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. OpenTranscribe: Self-hosted, containerized web app for transcribing and analyzing audio/video with WhisperX, speaker diarization, search, and collaboration. Below, they line up on price, capture method, and how each fits a real meeting stack.
How Hosiqo compares and tests toolsFinal recommendation
Shortlist Empathia AI when clinicians automating post-visit charting and clinical note documentation matters most, and OpenTranscribe when collaborative review of transcripts with time-stamped annotations 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.
Self-hosted, containerized web app for transcribing and analyzing audio/video with WhisperX, speaker diarization, search, and collaboration.
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
OpenTranscribe is a self-hosted, containerized web application for transcribing and analyzing audio and video files using current AI models. It is built with a FastAPI backend, a Svelte/TypeScript progressive web app frontend, and a Docker-based stack that includes PostgreSQL, Redis/Celery task queues, MinIO object storage, and OpenSearch for full-text indexing. Transcription is handled by WhisperX with the large-v3-turbo model and Faster-Whisper, supporting more than 100 languages, while automatic speaker diarization uses PyAnnote v4 with overlap detection. The project is licensed under AGPL-3.0 and is actively maintained, with v0.4.1 released in April 2026. Beyond transcription, OpenTranscribe provides AI-powered summarization (including BLUF-format and custom JSON schemas), topic extraction, and content analysis through multiple LLM providers such as OpenAI, Claude, vLLM, Ollama, and OpenRouter. Collaboration features include time-stamped comments and annotations, and the platform can automatically import media from local folders, S3, and SMB shares. It also supports a set of cloud ASR providers as alternatives to local transcription, giving teams flexibility between fully local processing and managed services while keeping the application running on their own infrastructure. Pricing varies by plan. Check the official website for current pricing.
Best suited for
Empathia AI is a free tier with paid upgrades (freemium); OpenTranscribe is a free tier with paid upgrades (freemium). Always confirm current pricing on each vendor's site before buying.
| Feature | Empathia AI | OpenTranscribe |
|---|---|---|
| Core capability | Ambient AI capture (EMMA) for in-person, telehealth, and phone encounters | WhisperX transcription with large-v3-turbo and 100+ language support |
| Standout feature | Automatic transcription and structured clinical note generation | Automatic speaker diarization via PyAnnote v4 with overlap detection |
| Team usage | Multi-speaker and multilingual support with dictation | Full-text search and filtering powered by OpenSearch |
| Integrations | Specialty-tuned templates across 20+ medical specialties | AI summarization, topic extraction, and content analysis via multiple LLM providers |
| Languages & capture | Suggested ICD/CPT/service billing codes, referral and consult letters | Time-stamped comments for collaboration and annotation |
| Best-fit workflow | EMR/EHR integrations (Epic, Athenahealth, eClinicalWorks, Accuro, OSCAR, and more) | Auto-import from local folders, S3, and SMB shares |
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.
OpenTranscribe
Choose OpenTranscribe if you need teams self-hosting a searchable archive of transcribed meeting and media recordings — strengths include fully self-hosted web app with a complete transcription-and-analysis stack.
Empathia AI
OpenTranscribe
It depends on your workflow. Empathia AI is strong for clinicians automating post-visit charting and clinical note documentation, while OpenTranscribe is strong for teams self-hosting a searchable archive of transcribed meeting and media recordings. Both transcribe and summarize meetings.
Empathia AI is a free tier with paid upgrades and OpenTranscribe 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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