Twofold vs Scribeberry vs PhiClaw: Which AI Scribe for a Small Practice?

Small practices shopping for an affordable AI scribe keep running into Twofold and Scribeberry. Both turn a visit into a draft note for well under $100 a month. Here is how they compare, and when it makes more sense to get the scribe as part of something bigger.

Twofold AI

Twofold is an AI medical scribe popular with therapists, psychiatrists, and small practices. It has one paid tier with unlimited notes, about $49 a month on annual billing (third-party reviews cite $49 to $69 a month), a 7-day free trial with no card, and frequent first-month promotions. Twofold says it offers a BAA, signable online without a sales call, and discards audio once the note is generated unless you opt in to keeping it. A third-party review notes its SOC 2 Type II audit was still in progress.

Scribeberry

Scribeberry is an AI scribe with a free tier (about 20 uses a month) and a Pro plan around $99 a month. It lists HIPAA and PIPEDA (Canada's privacy law) compliance and does not keep permanent audio files, which makes it a common pick for Canadian clinicians as well as U.S. ones.

Head to head

• Price: Twofold about $49 to $69 a month unlimited; Scribeberry free for light use, about $99 for Pro. PhiClaw's scribe is unlimited for every provider and included in the $1,500 plan.
• BAA: Twofold offers one online. Scribeberry lists HIPAA compliance; request the BAA for your plan. PhiClaw signs one on every plan.
• Audio: Twofold discards audio by default; Scribeberry keeps no permanent audio files.
• After the note: both stop at the note. PhiClaw keeps going: it books the follow-up, sends the prescription, files the claim, and messages the patient.

What HIPAA actually requires

Under HIPAA, a medical practice can only hand protected health information (PHI) to a vendor that has signed a Business Associate Agreement (BAA). A BAA is the contract where the vendor promises to protect PHI, report breaches, and accept HIPAA obligations. Two details trip practices up: the BAA has to cover the exact product and plan you use, and it does not make you compliant by itself. You still need the right settings, access controls, and staff habits.

When a standalone scribe is right

If you are a solo clinician whose only real pain is charting, Twofold or Scribeberry is the cheapest good answer. Do not pay for more than you need.

When PhiClaw is right

If charting is one pain among many (phones, messages, intake, prior auths, denials, marketing), a scribe alone leaves most of the hours on the table. PhiClaw includes an unlimited AI scribe for every provider and runs the rest of the practice too, at $1,500 a month flat (4,320 questions/tasks included, unlimited users and locations, month-to-month), with a BAA on every plan. Compare that with a scribe plus an answering service plus a messaging app plus a part-time biller.

Frequently asked questions

Is Twofold HIPAA compliant?

Twofold says it offers a BAA that you can sign online and discards visit audio by default. Confirm the BAA covers your plan before using it.

How much does Twofold cost?

About $49 a month on annual billing, with third-party reviews citing $49 to $69 a month for unlimited notes, plus a 7-day free trial, as of October 2026.

Is Scribeberry free?

Scribeberry has a free tier with about 20 uses a month; the Pro plan is around $99 a month.

Is Scribeberry HIPAA compliant?

Scribeberry lists HIPAA and PIPEDA compliance and keeps no permanent audio. Request a signed BAA for your plan before charting U.S. patients.

Does PhiClaw include an AI scribe?

Yes. The PhiClaw AI employee includes an unlimited AI scribe for every provider that drafts the SOAP note from the visit, on top of front desk, prescribing, and billing.