# Best Voice AI for Healthcare (2026)

> The best Voice AI platforms for healthcare: Pipecat leads, for hipaa-bound healthcare workflows. Verified pricing and per-use-case verdicts.

For healthcare, **Pipecat** is our pick (from $0.01/min): For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and this is where the two tools diverge most sharply. HIPAA-bound healthcare workflows. Below is the full ranking and the tradeoffs, or read [how we score](https://www.versusref.com/methodology/).

## What matters for healthcare compliance

Weight ×5 = decisive, ×1 = relevant.

| Fact | Weight | Pipecat | Hume EVI | ConverzAI | Domu | Hello Patient |
| --- | --- | --- | --- | --- | --- | --- |
| HIPAA BAA on base plan | ×5 | ✓  Included (Jul 30) | ✓  Included (Jul 30) | ✓  Included (Jul 30) | ✓  Included (Jul 30) | ✓  Included (Jul 30) |
| SOC 2 Type II | ×4 | n/a | n/a | ✓  Yes (Jul 30) | ✓  Yes (Jul 30) | ✓  Yes (Jul 30) |
| Consent/recording compliance tooling | ×4 | n/a | ✓  Yes (Jul 30) | n/a | n/a | n/a |
| GDPR tooling / EU residency | ×3 | ✓  Yes (Jul 30) | n/a | n/a | ✓  Yes (Jul 30) | n/a |
| Warm transfer to human | ×2 | ✓  Yes (Jul 30) | n/a | n/a | n/a | n/a |

- ×5 **HIPAA BAA on base plan:** No BAA, no deal; the plan tier it arrives on sets the real price.
- ×4 **SOC 2 Type II:** Security review is table stakes for clinic procurement.
- ×4 **Consent/recording compliance tooling:** Consent capture on recorded lines is a legal requirement.
- ×3 **GDPR tooling / EU residency:** EU residency matters for cross-border patient data.
- ×2 **Warm transfer to human:** Escalation to staff is required for clinical questions.

## The ranking, tool by tool

| Rank | Tool | Verdict | Score | Price |
| --- | --- | --- | --- | --- |
| 1 | [Pipecat](https://www.versusref.com/voice-ai/tools/pipecat/) (OSS) | For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and this is where the two tools diverge most sharply. | 6 of 6 points · 3 matchups | From $0.01/min |
| 2 | [Hume EVI](https://www.versusref.com/voice-ai/tools/hume-evi/) | For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA. | 4 of 4 points · 2 matchups | From $0.07/min |
| 3 | [ConverzAI](https://www.versusref.com/voice-ai/tools/converzai/) | For HIPAA-bound healthcare workflows, the single most critical requirement is a signed HIPAA Business Associate Agreement, and ConverzAI explicitly includes a HIPAA BAA on its base plan. | 2 of 2 points · 1 matchup | See pricing |
| 4 | [Domu](https://www.versusref.com/voice-ai/tools/domu/) | For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA Business Associate Agreement, and Domu includes one on the base plan. | 2 of 2 points · 1 matchup | See pricing |
| 5 | [Hello Patient](https://www.versusref.com/voice-ai/tools/hello-patient/) | For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and Hello Patient explicitly includes it on the base plan. | 2 of 2 points · 1 matchup | See pricing |
| 6 | [Kore.ai](https://www.versusref.com/voice-ai/tools/kore-ai/) | For HIPAA-bound healthcare workflows, the single most critical procurement requirement is a HIPAA Business Associate Agreement available on the base plan. | 2 of 2 points · 1 matchup | See pricing |
| 7 | [Telnyx Voice AI Agents](https://www.versusref.com/voice-ai/tools/telnyx-voice-ai/) | For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA that does not cost extra. | 2 of 2 points · 1 matchup | From $0.05/min |
| 8 | [Parloa](https://www.versusref.com/voice-ai/tools/parloa/) | For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and Parloa includes it on the base plan. | 3 of 4 points · 2 matchups | See pricing |
| 9 | [Level AI](https://www.versusref.com/voice-ai/tools/level-ai/) | For HIPAA-bound healthcare workflows, both Level AI and Observe.AI include a HIPAA BAA on base plans and both hold SOC 2 Type II certification, so those critical compliance checkboxes are matched. | 1 of 2 points · 1 matchup | See pricing |
| 10 | [Omilia](https://www.versusref.com/voice-ai/tools/omilia/) | For HIPAA-bound healthcare workflows, the single most important requirement is a HIPAA BAA, and Omilia has that confirmed as included on the base plan. | 1 of 2 points · 1 matchup | See pricing |
| 11 | [Vocode](https://www.versusref.com/voice-ai/tools/vocode/) (OSS) | For HIPAA-bound healthcare workflows, the key differentiators are HIPAA BAA availability and cost. | 3.5 of 8 points · 4 matchups | See pricing |
| 12 | [Bland AI](https://www.versusref.com/voice-ai/tools/bland/) | For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. | 7 of 18 points · 9 matchups | From $0.14/min |
| 13 | [Retell AI](https://www.versusref.com/voice-ai/tools/retell/) | For HIPAA-bound healthcare workflows, HIPAA BAA availability is the critical requirement. | 6.5 of 18 points · 9 matchups | From $0.07/min |
| 14 | [LiveKit Agents](https://www.versusref.com/voice-ai/tools/livekit-agents/) (OSS) | Both tools require a paid addon for HIPAA BAA, so that is a tie. | 3.5 of 10 points · 5 matchups | From $0.01/min |
| 15 | [Phonely](https://www.versusref.com/voice-ai/tools/phonely/) | For HIPAA-bound healthcare workflows, the most critical attribute is access to a HIPAA BAA. | 3.5 of 10 points · 5 matchups | From $0.05/min |
| 16 | [Thoughtly](https://www.versusref.com/voice-ai/tools/thoughtly/) | For HIPAA-bound healthcare workflows, compliance certifications are decisive. | 2.5 of 8 points · 4 matchups | From $500/mo |
| 17 | [Voiceflow](https://www.versusref.com/voice-ai/tools/voiceflow/) | For HIPAA-bound healthcare workflows, compliance posture is decisive. | 2.5 of 8 points · 4 matchups | From $0.05/min |
| 18 | [Avoca](https://www.versusref.com/voice-ai/tools/avoca/) | AI workforce platform for the home-services trades (voice, chat, outbound, and call coaching). | 1 of 4 points · 2 matchups | See pricing |
| 19 | [Cresta](https://www.versusref.com/voice-ai/tools/cresta/) | Generative AI platform unifying autonomous AI Agent, Agent Assist, and Conversation Intelligence for enterprise contact centers. | 1 of 4 points · 2 matchups | See pricing |
| 20 | [STELLA Automotive AI](https://www.versusref.com/voice-ai/tools/stella-automotive/) | Dealership-focused conversational AI platform with certified DMS integrations (CDK, Reynolds, Tekion) and dealer/industry investors incl. Reynolds & Reynolds board representation. | 1 of 4 points · 2 matchups | See pricing |
| 21 | [Toma](https://www.versusref.com/voice-ai/tools/toma/) | "AI Coworkers for the Automotive Enterprise" - dealership call automation with production safeguards, YC/a16z-backed. | 1 of 4 points · 2 matchups | See pricing |
| 22 | [Twilio ConversationRelay](https://www.versusref.com/voice-ai/tools/twilio-conversationrelay/) | For HIPAA-bound healthcare workflows, the single most critical factor is compliance certification depth. | 1 of 4 points · 2 matchups | From $0.07/min |
| 23 | [Abby Connect](https://www.versusref.com/voice-ai/tools/abby-connect/) | Legacy virtual-receptionist provider (est. 2005) adding a lower-cost AI tier with built-in human backup; minute-bundle pricing on both lines. | 0.5 of 2 points · 1 matchup | From $99/mo |
| 24 | [Arini](https://www.versusref.com/voice-ai/tools/arini/) | The AI front desk for dental groups and DSOs - zero missed calls, 24/7. | 0.5 of 2 points · 1 matchup | See pricing |
| 25 | [ASAPP](https://www.versusref.com/voice-ai/tools/asapp/) | Generative AI CX platform whose GenerativeAgent overlays existing CCaaS stacks to automate voice and messaging interactions. | 0.5 of 2 points · 1 matchup | See pricing |
| 26 | [Bolna](https://www.versusref.com/voice-ai/tools/bolna/) | Open-source voice-agent orchestration with a hosted platform priced for Indian-language call volume. | 0.5 of 2 points · 1 matchup | From $0.06/min |
| 27 | [Brooke.ai](https://www.versusref.com/voice-ai/tools/brooke-ai/) | 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. | 0.5 of 2 points · 1 matchup | See pricing |
| 28 | [Decagon](https://www.versusref.com/voice-ai/tools/decagon/) | AI concierge platform - voice/chat/email agents driven by natural-language Agent Operating Procedures (AOPs). | 0.5 of 2 points · 1 matchup | See pricing |
| 29 | [Deepgram Voice Agent API](https://www.versusref.com/voice-ai/tools/deepgram-voice-agent-api/) | 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. | 0.5 of 2 points · 1 matchup | From $0.07/min |
| 30 | [Dentina](https://www.versusref.com/voice-ai/tools/dentina/) | The AI dental receptionist built by a dentist - 24/7 inbound/outbound calls with real-time PMS write-back. | 0.5 of 2 points · 1 matchup | From $299/mo |
| 31 | [Dialzara](https://www.versusref.com/voice-ai/tools/dialzara/) | Lowest-entry-price SMB AI receptionist with minute-bundle pricing and SMS/chatbot/outbound add-ons. | 0.5 of 2 points · 1 matchup | From $0.48/min |
| 32 | [Dograh](https://www.versusref.com/voice-ai/tools/dograh/) (OSS) | 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. | 0.5 of 2 points · 1 matchup | See pricing |
| 33 | [Google Gemini Live API](https://www.versusref.com/voice-ai/tools/gemini-live-api/) | Native-audio speech-to-speech model API (Gemini Live) with barge-in, affective dialog, and tool use over a stateful WebSocket. | 0.5 of 2 points · 1 matchup | From $0.02/min |
| 34 | [Loman AI](https://www.versusref.com/voice-ai/tools/loman/) | Restaurant voice AI with deep POS order-writing (Toast/Square/Clover/Olo etc.) - orders and payments, not just reservations and FAQs. | 0.5 of 2 points · 1 matchup | See pricing |
| 35 | [Netic](https://www.versusref.com/voice-ai/tools/netic/) | Autonomous AI revenue engine for essential home services. | 0.5 of 2 points · 1 matchup | See pricing |
| 36 | [Numa](https://www.versusref.com/voice-ai/tools/numa/) | 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. | 0.5 of 2 points · 1 matchup | See pricing |
| 37 | [Replicant](https://www.versusref.com/voice-ai/tools/replicant/) | Voice-native contact-center automation with deterministic reasoning for business rules and 1B+ minutes of production conversation data. | 0.5 of 2 points · 1 matchup | See pricing |
| 38 | [Sameday](https://www.versusref.com/voice-ai/tools/sameday/) | Trades-focused AI sales agent - sells and books jobs (claims 92%+ booking rate, voice cloning of your staff) rather than just taking messages. | 0.5 of 2 points · 1 matchup | From $449/mo |
| 39 | [Sierra](https://www.versusref.com/voice-ai/tools/sierra/) | Outcome-priced conversational AI agent platform from Bret Taylor and Clay Bavor; voice product replaces IVR with an empathetic agent. | 0.5 of 2 points · 1 matchup | See pricing |
| 40 | [Slang AI](https://www.versusref.com/voice-ai/tools/slang-ai/) | Hospitality-native voice AI ('Superhost') priced per location - reservation-system depth and guest recognition rather than generic receptionist features. | 0.5 of 2 points · 1 matchup | From $399/mo |
| 41 | [Smith.ai](https://www.versusref.com/voice-ai/tools/smith-ai/) | Human+AI hybrid receptionist platform with per-call bundle pricing; 500+ live agent network, law-firm-heavy customer base. | 0.5 of 2 points · 1 matchup | From $150/mo |
| 42 | [Upfirst](https://www.versusref.com/voice-ai/tools/upfirst/) | Per-call-bundle AI receptionist with 35+ languages and declining overage rates up to 600 calls/mo. | 0.5 of 2 points · 1 matchup | From $24.95/mo |
| 43 | [Zoom Virtual Agent Receptionist](https://www.versusref.com/voice-ai/tools/zoom-virtual-agent-receptionist/) | 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. | 0.5 of 2 points · 1 matchup | From $29.99/mo |
| 44 | [ElevenLabs Agents](https://www.versusref.com/voice-ai/tools/elevenlabs-agents/) | For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. | 4.5 of 20 points · 10 matchups | From $0.05/min |
| 45 | [Vapi](https://www.versusref.com/voice-ai/tools/vapi/) | For HIPAA-bound healthcare workflows, Vapi offers HIPAA BAA availability as a paid addon (fact 2178c398), GDPR tooling and EU residency support (c2389902), consent and recording compliance tooling (9b788d08), and a testing suite (024b391e) useful for validating compliant agent behavior. | 6.5 of 34 points · 17 matchups | From $0.05/min |
| 46 | [OpenAI Realtime API](https://www.versusref.com/voice-ai/tools/openai-realtime-api/) | Frontier speech-to-speech model API (gpt-realtime family) for low-latency voice agents over WebRTC, WebSocket, and SIP. | 1.5 of 8 points · 4 matchups | See pricing |
| 47 | [Dasha](https://www.versusref.com/voice-ai/tools/dasha/) | Dev platform, conversational AI. | 1 of 8 points · 4 matchups | From $0.08/min |
| 48 | [Rosie](https://www.versusref.com/voice-ai/tools/rosie/) | Self-serve SMB AI answering service with bundled-minute pricing and bilingual EN/ES on every plan. | 0.5 of 4 points · 2 matchups | From $49/mo |
| 49 | [Ringly.io](https://www.versusref.com/voice-ai/tools/ringly/) | Ecommerce phone agents. | 0.5 of 6 points · 3 matchups | From $0.29/min |
| 50 | [Alex (fka Apriora)](https://www.versusref.com/voice-ai/tools/alex/) | 'Interview everyone. Hire the best.' - autonomous AI interviewer (voice + video) for high-volume hiring, operated by Apriora Inc. dba Alex. | 0 of 2 points · 1 matchup | See pricing |
| 51 | [Assort Health](https://www.versusref.com/voice-ai/tools/assort-health/) | Specialty-specific AI agents for the full patient journey (access, intake, referrals, outreach). | 0 of 2 points · 1 matchup | See pricing |
| 52 | [Cognigy (NiCE)](https://www.versusref.com/voice-ai/tools/cognigy/) | Agentic AI platform for CX (Cognigy.AI + Voice Gateway); Forrester Wave 2026 Leader, sold standalone and inside NiCE CXone Mpower. | 0 of 4 points · 2 matchups | See pricing |
| 53 | [Millis AI](https://www.versusref.com/voice-ai/tools/millis/) | Low-latency voice agents. | 0 of 8 points · 4 matchups | From $0.02/min |
| 54 | [Observe.AI](https://www.versusref.com/voice-ai/tools/observe-ai/) | Contact-center AI platform expanding from conversation intelligence into autonomous VoiceAI agents (inbound and outbound) with copilots for frontline teams. | 0 of 2 points · 1 matchup | See pricing |
| 55 | [Patter](https://www.versusref.com/voice-ai/tools/patter/) (OSS) | 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. | 0 of 2 points · 1 matchup | See pricing |
| 56 | [PolyAI](https://www.versusref.com/voice-ai/tools/polyai/) | Enterprise voice assistants. | 0 of 4 points · 2 matchups | See pricing |
| 57 | [Salient](https://www.versusref.com/voice-ai/tools/salient/) | 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. | 0 of 2 points · 1 matchup | See pricing |
| 58 | [Ultravox](https://www.versusref.com/voice-ai/tools/ultravox/) | Realtime speech model + platform. | 0 of 8 points · 4 matchups | From $0.05/min |

### 1. Pipecat

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and this is where the two tools diverge most sharply. [Full Pipecat vs Vapi verdict](https://www.versusref.com/voice-ai/pipecat-vs-vapi/)

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA Business Associate Agreement, and Pipecat explicitly includes it on the base plan. [Full Pipecat vs Patter verdict](https://www.versusref.com/voice-ai/patter-vs-pipecat/)

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA. [Full Pipecat vs LiveKit Agents verdict](https://www.versusref.com/voice-ai/livekit-agents-vs-pipecat/)

### 2. Hume EVI

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA. [Full Hume EVI vs Vapi verdict](https://www.versusref.com/voice-ai/hume-evi-vs-vapi/)

For HIPAA-bound healthcare workflows, the single most critical requirement is a Business Associate Agreement, and Hume EVI includes a HIPAA BAA on its base plan. [Full Hume EVI vs OpenAI Realtime API verdict](https://www.versusref.com/voice-ai/hume-evi-vs-openai-realtime-api/)

### 3. ConverzAI

For HIPAA-bound healthcare workflows, the single most critical requirement is a signed HIPAA Business Associate Agreement, and ConverzAI explicitly includes a HIPAA BAA on its base plan. [Full ConverzAI vs Alex (fka Apriora) verdict](https://www.versusref.com/voice-ai/alex-vs-converzai/)

### 4. Domu

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA Business Associate Agreement, and Domu includes one on the base plan. [Full Domu vs Salient verdict](https://www.versusref.com/voice-ai/domu-vs-salient/)

### 5. Hello Patient

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and Hello Patient explicitly includes it on the base plan. [Full Hello Patient vs Assort Health verdict](https://www.versusref.com/voice-ai/assort-health-vs-hello-patient/)

### 6. Kore.ai

For HIPAA-bound healthcare workflows, the single most critical procurement requirement is a HIPAA Business Associate Agreement available on the base plan. [Full Kore.ai vs Cognigy (NiCE) verdict](https://www.versusref.com/voice-ai/cognigy-vs-kore-ai/)

### 7. Telnyx Voice AI Agents

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA that does not cost extra. [Full Telnyx Voice AI Agents vs Twilio ConversationRelay verdict](https://www.versusref.com/voice-ai/telnyx-voice-ai-vs-twilio-conversationrelay/)

### 8. Parloa

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA BAA, and Parloa includes it on the base plan. [Full Parloa vs PolyAI verdict](https://www.versusref.com/voice-ai/parloa-vs-polyai/)

For HIPAA-bound healthcare workflows, the single most critical requirement is a HIPAA Business Associate Agreement, and Parloa explicitly includes it on the base plan. [Full Parloa vs Cognigy (NiCE) verdict](https://www.versusref.com/voice-ai/cognigy-vs-parloa/)

### 9. Level AI

For HIPAA-bound healthcare workflows, both Level AI and Observe.AI include a HIPAA BAA on base plans and both hold SOC 2 Type II certification, so those critical compliance checkboxes are matched. [Full Level AI vs Observe.AI verdict](https://www.versusref.com/voice-ai/level-ai-vs-observe-ai/)

### 10. Omilia

For HIPAA-bound healthcare workflows, the single most important requirement is a HIPAA BAA, and Omilia has that confirmed as included on the base plan. [Full Omilia vs PolyAI verdict](https://www.versusref.com/voice-ai/omilia-vs-polyai/)

### 11. Vocode

For HIPAA-bound healthcare workflows, the key differentiators are HIPAA BAA availability and cost. [Full Vocode vs Retell AI verdict](https://www.versusref.com/voice-ai/retell-vs-vocode/)

For HIPAA-bound healthcare workflows, compliance access is the decisive factor. [Full Vocode vs ElevenLabs Agents verdict](https://www.versusref.com/voice-ai/elevenlabs-agents-vs-vocode/)

For HIPAA-bound healthcare workflows, the decisive factor is BAA availability. [Full Vocode vs Bland AI verdict](https://www.versusref.com/voice-ai/bland-vs-vocode/)

### 12. Bland AI

For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. [Full Bland AI vs Voiceflow verdict](https://www.versusref.com/voice-ai/bland-vs-voiceflow/)

For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. [Full Bland AI vs Ultravox verdict](https://www.versusref.com/voice-ai/bland-vs-ultravox/)

For HIPAA-bound healthcare workflows, the critical requirement is a signed HIPAA BAA. [Full Bland AI vs Ringly.io verdict](https://www.versusref.com/voice-ai/bland-vs-ringly/)

For HIPAA-bound healthcare workflows, compliance coverage is the decisive factor. [Full Bland AI vs Millis AI verdict](https://www.versusref.com/voice-ai/bland-vs-millis/)

### 13. Retell AI

For HIPAA-bound healthcare workflows, HIPAA BAA availability is the critical requirement. [Full Retell AI vs Ultravox verdict](https://www.versusref.com/voice-ai/retell-vs-ultravox/)

For HIPAA-bound healthcare workflows, compliance certifications are decisive. [Full Retell AI vs Millis AI verdict](https://www.versusref.com/voice-ai/millis-vs-retell/)

For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. [Full Retell AI vs Dasha verdict](https://www.versusref.com/voice-ai/dasha-vs-retell/)

For HIPAA-bound healthcare workflows, two factors dominate: HIPAA BAA availability and security certifications. [Full Retell AI vs Vapi verdict](https://www.versusref.com/voice-ai/retell-vs-vapi/)

### 14. LiveKit Agents

Both tools require a paid addon for HIPAA BAA, so that is a tie. [Full LiveKit Agents vs Vapi verdict](https://www.versusref.com/voice-ai/livekit-agents-vs-vapi/)

Both tools restrict HIPAA BAA access, but LiveKit Agents offers it as a paid addon available at lower tiers, while Retell AI limits it to enterprise only. [Full LiveKit Agents vs Retell AI verdict](https://www.versusref.com/voice-ai/livekit-agents-vs-retell/)

For HIPAA-bound workflows, the key gating factor is whether a BAA is accessible without enterprise negotiation. [Full LiveKit Agents vs ElevenLabs Agents verdict](https://www.versusref.com/voice-ai/elevenlabs-agents-vs-livekit-agents/)

### 15. Phonely

For HIPAA-bound healthcare workflows, the most critical attribute is access to a HIPAA BAA. [Full Phonely vs Rosie verdict](https://www.versusref.com/voice-ai/phonely-vs-rosie/)

For HIPAA-bound healthcare workflows, two compliance signals stand out. [Full Phonely vs Vapi verdict](https://www.versusref.com/voice-ai/phonely-vs-vapi/)

### 16. Thoughtly

For HIPAA-bound healthcare workflows, compliance certifications are decisive. [Full Thoughtly vs Vapi verdict](https://www.versusref.com/voice-ai/thoughtly-vs-vapi/)

### 17. Voiceflow

For HIPAA-bound healthcare workflows, compliance posture is decisive. [Full Voiceflow vs Vapi verdict](https://www.versusref.com/voice-ai/vapi-vs-voiceflow/)

For HIPAA-bound healthcare workflows, a signed BAA is non-negotiable. [Full Voiceflow vs ElevenLabs Agents verdict](https://www.versusref.com/voice-ai/elevenlabs-agents-vs-voiceflow/)

### 18. Avoca

AI workforce platform for the home-services trades (voice, chat, outbound, and call coaching). No won verdicts for this use case yet; it ranks on ties and near-misses.

### 19. Cresta

Generative AI platform unifying autonomous AI Agent, Agent Assist, and Conversation Intelligence for enterprise contact centers. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 20. STELLA Automotive AI

Dealership-focused conversational AI platform with certified DMS integrations (CDK, Reynolds, Tekion) and dealer/industry investors incl. Reynolds & Reynolds board representation. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 21. Toma

"AI Coworkers for the Automotive Enterprise" - dealership call automation with production safeguards, YC/a16z-backed. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 22. Twilio ConversationRelay

For HIPAA-bound healthcare workflows, the single most critical factor is compliance certification depth. [Full Twilio ConversationRelay vs Vapi verdict](https://www.versusref.com/voice-ai/twilio-conversationrelay-vs-vapi/)

### 23. Abby Connect

Legacy virtual-receptionist provider (est. 2005) adding a lower-cost AI tier with built-in human backup; minute-bundle pricing on both lines. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 24. Arini

The AI front desk for dental groups and DSOs - zero missed calls, 24/7. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 25. ASAPP

Generative AI CX platform whose GenerativeAgent overlays existing CCaaS stacks to automate voice and messaging interactions. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 26. Bolna

Open-source voice-agent orchestration with a hosted platform priced for Indian-language call volume. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 27. Brooke.ai

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 28. Decagon

AI concierge platform - voice/chat/email agents driven by natural-language Agent Operating Procedures (AOPs). No won verdicts for this use case yet; it ranks on ties and near-misses.

### 29. Deepgram Voice Agent API

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 30. Dentina

The AI dental receptionist built by a dentist - 24/7 inbound/outbound calls with real-time PMS write-back. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 31. Dialzara

Lowest-entry-price SMB AI receptionist with minute-bundle pricing and SMS/chatbot/outbound add-ons. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 32. Dograh

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 33. Google Gemini Live API

Native-audio speech-to-speech model API (Gemini Live) with barge-in, affective dialog, and tool use over a stateful WebSocket. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 34. Loman AI

Restaurant voice AI with deep POS order-writing (Toast/Square/Clover/Olo etc.) - orders and payments, not just reservations and FAQs. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 35. Netic

Autonomous AI revenue engine for essential home services. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 36. Numa

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 37. Replicant

Voice-native contact-center automation with deterministic reasoning for business rules and 1B+ minutes of production conversation data. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 38. Sameday

Trades-focused AI sales agent - sells and books jobs (claims 92%+ booking rate, voice cloning of your staff) rather than just taking messages. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 39. Sierra

Outcome-priced conversational AI agent platform from Bret Taylor and Clay Bavor; voice product replaces IVR with an empathetic agent. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 40. Slang AI

Hospitality-native voice AI ('Superhost') priced per location - reservation-system depth and guest recognition rather than generic receptionist features. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 41. Smith.ai

Human+AI hybrid receptionist platform with per-call bundle pricing; 500+ live agent network, law-firm-heavy customer base. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 42. Upfirst

Per-call-bundle AI receptionist with 35+ languages and declining overage rates up to 600 calls/mo. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 43. Zoom Virtual Agent Receptionist

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 44. ElevenLabs Agents

For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. [Full ElevenLabs Agents vs Ultravox verdict](https://www.versusref.com/voice-ai/elevenlabs-agents-vs-ultravox/)

For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. [Full ElevenLabs Agents vs Millis AI verdict](https://www.versusref.com/voice-ai/elevenlabs-agents-vs-millis/)

### 45. Vapi

For HIPAA-bound healthcare workflows, Vapi offers HIPAA BAA availability as a paid addon (fact 2178c398), GDPR tooling and EU residency support (c2389902), consent and recording compliance tooling (9b788d08), and a testing suite (024b391e) useful for validating compliant agent behavior. [Full Vapi vs Ultravox verdict](https://www.versusref.com/voice-ai/ultravox-vs-vapi/)

For HIPAA-bound healthcare workflows, the key requirement is access to a HIPAA BAA. [Full Vapi vs Ringly.io verdict](https://www.versusref.com/voice-ai/ringly-vs-vapi/)

For HIPAA-bound healthcare workflows, Vapi offers a HIPAA BAA as a paid addon, making it at least available. [Full Vapi vs Millis AI verdict](https://www.versusref.com/voice-ai/millis-vs-vapi/)

For HIPAA-bound healthcare workflows, the critical requirement is a HIPAA BAA. [Full Vapi vs Dasha verdict](https://www.versusref.com/voice-ai/dasha-vs-vapi/)

### 46. OpenAI Realtime API

Frontier speech-to-speech model API (gpt-realtime family) for low-latency voice agents over WebRTC, WebSocket, and SIP. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 47. Dasha

Dev platform, conversational AI. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 48. Rosie

Self-serve SMB AI answering service with bundled-minute pricing and bilingual EN/ES on every plan. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 49. Ringly.io

Ecommerce phone agents. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 50. Alex (fka Apriora)

'Interview everyone. Hire the best.' - autonomous AI interviewer (voice + video) for high-volume hiring, operated by Apriora Inc. dba Alex. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 51. Assort Health

Specialty-specific AI agents for the full patient journey (access, intake, referrals, outreach). No won verdicts for this use case yet; it ranks on ties and near-misses.

### 52. Cognigy (NiCE)

Agentic AI platform for CX (Cognigy.AI + Voice Gateway); Forrester Wave 2026 Leader, sold standalone and inside NiCE CXone Mpower. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 53. Millis AI

Low-latency voice agents. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 54. Observe.AI

Contact-center AI platform expanding from conversation intelligence into autonomous VoiceAI agents (inbound and outbound) with copilots for frontline teams. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 55. Patter

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 56. PolyAI

Enterprise voice assistants. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 57. Salient

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. No won verdicts for this use case yet; it ranks on ties and near-misses.

### 58. Ultravox

Realtime speech model + platform. No won verdicts for this use case yet; it ranks on ties and near-misses.

Source: https://www.versusref.com/voice-ai/best/healthcare/