Empathia AI: Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians. Letterly: Letterly is a multilingual AI speech-to-text app that turns dictated speech into polished notes, emails, summaries, and meeting transcripts across iOS, Android, Mac, Windows, and Web. Which one wins depends on your platform mix, budget, and how hands-off you want notes to be.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Letterly when transcribing and summarizing meetings or interviews with speaker separation matters most. Run both through a week of actual calls to see which suits your workflow.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
Letterly is a multilingual AI speech-to-text app that turns dictated speech into polished notes, emails, summaries, and meeting transcripts across iOS, Android, Mac, Windows, and Web.
Empathia AI is an AI medical scribe built for clinicians and healthcare practices. Its core engine, EMMA, uses ambient AI to listen to doctor-patient interactions across in-person visits, telehealth, and phone calls, then transcribes the conversation and generates structured, customizable clinical notes. Beyond note-taking, it produces chart summaries, referral and consult letters, form autofill, patient instructions, and suggested ICD/CPT/service billing codes. The platform supports multi-speaker conversations, dictation, and multilingual encounters, and offers specialty-tuned templates across 20+ medical specialties. It works on desktop and mobile and integrates with numerous EMR/EHR systems, including Epic, Athenahealth, eClinicalWorks, NextGen, DrChrono, Practice Fusion, Elation, and Canadian systems such as Accuro, OSCAR, and Juno. Empathia emphasizes compliance, citing HIPAA, PHIPA, PIPEDA, and GDPR alignment, and notes pre-qualified vendor status with Canada Health Infoway's national AI scribe program. It targets individual practitioners and clinics seeking to reduce documentation time and refocus attention on patient care.
Best suited for
Letterly is a voice-to-text application that converts spoken words into clean, structured written text. Aimed at professionals, students, content creators, and anyone who prefers talking to typing, it lets users record speech directly in the app or dictate into other apps, then automatically transcribes the audio. Beyond raw transcription, Letterly applies AI rewriting so a single recording can become an email, a summary, a social post, a task list, a journal entry, or a meeting recap, using preset styles or custom instructions. It automatically detects and transcribes a wide range of languages and can handle mid-sentence language switching. For meetings and interviews, it offers speaker separation and can generate summaries from a recording. The app supports extended recordings, offline and screen-off dictation, quick-record widgets, and live sync across devices, including Apple Watch. It also integrates with external tools via Zapier and webhooks. Letterly states that user data is kept private and not used to train AI models. It runs on iOS, Android, Mac, Windows, and Web.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Letterly is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Letterly |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Automatic speech-to-text transcription of recorded or dictated audio |
| Standout feature | Automatic transcription and structured clinical note generation | AI rewriting into multiple formats (emails, summaries, posts, task lists, journal entries) |
| Team usage | Multi-speaker and multilingual support with dictation | Multilingual transcription with automatic language detection and mid-sentence switching |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Meeting/interview support with speaker separation and summary generation |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Offline and screen-off recording, plus quick-record widget and Apple Watch dictation |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Cross-device sync and integrations via Zapier and webhooks |
Empathia AI
Choose Empathia AI if you need clinicians automating post-visit charting and clinical note documentation — strengths include purpose-built for clinical documentation with deep emr integration.
Letterly
Choose Letterly if you need dictating and polishing emails, messages, and notes faster than typing — strengths include broad multilingual coverage with automatic language detection.
Empathia AI
Letterly
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Letterly is strong for dictating and polishing emails, messages, and notes faster than typing. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Letterly is a free tier with paid upgrades. Check each vendor's pricing page for the latest plans and free-tier limits.
You can — some teams pair them when each covers a different part of the meeting workflow.
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