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. Natively: A free, open-source desktop AI meeting assistant offering real-time transcription, structured notes, and on-call answers with local processing and bring-your-own-key support. Here's where each one pulls ahead on pricing, features, and the meetings it suits best.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and Natively when running a fully local, offline meeting assistant via ollama for sensitive discussions matters most. Try them side by side on real calls before deciding — needs vary by team.
Empathia AI is an ambient AI medical scribe that records patient encounters and automatically generates clinical notes, letters, and billing codes for clinicians.
A free, open-source desktop AI meeting assistant offering real-time transcription, structured notes, and on-call answers with local processing and bring-your-own-key support.
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
Natively is an open-source AI meeting assistant maintained by the Natively-AI-assistant project and actively developed through 2025 and 2026. It runs as a desktop application on macOS (Apple Silicon and Intel) and Windows, capturing meeting audio directly on the device rather than joining calls as a visible participant. Built with a Rust-based audio pipeline, it provides low-latency real-time transcription and generates structured, searchable meeting notes that include action items, decisions, and key moments, alongside an on-demand AI assist triggered by a keyboard shortcut. It offers several meeting modes for different contexts and works alongside major platforms such as Zoom, Google Meet, and Microsoft Teams. Natively is bring-your-own-key and supports providers including Google Gemini, OpenAI, Anthropic Claude, and Groq, plus a fully local option through Ollama so transcription and analysis can stay offline on the user's machine; meeting data is stored locally by default. As an indie, community-driven tool it positions itself as a free alternative to paid commercial assistants, though it relies on user-supplied API keys for cloud models and is still evolving. Verify current features and any policies on the official site. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); Natively is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | Natively |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | Real-time transcription with a low-latency Rust-based audio pipeline |
| Standout feature | Automatic transcription and structured clinical note generation | Structured, searchable meeting notes with action items and decisions |
| Team usage | Multi-speaker and multilingual support with dictation | On-demand AI assist via keyboard shortcut during calls |
| Integrations | Specialty-tuned templates across 20+ medical specialties | Bring-your-own-key support for Gemini, OpenAI, Claude, and Groq |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Fully local/offline option through Ollama with local data storage by default |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Works alongside Zoom, Google Meet, and Microsoft Teams without a visible bot |
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.
Natively
Choose Natively if you need capturing real-time transcripts and structured notes from calls without a visible bot — strengths include free and open source with active development.
Empathia AI
Natively
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while Natively is strong for capturing real-time transcripts and structured notes from calls without a visible bot. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and Natively 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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