for the patient — all generated specifically for the diagnosis and specialty context of that session.

It's a structured risk-level judgment (for example low, moderate, or high — or 'not determinable' when the transcript doesn't support one) generated alongside the clinical note, based on what was actually discussed in the session. It's meant to flag sessions worth a closer second look, not to replace your own risk formulation.

Longitudinal Insights surface clinically relevant flags pulled from a follow-up session with prior history available — things like a notable change since the last visit — so they're not buried in the body of the note. Unlike the rest of the note, this isn't drawn from the current transcript alone; it's a trend or suggestion built from the patient's history. Runs specifically on follow-up sessions where there's a documented history to compare against.

It's an AI-generated, plain-language explanation of the confirmed diagnosis and its management, written for the patient rather than the clinician — something you can hand over or talk through with them directly instead of writing patient-facing material from scratch every time.

Cognivolt intentionally caps differential considerations to the top three most clinically relevant possibilities based on the session, rather than an exhaustive list — the goal is a useful second opinion you can scan in seconds, not a textbook dump.

It is built for every clinician. GP / General Practitioner is one of the built-in specialty personas, and the platform handles both OPD (in-person) and telemedicine consults. Any specialty gets the same structured note, ICD-10/CPT coding, differentials, prescribing safety checks and guideline references, tailored to that specialty's language and note structure. Where it goes deeper than a general tool is mental health work specifically — mental state examination, rating scales with scoring and trends, psychoeducation and therapy guides, and longitudinal tracking across visits — because that is the work it was first built for.

Patient records, EMR & analytics

Yes — Cognivolt is a full EMR for an outpatient practice. It builds a longitudinal chart per patient automatically as you document: allergies, problems with ICD-10 codes, active medications, rating-scale trends and risk all accumulate visit by visit, alongside a practice diary, a patient worklist and a patient portal. We say EMR rather than EHR deliberately. An EMR is your practice's own clinical record; an EHR is generally understood to also exchange that record with hospitals, labs and pharmacies across organisations, which Cognivolt does not do — there is no e-prescribing to a pharmacy network, no lab ordering and no claims submission. If your clinic already runs a larger hospital system, Cognivolt works just as well as the documentation layer feeding into it: every report and export is structured to slot straight in, including FHIR.

Analytics gives you practice-level visibility beyond any single session: sessions over time, note-format distribution, your most frequent diagnoses, session-type split, treatment response outcomes, medication success/failure rates, side-effect tracking, ICD-10 code distribution, and per-patient trend tables showing whether each patient is improving, stable, or declining across visits. It turns scattered session notes into a picture of how your practice and your patients are actually trending.

The direct time saving is the biggest one — documentation that used to take 10-15 minutes per patient after each session drops to a couple of minutes of review and editing, because the note, coding, and risk assessment are already drafted for you. Multiplied across a full patient list, that reclaims meaningful clinical or personal time every single day, which is the real ROI: not just the subscription cost, but the hours you get back.

More complete records (structured notes are far less likely to have gaps than notes written from memory after a long day), built-in longitudinal tracking per patient without extra effort, coding suggestions that reduce billing errors, a searchable patient history, and analytics that surface practice-wide trends you'd otherwise never see. It's fewer hours on paperwork and a better record at the end of it.

Plans, pricing & billing

No plan limits how long a single consultation can be — record a 5-minute follow-up or a 90-minute intake end to end — and no plan limits how many sessions you can run in a day. What differs is the monthly pool of recording minutes and the clinical features. Basic ($39/mo): 2,000 recording minutes a month, core note generation without the CDS layer (differentials, guidelines, psychoeducation, longitudinal insights). Standard ($89/mo): 10,000 minutes and the full CDS suite. Premium ($119/mo): unlimited recording minutes, for high-volume and telemedicine-heavy practices. All plans support annual billing at a 15% discount.

Basic is note-generation only — fast, accurate documentation without clinical decision support, with 2,000 recording minutes a month. Standard raises the pool to 10,000 minutes and unlocks differentials, ICD-10/CPT coding, guidelines, risk assessment, longitudinal insights, and psychoeducation. Premium removes both limits entirely — unlimited sessions and unlimited recording minutes — built for high-volume and telemedicine-heavy practices. Consultation length itself is unlimited on all three — a long intake is never cut short, whichever plan you are on. Most doctors who want the full clinical picture, not just a transcript, choose Standard or Premium.

It's the plan where you get the complete clinical decision-support experience — differentials, coding, guidelines, risk assessment, psychoeducation — with no monthly session ceiling, at a price well below Premium. Unless you are running a high enough volume to want no session or minute ceiling at all, Standard covers the vast majority of real-world practices and gives you everything clinically useful without paying for headroom you won't use.

From Settings → Subscription & Billing, you can start a checkout for any plan directly — upgrades take effect through Polar's secure checkout, and switching between monthly and annual billing is handled the same way. Cancelling schedules the change for the end of your current paid period rather than cutting you off immediately, so you keep full access until the period you already paid for ends.

You keep full access until the end of your current paid billing period — nothing is cut off immediately. After that period ends, new session creation and recording pauses until you resubscribe, but your existing patient records, past sessions, and exported notes remain fully visible and accessible at any time.

You get 14 days or up to 10 completed sessions, whichever comes first, with no credit card required to start. Once the trial ends, you're prompted to subscribe to keep creating new sessions — but nothing you've already documented is deleted or locked away.

Referrals

Every doctor gets a unique referral code (shown on your Dashboard, format CV-XXXXXX). Share it with a colleague — they enter it in the optional referral field when they sign up. Once they subscribe to a paid plan for the first time, you both automatically receive a tracked 40%-off-next-month reward.

You and your referred colleague each get 40% off your next month, but only once — it's triggered specifically when they convert from trial to an actual paid subscription, not just from signing up. This is intentional: the reward rewards a real colleague joining the platform, not just a code being entered.

Yes — your Dashboard shows your running referral count and how many 40%-off rewards you currently have pending, so you always know where you stand.

Exporting & reports

Every session exports as a clean, clinic-ready PDF, generated directly from the reviewed note — no separate formatting step required.

Two: a Full Report, which includes the complete clinical picture — note, confirmed diagnosis, differentials, risk assessment, coding, and guidelines/psychoeducation where applicable — and a Notes-only export, which is just the clinical note itself for a lighter-weight document. You choose which one fits the situation.

Yes — from Settings, you can add your professional credentials (e.g. 'MBBS, FCPS (Psychiatry) — License #12345'), which then appear under your name on the letterhead of every exported note and report, so your exports look professionally signed off without you typing it out each time.

Once you've set them up: go to Settings → Profile, add your credentials in the export-credentials field, and save. From then on, every exported note and full report carries them automatically on the letterhead — no need to re-add them per export.

Yes. Every session and patient record can be exported as a PDF at any time — your documentation is never locked into a format only Cognivolt can read.

Yes — Cognivolt is a full patient record on its own, but you don't have to switch everything at once. The simplest way is copy and paste: copy the finished note and paste it into your other system, no setup needed. For moving real volume, the free Cognivolt Super Extension can fill an open EHR tab for you directly. And for a full migration, FHIR export hands your records over in the standard format most modern EHRs already understand.

It's a free browser add-on. Open a patient in your other EHR, click the Cognivolt icon, and it fills the page for you — either everything at once (note, diagnosis, ICD-10/CPT codes, MSE, risk assessment, medications, each into its own matching field) or just the one field you point it at, via a right-click "paste here" option. It only ever touches a page after you personally click something, and it only reads your own notes.

FHIR export is for moving your records into another system in bulk, in the standard structured format most modern EHRs read natively — best for bringing years of history over in one go. The Super Extension is for day-to-day use: filling in one EHR's fields, one patient at a time, right as you're looking at that patient's chart.

Account management

From Settings → Security → Deactivate Account, confirm the action, and it takes effect immediately — you'll be signed out and new session creation/recording is paused. It's fully reversible: log back in any time and reactivate with one click from the same screen.

Yes. Deactivation only blocks starting or recording new sessions — it never deletes or hides anything. Your Patients, Session History, Analytics, and every exported note remain fully accessible the entire time your account is deactivated, and reactivating simply restores the ability to start new sessions.

In Settings → Security, expand Change Password, enter your current and new password, and save — it's collapsed by default to keep the Security tab uncluttered but is always right there.

Name and contact number are editable any time from Settings → Profile. Specialty and country are set at signup to keep your AI persona and regional compliance context consistent, so reach out to support if either genuinely needs to change.

There's a feedback button available on every page inside the app (not on the public site) — click it, pick a type (bug, suggestion, or general feedback), and send your message directly to our team. It goes straight to support, with your account context attached, so we can act on it fast.

Email us any time at support@cognivolt.app — for BAA requests, billing questions, or anything else. We read every message ourselves.

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