Stream vs Ambient IQ
Existing RXNT EHR and Full Suite customers get Ambient IQ at no cost, per RXNT's page, so River loses a practice already on that suite on price alone. Other buyers pay $75 per month after the trial, which the page describes two ways: 90 days with 30 free notes in one place and three months with 30 sessions in another. Outside the RXNT EHR the note is copied and pasted, and recordings are deleted after two weeks.
River's Stream targets independent practices of one to twenty clinicians who want each visit organized by medical problem, with a Huddle view of active problems before the visit. Pro costs $149 per clinician per month, or $99 per clinician per month on annual billing, with a 30-day free trial and no card. A BAA comes with every plan, trial included, and the first non-clinician seat is free.
A practice on a non-RXNT EHR that charts by problem is where River's price makes sense.
AI medical scribes · Reviewed November 2, 2026
Stream
by River Records, Inc.
AI scribe that files each visit under the patient's medical problems, for independent practices.
Ambient IQ
by RXNT · founded 1999
Ambient AI scribe from RXNT that drafts SOAP notes in the RXNT app or pastes them into any EHR.
When to pick each one
Stream
- Notes organized by medical problem
- $149 per clinician per month, $99 annual billing
- BAA on every plan, 30-day trial
Ambient IQ
- No cost for RXNT EHR customers
- $75 per month after the trial
- Copy and paste into other EHRs
Score
Each row shows points earned of points available under the published rubric.
Stream
19of 100
Ambient IQ
33of 100
| Dimension | Stream | Ambient IQ | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 7.8 / 13 | 7.8 / 13 | 0 |
| EHR integrations (count) | 0 / 21 | 6.3 / 21 | -6.3 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 12 | 0 / 12 | 0 |
| 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 | 5 / 5 | 5 / 5 | 0 |
| Years in market | 0 / 6 | 6 / 6 | -6 |
Scroll horizontally to see every column.
Pricing
Stream
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Stream Lite | $59 | n/a | Scribe only. Audio, transcript and note are deleted after 48 hours. |
| Stream Pro, monthly billing | $149 | n/a | Per clinician. Unlimited visits, 30 day free trial with no card, BAA included. First non-clinician seat free, extra staff $25 per month. No contract or minimum term. |
| Stream Pro, annual billing | $99 | n/a | Per clinician, billed annually at $1,188 a year. Same tier as Stream Pro on monthly billing. |
| Stream Inlet Starter | $89 | n/a | Optional fax intake add-on. 500 pages per month, extra pages $0.14 each, one-time $299 fax number setup. |
| Stream Inlet Practice | $199 | n/a | Optional fax intake add-on. 1,500 pages per month. |
| Stream Inlet Practice+ | $349 | n/a | Optional fax intake add-on. 3,000 pages per month. |
| Clinic | n/a | n/a | No public price. Clinic plan for 3 or more clinicians, quoted with volume discounts. |
Ambient IQ
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Ambient IQ | $75 | n/a | 90-day free trial with 30 free notes, then $75 per month. The FAQ describes a 3-month trial with a maximum of 30 sessions, so the trial terms do not reconcile. Existing RXNT EHR and Full Suite customers get it at no cost. The RXNT pricing page does not list Ambient IQ. |
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Stream | Ambient IQ |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | RXNT |
| Founded | n/a | 1999 |
| HQ | n/a | n/a |
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.