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12 Best Hello Patient Alternatives (2026)

Hello Patient is an ai agent ('mia') that answers patient calls and texts for medical practices - booking appointments 24/7, verifying insurance, collecting intake info, and re-engaging no-shows.. Teams that switch usually cite price at production volume, compliance requirements, deeper pipeline control, outbound campaign tooling, an out-of-the-box receptionist, ecommerce order handling. The alternatives below are ranked by published head-to-head verdicts, not sponsorship.

Not ready to switch? Full Hello Patient review →

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Reviewed by vsref Editorialfacts verified Aug 24, 2026Methodology →

Where to switch, by reason

Switching because of price at production volumesee Replicant
Switching because of compliance requirementssee Pipecat
Switching because of deeper pipeline controlsee LiveKit Agents
Switching because of outbound campaign toolingsee Cognigy (NiCE)
Switching because of an out-of-the-box receptionistsee Telnyx Voice AI Agents
Switching because of ecommerce order handlingsee Dentina
Specialty-specific AI agents for the full patient journey (access, intake, referrals, outreach).Best if you need: outbound sales campaigns
Legacy virtual-receptionist provider (est. 2005) adding a lower-cost AI tier with built-in human backup; minute-bundle pricing on both lines.
AI sales calls
See pricingTry Air AI
'Interview everyone. Hire the best.' - autonomous AI interviewer (voice + video) for high-volume hiring, operated by Apriora Inc. dba Alex.
The AI front desk for dental groups and DSOs - zero missed calls, 24/7.
See pricingVisit Arini
Generative AI CX platform whose GenerativeAgent overlays existing CCaaS stacks to automate voice and messaging interactions.
See pricingVisit ASAPP
AI workforce platform for the home-services trades (voice, chat, outbound, and call coaching).
See pricingVisit Avoca
Outbound-heavy, enterprise-leaningvs Hello Patient: adds native sip trunking.
From $0.14/minVisit Bland AI
Open-source voice-agent orchestration with a hosted platform priced for Indian-language call volume.vs Hello Patient: adds bring-your-own llm.
From $0.06/minVisit Bolna
OEM-channel digital voice assistant for fixed ops - a sub-brand of Proactive Dealer Solutions (Better Car People), sold through programs like Stellantis MarketCenter rather than as a standalone startup.
'The first human-assisted legal AI intake team designed to autonomously sign retainers for law firms' - long-form voice intake plus human-in-the-loop closing, YC-backed.
Agentic AI platform for CX (Cognigy.AI + Voice Gateway); Forrester Wave 2026 Leader, sold standalone and inside NiCE CXone Mpower.
All 75 voice ai alternatives
'World's Leading Automation for Staffing Firms' - agentic virtual recruiters covering the pipeline from sourcing to placement, staffing-agency (not corporate HR) focus.
#14Cresta
Generative AI platform unifying autonomous AI Agent, Agent Assist, and Conversation Intelligence for enterprise contact centers.
See pricingVisit Cresta
Dev platform, conversational AI
From $0.08/minVisit Dasha
AI concierge platform - voice/chat/email agents driven by natural-language Agent Operating Procedures (AOPs).
Unified STT + LLM orchestration + TTS voice-agent pipeline at a flat all-in rate ($4.50/hr), with BYO-LLM/TTS discounts and enterprise deployment options.vs Hello Patient: adds bring-your-own llm.
The AI dental receptionist built by a dentist - 24/7 inbound/outbound calls with real-time PMS write-back.
From $299/moVisit Dentina
Lowest-entry-price SMB AI receptionist with minute-bundle pricing and SMS/chatbot/outbound add-ons
From $0.48/minVisit Dialzara
#20DograhOSS
Self-hostable open-source voice agent platform ('OSS alternative to Vapi & Retell') with a no-code workflow builder and air-gapped on-prem deployment for regulated industries.vs Hello Patient: adds bring-your-own llm.
See pricingVisit Dograh
#21Domu
YC S24 collections-automation platform for financial institutions across the Americas - 'compliance is not a checkbox, it is the architecture'.
See pricingVisit Domu
No-code AI phone/chat agent builder with pay-as-you-go pricing, 70+ languages, and agency white-label options
From $0.20/minVisit echowin
Voice-quality leader, agents platform
Voice-capable agentic suite, not a voice-only agent: full housing-operations platform (leasing, resident services, CRM, payments) plus a HealthAI arm - voice is one channel of a much broader product.
Native-audio speech-to-speech model API (Gemini Live) with barge-in, affective dialog, and tool use over a stateful WebSocket.
Agentic voice AI for SMB service businesses; unusual per-unique-customer metering with unlimited minutes ('born at Google').
Developer-first voice agent API 'for regulated industries', built on a decade of Gridspace voice AI in banks and hospitals.
Enterprise 'AI operating system for the real economy': AI-worker platform that grew out of logistics voice agents, now spanning 8 verticals (logistics, utilities, airlines, finance, insurance, manufacturing, retail, telecom).
Emotionally intelligent speech-to-speech API (Empathic Voice Interface, EVI 3 / EVI 4 mini) with voice cloning and supplemental-LLM support.vs Hello Patient: adds bring-your-own llm.
From $0.07/minVisit Hume EVI
Enterprise agentic AI platform (Artemis) with voice AI agents for contact-center self-service at Global 2000 scale.
LLM-native contact-center intelligence platform (QA/Agent Assist center of gravity) with an AI Virtual Agent for voice and chat automation.
'The Most Trusted AI in Insurance' - voice-first, insurance-native agents (pre-trained on insurance processes) spanning sales, service, and claims across voice, SMS, email, and digital channels.
AI employees incl. phone agentsvs Hello Patient: adds bring-your-own llm.
From $49.99/moVisit Lindy
Realtime infra + agents (OSS + cloud)vs Hello Patient: adds native sip trunking.
Restaurant voice AI with deep POS order-writing (Toast/Square/Clover/Olo etc.) - orders and payments, not just reservations and FAQs.
Low-latency voice agentsvs Hello Patient: adds native sip trunking.
From $0.02/minVisit Millis AI
Multi-channel AI front desk (voice/SMS/chat/email/WhatsApp) with bundled CRM and a white-label reseller program, mid-rebrand from My AI Front Desk to Frontdesk
#38Netic
Autonomous AI revenue engine for essential home services.
See pricingVisit Netic
#39Numa
AI operating system for the AI-native dealership - voice AI plus agentic follow-up (Heat Case, Opportunity, Service Advisor agents) for franchise dealers and multi-rooftop groups.
See pricingVisit Numa
Contact-center AI platform expanding from conversation intelligence into autonomous VoiceAI agents (inbound and outbound) with copilots for frontline teams.
#41Omilia
Conversational AI platform for contact-center voice/IVR automation, with native 'Lexis' voice synthesis and agentic voice/chat agents.
See pricingVisit Omilia
Frontier speech-to-speech model API (gpt-realtime family) for low-latency voice agents over WebRTC, WebSocket, and SIP.vs Hello Patient: adds native sip trunking.
#43Parloa
AI Agent Management Platform (AMP) for enterprise contact centers - design, test, scale, optimize agentic AI.vs Hello Patient: adds bring-your-own llm.
See pricingVisit Parloa
#44PatterOSS
MIT-licensed, self-host-only voice AI SDK (Python + TypeScript) abstracting 27+ providers across LLM/STT/TTS/carrier layers - a middle ground between hosted platforms (Vapi/Retell) and heavyweight frameworks.vs Hello Patient: adds bring-your-own llm.
See pricingVisit Patter
SMB AI receptionistvs Hello Patient: adds native sip trunking.
From $0.05/minVisit Phonely
#46PipecatOSS
Open-source Python framework for real-time voice and multimodal conversational agents, maintained by Daily, with Pipecat Cloud as the managed production runtime.vs Hello Patient: adds native sip trunking.
From $0.01/minVisit Pipecat
Voice agents + TTS heritage
Enterprise voice assistantsvs Hello Patient: adds native sip trunking.
See pricingVisit PolyAI
#49RapidaOSS
Open-source (GPL-2.0 + branding terms) voice AI orchestration platform in Go/gRPC, aimed at agencies, CPaaS/CCaaS providers, and enterprises wanting white-label, multi-tenant voice operations with provider-level cost passthrough.vs Hello Patient: adds native sip trunking.
From $0.01/minVisit Rapida
Contact-center AI (enterprise)
See pricingVisit Regal
Voice-native contact-center automation with deterministic reasoning for business rules and 1B+ minutes of production conversation data.
API plus no-code, production telephony fastvs Hello Patient: adds native sip trunking.
From $0.07/minVisit Retell AI
Ecommerce phone agentsvs Hello Patient: adds native sip trunking.
From $0.29/minVisit Ringly.io
#54Rosie
Self-serve SMB AI answering service with bundled-minute pricing and bilingual EN/ES on every plan.
From $49/moVisit Rosie
Compliance-first AI loan-servicing platform ('Taylor' voice agent plus audit/claims/chargeback agents) for technology-first consumer lenders - voice-as-a-wedge into the full servicing lifecycle.
Trades-focused AI sales agent - sells and books jobs (claims 92%+ booking rate, voice cloning of your staff) rather than just taking messages.
From $449/moVisit Sameday
#57Sierra
Outcome-priced conversational AI agent platform from Bret Taylor and Clay Bavor; voice product replaces IVR with an empathetic agent.
See pricingVisit Sierra
Done-for-you AI phone agent for small businesses on flat per-call-bundle pricing
Persona-driven voice agents
Hospitality-native voice AI ('Superhost') priced per location - reservation-system depth and guest recognition rather than generic receptionist features.
From $399/moVisit Slang AI
Human+AI hybrid receptionist platform with per-call bundle pricing; 500+ live agent network, law-firm-heavy customer base.
From $150/moVisit Smith.ai
Dealership-focused conversational AI platform with certified DMS integrations (CDK, Reynolds, Tekion) and dealer/industry investors incl. Reynolds & Reynolds board representation.
No-code, agency white-label kingvs Hello Patient: adds native sip trunking.
From $2,500/moVisit Synthflow
Carrier-native voice AI: telephony, GPUs, STT/TTS and orchestration vertically integrated at the network edge.vs Hello Patient: adds native sip trunking.
Open-source real-time multimodal conversational AI framework (voice + video + avatar) with its own VAD and full-duplex turn-detection models, backed by Agora.vs Hello Patient: adds native sip trunking.
No-code AI contact centervs Hello Patient: adds native sip trunking.
#67Toma
"AI Coworkers for the Automotive Enterprise" - dealership call automation with production safeguards, YC/a16z-backed.
See pricingVisit Toma
Carrier-grade voice harness for BYO-LLM agents inside Twilio Programmable Voice.vs Hello Patient: adds native sip trunking.
Realtime speech model + platformvs Hello Patient: adds native sip trunking.
From $0.05/minVisit Ultravox
Per-call-bundle AI receptionist with 35+ languages and declining overage rates up to 600 calls/mo
From $24.95/moVisit Upfirst
#71Vapi logoVapi
Dev-first API platform, full pipeline controlvs Hello Patient: adds native sip trunking.
From $0.05/minVisit Vapi
Open-source multimodal (video-first) AI agent framework by Stream, combining realtime LLMs with vision models on Stream's low-latency edge network.vs Hello Patient: adds bring-your-own llm.
#73Vocode logoVocodeOSS
Open-source frameworkvs Hello Patient: adds native sip trunking.
See pricingVisit Vocode
Agent builder (chat + voice)vs Hello Patient: adds bring-your-own llm.
From $0.05/minVisit Voiceflow
Big-tech price anchor for the receptionist segment: standalone AI receptionist at $29.99/mo (100 min), launched 2026-07-09; also bundled free with Zoom Phone.

How the top Hello Patient alternatives compare

A closer look at the top 4: each Hello Patient alternative's standing among Voice AI peers, its verdict record against Hello Patient, and the trade-offs of leaving.

1. Assort Health

Our use-case verdicts have Assort Health ahead of Hello Patient for outbound sales campaigns and matches it for no-code agency deploys, custom pipeline control, ecommerce support and orders and smb receptionist and booking.

Why teams switch: Both platforms support native outbound campaigns, so that capability does not separate them. Where Assort Health pulls ahead is on credibility and scale signals that matter for enterprise outbound operations: its Series C funding at $120M with a $1.2B valuation dwarfs Hello Patient's Series A at $22.5M, suggesting greater infrastructure and capacity to support high-volume call-center deployments. Warm transfer to a human agent is confirmed for Assort Health, while no equivalent fact is published for Hello Patient. Neither tool publishes per-minute cost or concurrency limits, so those factors cannot break the tie further. Outbound sales campaigns verdict →

Overall verdict: Neither platform dominates overall. Hello Patient wins for healthcare compliance teams because it ships a HIPAA BAA on the base plan and holds SOC 2 Type II certification, giving regulated clinics a lower-friction path to audit-ready deployment. Its 16-plus EHR integrations, including NextGen and ModMed, reinforce its focus on clinical workflows. Assort Health wins for outbound sales campaigns, where its native outbound campaign tooling and warm transfer capability give revenue-focused teams a stronger stack for live handoffs. Assort Health also carries a Series C raise of $120M at a $1.2B valuation, signaling deep resources, while Hello Patient is earlier at Series A with $22.5M. Choose Hello Patient for compliance-first healthcare practices and Assort Health for high-volume outbound sales programs.

Full Assort Health vs Hello Patient comparison → · Assort Health review →

2. Abby Connect

Among the 31 voice ai tools we track, Abby Connect has the 28th-widest language coverage.

Abby Connect review →

4. Alex (fka Apriora)

Among the 31 voice ai tools we track, Alex (fka Apriora) has the 16th-widest language coverage.

Alex (fka Apriora) review →

5. Arini

Among the 17 voice ai tools we track, Arini has the 6th-lowest latency - a fit for real-time, conversational apps.

Arini review →