Fourier Health vs Speke AI
Fourier Health's Insights product delivers specialty summaries into the EHR, each cited to source, and the vendor says 83.9% fewer records are reviewed per patient. Its inputs are faxes, PDFs, scans and HL7 feeds, and its homepage lists health systems, specialty networks and MSOs as buyers. Speke AI is a different product for a different desk. Express is $150 per month billed monthly, currency not stated on the page, and Pro is custom-priced for enterprises, with a trained specialist reviewing each AI note before the provider approves it. Express lists read-write integrations with Epic, Athena and eClinicalWorks, and the apps run on iOS, Android and web. Speke started as a ScribeAmerica service line and is now a HealthChannels brand. The vendor says visits marked Complete are deleted after 72 hours and that it is SOC 2 Type 2 certified.
Both name health systems, so one hospital could hold both contracts, but one covers records arriving at an MSO and the other covers a visit a physician records.
AI medical scribes · Reviewed November 2, 2026
Fourier Health
by Fourier Health · founded 2023
AI medical record intake and cited specialty summaries for health systems, specialty networks and MSOs, delivered into the EHR.
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
Fourier Health
- Specialty summaries in the EHR, cited to source
- Vendor says 83.9% fewer records reviewed per patient
Speke AI
- Express $150 per month, currency not stated
- Pro adds specialist review of each AI note
- Read-write Epic, Athena and eClinicalWorks on Express page
Score
Each row shows points earned of points available under the published rubric.
Fourier Health
47of 100
Speke AI
47of 100
| Dimension | Fourier Health | Speke AI | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 13 / 13 | 13 / 13 | 0 |
| EHR integrations (count) | 6.3 / 21 | 10.5 / 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 | 0 / 7 | 0 / 7 | 0 |
| RCT / meta-analysis / systematic review | 0 / 3 | 0 / 3 | 0 |
| Funding & adoption signal | 3 / 12 | 3 / 12 | 0 |
| Pricing transparency | 2.5 / 5 | 5 / 5 | -2.5 |
| Years in market | 3 / 6 | 0 / 6 | +3 |
Scroll horizontally to see every column.
Pricing
Fourier Health
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. The site is sales-led with Request a demo and no pricing page. |
Verified November 2, 2026 from fourierhealth.com (opens in new tab).
Speke AI
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Express | $150 | n/a | AI 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.
| Spec | Fourier Health | Speke AI |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Epic, Cerner, Athena | Epic, Athena, eClinicalWorks, Veradigm, ModMed |
| Founded | 2023 | n/a |
| 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.