The answer
The strongest alternative to Cliniko for a clinic that wants the consultation written up and the phones answered is Wai, which drafts the note and letters 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 | Cliniko | Semble | Jane | Wai |
|---|---|---|---|---|
| Published price | From $45 a month for one practitioner to $395 for 26 to 200, shown in US dollars8 | Not published. A demo request is the route in9 | Balance $59, Practice $79 and Thrive $99 a month, in US dollars10 | Clinician Plus $550 and Clinician $350 a clinician a month, both published |
| Clinical record and notes | Yes, customisable treatment notes11 | Yes, one record to consult, prescribe, treat and follow up9 | Yes, charting with forms and surveys12 | One record for the consult, the front desk and the patient's own profile |
| Patients book online | Yes, online appointment booking11 | Yes, patients book online through Semble or through TopDoctors and OneWelbeck13 | Yes, patients book their own appointments12 | Yes, booking links that read each doctor's calendar, with waitlist backfill |
| Deposits and payments at booking | Yes, invoices, online payments and prepayments14 | Yes, Semble Pay, with Klarna, Apple Pay, Google Pay and more15 | Yes, Jane Payments, with a card, deposit or pre-payment required at online booking16 | Yes, deposits, invoices and memberships through the clinic's own Stripe |
| Note drafted from the consultation | No built-in scribe listed. AI scribes such as Heidi connect as third-party apps17 | AI-powered notes within the record, and AI scribes as integrated partners9 | Jane AI Scribe, 5 notes a month at no charge, or $15 a month per practitioner for unlimited notes10 | Yes, in the room or on video, for the clinician to sign |
| Referral and clinic letters | Yes, letters to patients, doctors and third parties, with templates18 | Yes, referral letters and treatment plans written and shared from the record19 | Not listed on its features page12 | Referral and clinic letters, prescriptions and result explanations |
| Calls and patient messages answered | SMS to clients at 10 cents a message. AI receptionists offered as third-party apps17 | Automated SMS and email reminders and a patient portal. No phone answering listed15 | Human virtual receptionists answer calls. An AI receptionist is in development20 | Calls, email, web forms and WhatsApp in one thread per patient, replies drafted for approval |
| Cited answers to clinical questions | Not listed on its site11 | Not listed on its site9 | Not listed on its site12 | Yes, cited to current guidance and peer-reviewed papers |
Why clinics look beyond Cliniko
Cliniko publishes its prices, keeps customisable treatment notes and letters with templates, and takes online bookings, invoices, payments and prepayments. The reason to look further is rarely the record. It is the rest of the day. Cliniko lists no scribe and no phone answering of its own, offering both through third-party apps, and no cited answers.
Why Wai is the alternative to start with
The consultation writes up as it happens. Wai drafts the note, the referral and clinic letters, the coding and cited answers from the consultation for the clinician to sign, on the same record as the booking.
The front desk answers. Calls, email, web forms and WhatsApp land in one thread per patient with replies drafted for approval, so the clinic answers the patient who would otherwise ring the next practice on the list.
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 Cliniko 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.
Your history can stay in Cliniko while Wai runs the consultation and the front desk alongside it. Signed notes and letters export to your record, and calendars connect from Google, Outlook and Apple. The switching checklist covers what to move, and when.
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 Cliniko?
For a clinic that wants more than the record, 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 Cliniko with a published price?
Yes. Wai Clinician Plus is $550 and Clinician is $350 a clinician a month, both published. Semble, from its own page on 16 October 2026. Not published. A demo request is the route in. Jane, from its own page on 16 October 2026. Balance $59, Practice $79 and Thrive $99 a month, in US dollars.
Which alternatives to Cliniko answer the phone?
Wai answers calls, email, web forms and WhatsApp in one thread per patient, with replies drafted for approval. Semble, from its own pages on 16 October 2026. Automated SMS and email reminders and a patient portal. No phone answering listed. Jane, from its own pages on 16 October 2026. Human virtual receptionists answer calls. An AI receptionist is in development.
Can we switch from Cliniko without losing records?
Yes. Start with one clinician alongside Cliniko. 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
- Cliniko, cliniko.com/pricing, read 16 October 2026
- Semble, semble.io, read 16 October 2026
- Jane, jane.app/pricing, read 16 October 2026
- Cliniko, cliniko.com/features, read 16 October 2026
- Jane, jane.app/features, read 16 October 2026
- Semble, semble.io/platform/scheduling-software, read 16 October 2026
- Cliniko, cliniko.com/features/transactions, read 16 October 2026
- Semble, semble.io/platform/patient-experience, read 16 October 2026
- Jane, jane.app/features/jane-payments, read 16 October 2026
- Cliniko, cliniko.com/connected-apps, read 16 October 2026
- Cliniko, cliniko.com/features/health-records, read 16 October 2026
- Semble, semble.io/platform/ehr, read 16 October 2026
- Jane, jane.app/features/admin-and-receptionists, read 16 October 2026
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