AI scribes mostly promise the same thing: less charting, less burnout, more patient time.

But when we compare tools side-by-side, there’s a real difference around:

• Note accuracy
• Speed
• Workflow fit
• EHR integrations
• Real-world reliability. 

Two of the most talked-about options right now are Freed and Twofold Health. Both generate notes automatically. Both are HIPAA-compliant. Both offer free trials.

When you look beyond surface-level claims, differences in workflow, adaptability, and integrations start to matter.

For most outpatient clinicians and small practices, Freed delivers higher-quality drafts, a faster workflow, and stronger long-term scalability.

Let’s break it down.

Quick summary table: Choosing between Freed and Twofold

Both tools excel in fast note generation, but Freed takes the lead for most practices with superior integrations and adaptability.

Freed vs. Twofold Health: TL;DR

Both Freed and Twofold are solid HIPAA-compliant AI scribes for outpatient notes. 

Clinicians choose Freed for drafts that improve over time, seamless EHR workflows, and scalable team value — especially when integrations and mobile flexibility matter.

Twofold vs. Freed: Overviews

Freed

Freed is a clinician-first AI scribe built for speed, adaptability, and cost-effective scaling.

It’s widely adopted by small practices supporting multiple specialties, sites, and clinicians. Top specialties include family medicine, internal medicine, psychiatry, pediatrics, and more.

Built with clinician workflows in mind, Freed offers unlimited notes with sophisticated features like direct EHR push, specialty-specific templates, and intelligent conversation filtering that separates clinical information from casual chat.

Freed isn’t just a clinical documentation tool. It's a complete clinical workflow assistant that scales with your practice.

Best for

Busy clinicians, small to mid-sized clinics, and growing practices

Key features and strengths:

• Ambient capture — notes complete in minutes adapted to your specialty
• EHR push maps notes to any browser-based EHR via the Chrome extension
• Instant template upload and template library
• Learn format trains on writing preferences and adds custom instructions
• Generated ICD-10 codes, patient instructions, referrals, and more
• AI clinician assistant to support prompted edits, patient questions, and clinical thinking
• Mobile + desktop support

Cons

• No free tier (7-day free trial)
• Does not integrate with Epic

Twofold 

Twofold’s AI medical scribe offers unlimited notes at a competitive price point and supports various note formats including SOAP, DAP, and BIRP. It boasts a simple workflow that captures visits up to 1.5 hours, learns the clinician's style, and enables copy/paste functionality into EHRs. 

The tool is especially useful to solo practitioners and individual clinicians, particularly in behavioral health, therapy, and nutrition fields.

Best for

Solo documentation workflows

Key features and strengths

• Quick draft creation and example note 
• Summary dictation and note upload 
• Template builder and library
• Copy-to-EHR workflow
• Hosted on Microsoft Azure

Cons

• No free tier (7-day trial)
• No integrations with EHRs (copy-paste flow)

Pricing comparison (2026)

Freed recently rolled out new tiered pricing that makes it competitive — and in some cases more cost effective — than Twofold, without sacrificing quality. 

Freed pricing

• Starter — $39/mo (up to 40 notes/month)
• Core — $79/mo (unlimited notes)
• Premier — $104/mo (integrations + advanced tools)
• Groups — custom pricing

Twofold pricing

• ~$44/mo annually
• Groups — custom pricing

Security and compliance

Security isn’t optional in healthcare. It’s foundational. Both Freed and Twofold Health outline safeguards designed to protect patient data and support regulatory requirements. Here’s how their security practices compare.

Why clinicians choose Freed

If you're a solo practitioner in behavioral health or therapy with straightforward documentation needs, Twofold Health is a perfectly viable option. It's affordable and gets the job done.

But if you're running a small to mid-sized clinic with multiple clinicians, or you’re looking for flexibility, Freed is the stronger long-term choice for growing practices. Here's why:

1. Time savings that scale

EHR Push often saves 2-3 minutes per patient. For a 20-patient day, that's 40-60 minutes saved daily-200-300 minutes per week, or 3-5 hours. Over a year, that's 150-250 hours per clinician. For a 10-clinician practice, that's 1,500-2,500 hours of time saved annually.

That’s measurable ROI that’s difficult to achieve with manual copy-and-paste workflows.

2. Better notes, less editing

Intelligent conversation filtering means you're not wading through transcripts of small talk and non-clinical chatter. Specialty-specific templates mean less customization work. The Learn My Format feature means the AI adapts to you, not vice versa.

The result is chart-ready notes that require minimal editing, instead of drafts that need significant cleanup.

3. Built for practices and practitioners

Small and mid-sized clinics face unique challenges:

• Coordinating multiple providers
• Maintaining documentation consistency
• Managing costs across teams
• Scaling workflows as the practice grows. 

Freed was designed specifically with these challenges in mind. 

Team template libraries, centralized management, organization-wide BAAs, and dedicated account support for groups support the whole practice. When you're coordinating multiple clinicians, these features are essential.

4. Investment in innovation

Freed continuously ships new features: Medical coding, visit prep, AI clinician assistant, enhanced specialty templates, and improved EHR integrations. The platform is actively developing capabilities that make clinicians' lives easier.

While Twofold emphasizes speed and affordability, Freed emphasizes comprehensive workflow solutions that evolve with your practice's needs.

Choosing the right AI scribe for you

Ultimately, Twofold may work well if you're looking for a straightforward AI scribe and are comfortable manually copying notes into your EHR after each visit.

Freed is built for clinicians who want more than basic note generation. With ambient capture, EHR push via Chrome extension, drafts that improve as you edit, specialty-specific templates, and tools that support care before, during, and after the visit, Freed is designed to reduce both clicks and cognitive load.

For small and midsized practices — where efficiency, accuracy, and workflow simplicity matter every day — that makes Freed a more complete and practical long-term solution.

Start your 7-day free trial and experience documentation that feels lighter from day one.