Ava: AI live captioning and transcription app for accessibility, providing real-time captions for conversations and video meetings. Twofold Health: An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes. We compare them on cost, capture approach, and day-to-day fit so you can choose faster.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Ava when real-time captioning for deaf and hard-of-hearing participants matters most, and Twofold Health when telehealth providers capturing and documenting zoom, doxy, or google meet visits matters most. Try them side by side on real calls before deciding — needs vary by team.
AI live captioning and transcription app for accessibility, providing real-time captions for conversations and video meetings.
An AI medical scribe that captures clinical conversations from in-person and telehealth sessions and generates formatted clinical notes.
Ava is a live captioning and transcription service built primarily for deaf and hard-of-hearing users, as well as for organizations that need accessible meetings and conversations. The app captures audio from in-person conversations and from video conferencing tools, then generates real-time captions on a phone, computer, or in the meeting interface. Ava combines automatic speech recognition with an optional professional scribe service for higher-accuracy, ADA-compliant captioning, giving users a choice between fast AI captions and human-assisted transcription. Features include color-coded speaker identification so users can follow who said what, support for many languages, and stored transcripts and summaries after a conversation ends. Through its Ava Connect integration, the service connects with Zoom, Google Meet, and Microsoft Teams, and it is available across mobile (iOS and Android), web, and desktop (Windows and Mac). Ava is aimed at individuals who need accessibility support in daily conversations and meetings, as well as at educational institutions, healthcare providers, corporations, and event venues that must provide compliant real-time captioning without committing to a traditional CART contract. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Twofold Health is an AI medical scribe for clinicians that listens to patient encounters and automatically drafts structured clinical documentation. It captures audio from in-person visits or telehealth sessions on Zoom, Doxy, Google Meet, and other video platforms, and also supports dictating a summary, uploading an existing recording, or uploading handwritten notes via OCR. From the captured audio it produces formatted notes in formats such as SOAP, DAP, BIRP, GIRP, intake, History and Physical, discharge summaries, progress notes, treatment plans, and referral letters. An in-app assistant can answer progress questions, suggest ICD/CPT codes, and generate homework ideas. It runs in any modern browser on macOS, Windows, or Linux, with native iOS and Android apps, and works with EHR systems including Epic, Cerner, Athena, and SimplePractice. Twofold is HIPAA compliant, provides a signed Business Associate Agreement, and states it does not use audio, transcripts, notes, or PHI to train AI models. It targets mental and behavioral health, primary care, psychiatry, and allied health providers.
Best suited for
Ava is a free tier with paid upgrades (freemium); Twofold Health is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Ava | Twofold Health |
|---|---|---|
| Core capability | Integration with Zoom, Google Meet, and Microsoft Teams | Captures audio from in-person visits and telehealth platforms (Zoom, Doxy, Google Meet) |
| Standout feature | Real-time live captions for in-person and online conversations | Generates formatted clinical notes (SOAP, DAP, BIRP, GIRP, intake, H&P, discharge, progress notes) |
| Team usage | Color-coded speaker identification | Multiple capture modes: live session, dictated summary, audio upload, and handwritten-note OCR |
| Integrations | Optional professional scribe service for higher accuracy | In-app assistant for progress questions, ICD/CPT code suggestions, and homework ideas |
| Languages & capture | Mobile, web, and desktop apps | Works across browser (macOS, Windows, Linux) plus native iOS and Android apps |
| Best-fit workflow | Saved transcripts and conversation summaries | EHR compatibility including Epic, Cerner, Athena, and SimplePractice |
Ava
Choose Ava if you need real-time captioning for deaf and hard-of-hearing participants — strengths include strong accessibility focus for deaf and hard-of-hearing users.
Twofold Health
Choose Twofold Health if you need mental and behavioral health clinicians automating session notes and treatment plans — strengths include hipaa compliant with a signed business associate agreement, and states it does not train ai models on phi.
Ava
Twofold Health
It depends on your workflow. Ava is strong for real-time captioning for deaf and hard-of-hearing participants, while Twofold Health is strong for mental and behavioral health clinicians automating session notes and treatment plans. Both transcribe and summarize meetings.
Ava is a free tier with paid upgrades and Twofold Health is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
Sure. Running both makes sense when their strengths don't overlap and the budget allows.
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