How to choose an AI medical scribe
The right AI scribe depends on how you practice. A solo family medicine physician running 20-minute appointments has different needs than a multi-provider urgent care clinic seeing 40 patients a day. Before comparing feature lists, identify your non-negotiables: Do you need offline recording for rural settings? Do your notes require specialty-specific templates? Is a mobile app essential for your workflow? Starting from your actual constraints narrows the field faster than any feature matrix.
What to compare
When evaluating AI medical scribes, these criteria separate tools that save you time from tools that create new friction:
- Documentation quality — SOAP notes, structured output, clinical accuracy, and the ability to match your documentation style
- Ambient capture and dictation support — real-time recording during encounters plus post-visit dictation for catching up
- Specialty workflow coverage — templates and output formats tailored to your discipline
- EHR workflow — how easily notes move into your medical record system (copy, export, or direct integration)
- Security and HIPAA posture — BAA availability, encryption, data retention policies, and audit controls
- Pricing transparency — clear per-clinician or per-encounter costs without hidden fees
- Mobile and web availability — access from the devices and locations where you actually work
- Template customization — the ability to define your own note structures rather than being locked into a vendor default
Comparison summary
The table below summarizes publicly available feature information across seven AI medical scribe tools. Feature availability was verified against vendor websites as of May 2026.
Quick feature snapshot
| Feature | Dictum | Freed | Heidi | Suki | Abridge | DeepScribe | Nabla |
|---|---|---|---|---|---|---|---|
| Ambient capture | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Post-visit dictation | ✓ | ✓ | ✓ | ✓ | — | — | ✓ |
| Custom templates | ✓ | Limited | ✓ | ✓ | — | Limited | ✓ |
| Referral letters | ✓ | — | ✓ | — | — | — | ✓ |
| Offline capture | ✓ | — | — | — | — | — | — |
| Free plan | ✓ | ✓ | ✓ | — | — | — | ✓ |
| Feature | Dictum | Freed | Heidi Health | Suki | Abridge | DeepScribe | Nabla |
|---|---|---|---|---|---|---|---|
| Ambient capture | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Post-visit dictation | Yes | Yes | Yes | Yes | No | No | Yes |
| SOAP notes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Custom templates | Yes | Limited | Yes | Yes | No | Limited | Yes |
| Patient summaries | Yes | Yes | Yes | Check vendor | Yes | Check vendor | Yes |
| Referral letters | Yes | No | Yes | No | No | No | Yes |
| Offline capture | Yes | No | No | No | No | No | No |
| Mobile app | Yes (iOS/Android) | Yes (iOS) | Yes (iOS/Android) | Yes (iOS) | Check vendor | Check vendor | Yes (iOS/Android) |
| Free plan | Yes | Yes | Yes | No | No | No | Yes |
| BAA available | Yes | Yes | Yes | Yes | Yes | Yes | Check vendor |
Best for solo clinicians
Solo practitioners need a tool that works without IT support, starts quickly, and doesn't require a contract commitment. Pricing transparency matters — per-encounter fees can spike unpredictably when patient volume fluctuates. A mobile app with offline capability gives flexibility for clinicians who split time between locations or work in areas with unreliable connectivity. Look for tools with a free tier that lets you evaluate documentation quality across your actual patient mix before paying.
Best for small practices
Small practices (2–10 clinicians) benefit from consistent note structure across providers. Shared templates reduce variability and simplify chart review. Volume discounts or flat per-clinician pricing become important when multiple licenses are involved. Consider whether the tool supports team management features — assigning templates by specialty, viewing usage, or centralizing billing — without requiring enterprise-level pricing.
Best for specialty workflows
Specialty-specific documentation has requirements that generic SOAP templates miss. A psychiatry note needs different sections than an orthopedic consult. The most useful AI scribes let you define custom templates per encounter type — or provide pre-built specialty templates that match discipline conventions. If your specialty uses structured scoring systems, procedure-specific documentation, or multi-visit tracking, verify that the tool handles these before adopting it across your practice.
Security and HIPAA considerations
Every AI scribe processes protected health information. At minimum, confirm that the vendor provides a signed Business Associate Agreement, encrypts data in transit and at rest, and publishes a clear data retention policy. Ask how audio recordings are handled — are they deleted after transcription, stored temporarily, or retained indefinitely? Vendors that process data through third-party LLM APIs should disclose this and explain their data processing agreements. For a deeper look at evaluating vendor security posture, see our guide to HIPAA-compliant AI medical scribes.
Where Dictum fits
Dictum is built for clinicians who want structured documentation without giving up control. It supports both ambient recording during encounters and post-visit dictation, generates SOAP notes with custom templates, and works offline on mobile. There's a free tier, and paid plans are transparent per-clinician pricing. See our pricing page for current plan details.
Methodology and update note
This page was last updated May 2026. Feature availability was verified against vendor websites and publicly available product documentation. Product features, pricing, and compliance information can change. Always verify current details with each vendor before making a purchasing decision.
Frequently asked questions
Documentation quality matters most. An AI scribe should produce structured, clinically accurate note drafts — typically in SOAP format — that require minimal editing before entering the EHR. Accuracy of medical terminology, context retention across the encounter, and the ability to match your documentation style are the primary differentiators.
Most AI medical scribes generate SOAP-formatted notes, but the depth and flexibility vary. Some tools only produce a fixed SOAP layout while others let you customize section headings, add problem-based assessments, or use specialty-specific templates. Confirm that the note structure matches your workflow before committing.
Not all AI scribes are HIPAA compliant by default. Look for vendors that offer a signed Business Associate Agreement, encrypt data in transit and at rest, and clearly describe how audio and transcript data is stored, processed, and deleted. Compliance claims without a BAA are insufficient for covered entities.
Very few AI medical scribes support offline recording. Dictum offers offline capture where audio is recorded locally on the device and processed once connectivity is restored. Most competing tools require an active internet connection for both recording and note generation.
Pricing ranges from free tiers with limited encounters to $100–$300+ per clinician per month for unlimited plans. Some vendors charge per encounter, others offer flat monthly subscriptions, and enterprise pricing often requires a sales conversation. Compare what is included at each tier — encounter limits, template access, and support levels vary significantly.
Yes. Every AI-generated clinical note is a draft that requires clinician review before entering the medical record. No AI system is perfectly accurate, and the signing clinician remains responsible for the content of their documentation. Treat AI scribe output as a time-saving starting point, not a finished product.
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