DAX Copilot vs Knowtex
Knowtex is the prime awardee on a VA ambient scribe contract with a shared ceiling of $775.72M, and the vendor says it is live at 79 VA medical centers, so a VA or federal buyer has a direct route to it. DAX Copilot, now Microsoft Dragon Copilot, comes from the Nuance acquisition, reported at about $19.7B and closed in 2022, and suits a hospital on Epic that wants Microsoft's security paperwork. Knowtex is a San Francisco company out of Y Combinator whose funding databases disagree, with Tracxn listing $500K. Neither publishes a price. Knowtex shows only "Request a Demo", and DAX has a reseller quote of $369 per user per month plus $700 implementation. Knowtex's published evidence is a vendor-published University of Rochester orthopedics case study. DAX's NEJM AI trial arm saved 1.7% of time in note, not significant, and an emergency physician on r/emergencymedicine (2026) calls its Epic MDM section weak for complicated visits. A private cardiology group that wants independent proof has nothing of that kind to take from Knowtex.
AI medical scribes · Reviewed November 1, 2026
DAX Copilot
by Microsoft (Nuance) · founded 2020
Microsoft-backed ambient scribe with deepest EHR embed.
Knowtex
by Knowtex · founded 2023
Calls itself "The Frontier AI Lab for Healthcare": ambient documentation, coding and billing, and order entry. Prime awardee on a VA ambient scribe contract.
When to pick each one
DAX Copilot
- Hospital wanting Microsoft security paperwork
- Epic May 2025 release or later
- Azure environment, HITRUST CSF certified
Knowtex
- VA ambient scribe contract, 79 sites, vendor-stated
- Lists Epic, Oracle Health, MEDITECH, athenahealth
- VA contract vehicle, $775.72M shared ceiling
Score
Each row shows points earned of points available under the published rubric.
DAX Copilot
64of 100
Knowtex
40of 100
| Dimension | DAX Copilot | Knowtex | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 13 / 13 | 13 / 13 | 0 |
| EHR integrations (count) | 10.5 / 21 | 6.3 / 21 | +4.2 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 12 / 12 | 8.4 / 12 | +3.6 |
| Bidirectional write-back | 0 / 5.2 | 0 / 5.2 | 0 |
| Peer-reviewed papers | 2.8 / 7 | 0 / 7 | +2.8 |
| RCT / meta-analysis / systematic review | 0 / 3 | 0 / 3 | 0 |
| Funding & adoption signal | 12 / 12 | 3 / 12 | +9 |
| Pricing transparency | 0 / 5 | 0 / 5 | 0 |
| Years in market | 4.2 / 6 | 3 / 6 | +1.2 |
Scroll horizontally to see every column.
Pricing
DAX Copilot
| Tier | Billing period | Price | Notes |
|---|---|---|---|
| Reseller quote (Dictation Direct) | per user per month, 12-month commitment billed monthly | $369 | reseller quote. Plus $700 one-time implementation. Includes Dragon Medical One. 14-day free trial |
Verified October 14, 2026 from trydax.com (opens in new tab).
Knowtex
Quote only, no public price.
Evidence
DAX Copilot
Peer-reviewed
1 PubMed record names DAX Copilot.
Community
6 posts sourced: 1 positive, 5 neutral, 0 negative.
Knowtex
No FDA decision, peer-reviewed study or community post in our record.
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | DAX Copilot | Knowtex |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Epic, Meditech, Athena, Cerner | Epic, Athena |
| Founded | 2020 | 2023 |
| HQ | US | US |
Scroll horizontally to see both columns.
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.