AI Medical Transcription: 2026 Comparison of the Best Solutions
2026 comparison of AI medical transcription tools (Nabla, Heidi, Doctolib, Tandem, Praxy, Markus): selection criteria, prices, compliance and more.
Spending one to two hours a day writing up reports is not what you chose your profession for. That is precisely what AI medical transcription tools promise to give back to you: they listen to the consultation and write the clinical note in your place. But between scribes designed for hospitals, those reserved for doctors and those that go beyond simple transcription, which should you choose? This 2026 comparison sorts them out, with criteria to back it up.
AI medical transcription: what are we talking about?
AI medical transcription automatically turns a conversation between a healthcare professional and a patient into structured clinical documentation. The difference from classic voice dictation is significant:
Voice dictation: you speak, and the text is transcribed word for word. It is up to you to format it.
Intelligent transcription: the AI understands the conversation, extracts what matters (reason for consultation, history, examinations, conclusion) and writes a structured document: report, letter, assessment.
We move from a data-entry tool to a genuine clinical writing assistant.
How it works, in practice
Capture: the consultation is listened to in real time (in person, teleconsultation, sometimes by phone), with the patient's consent.
Structuring: the AI transcribes, identifies the clinical information and organises it in a standard format (or in your template).
Validation: you read through and validate the note before it is added to the record. The professional remains the sole decision-maker: the AI proposes, it does not sign.
Serious solutions do not keep the raw audio and rely on GDPR-compliant hosting.
How to choose the right solution
Beyond the "save time" promise, five criteria really make the difference:
Compliance and hosting. You handle health data. Check where it is hosted (in France? in Europe?) and whether the provider holds HDS certification (Hébergeur de Données de Santé, the French certification for health data hosts). Not all solutions have it: several international players rely on hosting outside France without claiming HDS certification.
Is your profession really supported? Many scribes are designed for doctors. Some explicitly exclude physiotherapists and allied health professionals. Yet a physiotherapy assessment is nothing like a doctor's consultation report: the template matters.
Integration with your software and with core services (the DMP, the shared medical record, and secure health messaging).
Price, relative to what is included (is transcription unlimited? included from the entry-level plan?).
What lies beyond transcription. A report is good. A tool that also writes your assessments in your template, keeps the memory of the record and helps you communicate with the patient is a true copilot.
The 2026 comparison
Prices displayed by the vendors (consulted in July 2026), to be checked at the time of your choice. "Does not claim HDS" means that HDS France certification is not publicly displayed, not that it is absent.
| Solution | Displayed price (FR) | Hosting / compliance | Professions | Beyond transcription |
|---|---|---|---|---|
| Nabla | On quote (free trial) | ISO 27001; HDS not claimed; audio not stored | Doctors, specialists | Report + referral letters |
| Heidi | €50–80/month excl. VAT (annual/monthly) | International (GDPR); HDS not claimed | Doctors, various specialities | Customisable notes and letters |
| Doctolib: Consultation Assistant | €79 incl. VAT/month (with Doctolib Médecin) | Doctolib ecosystem | Doctors and midwives: physiotherapists not eligible | Automatic filing of the report, built-in dictation |
| Tandem Health | €69–79/month (annual/monthly) | Europe, GDPR; HDS not claimed | Doctors, physiotherapists included, institutions | Multilingual structured notes |
| Praxy Santé | €19–59/month incl. VAT | HDS, servers in France | Doctors and allied health professionals (including physiotherapists) | Multichannel, DMP / secure messaging integration |
| Markus Santé | Markus Consultation €58.80 incl. VAT/month (€49 excl. VAT, transcription included) | Hosted in France (HDS), FFMKR partnership | Physiotherapist-first, allied health, multi-profession | Assessments in your template, patient record, sourced clinical chat, sending to the patient (Markus Consultation) |
On the rehabilitation and allied health side, a new generation of tools has appeared, often more affordable and designed for these professions: TOHA (from €6.99, with a "secure note" designed for CPAM checks), KinéFlow (from €9.99, HDS hosting in France), Kadu (€29.90, unlimited transcription), Manu (€35, "by and for physiotherapists and osteopaths"). Others, such as KinéScribe or Korela, are cheaper but do not claim HDS hosting. Prices displayed by the vendors, to be checked.
Markus Santé: the copilot beyond transcription
Most solutions stop at the report. Markus treats transcription as a starting point, not an end:
Your assessments in your template. From the transcribed consultation, Markus writes your documents (BDK, summary for the prescribing doctor, session report) in your format, not in an imposed layout.
A patient record with long memory and a sourced clinical chat (search backed by references such as the HAS), to find the useful information without leaving the tool.
The patient relationship (Markus Consultation plan): sending documents and exercises, reminders, summaries. The link does not stop at the practice door.
Designed with and for rehabilitation professionals: physiotherapist-first, open to other allied health professionals, in partnership with the FFMKR, hosted in France. 14-day trial, no credit card.
Where many scribes target the doctor first, Markus is built for the professions, physiotherapists first, that these tools often treat as an afterthought.
👉 Discover Markus for physiotherapists · see also our guide Which physiotherapist software to choose?
Security, GDPR and compliance: the non-negotiable foundation
Whatever the tool, require:
the patient's explicit consent before any recording;
no retention of the raw audio;
compliant hosting meeting health data requirements (GDPR, and ideally HDS for hosting in France);
validation by the practitioner before it is added to the record.
This is the foundation: time saved is worth nothing if it is paid for with legal risk.
FAQ
Is AI medical transcription GDPR-compliant?
Yes, if the solution obtains the patient's consent, does not keep the raw audio and relies on hosting suited to health data. Beware of general-purpose tools (such as ChatGPT), which are not designed for health data.
Can a physiotherapist use these tools?
Not all are open to physiotherapists: some scribes are reserved for doctors. Solutions such as Markus, Tandem or Praxy support allied health professionals; Markus is designed physiotherapist-first.
How much time does it save?
Vendors often claim up to one to two hours a day. The real gain depends on your volume of consultations and the quality of the integration with your documents.
Do you need to read through what the AI produces?
Yes, always. Validation by the practitioner is both a safety requirement and good practice: the AI proposes, you decide.
In summary
In 2026, AI medical transcription is no longer a gadget but a real lever for clinical time. The right choice depends on your profession, your software environment and your compliance requirements. And if you are looking for more than a transcription (assessments in your template, a living record, a link with your patients), what you need is a copilot, not just a scribe.




