Smith.ai alternatives
8 Smith.ai alternatives from our directory, ranked by AIOP Score, with published pricing, HIPAA BAA status, best fit and when to switch. Admin and operations only.
Smith.ai listingFacts last checked up to 2026-10-16 · ranked by AIOP Score
About Smith.ai
Full listing →6.3/10Free plan · from $0/moBAA unverified
- Pricing
- $0/mo Free tier (25 calls included, then overage per call); Pro $150/mo (75 calls); Enterprise $500/mo (300+ calls); Calendly, Clio & Zapier (vendor pricing)
- HIPAA BAA
- unverified – vendor markets to medical/wellness but no public BAA found on pricing or industry pages
- Best fit
- AI receptionist with optional live North America agents: answers calls, qualifies leads, books appointments, and escalates complex calls. Integrates with Calendly, Clio, Zapier and 7,000+ apps. Confirm HIPAA/BAA directly before routing PHI.
- Last checked
- 2026-10-15 · smith.ai · BAA: smith.ai
Why practices look for Smith.ai alternatives
- We found no public BAA on Smith.ai's pricing or industry pages, so confirm directly before routing patient calls.
- Pro is $150/mo for 75 calls and Enterprise $500/mo for 300+ calls, so cost scales with call volume.
Stay with Smith.ai if…
You want an AI receptionist with optional live North America agents and integrations with Calendly, Clio and Zapier.
Quick picks
- Highest AIOP Score: VCare Health (9.0/10). Starter $299/mo (1–3 providers).
- Vendor states a BAA on every plan or account: VCare Health, MedReception AI, Clinivocx, DeskMD and Echo.
8 alternatives, ranked
All Phones & Scheduling tools →- From $299/moBAA available
- Pricing
- Starter $299/mo (1–3 providers); Growth $599/mo (4–10 providers); Enterprise custom; 14-day free trial, no credit card, no setup fee (vendor trial page)
- HIPAA BAA
- Yes – BAA included at no cost on all plans including trial (vendor site)
- Best for
- AI receptionist for independent practices that answers inbound (and on higher plans outbound) calls 24/7, books and updates appointments via EHR API sync, and sends SMS confirmations and reminders. Setup marketed as live in under three days without an IT project.
- Last checked
- · vcare-health.com
- $0.07–$0.31/minBAA available
- Pricing
- Usage-based, $0.07–$0.31/min; $10 free credits (vendor site)
- HIPAA BAA
- Yes – self-service BAA portal (vendor site)
- Best for
- Build-your-own voice agent platform with a medical answering template; connects to your schedule and knowledge base.
- Last checked
- · www.retellai.com
- From $299/moBAA available
- Pricing
- Studio (self-serve) $299/mo; Managed Essential $495/mo (500 min), Professional $995/mo (1,000 min), Elite $1,495/mo (2,000 min); overages ~$0.95–$1.25/min; Annie AI after-hours $99/mo add-on on Essential; annual ~15% off (vendor site)
- HIPAA BAA
- Yes – BAA signed for every deployment that touches PHI (vendor HIPAA page)
- Best for
- Physician-built AI medical receptionist that answers calls, books visits in supported EMRs, and leaves staff call summaries. Managed plans include setup and optimization; Studio is self-serve. After-hours Annie AI and smart voicemail available as add-ons on lower tiers.
- Last checked
- · www.medreception.ai · BAA: www.medreception.ai
- From $799/moBAA available
- Pricing
- Small $799/mo (1 provider), Medium $1,999/mo (2–3 providers), Large $4,999/mo (4+ providers); all features in every tier; no per-call or per-minute patient-call charges (vendor AI-info page)
- HIPAA BAA
- Yes – signed BAA with every plan; MFA mandatory (vendor site)
- Best for
- AI receptionist for independent US practices (about 1–10 clinicians) that answers 24/7, books/reschedules against practice rules, escalates urgent red-flag calls, and delivers transcripts and action items. Does not write back to the EHR; practices forward their existing number.
- Last checked
- · www.clinivocx.com
- From $299/provider/moBAA available
- Pricing
- $299/provider/mo Standard, $449 Pro; 14-day free trial (vendor site)
- HIPAA BAA
- Yes – signed BAA on every account (vendor site)
- Best for
- AI virtual receptionist that answers calls, identifies the requested provider, captures structured intake and sends a record to your inbox. Does not write to the EHR.
- Last checked
- · www.deskmd.ai
- QuoteBAA available
- Pricing
- Base $499/mo or $449/mo yearly; Pro $599/mo or $539/mo yearly; one-time onboarding fee quoted (vendor site)
- HIPAA BAA
- Yes – signed BAA before go-live, included at every size (vendor site)
- Best for
- AI receptionist that answers inbound and outbound calls 24/7, books into your EHR under your scheduling rules, and can add texting, online booking and chat on Pro.
- Last checked
- · www.echobooking.com
- From $199/moBAA available
- Pricing
- Growth $199/mo (1,000 min), Scale $399/mo; plans from $69/mo (vendor site)
- HIPAA BAA
- Yes – on Scale and Enterprise plans only (vendor site)
- Best for
- AI phone answering for practices with published Growth/Scale plans; HIPAA BAA on Scale and Enterprise. Integrates with HubSpot, Salesforce, Calendly, Zapier/Make, Google Calendar and REST/MCP APIs (vendor integrations page).
- Last checked
- · phonestack.com
- From $89/moBAA reported
- Pricing
- Reported $89/mo for 90 calls; 10-day trial (third-party review)
- HIPAA BAA
- Reported yes – BAAs executed with customers handling PHI (third-party review)
- Best for
- AI receptionist that answers calls and books on Cal.com, Calendly or Google Calendar.
- Last checked
- · www.clinicspots.com
Smith.ai vs the top 3 at a glance
 Smith.ai | VVCare Health |  Retell AI | MMedReception AI | |
|---|---|---|---|---|
| Pricing | $0/mo Free tier (25 calls included, then overage per call); Pro $150/mo (75 calls); Enterprise $500/mo (300+ calls); Calendly, Clio & Zapier (vendor pricing) | Starter $299/mo (1–3 providers); Growth $599/mo (4–10 providers); Enterprise custom; 14-day free trial, no credit card, no setup fee (vendor trial page) | Usage-based, $0.07–$0.31/min; $10 free credits (vendor site) | Studio (self-serve) $299/mo; Managed Essential $495/mo (500 min), Professional $995/mo (1,000 min), Elite $1,495/mo (2,000 min); overages ~$0.95–$1.25/min; Annie AI after-hours $99/mo add-on on Essential; annual ~15% off (vendor site) |
| What it does | AI receptionist with optional live North America agents: answers calls, qualifies leads, books appointments, and escalates complex calls. Integrates with Calendly, Clio, Zapier and 7,000+ apps. Confirm HIPAA/BAA directly before routing PHI. | AI receptionist for independent practices that answers inbound (and on higher plans outbound) calls 24/7, books and updates appointments via EHR API sync, and sends SMS confirmations and reminders. Setup marketed as live in under three days without an IT project. | Build-your-own voice agent platform with a medical answering template; connects to your schedule and knowledge base. | Physician-built AI medical receptionist that answers calls, books visits in supported EMRs, and leaves staff call summaries. Managed plans include setup and optimization; Studio is self-serve. After-hours Annie AI and smart voicemail available as add-ons on lower tiers. |
| HIPAA BAA | unverified – vendor markets to medical/wellness but no public BAA found on pricing or industry pages | Yes – BAA included at no cost on all plans including trial (vendor site) | Yes – self-service BAA portal (vendor site) | Yes – BAA signed for every deployment that touches PHI (vendor HIPAA page) |
| Best fit | unverified | unverified | unverified | unverified |
| Last checked | · source | · source | · source | · source |
| Next step | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ | Full listing Visit site ↗ |
Facts come from vendor pages and third-party reviews, as labeled on each line. “Unverified” means we couldn't confirm it. Get the BAA for the exact plan you buy and confirm pricing with the vendor before you switch.
Frequently asked questions
What are the best Smith.ai alternatives for a small practice?
Ranked by AIOP Score among the 8 alternatives we track: VCare Health (9.0), Retell AI (8.9), MedReception AI (8.8) and Clinivocx (8.4). The score is editorial and calculated from published pricing, BAA status, small-practice fit, setup and features. Sponsorship never affects it.
Which Smith.ai alternatives include a BAA on every plan?
Per the vendors' own pages: VCare Health, MedReception AI, Clinivocx, DeskMD and Echo. Confirm the BAA covers the exact plan you buy.
Does Smith.ai offer a HIPAA BAA?
Our data says: unverified – vendor markets to medical/wellness but no public BAA found on pricing or industry pages. Last checked 2026-10-15.
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Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.