In 2025, AI medical scribes have evolved far beyond simple note-taking tools. Once used mainly to transcribe patient encounters, today’s best AI scribes act as medical copilots — capable of not only documenting visits but also streamline pre-visit chart preparation, surfacing patient history, automating forms, suggesting billing codes, and syncing seamlessly with EMRs.
Clinicians across North America are turning to these solutions to combat charting fatigue, improve accuracy, and spend more time with patients instead of screens.
How to select the right tool for your specialty, practice, workflow and team?
This guide compares the top AI scribes of 2025. Whether you’re a solo clinician, a growing group practice, or part of a large health system, you’ll have everything you need to find the right tool for you.
Over the past few years, AI scribes have transformed from background ambient listeners to intelligent workflow assistants.
Then (Early AI Scribes) | Now (AI Copilots in 2025 and future) |
|---|---|
Basic transcription from audio | Real-time structured documentation across the full visit cycle |
Manual review and editing | Context-aware summarization with specialty templates |
No EMR sync | Bi-directional EMR integration (Accuro, OSCAR, Epic, etc.) |
Single-platform (desktop) | Cross-platform: web, mobile, tablets, Chrome extensions |
Limited workflow support (during-visit scribe only) | End-to-end workflow coverage: pre-visit intake → during-visit charting → post-visit summaries, billing, and patient handouts |
Limited compliance coverage | PHIPA, PIPEDA, HIPAA-compliant with full audit logs |
For small to medium-sized clinics and hospitals, the ideal AI scribe should combine enterprise-grade security with clinical-level usability — affordable, customizable, and available on every platform clinicians use.
Based on physician research and recent peer-reviewed recommendations from Canadian Family Physician (Sept 2025), these are the five pillars that matter most when evaluating today’s AI medical scribes.
Accuracy & Note Quality: Understands medical context, specialty nuance, and negative findings; Learns from user edits to improve over time and minimizes editing.
Workflow Integration & Usability: Works across pre-visit intake, real-time scribing, and post-visit summaries. Integrates smoothly with EMRs; Covers in-person, telemedicine, voice dictation captures, and runs on web, mobile, and tablet.
Privacy & Compliance: Complies with PHIPA, PIPEDA, and HIPAA standards. Data is regionally hosted, fully encrypted, and auditable.
Pricing & Services Reliability: Transparent pricing with measurable time savings. Factor in uptime, support quality, and available funding and partnership discounts (e.g., AAFP, Infoway, OntarioMD, BC Health Authorities).
Physician & Patient Experience: Easy to use with fewer clicks and faster team adoption. Optimized for efficiency, with customizable templates and patient-friendly summaries.
Feature | Empathia AI | Freed AI | Tali AI | Abridge AI | Suki AI | Nabla | Scribeberry | Heidi Health |
|---|---|---|---|---|---|---|---|---|
Best For | Small–medium clinics & hospitals (Canada & US) | Small & midsized clinics (2–50) | Simple notes, EMR integration in Canada | Large health systems in US | Large orgs with IT support | Multispecialty & telehealth | Independent clinics | Group practices (AUS) |
Customization | ⭐⭐⭐⭐ Highly customizable templates & note styles | ⭐⭐ Basic edits | ⭐⭐⭐ Limited | ⭐⭐ Limited | ⭐⭐⭐ Template-driven | ⭐⭐⭐ Customizable summaries | ⭐⭐⭐ Easy setup | ⭐⭐ ⭐ Templates library (Paid version only) |
Specialty Fit | Multi-specialty, PCP, Hospitalists | PCP | PCP | Hospital specialists | Internal med, hospitalists | PCP | PCP, Multispecialty | Multispecialty |
Patient Intake Automation | Yes, AI Pre-visit Intake | No | No | No | No | No | Yes, general | No |
Billing & Coding | ✅Built-in ICD/CPT + Province level service code automation | ❌ None | ⚪️ Suggestive only | ✅ CPT capture via Epic | ⚪️ ICD support | No | Suggestive only | ICD (beta) |
EMR/EHR Integrations | Accuro, Epic, Oscar, MedAccess, Plexia, Athenahealth, eClinicalWorks, Practice Fusions, Office Ally, NextGen, TouchWorks, Dr.Chrono, Elation | CHR, MedAccess, PS Suite | Epic, Cerner, Meditech, Athena | Accuro | ||||
Customer Support | North America-based live support + 24/7 chat | Email-only | Canada-based | Enterprise | Enterprise only | Chat-based | Chat & email | |
Platform Access | Web, mobile, tablet, Chrome extension | Web & mobile | Web, EMR plug-in | Desktop & mobile | Mobile, desktop | Web & app | Web app | Web & mobile |
Pricing (Est.) | Free under Infoway / discount programs / affordable subscription | ~US$99/mo | ~CA$150/mo | Enterprise pricing | $299/mo | $119/mo | Low-cost plans | ~US$120/mo |
💡 Why Empathia AI
Enterprise-level security at a clinic-friendly price
End-to-end coverage: intake → charting → billing → handouts
Available on web, iOS/Android app, Chrome extension, and tablets
Customizable templates for every specialty
Trusted by clinicians across Canada and the US
Whether you’re managing quick urgent visits, multi-issue chronic care, multi-speaker family conversations, or complex surgical assessments, Empathia adapts to your real clinical workflow — not the other way around.
Family Medicine & Primary Care
Built for high-volume practices with multi-problem visits, chronic disease follow-ups, sick notes, and structured preventive care. Automated chart prep delivers clear summaries before every visit.
Pediatrics
Perfect for parent + child encounters, capturing multiple voices accurately. Supports developmental milestones, well-child visits, growth tracking, asthma/ADHD follow-ups, and school or daycare notes.
OB/GYN & Women’s Health
Streamlines prenatal and postpartum visits, gynecologic ROS, procedure notes, and referral workflows for fertility, pelvic health, and menopause care.
Psychiatry & Mental Health
Excels with long, narrative encounters — generating organized HPIs, MSEs, psychotherapy notes, trauma-informed interviews, and risk assessments.
Built for complex, longitudinal care across multi-system disease. Customizable templates for:
Oncology: treatment summaries, symptom trends, toxicity monitoring
Allergy & Immunology: trigger histories, testing results, immunotherapy follow-ups
Cardiology, Endocrinology, Respirology, Gastroenterology: detailed system-based assessments and monitoring
Optimized for consult-heavy and peri-operative documentation, including:
General Surgery: pre-op assessments, operative summaries, post-op follow-ups
Orthopedics: injury/Msk exams, fracture management, post-op rehab documentation
ENT: adult and pediatric consults, multi-speaker histories, procedure notes
Plastics: aesthetic and reconstructive consults, pre/post-op wound evaluations
Call patients directly through the app, record external telemed visits, and generate follow-up instructions instantly — all without switching tools.
Empathia is the one clinical copilot that adapts to every specialty, every visit type, and every documentation style — while keeping your workflow effortless.
The best AI scribes today do more than take notes: they act as clinical copilots, supporting the full care workflow before, during, and after each visit.
Clinicians and health system leaders now look for solutions that are accurate, secure, usability, and seamlessly woven into existing workflows.
Across thousands of clinicians in Canada and the US, several themes consistently emerge when they compare Empathia with Freed, Tali, Nabla, Abridge, Suki, Scriberry, or Heidi.
Here are the most common differentiators that matter in real daily workflows:
Designed for both community clinics and inpatient rounding, hospital rooming, and bedside care.
Clinicians repeatedly describe Empathia’s mobile app as “more stable,” “faster,” and “smoother” than competitor apps.
Ideal for physicians who move between rooms, sites, or hospitals.
Call patients directly from the Empathia app with your clinic caller ID.
Record any telemedicine visit, even if you’re using Zoom, Doxy, OTN, or another virtual platform.
Seamlessly switches between in-person and remote workflows.
Automatically generates patient chart summaries before the visit — saves time reviewing old notes.
AI intake supports both digital forms and voice-based intake for patients who can’t complete forms online.
Unlike other vendors only support patient context during visit and text only, Empathia supports uploading additional files pre-visit or post-visit for complete documentation.
(Extremely popular with specialists)
MOAs can help with sending intake forms, prepping charts, and autofilling forms.
No need to buy another full physician seat.
Includes a free trial and follows the same security and compliance standards.
Empathia delivers higher accuracy for the most common languages used across North America:
Chinese (Mandarin/Cantonese), Punjabi, Hindi, Farsi, Vietnamese, Spanish, French, and more.
Reduces manual retranscription
Improves accuracy for diverse patient populations
Makes a big difference in hospital and community clinic settings
Bring your existing templates from EMR, Word docs, or other AI scribe tools — we help you migrate them quickly.
Highly customizable note structures for specialties, personal styles, and clinical requirements.
Clinicians frequently highlight how Empathia’s support is:
Fast
Local (Canada/US)
Knowledgeable about clinical workflows
Hands-on with onboarding and template building
Fully PHIPA, PIPEDA, and HIPAA compliant
Regional data hosting
Audit logs, MFA, encrypted data, and privacy-first architecture
Deepest association discounts and Infoway-funded access available
💡 Empathia combines the security and reliability expected from enterprise vendors with pricing and usability optimized for everyday clinics.
Comparing AI Scribes: How Empathia Delivers Value and Reliability
How to Choose the Right AI Charting Tool: What Every Clinician Should Know
Empathia AI Clinical Assistant Built for How You Practice - Product Details
Check Empathia AI Clinical Workflow Hub: AI Medical Scribes in North America – Complete Guide for Physicians
Check Empathia AI Specialty Hub: AI Medical Scribes by Specialty: PCP, Psychiatry, Surgery, Emergency Medicine & More
Check Empathia AI Privacy Compliance Hub: AI & Compliance in Healthcare — Building Trust for Clinicians and Team