Alter: macOS-native AI meeting assistant that records and transcribes calls locally with built-in Whisper and Parakeet models, no bots required. Upheal: Upheal is an AI-native EHR for mental health therapists that records and transcribes sessions to auto-generate clinical progress notes. The right pick comes down to team size, budget, and the workflows you want to automate.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Alter when freelancers and consultants privately capturing client calls without a visible bot matters most, and Upheal when group practices standardizing documentation and compliance across multiple clinicians matters most. Trial each on a few real meetings before you commit — the better fit usually shows fast.
macOS-native AI meeting assistant that records and transcribes calls locally with built-in Whisper and Parakeet models, no bots required.
Upheal is an AI-native EHR for mental health therapists that records and transcribes sessions to auto-generate clinical progress notes.
Alter is a native macOS application that records, transcribes, and analyzes meetings directly on the user's Mac without sending a bot into the call. Instead of joining a meeting as a visible participant, Alter captures audio from the system output and microphone, so it works across Zoom, Microsoft Teams, Google Meet, WhatsApp, FaceTime, Skype, Discord, and in-person conversations. Transcription runs through on-device models, with a choice of an optimized Parakeet model for major languages or Whisper for broader language coverage, and speaker identification is performed locally. Because processing happens on the device, recordings and transcripts stay on the Mac and the app can operate without an internet connection. Beyond raw transcripts, Alter generates summaries and action items, lets users chat with their meetings, and connects to tools such as Notion, Slack, Linear, Asana, and Jira. It targets solopreneurs, freelancers, consultants, and other professionals who want private, bot-free meeting capture on macOS. The product is actively developed and operating in 2025 and 2026. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Upheal is an AI-native electronic health record (EHR) platform built specifically for mental health therapists and behavioral health practices. It records and transcribes therapy sessions and then generates clinical progress notes formatted to a chosen template, typically within about a minute. Sessions can be captured through Upheal's built-in HIPAA-compliant telehealth video, in-person audio recording, dictation, or by uploading pre-recorded audio files; transcription supports multiple languages including English, Spanish, Portuguese, German, French, Italian, Mandarin, and Hindi. The platform offers numerous note formats such as SOAP, DAP, BIRP, GIRP, EMDR, intake, and mental status exam, plus customizable sections. Beyond documentation, it provides scheduling, client intake forms, billing and superbills, secure messaging, and compliance checking. A browser extension transfers notes into other EHRs and works alongside telehealth tools like Zoom and Google Meet. By default, audio recordings are deleted after transcription unless saved. It is aimed at solo therapists, group practices, and virtual care providers.
Best suited for
Alter is a free tier with paid upgrades (freemium); Upheal is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Alter | Upheal |
|---|---|---|
| Core capability | On-device transcription using built-in Whisper and Parakeet models | AI-generated clinical progress notes in formats like SOAP, DAP, BIRP, and GIRP with customizable templates |
| Standout feature | Bot-free capture of system audio and microphone across any meeting or call app | Session capture via built-in HIPAA-compliant telehealth video, in-person audio, dictation, or uploaded recordings |
| Team usage | Automatic speaker identification performed locally | Multi-language transcription (English, Spanish, Portuguese, German, French, Italian, Mandarin, Hindi) |
| Integrations | AI summaries, action items, and chat-with-your-meeting Q&A | Browser extension to transfer notes into other EHRs and use alongside Zoom and Google Meet |
| Languages & capture | Integrations with Notion, Slack, Linear, Asana, Jira and other tools | Integrated practice management: scheduling, intake forms, billing/superbills, and secure messaging |
| Best-fit workflow | Offline operation with recordings and transcripts stored locally | Automatic deletion of audio recordings after transcription unless explicitly saved |
Alter
Choose Alter if you need freelancers and consultants privately capturing client calls without a visible bot — strengths include local processing keeps recordings and transcripts on the user's own mac.
Upheal
Choose Upheal if you need therapists automating clinical progress notes after telehealth or in-person sessions — strengths include purpose-built for therapists with clinically structured note templates rather than generic meeting summaries.
Alter
Upheal
It depends on your workflow. Alter is strong for freelancers and consultants privately capturing client calls without a visible bot, while Upheal is strong for therapists automating clinical progress notes after telehealth or in-person sessions. Both transcribe and summarize meetings.
Alter is a free tier with paid upgrades and Upheal is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Yes. Many teams run more than one meeting assistant when the workflows are complementary.
More head-to-head comparisons involving Alter and Upheal.
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