HealOS and Rosie both offer AI-powered voice agents, but they are designed for fundamentally different markets. HealOS is a specialized, HIPAA-compliant platform built exclusively for the complex needs of healthcare practices, offering a suite of integrated AI services that go far beyond call answering. Rosie is a general-purpose AI answering service for small businesses, providing affordable, unlimited call handling for non-medical use cases. This comparison explains why for any medical or healthcare provider, HealOS is the superior choice, while Rosie is better suited for industries like home services, real estate, or general small businesses.
HealOS is an end-to-end automation platform for healthcare, with a powerful AI Receptionist and a suite of integrated services:
HIPAA-Compliant Voice AI: Secure, encrypted, and built for patient privacy
Healthcare-Optimized NLP: Understands medical terminology, symptoms, and insurance queries
Seamless EHR Integration: Connects with over 150 healthcare systems (Epic, Cerner, Athena)
Smart Scheduling & Routing: Manages complex appointments and routes urgent cases
Integrated AI Services: Works with HealOS AI Scribe, Eligibility Checks, and automation tools
Advanced Workflows: Supports multi-location routing, custom scripts, and call summaries
Rosie is a general-purpose AI answering service designed for affordability and ease of use for small businesses:
Unlimited Call Answering: All plans include unlimited minutes
Bilingual Support: English and Spanish support included
Simple Setup: Scans a business website to get started quickly
Calendar Integrations: Works with Google Calendar, Calendly, and more
Call Transfers: Offers warm transfers and the ability to send texts during calls
General Business Focus: Designed for industries like plumbing, HVAC, and real estate
HealOS offers scalable, minute-based plans designed for the specific needs of healthcare practices.
Rosie offers simple, affordable plans with unlimited minutes for general business use.
| Feature | HealOS (for Healthcare) | Rosie (for General Business) |
|---|---|---|
| Primary Market | Healthcare & Medical Practices | General Small Businesses |
| HIPAA Compliance | ✅ Yes, Built-in | ❌ No, Not Mentioned |
| Medical NLP | ✅ Yes, Healthcare-Optimized | ❌ No, General Purpose |
| EHR Integrations | ✅ 150+ Systems | ❌ No, Calendar Only |
| Integrated Services | ✅ AI Scribe, Eligibility Checks | ❌ No, Standalone Service |
| Advanced Workflows | ✅ Yes (Pro and up) | Limited |
| White-Label Option | ✅ Yes (Agency plan) | Not specified |
| Pricing Model | Scalable, Minute-Based | Flat Fee, Unlimited Minutes |
| Bilingual Support | Not specified | ✅ Yes, Included |
| Starting Price | $49/month | $49/month |
Best for:
Any healthcare provider, from a solo practitioner to a large hospital system, that requires a specialized, secure, and integrated AI platform designed for the unique demands of the medical industry.
Best for:
General small businesses that need a simple, low-cost AI answering service and do not handle sensitive personal health information.
HealOS and Rosie are both excellent AI voice agents, but they serve entirely different markets. For any healthcare practice, HealOS is the only viable choice. Its HIPAA-compliant architecture, healthcare-optimized language model, and deep EHR integrations are non-negotiable requirements for handling sensitive patient information.
Rosie is a fantastic and affordable option for small businesses in non-medical fields. Its unlimited minutes, simple setup, and bilingual support make it a great value for companies that need a reliable front-line answering service. However, it lacks the security, specialization, and integrated features necessary for any healthcare application.
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