Verified 2026-07-28
Behavioral-health AI scribe rankings
The full ranked list of every AI scribe in our review, scored on our six-dimension rubric across four real visit types. Click any row for the full review.
| # | Scribe | Score | Pricing |
|---|---|---|---|
| 01 | Twofold Health Behavioral-health-native AI scribe purpose-built for therapy and substance-use treatment. | 9.0/10 | $19 introductory month |
| 02 | Blueprint Behavioral-health-native AI scribe with measurement-based care baked in. | 8.9/10 | $79/mo per clinician |
| 03 | Upheal Therapy-focused AI scribe with strong telehealth capture and progress tracking. | 8.5/10 | $79–$99/mo per clinician depending on tier |
| 04 | Eleos Health Enterprise behavioral-health platform with AI documentation plus care intelligence. | 8.4/10 | Enterprise-only |
| 05 | Mentalyc Purpose-built behavioral-health scribe with broad note-format library. | 8.3/10 | $59–$99/mo per clinician |
| 06 | Lyssn Evidence-based-care AI focused on measuring therapist fidelity to CBT, MI, and DBT. | 8.1/10 | Enterprise |
| 07 | Freed Popular general medical AI scribe used by many independent therapists. | 7.9/10 | $99/mo per clinician |
| 08 | Heidi Health General AI scribe with strong template flexibility; adaptable to therapy workflows. | 7.8/10 | Free tier |
| 09 | Nabla Copilot Enterprise-grade ambient scribe with strong compliance posture. | 7.7/10 | $119/mo per clinician |
| 10 | Suki Enterprise AI assistant with strong Epic and Cerner integration. | 7.5/10 | Enterprise |
§ Explain this ranking
Why Twofold Health tops the 2026 field
Weighted lead over avg. of #2–#5: +0.31 pts
Each criterion below is scored 0–10, then multiplied by its rubric weight. The bars show how much of Twofold Health’s lead over the runners-up (avg. of #2–#5) each criterion actually contributes. Read this as a decomposition of the final recommendation, not as an opinion.
Driver 01 · weight 15%
Pricing & terms
Twofold Health 9.0 · field avg 8.3 · gap +0.68
+0.10
weighted pts
Driver 02 · weight 15%
Workflow & speed
Twofold Health 9.0 · field avg 8.4 · gap +0.57
+0.09
weighted pts
Driver 03 · weight 20%
Note quality
Twofold Health 9.0 · field avg 8.7 · gap +0.30
+0.06
weighted pts
Driver 04 · weight 15%
Behavioral-health fluency
Twofold Health 9.3 · field avg 9.1 · gap +0.20
+0.03
weighted pts
Driver 05 · weight 20%
HIPAA & privacy
Twofold Health 9.2 · field avg 9.1 · gap +0.13
+0.03
weighted pts
Driver 06 · weight 15%
Integrations
Twofold Health 8.5 · field avg 8.4 · gap +0.07
+0.01
weighted pts
Biggest differentiator
Pricing & terms
Twofold Health scores 9.0 vs a field average of 8.3 — a 0.68-point gap that, at 15% weight, delivers 0.10 weighted points of the lead.
Closest criterion
Integrations
This is where the field catches up. Twofold Health scores 8.5 vs 8.4, contributing only 0.01 weighted points — buyers optimizing for this dimension alone have real alternatives.
Weights and scoring rules are fixed in our published methodology. The Editor’s Pick designation is disclosed separately from rubric scoring.
Scores are set by our published methodology. No vendor pays for inclusion, placement, or a higher score. Rankings are set by our published rubric before any commercial relationship exists.