AI medical scribes are now essential for reducing charting time and improving clinical productivity. HealOS and Twofold are two popular platforms in this category but they serve very different needs. Twofold focuses on therapy-only documentation, while HealOS delivers full clinical workflow automation, including coding, insurance verification, fax-to-EHR extraction, and a built-in AI receptionist. This guide compares HealOS vs Twofold across pricing, accuracy, features, integrations, and total workflow automation so clinics can choose the best fit for 2025.
HealOS goes beyond simple transcription and offers a complete automation suite for medical, therapy, behavioral health, dental, and multi-provider practices.
Unlimited AI medical scribing
ICD-10 & CPT auto-coding
Chrome Extension → 1-click note transfer to EHRs
Insurance verification + automated prior authorization prep
AI fax-to-EHR data extraction
24/7 AI receptionist (calls, scheduling, SMS reminders, follow-ups)
SOAP, DAP, BIRP, and specialty templates
40+ medical, therapy, and dental EHR integrations
HIPAA + AES-256 encryption
Predictable, flat-rate pricing
HealOS is built for clinics that want high-accuracy notes, coding automation, and full administrative support at the lowest cost on the market.
Twofold is a therapy-focused AI documentation tool designed for mental health professionals needing simple, fast note generation.
Unlimited notes (paid plans)
Custom templates
Patient progress tracking
Treatment plan automation
Note summaries for patients
Mobile + desktop access
HIPAA compliance
Twofold is strong for therapists but lacks coding, insurance automation, receptionist functionality, and EHR integrations, making it less suitable for medical clinics.
HealOS is one of the most affordable and transparent options for clinics.
Perfect for small practices needing unlimited AI scribing.
Includes:
Ideal for clinics requiring deeper automation & fast note transfers.
Includes Everything in Core, Plus:
Twofold uses a therapy-centric pricing structure. While affordable for individuals, it becomes more expensive for clinics that need team functionality.
Twofold's Personal Plan matches HealOS in price but lacks automation features beyond notes.
| Category | HealOS | Twofold |
|---|---|---|
| Monthly Pricing | $49–$99 | $49 (Personal) |
| Free Plan | 20 sessions | 20 notes |
| AI Medical Scribe | ✔ Unlimited | ✔ Unlimited |
| ICD-10/CPT Coding | ✔ Included | ✘ Not included |
| Insurance Verification | ✔ Yes | ✘ No |
| Prior Authorization | ✔ Automated | ✘ No |
| Fax-to-EHR Extraction | ✔ Yes | ✘ No |
| AI Receptionist | ✔ Included | ✘ No |
| EHR Integrations | 40+ | ✘ None |
| Patient Progress Tracking | Partial (via EHR) | ✔ Yes |
| Treatment Plans | ✔ Yes | ✔ Yes |
| Template Customization | Unlimited, multi-specialty | Therapy-only templates |
| Team Scalability | Strong, flat pricing | Custom, expensive at scale |
| Analytics | ✔ Advanced | ✘ None |
| Automation Depth | Full workflow automation | Notes-only |
| Category | HealOS | Twofold | Manual Documentation |
|---|---|---|---|
| Accuracy | ~98% | ~95% | High (slow) |
| ICD-10/CPT Coding | ✔ Auto-coding | ✘ No | Manual |
| Insurance Tasks | ✔ Automated | ✘ No | Staff-dependent |
| Fax Extraction | ✔ AI automation | ✘ No | Manual |
| Documentation Speed | <2 minutes | 3–5 minutes | 10–15 minutes |
| EHR Integration | 40+ | None | Manual data entry |
| Ideal For | All clinics | Solo therapists | High staffing clinics |
| Cost Efficiency | Highest | Moderate | Lowest |
Best for:
Primary care, pediatrics, therapy, behavioral health, dental, urgent care, and multi-provider clinics.
Best for:
Individual therapists, counselors, psychologists, and small mental health practices.
HealOS is the stronger choice for practices that need end-to-end workflow automation, including medical scribing, coding, insurance tasks, receptionist automation, and EHR syncing all at $49/month, far below the price of competing platforms. Twofold is excellent for solo therapists who only need session notes, progress tracking, and treatment plans. However, it cannot support the full operational needs of most clinics. For the majority of healthcare providers, HealOS delivers more automation, more accuracy, deeper integrations, and far better long-term ROI.
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