Tempus ECG-AF vs Merlin.net

Similar category, different focus. These tools serve overlapping but distinct needs. Comparability 60/100 Comparability is an AI-graded 0–100 score of how directly these two tools compete — higher means a more apples-to-apples comparison.
by Tempus AI, Inc.
VS
by Abbott (formerly St. Jude Medical)

AI Verdict

These tools address distinct needs within cardiology; Tempus ECG-AF is designed for identifying patients at risk of developing new-onset atrial fibrillation through ECG analysis. In contrast, Merlin.net provides a remote monitoring platform specifically for managing data from patients with existing Abbott implanted cardiac devices. While both are relevant to cardiology, they serve different patient populations and clinical workflows, making them complementary rather than direct competitors.

Choose Tempus ECG-AF if…

Choose Tempus ECG-AF if your primary objective is to proactively identify patients aged 65 or older who are at an increased risk of developing new-onset atrial fibrillation within the next 12 months, utilizing standard 12-lead ECG recordings. This tool is ideal for screening efforts in a geriatric population without pre-existing AF or implanted cardiac devices, facilitating earlier risk stratification and potential intervention.

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Choose Merlin.net if…

Choose Merlin.net if you require a robust, web-based platform for the remote management and monitoring of patients with Abbott implanted cardiac devices. This system is best suited for clinicians needing to efficiently track device performance, receive alerts for patient events, and integrate cardiac data into EHRs for comprehensive, ongoing patient care and follow-up coordination.

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Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Tempus ECG-AF Merlin.net
Pricing Contact vendor Unknown
Deployment Software solution, integrated into healthcare facility systems with advanced cardiology algorithms. Web-based
BAA Available Yes AI-estimated Yes AI-estimated
FDA Status Yes AI-estimated Cleared AI-estimated
HIPAA Yes AI-estimated Yes AI-estimated

Head-to-Head

AI-generated assessment across six dimensions based on each tool's documented features and compliance posture. Grounded in public data — not a substitute for hands-on evaluation.

Usability

Merlin.net

Merlin.net offers a comprehensive web-based platform with a dedicated user interface, featuring tools like DirectAlerts, SmartSchedule, and DirectCall for active clinician interaction and remote patient management. In contrast, Tempus ECG-AF is an algorithm that integrates into existing healthcare facility systems and explicitly states it does not have a dedicated user interface, meaning its output is consumed within other systems rather than through its own direct clinician-facing application.

Clinical Value

Tempus ECG-AF

Tempus ECG-AF provides a unique clinical value by utilizing AI to predict the risk of new-onset atrial fibrillation within 12 months from standard 12-lead ECGs, enabling earlier identification and follow-up for a broad patient population. Merlin.net, while valuable, focuses on the remote management and monitoring of patients already diagnosed and implanted with cardiac devices.

Pricing & Value

Tempus ECG-AF

While both tools require contacting the vendor for pricing, Tempus ECG-AF transparently provides specific CMS reimbursement CPT codes (0764T and 0765T) and a Medicare rate of $128.90, effective January 1, 2025. This explicit information on reimbursement pathways significantly enhances its perceived value by offering clarity on financial sustainability for healthcare providers.

Enterprise Readiness

Merlin.net

Both tools are FDA-cleared, HIPAA compliant, and offer BAAs. However, Merlin.net demonstrates stronger enterprise readiness through its cloud-based deployment on Microsoft Azure with EU regionalized data processing and explicit support for seamless EHR integration via HL7 standards. Tempus ECG-AF integrates with existing ECG platforms and EHRs, but Merlin.net's detailed cloud infrastructure and specific integration standards suggest a more robust and scalable solution for large healthcare systems.

Innovation

Tempus ECG-AF

Tempus ECG-AF represents a more significant innovation by applying AI to standard ECGs for predictive risk assessment of future atrial fibrillation onset, a novel approach to proactive disease identification. Merlin.net, while a comprehensive remote monitoring platform with advanced features, operates within the more established domain of managing patients with existing implanted cardiac devices.

Support & Docs

Merlin.net

Merlin.net offers extensive support resources, including a detailed 'Merlin.net Patient Care Network Arrhythmia and Device Management Application Help Manual' and an 'EHRDirectu2122 Integration FAQ,' alongside multiple customer support contact numbers. Tempus ECG-AF provides a contact email and phone number for support but does not detail the availability of comprehensive documentation or user resources.

Feature-by-Feature

Detail beyond the Quick Comparison summary. For pricing, deployment, BAA, FDA, and HIPAA see the Overview tab.

Feature Tempus ECG-AF Merlin.net
Tool Name Tempus ECG-AF Merlin.net
Company Tempus AI, Inc. Abbott
Primary Function AI-based algorithm analyzing 12-lead ECGs to identify patients aged 65 or older at increased risk of developing atrial fibrillation/flutter (AF) within the next 12 months. Web-based remote monitoring platform for clinicians to manage data from patients with implanted cardiac devices.
Target Patient/Device Type Patients 65 years or older without pre-existing AF, pacemakers, ICDs, or recent cardiac surgery; compatible with FDA authorized resting 12-lead ECGs from GE Medical Systems and Philips Medical Systems. Patients with Abbott implanted cardiac devices
Key Technology/Methodology AI-based algorithm for 12-lead ECG analysis, trained on over 1.5 million ECGs. Remote monitoring platform with data management, EHR integration (HL7), and patient communication features.
Specialties Supported Cardiology, Geriatrics, Internal Medicine Cardiology

Videos

Demos, reviews, and walkthroughs featuring Tempus ECG-AF and Merlin.net.

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Frequently Asked Questions

Tempus ECG-AF analyzes 12-lead ECG recordings to identify patients aged 65 or older at increased risk of developing atrial fibrillation/flutter (AF) within the next 12 months, supporting earlier identification and follow-up. Merlin.net is a web-based remote monitoring platform for clinicians to manage data from patients with Abbott implanted cardiac devices, enabling remote follow-up, device performance monitoring, and informed clinical decisions.
Tempus ECG-AF is a software solution integrated into healthcare facility systems and is compatible with FDA authorized resting 12-lead ECGs from GE Medical Systems and Philips Medical Systems. Merlin.net offers EHRDirectu2122 data transfer for seamless EHR integration using HL7 standards, allowing automatic export of transmission data from Merlin.net PCN to a clinic's EHR system.
Tempus ECG-AF's AI algorithm was trained on over 1.5 million ECGs from over 500,000 patients to identify AF risk, demonstrating a sensitivity of 31% and specificity of 92% for classifying patients who developed AF within one year. Merlin.net's utility lies in providing efficient remote management of patients with implanted cardiac devices, offering features like DirectAlertsu2122 for patient events and DirectTrendu2122 Viewer for dynamic device and clinical trends.
Tempus ECG-AF is designed for Cardiology, Geriatrics, and Internal Medicine, specifically for patients 65 years or older without pre-existing AF, pacemakers, ICDs, or recent cardiac surgery. Merlin.net is primarily for Cardiology, serving patients with Abbott implanted cardiac devices, including pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapy devices.
Tempus ECG-AF, as an AI-based algorithm integrated into existing systems without a dedicated user interface, would involve understanding its output and incorporating it into diagnostic pathways. Merlin.net, being a web-based remote monitoring platform with features like a one-screen follow-up and SmartScheduleu2122, is designed for managing device data and patient communication, though some users have found the interface not intuitive and the learning curve steep.
Merlin.net offers data management and review of cardiac information, including the DirectTrendu2122 Viewer for dynamic device and clinical trends, which supports traceability of device data and events. Tempus ECG-AF's results, as a diagnostic aid, are intended to be interpreted in conjunction with other diagnostic information and clinical history, becoming part of the patient's overall clinical record, but specific in-software audit-trail features are not detailed.
Tempus ECG-AF is a software solution integrated into healthcare facility systems, which may involve site-specific IT considerations for each location, though Tempus aims for scalable deployment across hospitals and outpatient settings. Merlin.net, as a web-based remote monitoring platform, offers features like EHRDirectu2122 for seamless integration and remote management capabilities that could streamline multi-site deployment and coordination.

Backers

Who funded each tool's parent company.

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