State of AI therapy scribes 2026
Aggregate editorial data across the 14 AI therapy scribes we track — where the category is strong, where it's still uneven, and where solo and group practices should focus.
Key takeaways
- 14 of 14 tracked scribes sign HIPAA BAAs — up from ~50% at the start of 2025.
- Only 4 of 14 offer a real ongoing free tier — Upheal remains the standout.
- Average note-quality score across the category is 7.8/10; average compliance is 8.0/10.
- Multilingual support is still the biggest gap — 7 of 14 vendors go beyond English.
Category averages
Full editorial dataset
| Scribe | Note quality | Compliance | Integration | Pricing | Breadth | Support | Overall |
|---|---|---|---|---|---|---|---|
| Twofold Health | 9.4 | 8.8 | 7.8 | 9.8 | 8.8 | 8.8 | 9.3 |
| Upheal | 8.8 | 8.5 | 7.5 | 9.2 | 9.0 | 8.0 | 8.7 |
| Mentalyc | 8.6 | 8.4 | 7.0 | 7.8 | 9.2 | 8.0 | 8.4 |
| Heidi Health | 8.4 | 8.6 | 7.2 | 9.0 | 8.4 | 8.0 | 8.3 |
| Blueprint | 8.0 | 8.2 | 7.2 | 7.6 | 7.8 | 8.4 | 8.2 |
| Freed | 8.0 | 8.0 | 7.0 | 7.6 | 7.4 | 8.2 | 7.9 |
| Eleos Health | 8.0 | 8.6 | 8.2 | 5.5 | 8.4 | 8.2 | 7.9 |
| AutoNotes | 7.6 | 7.4 | 6.8 | 8.4 | 8.6 | 7.2 | 7.6 |
| Supanote | 7.2 | 7.0 | 6.5 | 8.8 | 7.0 | 7.0 | 7.4 |
| Lyrebird Health | 7.4 | 8.2 | 7.0 | 7.0 | 7.0 | 7.4 | 7.3 |
| Yung Sidekick | 7.0 | 6.8 | 6.5 | 7.5 | 6.8 | 7.0 | 7.2 |
| Clinical Notes AI | 7.0 | 7.2 | 6.5 | 7.2 | 7.4 | 7.0 | 7.1 |
| Nabla Copilot | 7.4 | 9.2 | 8.0 | 8.0 | 6.4 | 7.8 | 7.0 |
| NoteDesigner | 7.0 | 7.6 | 5.5 | 8.4 | 7.2 | 7.0 | 6.8 |
Where the category is heading
Three trends are shaping 2026. First, therapy-first vendors have caught up on compliance — BAAs, encryption, no-training defaults — narrowing the moat that enterprise scribes used to hold. Second, treatment-plan continuity (goals persisting across sessions) is emerging as the real differentiator, replacing raw transcription accuracy which has plateaued near 95%+ across the field. Third, native EHR write-back remains the industry's biggest gap: copy-paste is still the norm even for scribes marketed as "SimplePractice-compatible".
For solo practice, the tools have converged enough that price and template fit matter more than raw quality. For CMHC and enterprise, the field remains thin — Eleos Health and Nuance DAX Copilot are the two credible enterprise options, with a wide gap to the next tier.
Methodology
Scores are editorial, based on the rubric documented on our methodology page. Every vendor claim is verified against the vendor's own public documentation and dated in our changelog.
Cite this page
TherapyScribes.review. State of AI therapy scribes 2026. 2026-06-20. https://comparetherapyscribe.com/research