i-Scribe and Heidi Health are two of the most widely discussed AI medical scribes in Australia and New Zealand. Both aim to reduce the time clinicians spend on clinical notes by recording consultations and generating structured output. They’re both designed for doctors who want to spend less time on paperwork and more time with patients.
The difference is in who they were built for. Heidi was designed for general practice. i-Scribe started in specialist settings and has been expanding toward GPs and allied health. They use a general-purpose AI model that adapts to the clinician through templates, style examples, and feedback over time.
Medow Health is built specifically for specialist doctors in private practice and hospital settings. The approach is fundamentally different: one dedicated Specialist-Grade AI model per medical specialty, trained on the clinical reasoning, terminology, and documentation structure of that field. That difference in architecture is why Medow produces fewer edits, faster output, and reports and letters that sound like the individual doctor from day one.
This comparison covers the areas that matter most for specialist clinics: AI model quality, reports and letters, APAC PMS integrations, and onboarding support.
This comparison covers i-Scribe, Heidi Health, and Medow Health to help specialist clinicians choose the right AI medical scribe and clinical documentation platform. We examine how each handles consult notes and reports and letters, APAC PMS integrations, AI model approach, and onboarding support. This helps doctors understand which solution is best suited for individual clinicians, growing practices, and healthcare teams.
All three platforms record consultations, generate transcripts, and produce structured clinical output. The differences that matter for specialist clinics come down to the AI model behind the output, the depth of APAC PMS integrations, the range of reports and letters produced, and the level of setup and support provided.
Key differences include:
Both i-Scribe and Heidi Health use a general-purpose medical AI model that adapts to the clinician through templates and examples. i-Scribe allows doctors to upload examples of their existing letters so the model learns their preferred structure and tone. Heidi uses a similar approach: configure templates and the model learns preferences over time. Both can produce reasonable output for a given specialty, but the underlying model is the same regardless of whether the clinician is a cardiologist or a psychiatrist.
Medow takes a structurally different approach. Each specialty has its own dedicated Specialist-Grade AI model, trained on the clinical reasoning hierarchy, terminology, documentation structure, and letter conventions specific to that field. For example, the output is not a generalist model prompted to behave like a rheumatologist. It is a model built for rheumatology from the ground up, with that specialty's clinical knowledge embedded in how it structures, prioritises, and phrases every output.
In practice, this means Medow's reports and letters require less editing and fewer corrections to match the documentation standards specialist letters demand. GP referral letters need to communicate clinical reasoning clearly, and that reasoning is specialty-specific. A Specialist-Grade AI understands that hierarchy by design
Medow is also launching a Voice Profile feature: specialists upload three of their existing letters, and Medow builds a dedicated Voice Profile from them. Every report and letter the AI generates from that point is unmistakably theirs, reflecting that doctor's individual writing style, structure, and clinical preferences. Nothing in the ANZ market currently does this at the same depth.
i-Scribe produces consult notes, clinical letters, and referral letters. It supports both ambient scribing and active dictation. Clinicians on the Specialist plan get unlimited notes and clinical letters and can build custom templates to structure outputs for their specialty. The Secretary Login feature allows admin staff to participate in the letter approval workflow, which suits specialist practices where a PA manages outgoing correspondence.
Heidi produces SOAP notes, consultation summaries, and letters. Its primary use case is note generation. Letter and referral functionality is available on paid plans.
Medow is built around the full suite of reports and letters that specialist clinics produce: consult notes, GP letters, referral letters, patient letters, and operation reports, all generated from a single recorded consult. Before any output is finalised, anti-hallucination checks verify that the generated content strictly reflects what was said in the consultation: nothing added, nothing inferred beyond the transcript. Reports and letters are ready for review in under a minute.
This is where the three platforms diverge most significantly for specialist clinics.
i-Scribe has invested in APAC specialist integrations. The Gentu integration is live: it syncs appointment information from Gentu to i-Scribe every 15 minutes and allows clinicians to push letters back to Gentu with a single button click. Genie appointment data syncs once every 24 hours, which can create friction when last-minute appointment changes are not reflected in the tool. Letter push from i-Scribe to Genie is under development. Best Practice integration was announced as a partnership in late 2024. There is no listed integration with Elixir or Meditech.
Heidi integrates with Best Practice and MediRecords in Australia. EHR integration is available as a paid add-on, not included in the base plan. For APAC specialist PMS platforms including Genie, Gentu, and Elixir, Heidi's integration depth is limited. Clinicians on specialist PMS systems typically complete their notes in Heidi and enter them into the PMS separately.
Medow's integrations are built specifically for the APAC specialist and hospital PMS landscape. Bi-directional API connections with Genie, Gentu, Elixir, and Meditech mean appointments, patient demographics, and completed reports and letters sync automatically without manual re-entry. Genie syncs every 10 minutes; Gentu syncs minute-to-minute. Hospital doctors using Meditech can search patients by room number and push notes directly into the EMR during ward rounds.
Unlike widget overlays or partial integrations, Medow's connection is embedded inside the workflow: reports and letters sync directly into the patient record once approved, via a single Mark as Reviewed action. Medow is also actively working with Shexie to bring the same bi-directional workflow to Shexie customers.
i-Scribe offers self-serve onboarding with a 14-day free trial. Clinicians on the Specialist plan get custom template building included and can configure the platform to match their preferred format by uploading examples of existing letters. A Dedicated Account Manager is available only on the Allied Health and Enterprise plan (custom quote). Priority Support is included in the Specialist plan
Heidi is also self-serve. Clinicians sign up, configure templates, and the system adapts over time through use and feedback. There is no local team to configure outputs before go-live.
Medow provides a dedicated Customer Success Manager who configures templates, tone, letterheads, and integrations before the clinic goes live. The system is calibrated to produce reports and letters that reflect the individual doctor's voice and preferences from the first consultation, without weeks of self-configuration. After launch, the Customer Success Manager continues to refine outputs based on feedback. For specialist clinics where documentation standards are high and clinical time is valuable, this difference in setup approach directly affects time-to-value.
Many clinicians searching for "i-Scribe vs Heidi" are not simply choosing between two tools. They want to understand what AI medical scribe platforms exist in the Australian and New Zealand market, which were built specifically for specialist workflows, and whether there are options beyond the most widely advertised names.
i-Scribe and Heidi are both legitimate tools that have delivered real value to Australian clinicians. This comparison includes Medow because it takes a structurally different approach: Specialist-Grade AI with a dedicated model per specialty, deeper APAC specialist PMS integrations, and a dedicated Customer Success Manager who configures the system before go-live.
The comparison is written to help specialist clinicians make a genuinely informed choice, not to dismiss either competing tool. All three platforms reduce the time spent on clinical notes. The question is which one reduces it most for a specialist clinic's specific documentation requirements.
Heidi Health is an AI medical scribe founded in Australia in 2019, now operating in over 116 countries. The platform listens to consultations and generates structured clinical documentation (notes, letters, summaries) using a general-purpose medical AI model that adapts to different clinical contexts through templates and workflow configuration.Heidi has scaled rapidly: the platform supports over two million consults per week globally and raised $65 million in Series B funding in late 2025 at a valuation of $465 million. It is a serious, well-funded option.i-Scribe is an AI-powered clinical documentation platform founded and led by Australian doctors. It positions itself specifically for specialists and GPs, and covers documentation including consult notes, referral letters, and clinical letters.
The platform supports both ambient scribing (listening to consultations in the background) and active dictation. Clinicians can upload examples of their existing letters to teach the AI their preferred format and tone. The Secretary Login feature allows administrative staff to be included in the letter approval workflow, which suits specialist practices where a PA manages outgoing correspondence.
That said, there are limitations that matter in specialist workflows. The Genie integration syncs once every 24 hours, significantly behind Medow's 10-minute sync, which causes friction when last-minute appointment changes are not reflected in the tool. i-Scribe's AI has been reported to make inferences and draw conclusions not explicitly stated by the doctor, which raises accuracy concerns for specialist documentation where precision matters. Elixir integration for New Zealand clinics is not currently offered.
i-Scribe publishes pricing on its website. All prices in AUD, excluding GST:
Heidi Health is an AI medical scribe founded in Australia in 2019, now operating in over 116 countries. The platform records consultations and generates structured clinical notes using a general-purpose medical AI that adapts through templates and workflow configuration.
That said, Heidi's approach to specialist coverage is simple template-based customisation rather than specialty-trained AI. Clinicians can configure how notes are structured for their specialty, but the underlying model is the same across all contexts. For some specialists, this works adequately. For those who need clinically structured outputs without significant self-configuration, the distinction matters.
Heidi Health pricing (approximate, AUD):
Medow Health is an AI clinical documentation platform built specifically for specialist doctors in private practice and hospital settings across Australia, New Zealand, and Singapore. Where i-Scribe and Heidi use a general-purpose AI model that adapts through templates and feedback, Medow deploys a dedicated Specialist-Grade AI model for each medical specialty, trained on the clinical reasoning hierarchy, specialist terminology, and documentation structure specific to that field.
The platform records consultations with ambient audio, distinguishes speakers, flags low-confidence transcription against specialist medical dictionaries, and generates the full suite of reports and letters that specialist clinics produce: consult notes, GP letters, referral letters, patient letters, and operation reports. Before any output is finalised, anti-hallucination checks verify that generated content strictly reflects what was said: no conclusions added, no inferences made beyond the transcript.
Medow is launching a Voice Profile feature: specialists upload three of their existing letters, Medow builds a Voice Profile from them, and every report and letter the AI generates from that point is unmistakably theirs, reflecting their individual writing style, structure, and clinical preferences. Nothing in the ANZ market does this at the same level.
Medow's integrations are built for the APAC specialist PMS landscape: bi-directional API connections with Genie (10-minute sync), Gentu (minute-to-minute), Elixir, and Meditech. Hospital doctors can search patients by room number and push notes into Meditech in real time during rounds.
Unlike the self-serve model offered by most AI scribes, Medow provides a dedicated Customer Success Manager who configures templates, tone, letterheads, and integrations before the clinic goes live. The system is set up to produce reports and letters that reflect the individual doctor's voice and preferences from the first consultation, not after weeks of self-training.
Medow does not publish pricing publicly, but offers a 60-day money-back guarantee. Clinics book a demo, which provides a personalised quote based on the usage, specialty, and size of the practice. All pricing is inclusive with no hidden costs.
The most important question for specialist clinicians evaluating AI documentation tools is not how fast the notes generate: it is how well the system understands the way specialists think, document, and communicate.
i-Scribe and Heidi both approach this through a general-purpose AI with template customisation. i-Scribe allows clinicians to upload examples of their existing letters so the model learns their preferred structure. Heidi uses similar template configuration and learns from edits over time. These are legitimate approaches that deliver meaningful time savings for many clinicians.
The limitation is that no amount of template customisation teaches a general-purpose model how a cardiologist thinks differently from a rheumatologist when writing a referral letter. Clinical hierarchy, what information matters most, in what order, with what level of detail, is specialty-specific knowledge. Medow's Specialist-Grade AI models are trained on this hierarchy per specialty. The reports and letters require less editing and fewer corrections to match the documentation standards of specialist practice.
Add the Voice Profile feature and every report and letter also reflects the individual doctor's precise writing style, not just the conventions of the specialty. For specialist doctors whose letters go to GPs and other specialists, the gap between a purpose-built specialist model and a well-prompted general-purpose tool is meaningful.
The clinician opens i-Scribe, begins the consultation, and i-Scribe records in the background. At the end of the consult, the clinician hits Generate and receives notes and letters. Letters can be sent to Gentu with a single button click. For Genie users, appointment data syncs once every 24 hours, and letter push is currently under development. For Elixir or Meditech users, reports and letters are completed in i-Scribe and entered into the PMS separately. A secretary can access the platform via Secretary Login on the Specialist plan to manage letter approvals.
The clinician starts a session, Heidi records and transcribes the consultation, and generates structured notes or letters at the end. For Best Practice and MediRecords users, integration is available on paid plans. For APAC specialist PMS systems, integration depth is limited and reports and letters are typically completed in Heidi then entered into the PMS separately.
Medow records the consult with ambient audio, distinguishes speakers, and flags any low-confidence transcription for clinician review. The doctor adds context via the Context Panel if needed, including prior history, sensitive information, or additional detail to be structured into the output.
Generated reports and letters are reviewed and approved via a Mark as Reviewed action that simultaneously syncs the document into the connected PMS or EMR. For Gentu users, this sync happens minute-to-minute. For Genie users, every 10 minutes. Hospital doctors using Meditech can search patients by room number and push notes into the EMR in real time during rounds.
For specialist clinics, PMS integration determines whether the AI scribe saves time across the full workflow or simply replaces note-writing with copy-pasting.
Gentu integration is live and includes appointment sync (15-minute intervals) and letter push via a single button. Genie integration syncs once every 24 hours, significantly behind Medow's 10-minute sync, which causes friction when last-minute appointment changes are not reflected in the tool. Shexie integration is listed, however Elixir integration for New Zealand clinics is not currently offered.
Heidi integrates with Best Practice and MediRecords in Australia. EHR integration is available as a paid add-on. For Genie and Gentu users, integration is available but designed primarily for GP workflows. Elixir is not listed among Heidi's current integrations. For specialist PMS users, reports and letters are typically completed in Heidi and entered into the PMS manually.
Medow's integrations are built specifically for the APAC specialist and hospital PMS landscape. Bi-directional API connections with Genie, Gentu, Elixir, and Meditech allow appointments, patient demographics, and completed reports and letters to sync automatically without manual re-entry. Unlike widget overlays or partial integrations, Medow's connection is embedded in the workflow: reports and letters sync directly into the patient record once approved. For hospital doctors, the Meditech integration supports real-time documentation during ward rounds with notes searchable by room number. For a full overview of every integration Medow supports, see the AI Medical Scribe page.
Clinicians evaluating both i-Scribe and Heidi are typically looking for one of three things: reports and letters that better reflect their specialist clinical reasoning, deeper integration with the APAC PMS they actually use, or a platform that does not require significant self-configuration before it produces useful output.
i-Scribe is a credible specialist-focused option for Australian clinicians. Its Gentu integration is live with letter push, its Secretary Login feature is genuinely useful for practices where a PA manages correspondence, and its pricing is transparent and reasonable. For clinicians on Gentu who want a self-serve platform with specialist-oriented template customisation, it is worth evaluating.
Heidi is the stronger option for GP workflows, particularly in Best Practice environments. Its free tier and broad international coverage make it a low-risk entry point for clinicians testing AI scribing for the first time.
For specialist clinics where reports and letters need to reflect specialist clinical reasoning, where the PMS is Genie, Gentu, Elixir, or Meditech, and where getting the system right from day one matters, Medow is built for exactly that context. Specialist-Grade AI means less editing, not just faster generation. Bi-directional PMS integration means reports and letters enter the patient record automatically. The dedicated Customer Success Manager means the system produces the right output from the first consultation. The Voice Profile feature means every report and letter is unmistakably the doctor's own. And the 60-day money-back guarantee means there is no risk in finding out.
For a broader view of the market, our guide to the best AI medical scribes in Australia covers all the main platforms side by side. You can also compare all AI medical scribes in our comparison hub, or if you are also weighing up Heidi and Lyrebird, see our dedicated Heidi vs Lyrebird comparison.
The right platform depends on the complexity of your documentation workflow, the PMS your clinic runs, and how much time you can invest in self-configuration before the system produces specialist-grade output.
If documentation quality, PMS integration, and a system configured correctly from day one matter to your specialist clinic, book a demo to see how Medow performs for your specific specialty and workflow.
i-Scribe is positioned specifically for Australian specialists, which gives it an advantage over Heidi for clinics that need APAC-focused specialist PMS integrations. Its Gentu integration is live with appointment sync and letter push, which Heidi does not match at the same depth. Both platforms use a general-purpose AI model that adapts through templates rather than a dedicated per-specialty model. For specialist clinics where clinical accuracy and the quality of reports and letters matter, Medow's Specialist-Grade AI is a meaningfully different option to evaluate alongside both.
As of 2026, i-Scribe's live integrations include Gentu (appointment sync every 15 minutes, letter push available) and Shexie. The Genie integration is in beta: it runs via a locally-installed Windows agent, syncs appointment data once every 24 hours, and letter push is under development. A Best Practice partnership was announced in late 2024. There is no listed Elixir or Meditech integration.
Heidi integrates with Best Practice and MediRecords in Australia. For APAC specialist PMS systems including Genie, Gentu, and Elixir, Heidi's integration depth is limited compared to platforms built specifically for the APAC specialist market. EHR integration is available as a paid add-on, not included in the base subscription.
Both are positioned for Australian specialist clinics, but they differ on AI model, integration depth, and onboarding. i-Scribe uses a general-purpose AI that adapts through uploaded template examples. Medow deploys a dedicated Specialist-Grade AI model per medical specialty, trained on the clinical reasoning and documentation structure of that field. On integrations: i-Scribe's Gentu connection is live with letter push; its Genie integration is in beta with letter push under development. Medow has live bi-directional API connections with Genie, Gentu, Elixir, and Meditech. On onboarding: i-Scribe is self-serve with template customisation; Medow provides a dedicated Customer Success Manager who configures the system before go-live.
i-Scribe publishes pricing on its website. The Specialist plan is $200/month billed annually ($2,400/year) or $250/month on monthly billing, excluding GST. This includes ambient scribing, unlimited notes and clinical letters, Secretary Login, Custom Template Building, and Priority Support. A 14-day free trial is available before committing.
The answer depends on what your clinic needs most. If you are on Gentu and want a self-serve platform with live integration, i-Scribe is worth evaluating. If you want a free starting point and broad specialty coverage, Heidi is a reasonable entry point for GP-oriented workflows. If you need a dedicated Specialist-Grade AI trained for your specific field, bi-directional integration with Genie, Gentu, Elixir, or Meditech, reports and letters configured to sound unmistakably like you from day one, a dedicated Customer Success Manager, and a 60-day money-back guarantee, Medow is built specifically for that context.
Yes. Medow offers a 60-day money-back guarantee, so specialist clinics can get started without financial risk. Book a demo to receive personalised pricing and see the platform in action for your specialty.
