diff --git a/docs/api/calib/pyhealth.calib.predictionset.rst b/docs/api/calib/pyhealth.calib.predictionset.rst
index 740b1c87c..8e4d43e6f 100644
--- a/docs/api/calib/pyhealth.calib.predictionset.rst
+++ b/docs/api/calib/pyhealth.calib.predictionset.rst
@@ -49,6 +49,17 @@ LABEL (Least Ambiguous Set-valued Classifier)
 SCRIB (Set-classifier with Class-specific Risk Bounds)
 -------------------------------------------------------
 
+.. note::
+
+   SCRIB's Chance-Ambiguity and per-class risk are both defined by the
+   paper relative to singleton (``|H(X)|=1``) and multi-label
+   (``|H(X)|>1``) prediction sets; the paper does not specify how an
+   *empty* set (``|H(X)|=0``) should be scored. This implementation
+   treats any non-singleton set -- empty or multi-label alike -- as
+   "not sure," consistently in both the optimized loss and the
+   ``rejection_rate``/``error_ps`` metrics used to evaluate it. See the
+   class docstring's ``Note`` for why.
+
 .. autoclass:: pyhealth.calib.predictionset.SCRIB
    :members:
    :undoc-members:
diff --git a/examples/cxr/covid19cxr_conformal.py b/examples/cxr/covid19cxr_conformal.py
index 47e2eebbc..783b80f49 100644
--- a/examples/cxr/covid19cxr_conformal.py
+++ b/examples/cxr/covid19cxr_conformal.py
@@ -6,6 +6,13 @@
 2. Conventional conformal prediction using LABEL
 3. Covariate shift adaptive conformal prediction using CovariateLabel
 4. Comparison of coverage and efficiency between the two methods
+
+Note: LABEL's (and SCRIB's) coverage guarantee assumes exchangeability
+between the calibration and test distributions; it does not correct for
+covariate shift. CovariateLabel is the method here designed to handle
+that case explicitly -- under real distribution shift, expect LABEL to
+under-cover even with a fully correct implementation, since that is an
+assumption violation, not a bug.
 """
 
 import numpy as np
diff --git a/pyhealth/calib/predictionset/scrib/__init__.py b/pyhealth/calib/predictionset/scrib/__init__.py
index 3406bef3b..e86a5f446 100644
--- a/pyhealth/calib/predictionset/scrib/__init__.py
+++ b/pyhealth/calib/predictionset/scrib/__init__.py
@@ -189,7 +189,24 @@ class SCRIB(SetPredictor):
 
         Lin, Zhen, Lucas Glass, M. Brandon Westover, Cao Xiao, and Jimeng Sun.
         "SCRIB: Set-classifier with Class-specific Risk Bounds for Blackbox Models."
-        AAAI 2022.
+        AAAI 2022. https://arxiv.org/abs/2103.03945
+
+    Note:
+        The paper defines Chance-Ambiguity as :math:`\\hat{P}\\{|H(X)|>1\\}`
+        and risk as :math:`\\hat{r}_k(H) := \\hat{P}_k\\{k \\notin H(X) \\mid
+        |H(X)|=1\\}` -- both conditioned specifically on singleton (exactly
+        one label) or multi-label sets, and the paper does not discuss how
+        an *empty* set (:math:`|H(X)|=0`) should be scored. This
+        implementation (and the ``rejection_rate``/``error_ps`` metrics
+        used to evaluate it) instead treats any non-singleton set --
+        empty or multi-label alike -- as "not sure"/rejected, consistent
+        throughout both the optimized loss and the reported metrics. This
+        is a deliberate choice, not an oversight: under the paper's
+        literal definition, a degenerate classifier that always predicts
+        an empty set would show zero ambiguity loss (0 is not >1) and zero
+        risk loss (no singleton predictions to be wrong on), making it
+        appear loss-free despite being useless; scoring empty sets as
+        "not sure" closes that gap.
 
     Args:
         model (BaseModel): A trained model.