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Best Speke AI alternatives in 2026

Our pick is Vero. See why clinicians switch from Speke AI, and how five other tools compare on price, free options and fit.

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Used by clinicians at Cleveland Clinic, Harvard Medical School, Johns Hopkins School of Medicine, Mass General, Mount Sinai, Stanford Medicine, and UCLA Health.

Our pick: Vero.

Best for clinicians who want notes kept as long as they choose, with a free plan and any fillable PDF filled from the visit.

Try Vero free
  • 7-day trial with full access
  • 10 free actions every month
  • No credit card

Why clinicians switch from Speke AI to Vero

  • Notes that stay

    Vero keeps notes as long as you choose, or deletes them automatically after 1 to 365 days. Speke AI deletes completed visits after 72 hours.

  • A lower price

    Vero Pro is US$69 a month billed yearly, or US$89 month to month, with unlimited actions. Speke AI Express is $150 a month for one user.

  • A free plan that stays

    After the 7-day trial, Vero keeps 10 free actions every month, with no credit card. Speke AI publishes no free plan or trial.

The other alternatives.

  1. 2NivaranConsider it for practices that want AI notes with an optional professional scribe’s review
  2. 3CommureConsider it for health systems and practices that want human-reviewed ambient notes
  3. 4DeepScribeConsider it for oncology and other specialty groups that want coding inside their EHR
  4. 5iScribeHealthConsider it for specialty practices that want structured notes pushed into their EHR
  5. 6FreedConsider it for US independent clinics that want a simple scribe with one-click EHR push

Who Speke AI suits, and why clinicians compare.

Speke AI suits practitioners, emergency departments and hospitals in the US and Canada that want AI notes from ScribeAmerica, with human QA review on its Pro plan.

Speke AI vs Vero

  • Notes are deleted after 72 hours

    Completed visits are deleted after 72 hours, so notes must reach the EHR in time.

  • Express has no human review

    Express is for a single user, without human review.

  • No published trial

    Its site publishes no free plan or trial.

Speke AI alternatives, one by one.

1. Vero

Our pick, for clinicians who want notes kept as long as they choose, with a free plan and any fillable PDF filled from the visit.

Try Vero free
Who it’s for
Clinicians in 200+ specialties, from solo practice to clinics
Strengths
  • Notes in your own templates, cited clinical evidence, PDF forms filled from the visit, code suggestions and an AI chat in the note, all on every plan.
  • 60+ languages, up to three in one visit, on the web, iPhone and Android.
  • SOC 2 Type II certified. Live visit audio is never kept, and notes can delete themselves after 1 to 365 days.
  • ICD-10-CM, CPT and HCPCS code suggestions. HIPAA compliant.
With your EHR
Works alongside any EHR: copy the finished note in, or export it as a PDF or Word file.
Price
Pro US$89 a month, or US$69 a month billed yearly. Enterprise is quoted.
Free option
7-day trial with full access, then 10 free actions every month. No credit card.
Platforms
Web, iPhone and Android

2. Nivaran

Consider it for practices that want AI notes with an optional professional scribe’s review.

Nivaran vs Vero
Who it’s for
Physicians, specialty groups, hospitals and community health centers
Strengths
  • Choose AI, a live remote scribe or a hybrid; ScribeRyte AI Plus adds a professional scribe’s review before you sign.
  • Integrates with EHRs including Epic, athenaOne, eClinicalWorks, Meditech and NextGen.
  • ICD-10 code management on its Instant plan, with care-gap prompts.
Limitations
  • Scribe review, coding assist, translation and deeper EHR integration are priced separately.
  • Integrations vary by EHR and may need third-party approval or extra fees.
Price
ScribeRyte Instant $79 a month, or $853.20 a year, plus a card processing fee. Scribe review and Enterprise are quoted.
Free option
7-day free trial, no credit card. No free plan.
Platforms
iPhone and iPad app, with notes pushed to the EHR

3. Commure

Consider it for health systems and practices that want human-reviewed ambient notes.

Commure vs Vero
Who it’s for
Health systems (Commure Ambient AI) and practices of any size (Commure Scribe)
Strengths
  • Ambient AI integrates with 60+ EHRs and is in Epic’s Toolbox, with human-reviewed tiers for practices and high-acuity care.
  • Commure Scribe, its self-serve app, suggests ICD-10 and CPT codes on every plan.
  • 100+ languages in Ambient AI.
Limitations
  • Commure Scribe writes into the EHR only on its Enterprise plan, from $9,000 a year.
  • Commure Scribe keeps audio, transcripts and notes for 6 years, and gives no refunds.
Price
Commure Scribe $89 a month, or $59 a month billed yearly ($708); $129 a month through the iPhone app. Ambient AI is quoted.
Free option
7-day free trial of Commure Scribe, no credit card. No free plan.
Platforms
Web, iPhone, Android and a Chrome extension

4. DeepScribe

Consider it for oncology and other specialty groups that want coding inside their EHR.

DeepScribe vs Vero
Who it’s for
Specialty practices and health systems, oncology first, then cardiology, GI, neurology, orthopedics and urology
Strengths
  • Built into oncology EHRs, Flatiron OncoEMR and iKnowMed, and into Epic.
  • E/M, ICD-10 and real-time HCC suggestions, and a pre-visit chart summary (SmartPrep).
  • 110+ languages, and a customization studio that learns from your edits.
Limitations
  • No public price: fees are set in an order form, and contracts renew automatically.
  • It integrates with three EHRs, and SmartPrep works only on the two oncology systems.
Price
No public price; fees are set per order form.
Free option
No free plan or trial is published.
Platforms
iPhone and iPad, Windows, web, and inside Epic Haiku

5. iScribeHealth

Consider it for specialty practices that want structured notes pushed into their EHR.

iScribeHealth vs Vero
Who it’s for
Specialty practices in 55+ specialties, deepest in orthopedics and urology
Strengths
  • Pushes a structured note and discrete data into athenahealth, NextGen, Veradigm, TouchWorks, Greenway and Epic.
  • E&M Assist recommends E&M levels from the AMA’s medical decision-making guidelines.
  • Records offline on iPhone and iPad, with macros managed for the whole practice.
Limitations
  • E&M Assist is an add-on, for orthopedic and urology practices on athenahealth or NextGen only.
  • Its main app runs on iPhone and iPad only; the web-based Flex is in limited early access.
Price
No public price; it is set in a master services agreement.
Free option
14-day trial with onboarding; the agreement is signed during the trial.
Platforms
iPhone and iPad; Flex in any browser

6. Freed

Consider it for US independent clinics that want a simple scribe with one-click EHR push.

Freed vs Vero
Who it’s for
Individual clinicians and independent clinics in the US
Strengths
  • Cited answers from 50+ trusted sources, asked from inside the note.
  • One-click push into browser-based EHRs such as athenahealth, eClinicalWorks, Elation and SimplePractice, unlimited on Premier.
  • Learns your style from your edits, and suggests ICD-10 and CPT codes at the justified E/M level on Premier.
Limitations
  • Starter caps notes at 40 a month; coding and dictation are on Premier and Groups.
  • No free plan after its 7-day trial, except Core for students and trainees.
Price
Starter $39 and Core $79 a month; Premier $104 a month billed yearly, or $119 monthly. Groups are quoted.
Free option
7-day free trial, no credit card. Core is free for students, residents and trainees.
Platforms
Web, iPhone, iPad, Android and Mac, a Chrome extension and a Zoom app

Side by side, at a glance.

ToolWho it fitsFree optionPricePlatforms
Vero (our pick)Clinicians who want notes kept as long as they choose, with a free plan and any fillable PDF filled from the visit7-day trial with full access, then 10 free actions every month. No credit card.Pro US$89 a month, or US$69 a month billed yearly. Enterprise is quoted.Web, iPhone and Android
NivaranPractices that want AI notes with an optional professional scribe’s review7-day free trial, no credit card. No free plan.ScribeRyte Instant $79 a month, or $853.20 a year, plus a card processing fee. Scribe review and Enterprise are quoted.iPhone and iPad app, with notes pushed to the EHR
CommureHealth systems and practices that want human-reviewed ambient notes7-day free trial of Commure Scribe, no credit card. No free plan.Commure Scribe $89 a month, or $59 a month billed yearly ($708); $129 a month through the iPhone app. Ambient AI is quoted.Web, iPhone, Android and a Chrome extension
DeepScribeOncology and other specialty groups that want coding inside their EHRNo free plan or trial is published.No public price; fees are set per order form.iPhone and iPad, Windows, web, and inside Epic Haiku
iScribeHealthSpecialty practices that want structured notes pushed into their EHR14-day trial with onboarding; the agreement is signed during the trial.No public price; it is set in a master services agreement.iPhone and iPad; Flex in any browser
FreedUS independent clinics that want a simple scribe with one-click EHR push7-day free trial, no credit card. Core is free for students, residents and trainees.Starter $39 and Core $79 a month; Premier $104 a month billed yearly, or $119 monthly. Groups are quoted.Web, iPhone, iPad, Android and Mac, a Chrome extension and a Zoom app
Speke AI (for reference)Practitioners, emergency departments and hospitals in the US and CanadaNo free plan or trial is published.Express $150 a month, for one user; Pro is quoted.iPhone, Android, desktop and web
Try Vero free
  • 7-day trial with full access
  • 10 free actions every month
  • No credit card

Frequently asked questions.

How much does Speke AI cost?

Speke AI Express is $150 a month for one user; Pro, with human QA review, is quoted. Its site publishes no free plan or trial.

What is the best Speke AI alternative?

Our pick is Vero, for clinicians who want notes kept as long as they choose, with a free plan and any fillable PDF filled from the visit. Of the others, consider Nivaran, for practices that want AI notes with an optional professional scribe’s review; Commure, for health systems and practices that want human-reviewed ambient notes; DeepScribe, for oncology and other specialty groups that want coding inside their EHR; iScribeHealth, for specialty practices that want structured notes pushed into their EHR; and Freed, for US independent clinics that want a simple scribe with one-click EHR push.

Why do clinicians switch from Speke AI to Vero?

Vero keeps notes as long as you choose, or deletes them automatically after 1 to 365 days. Speke AI deletes completed visits after 72 hours. Vero Pro is US$69 a month billed yearly, or US$89 month to month, with unlimited actions. Speke AI Express is $150 a month for one user. After the 7-day trial, Vero keeps 10 free actions every month, with no credit card. Speke AI publishes no free plan or trial.

Is there a free alternative to Speke AI?

Vero keeps a free plan after its 7-day trial: 10 actions every month, with no credit card. Nivaran, Commure, DeepScribe, iScribeHealth and Freed publish no permanent free plan.

Can I bring my Speke AI templates to Vero?

You can rebuild them. Start a template blank, generate one with AI, create one from an existing note, or import one, and Vero learns from your edits, template by template. Keep copies of any Speke AI notes you need before your access ends.

Sources

Speke AI

  • Speke AI, home page
  • Speke AI, Express page
  • Speke AI, Pro page
  • Speke AI, Smart Scan page
  • ScribeAmerica, Speke Express sign-up
  • HealthChannels Trust Center (Speke AI)

Nivaran

  • Nivaran, home page
  • Nivaran, “ScribeEMR announces rebranding as Nivaran” (September 2026)
  • Nivaran, FAQ
  • Nivaran, ScribeRyte AI page
  • Nivaran, ScribeRyte AI Plus page
  • Nivaran, integrations page
  • ScribeRyte AI, pricing page
  • ScribeRyteAI, App Store listing (US)

Commure

  • Commure, Ambient AI page
  • Commure, Epic Toolbox press release
  • Commure Scribe, home page
  • Commure Scribe, pricing page
  • Commure Scribe docs, plans and pricing overview
  • Commure Scribe docs, iOS app pricing
  • Commure Scribe docs, EHR integration overview
  • Commure Scribe docs, security and compliance
  • Commure Scribe docs, introduction

DeepScribe

  • DeepScribe, home page
  • DeepScribe, specialties page
  • DeepScribe, EHR integrations page
  • DeepScribe, Epic integration page
  • DeepScribe, AI coding page
  • DeepScribe, HCC coding page
  • DeepScribe, SmartPrep page
  • DeepScribe, “DeepScribe introduces SmartPrep”
  • DeepScribe, AI medical scribe page
  • DeepScribe, Customization Studio page
  • DeepScribe, terms of use
  • DeepScribe Trust Center, minimum operating requirements
  • DeepScribe, App Store listing (US)

iScribeHealth

  • iScribeHealth, FAQ
  • iScribeHealth, E&M Assist (code intelligence) page

Freed

  • Freed, home page
  • Freed, pricing page (with its Monthly and Annually switch)
  • Freed, features page
  • Freed Help Center, “EHR Push”
  • Freed Help Center, frequently asked questions
  • Freed, AI scribe release notes
  • Freed, App Store listing (US)

Vero

  • Vero, pricing page and plan questions
  • Vero, homepage and its published offer details (prices in USD)
  • Vero, homepage questions
  • Vero, privacy policy
  • Vero Help Center, “Evidence Collections”
  • Vero Help Center, “Billing & Codes”

More alternatives for practice scribes.

Every alternatives page
Chartnote alternativesDeepCura alternativesDoximity Scribe alternativesFreed AI alternativesHealOS alternativesHeidi alternativesInsight Health alternativesiScribeHealth alternativesNivaran alternativesS10.AI alternativesScribe-X alternativesScribeMD alternativesSunoh alternativesTwofold alternativesWavo Health alternatives

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