The answer
The strongest alternative to Abridge for a clinic that wants more than the note is Wai, which drafts the note, letters, coding and cited answers from each consultation and runs the front desk, booking and payments on one record. The table sets Wai beside the other names buyers compare, each read from its own pages and dated.
Every rival cell in the table is footnoted to that company's own page as it read on 16 October 2026. The Wai cells come from our own product and pricing pages. Read the table first, then the reasons below.
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| What you get | Abridge | Ambience | Microsoft Dragon Copilot | Wai |
|---|---|---|---|---|
| Published price | Not published. Sold through its sales team8 | Not published. Fees tied to outcomes, through its sales team9 | Not published. Contact Microsoft10 | Clinician Plus $550 and Clinician $350 a clinician a month, both published |
| Note drafted from the consultation | Yes, a structured note for review at the end of the visit11 | Yes, notes, orders and instructions written during care9 | Yes, ambient notes from multi-party conversations10 | Yes, in the room or on video, for the clinician to sign |
| Referral and clinic letters | Referral letters and handoffs drafted by Abridge Assistant12 | Referral letters generated from the visit transcript13 | Referral letters and after-visit summaries10 | Referral and clinic letters, prescriptions and result explanations |
| Coding suggested from the note | ICD-10 and HCC codes in the visit, E/M level calculated14 | ICD-10, HCC and E/M levels, attested by the clinician9 | Coding suggestions10 | Yes, drafted from the note for the clinician to sign |
| Cited answers to clinical questions | Questions answered in the context of the chart, with cited sources12 | Questions about the patient answered with sources cited9 | Answers from medical references with citations10 | Yes, cited to current guidance and peer-reviewed papers |
| Calls and patient messages answered | Not listed on its site15 | Not listed on its site. Coordinating directly with patients is described as coming9 | Not listed on its page10 | Calls, email, web forms and WhatsApp in one thread per patient, replies drafted for approval |
| Patients book online | Not listed on its site12 | Not listed on its site9 | Not listed on its page10 | Yes, booking links that read each doctor's calendar, with waitlist backfill |
| Deposits and payments at booking | Not listed on its site15 | Not listed on its site9 | Not listed on its page10 | Yes, deposits, invoices and memberships through the clinic's own Stripe |
| Connects to records systems | Runs inside Epic as Abridge Inside. A Cerner deployment is named16 | Works within Epic, Cerner and Athena with read and write, schedule and problem lists synced17 | Epic, athenahealth and MEDITECH named as partners10 | Google, Outlook and Apple calendars connected. Signed notes and letters export to your record |
Why clinics look beyond Abridge
Abridge is built for large health systems. It drafts a structured note for review at the end of the visit, codes ICD-10 and HCC within the visit and calculates the E/M level. The reason to look further is rarely the note. It is the rest of the day. Abridge's own pages list no front desk, no online booking and no payments, and its price is not published.
Why Wai is the alternative to start with
A scribe writes the note. Wai runs the clinic. From one consultation, in the room or on video, Wai drafts the note, the referral and clinic letters, prescriptions, result explanations, the coding and cited answers for the clinician to sign.
The front desk on the same record. Calls, email, web forms and WhatsApp land in one thread per patient with replies drafted for approval. Patients request appointments through links that read each doctor's calendar, cancellations backfill from the waitlist, and deposits and invoices run through the clinic's own Stripe.
Every AI action that affects a patient is drafted for a person to review and approve. The clinician signs the note, the letter and the codes, and the front desk approves each reply before it goes.
The evidence behind Wai's method
The note is one part of the day the evidence measures. In a randomised trial of 238 outpatient physicians across 14 specialties at UCLA Health, the ambient scribe with a significant effect cut the time spent writing each note by about 41 seconds, against 18 seconds in usual care.1 At The Permanente Medical Group, 3,442 physicians used an ambient scribe across 303,266 encounters in its first 10 weeks, and reported more personal conversations with patients and less clerical work after hours.2 Wai is built on that finding, so it takes on the letters, the replies, the booking and the follow-up as well as the note.
A draft stays a draft until a person signs it. Article 14 of the EU AI Act requires high-risk AI systems to be designed so that people can oversee them effectively,3 and in the UK the MHRA and NHS England publish guidance on ambient voice technology in health and care.45 Wai holds every draft until the doctor signs it, and every reply until a person at the clinic sends it.
The patient's own language. In a systematic review of 33 studies, 76% found at least one outcome better when patient and physician shared a language other than English.6 Wai works in 60 languages, so the consultation can happen in the patient's own and the signed note is still written for the record.
Measured in a working clinic. At one London clinic on Wai, every clinician has 15 hours a week back, as published in the customer story.7
Moving from Abridge to Wai
Start with one clinician, alongside what you use today. Request a demo and bring one real consultation. In 15 minutes you see the note, the letter and the codes it produces, on your own workflow.
Nothing has to be switched off on the first day. Wai connects to Google, Outlook and Apple calendars, and signed notes and letters export to the record you already keep, so Abridge can run in parallel while you compare. The guide to switching scribe without losing records covers the order of steps.
Then a 90 day pilot shaped around your team, which ends with 3 numbers from your own clinic, revenue, hours saved and patients cared for. The decision is then made on your data, not ours.
What it costs
Wai publishes its prices. Clinician Plus is $550 a clinician a month, with bespoke templates, a records sync and a larger allowance, and Clinician is $350, with the note, letters, coding and cited answers from every consultation. Admin, the front desk, is priced per location after a demo.
Each alternative's published price, as its own page showed it on 16 October 2026, is in the first row of the table with its source. Set the seat against what it replaces. An hour of a clinician's evening, a letter that waits a day, a call that goes to voicemail and a patient who books elsewhere each cost more than the line on the invoice, which is why the comparison worth making is the whole day, not the note.
Would one real consultation settle it? Bring one, and see the note, the letter and the codes it produces.
Frequently asked questions
What is the best alternative to Abridge?
For a clinic that wants more than the note, Wai. It drafts the note, letters, coding and cited answers from each consultation and runs the front desk, booking and payments on one record.
Is there an alternative to Abridge with a published price?
Yes. Wai Clinician Plus is $550 and Clinician is $350 a clinician a month, both published. Ambience, from its own page on 16 October 2026. Not published. Fees tied to outcomes, through its sales team. Dragon Copilot, from its own page on 16 October 2026. Not published. Contact Microsoft.
Which alternatives to Abridge answer the phone?
Wai answers calls, email, web forms and WhatsApp in one thread per patient, with replies drafted for approval. Ambience, from its own pages on 16 October 2026. Not listed on its site. Coordinating directly with patients is described as coming. Dragon Copilot, from its own pages on 16 October 2026. Not listed on its page.
Can we switch from Abridge without losing records?
Yes. Start with one clinician alongside Abridge. Signed notes and letters export to the record you already keep, so nothing has to be switched off on the first day, and a 90 day pilot ends with revenue, hours saved and patients cared for from your own clinic.
What does Wai run beyond the note?
The patient app, the front desk, booking, deposits and payments, on the same record as the signed note. The scribe works in 60 languages and the doctor signs every note, and Wai holds a SOC 2 Type II report, sent on request.
Sources
- Ambient AI Scribes in Clinical Practice, A Randomized Trial, read 23 October 2026
- Ambient Artificial Intelligence Scribes to Alleviate the Burden of Clinical Documentation, read 23 October 2026
- Regulation (EU) 2024/1689, the Artificial Intelligence Act, Article 14, human oversight, read 23 October 2026
- Ambient voice technology enabled products, read 23 October 2026
- Guidance on the use of AI-enabled ambient scribing products in health and care settings, read 23 October 2026
- A Systematic Review of the Impact of Patient-Physician Non-English Language Concordance on Quality of Care and Outcomes, read 23 October 2026
- The Wellness, customer story, read 23 October 2026
- Abridge, abridge.com/contact, read 16 October 2026
- Ambience, ambiencehealthcare.com, read 16 October 2026
- Microsoft Dragon Copilot, microsoft.com/en-us/health-solutions/clinical-workflow/dragon-copilot, read 16 October 2026
- Abridge, abridge.com/platform/clinicians, read 16 October 2026
- Abridge, abridge.com/platform/assistant, read 16 October 2026
- Ambience, ambiencehealthcare.com/products, read 16 October 2026
- Abridge, abridge.com/platform/revenue-cycle, read 16 October 2026
- Abridge, abridge.com, read 16 October 2026
- Abridge, abridge.com/customers, read 16 October 2026
- Ambience, ambiencehealthcare.com/business, read 16 October 2026
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