MedAI Verdict
All comparisons

Comprehend Health vs Speke AI

Comprehend Health writes notes for PT, OT and SLP clinicians. The vendor shows 16 EMR logos, among them WebPT, Jane, Prompt and Kinnser, and claims 25+ EMRs through a browser extension. The Scribe tier lists $99 with no billing period, or $949 billed yearly, with a 7-day trial and a 30-day money-back guarantee.

Speke AI is a sister brand of ScribeAmerica under HealthChannels. Express is an AI draft at $150 per month, billed monthly. Pro adds a pass by trained specialists before the provider approves each note, at custom pricing. The read-write Epic link is stated on the Express page, and the review step belongs to Pro. A primary care practice on Epic that wants those reviewers is Speke's audience.

For a PT clinic on WebPT, Speke loses. Comprehend names that EMR and writes for therapy notes, and Speke's Express page names Epic, Athena and eClinicalWorks.

AI medical scribes · Reviewed November 2, 2026

Comprehend Health logo

Comprehend Health

by Comprehend Health

AI scribe for physical therapy, OT and SLP notes, added to web-based EMRs through a browser extension.

Speke AI logo

Speke AI

by Speke AI

Ambient AI scribe for clinicians, sold as AI-only Express or Pro with specialist review, for practices and health systems.

When to pick each one

Comprehend Health

  • Built for PT, OT and SLP notes
  • 16 EMR logos including WebPT and Jane
  • $949 billed yearly, 30-day money-back guarantee
Read the full Comprehend Health review

Speke AI

  • Pro tier adds trained-specialist review of each note
  • Express page states read-write Epic, Athena and eClinicalWorks
  • Express $150 per month, billed monthly
Read the full Speke AI review

Score

Each row shows points earned of points available under the published rubric.

Comprehend Health

53of 100

Solid choice

Speke AI

47of 100

Solid choice
Score by dimension for Comprehend Health and Speke AI
DimensionComprehend HealthSpeke AIDifference
HIPAA / SOC2 / BAA13 / 1313 / 130
EHR integrations (count)21 / 2110.5 / 21+10.5
Top-3 EHR coverage (Epic / Oracle / Athena)0 / 128.4 / 12-8.4
Bidirectional write-back0 / 5.20 / 5.20
Peer-reviewed papers0 / 70 / 70
RCT / meta-analysis / systematic review0 / 30 / 30
Funding & adoption signal8.4 / 123 / 12+5.4
Pricing transparency2.5 / 55 / 5-2.5
Years in market0 / 60 / 60

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How scores are computed

Pricing

Comprehend Health

TierBilling periodPriceNotes
Scribenot labeled on page$99USD 99.00 on the pricing page, with no billing period labeled. Read as per month by the research, not confirmed. A free tier exists with no price shown and is not listed here. 7-day free trial. "Prove us wrong for 30 days" money-back guarantee. Veteran discount, amount not stated.
Scribe, annual billingper year, billed annually$949USD 949.00 billed yearly, the annual option of the Scribe tier, per the pricing page.

Verified November 2, 2026 from comprehendhealth.ai (opens in new tab).

Speke AI

TierMonthlyAnnualNotes
Express$150n/aAI draft only. Billed monthly. No trial or minimum term stated. Pro adds QA and editing by trained specialists and is custom-priced, so it is not listed here

Compliance and integrations

Documented from each vendor’s own pages.

SpecComprehend HealthSpeke AI
Free tierYesNo / unverified
HIPAAYesYes
SOC 2 Type IIYesYes
EHR integrationsPracticePerfect, Practice Pro, Stride, WebPT, Empower, Comprise Health, Clinicient, Kinnser, Prompt, Jane, PT Everywhere, Charm, NetHealth, Heno, HelloNote, TheraOfficeEpic, Athena, eClinicalWorks, Veradigm, ModMed
Foundedn/an/a
HQn/aUS

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Common questions

Open the full ai medical scribes comparison

The best AI medical scribe for most US physicians is Abridge for hospital systems, Freed AI for solo practice (plans from $39 to $119 per month as of October 2026), Heidi Health for multilingual capture, and DAX Copilot for Microsoft-shop hospitals. Each pick below names its primary EHR integration, pricing model, and the clinician communities that surface it most often. Enterprise scribes are quote-based, with third-party estimates of roughly $208 to $600 per provider per month as of October 2026.