HealOS and Smith.ai take completely different approaches to modern clinic automation. HealOS focuses on medical documentation, ICD-10/CPT coding, insurance verification, and fax-to-EHR automation with transparent, low pricing. Smith.ai is built around AI + human receptionists, offering call answering, intake, lead qualification, and chat services primarily suited for law firms and service-based businesses. Smith.ai charges per call or per chat, while HealOS offers unlimited usage at a flat monthly rate. This comparison breaks down HealOS vs Smith.ai across pricing, features, AI receptionist capabilities, medical automation, and overall value for clinics.
HealOS is built for full clinical automation. It eliminates administrative tasks by combining AI documentation, insurance workflows, and front-desk automation into one platform. HealOS offers end-to-end automation for medical, therapy, and dental practices:
Unlimited AI medical scribe sessions
ICD-10 & CPT auto-coding
Chrome Extension for instant EHR note transfer
Insurance verification + prior authorization
AI fax-to-EHR extraction with structured mapping
24/7 AI receptionist for calls + scheduling
Support for medical, therapy, behavioral health, and dental EHR systems
HealOS is ideal for clinics needing affordable, predictable, high-accuracy automation without usage limits.
Smith.ai is a hybrid virtual receptionist service combining AI and human agents. It focuses on lead intake, call answering, and client communication rather than medical workflows.
24/7 AI + human receptionists
Lead qualification + full client intake
Call routing, call transfers, and warm transfers
Call recording + transcription
Spam filtering + call screening
Appointment scheduling + payment collection
AI-powered and human-powered web chat
5,000+ CRM and calendar integrations (Clio, Lawmatics, MyCase, Zapier, Make, etc.)
Bilingual English/Spanish support
SOC 2 Type II + HIPAA compliance
Smith.ai is designed for law firms and service businesses, not for medical documentation or insurance workflows.
HealOS offers simple, flat-rate pricing with unlimited usage. It is designed to be the most affordable medical automation platform on the market.
Perfect for small practices needing unlimited AI scribing.
Includes:
Ideal for clinics requiring deeper automation & fast note transfers.
Includes everything in Core, plus:
Smith.ai charges per call or per chat. Pricing depends heavily on call volume, making it more expensive for growing practices.
Smith.ai pricing scales quickly based on call/chat volume, making it expensive for busy clinics.
| Category | HealOS | Smith.ai |
|---|---|---|
| Industry Coverage | Medical, therapy, dental, behavioral health | Law firms, service businesses |
| AI Receptionist Channels | Voice, SMS, Email, Forms, Fax | Voice, SMS, Web Chat |
| 24/7 Call Handling | ✅ Yes | ✅ Yes |
| Appointment Scheduling | Multi-specialty workflows | Yes (general scheduling) |
| Medical Documentation | Full AI scribe | ❌ No |
| ICD-10/CPT Coding | Included | ❌ No |
| Insurance Verification | Included | ❌ No |
| Prior Authorization | Included | ❌ No |
| Fax-to-EHR Automation | Included | ❌ No |
| Lead Qualification | Basic (healthcare-specific) | Advanced (AI + human) |
| AI + Human Hybrid | AI-only | AI + human |
| Live Call Transfer | Yes | Yes |
| EHR Integrations | Epic, Cerner, Athena, Allscripts, Jane | Legal CRMs only (Clio, MyCase, Lawmatics, etc.) |
| Pricing | $49–$99/month | $97–$2,025/month |
| Free Plan | 20 free sessions | None (Paid only) |
| Best For | Medical + dental + therapy clinics | Law firms, agencies, service businesses |
This section compares automation platforms with traditional receptionist hiring to show cost and workflow differences.
| Category | HealOS | Smith.ai | Manual Front Desk |
|---|---|---|---|
| Pricing Transparency | Fully transparent | Semi-transparent | Varies |
| Cost Efficiency | Highest | Moderate | Lowest |
| AI Medical Scribe | Yes | No | No |
| Insurance Verification | Yes | No | Staff-dependent |
| Prior Authorization | Yes | No | Staff-dependent |
| Fax Automation | Yes | No | Manual |
| AI Receptionist | Yes | Yes | Staff |
| Multi-Channel Support | Voice, SMS, email, forms | Voice, SMS, chat | Phone only |
| Documentation Speed | <2 minutes | N/A | 5–10 minutes |
| Best For | All healthcare specialties | Law firms | Clinics with dedicated staff |
Best for:
Primary care, therapy, pediatrics, behavioral health, urgent care, dental, and multi-provider clinics.
Best for:
Law firms, service companies, agencies, consulting practices, and businesses with high-value leads.
HealOS is the stronger choice for clinics needing full medical workflow automation, documentation, ICD-10/CPT coding, insurance verification, an AI receptionist, and fax extraction at a fraction of Smith.ai's cost. Smith.ai excels as a legal receptionist platform offering hybrid AI + human agents, but it lacks medical features essential for clinics. For healthcare, HealOS offers far better value, more automation, and significantly lower pricing starting at $49/month.
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