Eleos Health vs Twofold Health
Two of the AI therapy scribes we track, compared on the dimensions that actually determine fit: clinical note quality, compliance, EHR integration and pricing.
Key takeaways
- Eleos Health starts at Sales-led; no public pricing; Twofold Health starts at Free 1-week trial, then $19 first month.
- HIPAA: Eleos Health — Yes; Twofold Health — Yes.
- Note formats: Eleos Health — SOAP, DAP, BIRP, GIRP, Narrative, Custom; Twofold Health — BIRP, DAP, SOAP, Narrative, Custom.
- Regions: Eleos Health — US; Twofold Health — US.
Side-by-side
| Feature | ||
|---|---|---|
| Editorial score | 7.9 / 10 | 9.0 / 10 |
| Status | Provisional | Hands-on tested |
| Starting price | Sales-led; no public pricing | Free 1-week trial, then $19 first month |
| Free tier | No | No |
| Free trial | — | 7 days |
| HIPAA + BAA | Yes | Yes |
| SOC 2 | Yes | — |
| GDPR | — | — |
| 42 CFR Part 2 | Yes | — |
| Note formats | SOAP, DAP, BIRP, GIRP, Narrative, Custom | BIRP, DAP, SOAP, Narrative, Custom |
| Languages | 2 | 1 |
| Regions | US | US |
| EHR integrations | 3 | 2 |
| Founded | 2019 | 2023 |
| HQ | Boston, MA, USA · Tel Aviv, Israel | United States |
Eleos Health
Enterprise-grade behavioral-health platform — not aimed at solo practitioners. Strong on multi-modal session analytics (fidelity to evidence-based modalities, suicide-risk surfacing), EHR integrations into Netsmart, Qualifacts and Valant, and SOC 2 + HIPAA + 42 CFR Part 2 stance suitable for SUD programs. Pricing is enterprise-quoted, with no self-serve tier. Provisional until we complete a hands-on deployment in a clinic setting.
Read the full Eleos Health review →Twofold Health
Twofold is built for behavioral health rather than retrofitted from a generic medical scribe. BIRP, DAP and SOAP for mental health ship as defaults, the product emphasises Golden Thread continuity between assessment, treatment plan and progress notes, and capture is HIPAA-aligned with a signed BAA on every paid account. Published pricing is at the low end of the category — a one-week free trial then $19 for the first month. Trade-offs to be aware of: it is a younger product than Mentalyc or Upheal, the public footprint of an independent SOC 2 Type II report is thinner than enterprise-grade scribes, and EHR write-back is copy-paste / export today rather than native sync into SimplePractice or TherapyNotes. A reasonable shortlist candidate for solo and small-group therapy practices; clinicians in SUD (42 CFR Part 2) or NHS-facing UK settings should confirm posture directly and compare against Eleos or Upheal before committing.
Read the full Twofold Health review →Bottom line
Pick Eleos Health if you need behavioral-health organizations, ccbhcs and community mental-health centers. Pick Twofold Health if you need behavioral-health and therapy clinicians who want a hipaa-aligned scribe with mental-health note formats by default and a low entry price. Verify on a live session before committing — both publish trials or free tiers worth using.
FAQ
Which is better, Eleos Health or Twofold Health?
On our editorial rubric, Twofold Health scores higher (9.0 vs 7.9). Best fit depends on your country, EHR, and budget — see the side-by-side table above.
Is Eleos Health cheaper than Twofold Health?
Eleos Health starts at Sales-led; no public pricing; Twofold Health starts at Free 1-week trial, then $19 first month.
Are both Eleos Health and Twofold Health HIPAA-compliant?
Eleos Health's HIPAA stance is "yes"; Twofold Health's is "yes" as of our last verification.
Which note formats do Eleos Health and Twofold Health support?
Eleos Health: SOAP, DAP, BIRP, GIRP, Narrative, Custom. Twofold Health: BIRP, DAP, SOAP, Narrative, Custom.
Do Eleos Health or Twofold Health integrate with SimplePractice or TherapyNotes?
Eleos Health has 3 published EHR integration(s); Twofold Health has 2. Most therapy scribes today use copy-paste rather than native write-back.