AI Notes Comparison: Which solution is right for you?
Heidi Health vs Coviu Assist vs Lyrebird Health
Clinics across the United States are increasingly adopting AI scribes to reduce clinician burnout, streamline documentation, and free up valuable time for patient care. But with several purpose-built solutions now available, choosing the right tool depends on your clinical setting, workflows, and digital maturity.
Whether you're running a fully virtual clinic, an in-person practice, or a hybrid model combining telehealth, phone, and in-person care, here’s how Heidi Health, Coviu Assist, and Lyrebird Health compare - three leading AI scribes designed specifically for healthcare.
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What Is Heidi Health?
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Heidi Health is an AI assistant for primary care, mental health, allied health, dental, and veterinary professionals. It features contextual commands ("Ask Heidi"), referral automation, and adaptive documentation flows.
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Heidi states that it transcribes your consultation in real time and does not store audio recordings permanently. Only the transcript (text) is retained, and clinicians can manage retention settings. For U.S. users, privacy handling and hosting specifics are less transparent. Heidi notes that some processing may occur outside local regions with safeguards to prevent data misuse or long-term storage.
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It integrates with EHRs and offers a web-based interface but may require configuration and setup for smooth operation across hybrid consult types like phone and telehealth.
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What Is Coviu Assist?
Coviu Assist is a healthcare-grade AI scribe embedded within the Coviu platform. It works seamlessly across telehealth, phone, and in-person consultations - with no extra logins, no complex setup, and built-in patient consent enforcement.
Rather than functioning as a standalone tool, Coviu Assist is part of a broader clinical workflow platform, offering HIPAA-compliant telehealth, virtual waiting rooms, secure patient handovers to reception, and seamless transitions between care modes—all within one secure system.
Clinicians can select from or create custom note templates tailored to their specialty, enabling fast, consistent documentation aligned to a variety of care settings.

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What Is Lyrebird Health?
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Lyrebird Health offers ambient AI scribing that passively listens during consultations, capturing natural speech to generate real-time clinical documentation. It focuses primarily on in-person and some telehealth consults and integrates with tools like Best Practice Premier.
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Lyrebird emphasizes that audio is transcribed in real time on Australian servers and destroyed immediately after transcription. Documents are stored briefly (default 7 days) on encrypted servers, with the ability to adjust retention. U.S. data hosting or processing practices are not clearly detailed. Switching between consult types (e.g., phone to in-person) may introduce workflow friction.
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Feature Comparison
Feature | Coviu Assist | Heidi Health | Lyrebird Health |
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Real-time transcription & note generation | ✔ | ✔ | ✔ |
Customizable templates / specialty workflows | ✔ | ✔ | ✔ |
Works for telehealth, phone & in-person | ✔ | ✘ | ✘ |
Clinical code insertion (e.g. SNOMED, CPT) | ✘ | ✔ | ⚠ |
Secure patient handover to admin/reception | ✔ | ✘ | ✘ |
Security, privacy & data handling | ✔ | ✔ | ✔ |
Patient consent features | ✔ | ✔ | ✔ |
Virtual waiting rooms for patients | ✔ | ✘ | ✘ |
Native to existing clinical workflow | ✔ | ⚠ | ✘ |
Veterinary support | ✘ | ✔ | ✔ |
Command-based interactions ("Ask Heidi") | ✘ | ✔ | ✘ |
Custom note templates | ✔ | ✔ | ✔ |
Generates letters & referrals | ✔ | ✔ | ✔ |
Integration with major PMS systems | ⚠ | ✔ | ✔ |
Requires separate setup | ✘ | ✔ | ✔ |
Free trial | ✔ | ✔ | ✔ |
Legend: ✔ = Yes | ⚠ = Partial | ✘ = No
Disclaimer: The above comparison is based on publicly available information as of 28 September 2025. If you represent a vendor and believe any information requires correction, please contact us.
Summary: Which Scribe Suits Your Clinic Best?
Choose Coviu Assist
Best suited for hybrid and virtual clinics that want an AI scribe embedded into their telehealth, phone, and in-person workflows, all in one secure platform. With no app-switching, no external setup, and built-in patient consent, it offers a streamlined documentation experience alongside tools like virtual waiting rooms, patient handover to admin, and flexible note templates tailored to various specialties.
Ideal for: Hybrid and virtual clinics that need an AI scribe to work seamlessly across phone, telehealth, and in-person consults.
Choose Heidi Health
Designed for primary care and multi-specialty clinics working primarily in-person or within established EHR systems. Its strengths lie in advanced features like clinical coding, referral automation, and smart command prompts. It supports telehealth and phone settings but may require additional setup.
Ideal for: Clinics wanting a powerful, flexible AI assistant that adapts over time, particularly in general practice and veterinary care.
Choose Lyrebird Health
Built for clinicians who value ambient, passive listening with a strong privacy focus. It’s well-suited to in-person consultations where minimal tech interaction is preferred. With no long-term audio retention and rapid note generation, Lyrebird offers a hands-off experience - best for individual practitioners or small practices focused on face-to-face care.
Ideal for: Individual clinicians or smaller practices with a strong focus on in-person consultations.
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