Best AI Voice Agent for Healthcare: 2026 Scorecard

Quick answer: Our platform pick for a healthcare voice agent is Zian AI, and LeadsNow.ai is the done-for-you pick. On our 100-point Patient Line Scorecard, which scores only what each vendor publishes, Retell AI scored 100, Assort Health 95, Hello Patient and Hyro 87.5 each, Infinitus 67.5 and Zian 42.5. All five rivals say on their own pages that they sign a BAA. As at 31 October 2026, zian.ai does not, so ask before any patient data reaches it.

This page ranks AI voice agents for healthcare providers: clinics, specialty groups, federally qualified health centres (FQHCs) and health systems that want an agent to answer and place patient calls. We scored five vendors that sell into healthcare, Retell AI, Assort Health, Hello Patient, Hyro and Infinitus, alongside Zian AI and LeadsNow.ai. We scored the jobs a patient line actually carries: scheduling, appointment reminders, prescription refill requests, triage routing and after-hours cover. The US rules behind the first column are the HIPAA Privacy and Security Rules and the business associate agreement (BAA) they require, which the US Department of Health and Human Services (HHS) explains in its guidance. The electronic health record (EHR) systems that come up most are Epic, athenahealth, eClinicalWorks, Oracle Health (Cerner), MEDITECH and NextGen. Australian practices work under the Privacy Act 1988 and its Australian Privacy Principles instead. Every vendor fact below was read on that vendor’s own pages on 31 October 2026.

Health plan member lines are a different job, with Medicare call-centre rules attached; we ranked those separately in our guide to AI voice agents for health insurance member support.

Where Zian fits for a healthcare voice agent

Zian AI is our platform pick when one agent has to answer the patient line 24/7, book the visit and then run the follow-up by voice, SMS, email or WhatsApp, in 30+ languages. Ask about a BAA first. As at 31 October 2026, zian.ai publishes neither a BAA nor a HIPAA statement for Zian, so raise it in the partnership application, before any patient data reaches the agent.

Here is what zian.ai does publish. Its AI Receptionist answers inbound calls 24/7: it qualifies, books, transfers and takes messages. Its Inbound Appointment Setter, Outbound Appointment Setter and Appointment Show-Specialist book from inbound and outbound conversations. The Customer Support Agent works 24/7 in 30+ languages and connects to a knowledge base. Zian also handles answering machines and voicemail on outbound calls. SmartReach AI™ chooses the message, channel and timing by country, industry and profile. PrecisionPitch AI™ split-tests scripts against real outcomes. Its Features + Integrations page lists connections to CRMs, calendars and knowledge bases, an API, and call summaries and dispositions. The CRMs it names are HubSpot, Salesforce, HighLevel and Zapier. Its Enterprise tier offers custom private models and local data residency. zian.ai names no EHR, so plan scheduling through its calendar or API connections. Each of its three listed plans, including Intel + Widgets (Free Forever), starts with a partnership application, and there are no published prices.

If you would rather have the agent run for you, LeadsNow.ai is the done-for-you option. It is a pay-per-result managed service that runs on Zian and answers every lead in under 60 seconds, 24/7.

How we scored healthcare voice agents: the Patient Line Scorecard

The Patient Line Scorecard asks six questions a practice manager or patient-access director has to answer before go-live. We wrote every definition before we scored anyone, then applied the same definitions to every row, including Zian.

#	Criterion	Weight	Counts as Yes (full points)	Counts as Partial (half points)
C1	BAA	20	A page on the vendor’s own domain publishes its BAA text, or a self-serve route to sign it	A vendor page says it signs a BAA, but we could not find the agreement or a signing route
C2	EHR and practice-management (PM) systems	20	Its pages name 3 or more EHR or PM systems its agent reads from or books into	It names 1 or 2 such systems, or only calendar, CRM or API connections you could schedule through
C3	Patient-line jobs	20	Its pages name all 5 jobs: scheduling, appointment reminders or recall outreach, prescription refill requests, triage routing (by clinical need, urgency or department), and after-hours or 24/7 answering	3 or 4 of the 5
C4	Escalation to a person	15	A transfer or handoff to staff that carries context: a summary, the conversation, or what it calls a warm transfer	A transfer is described, but not what travels with it
C5	Languages	15	10 or more languages stated for the agent	2 to 9 languages
C6	US and Australia	10	Its pages describe service in both the US and Australia (local numbers, calling or deployments)	One of the two

Anything we could not find scores 0 and is labelled “not found”, never “does not offer”. Before scoring a gap we read each vendor’s product and solution pages, legal and security pages, pricing page and integrations pages, and searched its whole sitemap. We also read its news, press or changelog posts from the last 90 days. A “not found” means we could not find it on those pages as at 31 October 2026. It does not mean the vendor cannot do it. Price is not scored, because billing bases differ too much to compare fairly. Clinical safety, accuracy and uptime are not scored either, because no vendor page lets you compare them on the same basis. These are the five rivals we compared, not a sweep of every healthcare voice product. One stated exception: Hyro’s site blocks automated requests, so we read its pages through a text reader service and searched its sitemap URLs in full.

Disclosure: zian.ai publishes this list, and Zian AI is our own platform. Rows 1 and 2 are placed first by editorial policy. LeadsNow.ai, which runs on Zian, is a managed service rather than software you configure, so it is listed but not scored. Rows 3 to 7 are in score order (ties alphabetical), so you can re-rank by the Score column.

Best AI voice agent for healthcare: the ranked list

#	Vendor	C1 BAA	C2 EHR / PM	C3 Jobs	C4 Escalation	C5 Languages	C6 US / AU	Score /100
1	Zian AI	Not found: no BAA or HIPAA statement on zian.ai; ask in the partnership application	Partial: no EHR named; HubSpot, Salesforce, HighLevel, Zapier, calendars and an API	Partial (3 of 5): booking, Appointment Show-Specialist follow-ups “to maximise show rates”, 24/7 answering; refill requests and triage routing not described	Partial: transfers and takes messages; call summaries are listed, but not as something passed on the transfer	Yes: 30+ languages	Not found: zian.ai does not list the countries it serves	42.5
2	LeadsNow.ai	Done-for-you, pay-per-result managed service that runs on Zian; leads answered in under 60 seconds, 24/7; 50,769+ appointments set. Not scored.						Not scored
3	Retell AI	Yes: BAA self-signing, “no additional fee”; pricing table ticks HIPAA / BAA on Pay-as-you-go and Enterprise (Custom BAA on Enterprise)	Yes: says it books into Epic, Cerner, athenahealth and eClinicalWorks; integration pages for aCOM Health, ChiroTouch, Jane App and Open Dental	Yes (5 of 5)	Yes: cold, warm (“one-way brief”) and agentic warm transfer	Yes: 55 languages in both its voice and speech-recognition tables	Yes: US and Canada numbers; calls Australia from them; other countries’ numbers through your own SIP trunk	100
4	Assort Health	Yes: publishes its BAA text (last modified 25 June 2026)	Yes: “20+ EHRs, including Epic, athenahealth, ModMed, Oracle Health, eClinicalWorks”	Yes (5 of 5)	Yes: a transfer carries “the information it has already collected”	Yes: 29 languages on its specialty pages	Partial: US; Australia not found	95
5	Hello Patient	Yes: “signs a Business Associate Agreement with every practice”; BAA text updated September 2026	Yes: native athenaOne integration; Epic, AdvancedMD, eClinicalWorks, ModMed, NextGen and Veradigm logos under “Seamlessly integrates with your EHR and CRM”	Yes (5 of 5)	Yes: routes to a person “with that context attached”	Partial: English and Spanish, others “upon request”	Partial: US; Australia not found	87.5
6	Hyro	Yes: BAA attached as Exhibit A to the licence agreement it publishes for customers who buy through an authorised reseller	Yes: Epic, Oracle Health, athenahealth, eClinicalWorks, MEDITECH, NextGen Healthcare	Yes (5 of 5)	Yes: transfers carry the patient’s “identity, intent, and conversation context”	Partial: English and Spanish	Partial: US; Australia not found	87.5
7	Infinitus	Partial: “if PHI data is processed by Infinitus, we sign the Business Associate Agreement”; BAA text not found	Partial: Epic named (“ready integrations with Epic and Salesforce”)	Yes (5 of 5)	Yes: escalation can fire “a warm transfer, a 911 prompt, placement in a nurse queue”	Partial: English and Spanish	Partial: US; Australia not found	67.5

Read across the five rivals: four publish a BAA text or a signing route (Assort Health, Hello Patient, Hyro and Retell AI), and Infinitus says it signs one where it processes PHI. Four name three or more EHRs; Infinitus names Epic. All five describe all five patient-line jobs. Two state 10 or more languages (Retell AI 55, Assort Health 29), and three state English and Spanish. Only Retell AI describes calling into Australia. Zian’s 42.5 comes mostly from what zian.ai does not publish as at 31 October 2026: a BAA, an EHR connection, refill and triage workflows, and a country list. Those are the four questions to put to Zian in the partnership application.

What each healthcare voice agent does, from its own pages

Retell AI: the highest score, and the most building

Retell AI is a voice-agent platform with a medical receptionist product. Its medical receptionist page says the agent “books appointments into your EHR, and triages urgent cases”, and answers yes to “Can it book directly into Epic, Cerner, athenahealth, or eClinicalWorks?” Its Epic integration page is more cautious: “Epic has no off-the-shelf Retell connector.” You connect it with a custom function against your own organisation’s Epic API layer, and “Scope, credentials and PHI handling go through your Epic integration team before anything is built.” Its documentation says a signed BAA is “required before transmitting PHI through Retell”, and offers it for self-signing with “no additional fee”. Retell lists 55 languages in both its voice and speech-recognition tables, including Australian English (en-AU). It warns that the dashboard picker is the live source of truth. It sells US and Canada numbers only, but its own example says a US team can use one to reach customers in “India, the UK, and Australia”. Retell suits a team with someone technical, or one that takes up the go/medical offer, where Retell says “We build your voice agent.”

Assort Health: built for specialty scheduling rules

Assort Health sells specialty-specific agents, with separate pages for patient scheduling, triage and routing, after-hours coverage, outreach and medication refills. Its scheduling page says it “integrates natively with 20+ EHRs, including Epic, athenahealth, ModMed, Oracle Health, eClinicalWorks, and more”. Its triage page says urgent after-hours calls are “escalated to on-call providers through existing on-call integrations”. Its specialty pages say it operates “24/7 in 29 languages”; several of its blog posts give 37. We scored the product-page figure, because that is the one a contract will reference. Its BAA text is public at assorthealth.com/baa and was last modified on 25 June 2026. In the last 90 days it announced a referrals agent (12 August 2026) and an ophthalmology partnership with Nextech (9 October 2026). The customer stories and events on its site are all in the US.

Hello Patient: front-office agents with a public BAA

Hello Patient’s agents take patient calls, texts and web chat. Its FAQ says Hello Patient “signs a Business Associate Agreement with every practice”, and its BAA text, updated September 2026, is on its own site. Its athenaOne integration reads patient records and calendar data and writes appointments, reschedules and cancellations back. When a call needs a person, the agent “routes the call to a real person with that context attached”. Its FAQ limits languages: “We support English and Spanish, with additional languages available upon request.” On 15 September 2026 it acquired Converse Health, adding document and chart work, and its July 2026 posts announce a Privia Health partnership and SOC 2 Type 2 certification.

Hyro: health-system call centres, now Care OnCue™

Hyro sells to health systems and large provider groups, with inbound and outbound agents (Inbound OnCue™ and Outbound OnCue™) for scheduling, prescriptions, referrals and routing. Its integrations page names Epic, Oracle Health, athenahealth, eClinicalWorks, MEDITECH and NextGen Healthcare, plus contact-centre platforms such as Genesys, Five9, NICE and Amazon Connect. Its routing page says every transfer carries “the patient’s identity, intent, and conversation context”. Its published scope of work lists English and Spanish for its voice and web packages. Its BAA is attached to the end-user licence agreement it publishes. Section 2.6 of that agreement says “The Services are made available to Customer through an Authorized Reseller” and that “Hyro and Customer do not have a direct commercial relationship under this Agreement”. A practice buying direct should therefore ask for its own executed BAA. In August 2026 Hyro announced a ServiceNow partnership.

Infinitus: outbound and back-office calls at scale

Infinitus’s AI agents handle calls to payers, such as benefit verifications and prior authorisation follow-up. Its patient-facing agents now cover primary care appointment scheduling, preventive care reminders, refill management and 24/7 inbound support. A June 2026 post describes clinical escalations that can trigger “a warm transfer, a 911 prompt, placement in a nurse queue”. Its security page says “if PHI data is processed by Infinitus, we sign the Business Associate Agreement with the customer”; we could not find the agreement text on its site. It names Epic and Salesforce as ready integrations and works with system integrators for other EHRs. Spanish call support for patients arrived in September 2025. Its October 2026 product update concerns pharmacy benefit routing and a FieldForce agent for pharmaceutical field teams. Most of its pages are written for health plans and pharmaceutical patient-support hubs, not practice front desks.

Which healthcare voice agent fits my practice?

The score is a starting point, not a verdict. The table below turns it into a decision by organisation type, using only the cells above.

If you are…	Start with	Because (from the ranked list)	Ask first
A practice that wants one agent for calls, texts and outbound follow-up in many languages	Zian AI	Inbound and outbound across voice, SMS, email and WhatsApp; 30+ languages; private model deployment	Will Zian sign a BAA, and how will it connect to my EHR?
A practice that wants the outcome run for it, paid by result	LeadsNow.ai	Pay-per-result managed service on Zian	Who signs the BAA, and with whom?
A specialty group on athenahealth, ModMed, NextGen or Nextech	Assort Health	20+ EHRs; specialty-specific scheduling; 29 languages	Is my EHR version on the native list?
A primary care, urgent care or Privia practice on athenaOne	Hello Patient	Native athenaOne read and write-back; BAA with every practice	Do I need a language beyond English and Spanish?
A health system contact centre on Epic or Oracle Health with Genesys or Five9	Hyro	Six named EHRs plus contact-centre platforms; context on every transfer	Am I buying through a reseller or direct?
A team with developers, or one outside the US	Retell AI	Self-signed BAA; 55 languages; Australian calling and bring-your-own numbers	Who builds and maintains the EHR connection?
A payer, pharmacy or patient-support hub running outbound calls	Infinitus	Benefit verification, refill management and outreach at scale	Can I see the BAA text before the contract?

For a single US medical office, our comparison of AI receptionists for a US medical office has a call-by-call routing table and the TCPA rules for reminder calls. Australian practices should read our guide to AI phone agents under the Australian Privacy Principles before choosing a vendor, because HIPAA and its BAA are US instruments and the questions there are about consent and overseas hosting.

BAA chain checklist: questions to ask before patient data reaches the agent

A voice agent is a chain of suppliers: the platform, the language model, speech-to-text, text-to-speech, the phone carrier and the storage behind recordings. HHS’s business associates guidance says a business associate “must establish a BAA with its subcontractor before disclosing PHI to the subcontractor for work to be done for a covered entity”. A covered entity, though, “is not required to establish a BAA directly with a subcontractor of its business associate”. So the chain is your vendor’s to close, and your job is to check that it did. We map who signs at each layer in our HIPAA BAA chain for AI voice agents. These are the questions, and only the questions; the answers belong in writing from the vendor.

1. Which legal entity signs the BAA with us: the vendor, a reseller, or a partner that built the agent?
2. Is the BAA tied to a plan, an add-on or a reseller channel, and does it switch on before the first patient call?
3. Does it cover every channel the agent uses: voice, SMS, email, web chat and any messaging app?
4. Which subcontractors touch PHI (language model, speech-to-text, text-to-speech, carrier, recording storage), and does the vendor hold a BAA with each one?
5. Does any supplier in the chain claim the conduit exception? If so, does it record, transcribe or store calls? HHS says the exception is “limited to entities that only provide transmission services for PHI (whether in electronic or paper form), including any temporary storage of PHI”, and “Entities that access PHI on a regular or frequent basis to perform a service on behalf of a covered entity are not conduits.”
6. Where are recordings and transcripts stored, for how long, and can we set the retention period per agent?
7. Is our patient data used to train or improve any model, and where does the contract say so?
8. How quickly will the vendor report a security incident or a breach of unsecured PHI to us?
9. What happens to our PHI when the contract ends: is it returned, destroyed, or kept under the BAA?
10. Can we see the BAA text before we sign the order form?

Who each option is wrong for

Zian AI is wrong, for now, for a practice that needs a signed BAA or a named EHR write-back before talking to a vendor; confirm both in the partnership application. It fits a practice that wants one agent across calls, SMS, WhatsApp and outbound follow-up in 30+ languages.

LeadsNow.ai is wrong for a practice that wants to configure and own the agent itself.

Retell AI is wrong for a practice with no technical help and no budget for a build partner, because its own Epic page sends you to your Epic integration team first.

Assort Health is wrong for an organisation outside the US: its customer stories are all US practices, and we found no mention of Australia on its site. Inside the US, check that your specialty has a page before booking a demo.

Hello Patient is wrong for a practice whose patients need a language other than English or Spanish, unless the “upon request” language is confirmed in writing.

Hyro is wrong for a buyer who wants to sign up direct without a sales process; its customer stories are health systems, and its published licence agreement assumes a reseller. A small office should ask whether it deploys at that size.

Infinitus is wrong for a practice that mainly needs its inbound front desk answered; most of its pages describe outbound and payer-facing work for health plans and pharmaceutical hubs.

Frequently asked questions

Where every figure on this page comes from

Figure	Who published it	Link	Date read
Subcontractor BAA rule; covered entity not required to sign with a subcontractor; conduit exception and “regular or frequent” access	US Department of Health and Human Services, Business Associates FAQs (content last reviewed 21 October 2026; hhs.gov blocks our fetches, so we read it through a text reader and checked a 23 October 2026 archived copy)	hhs.gov	31 October 2026
Zian: 30+ languages; agents and channels; Enterprise private models and local data residency; no BAA, HIPAA statement, EHR or country list published	Zian AI (home and Features + Integrations pages)	zian.ai, zian.ai/features-integrations/	31 October 2026
LeadsNow.ai: pay-per-result; 50,769+ appointments; under 60 seconds, 24/7	LeadsNow.ai	leadsnow.ai	31 October 2026
Retell AI: BAA self-signing, “no additional fee”; BAA “required before transmitting PHI”	Retell AI documentation, Security and compliance	docs.retellai.com	31 October 2026
Retell AI: HIPAA / BAA on Pay-as-you-go and Enterprise; Custom BAA on Enterprise	Retell AI pricing page	retellai.com/pricing	31 October 2026
Retell AI: books into Epic, Cerner, athenahealth, eClinicalWorks; “no off-the-shelf Retell connector” for Epic	Retell AI medical receptionist and Epic integration pages	medical receptionist, Epic	31 October 2026
Retell AI: 55 languages; US and Canada numbers; calling to Australia	Retell AI documentation (language support, purchase number, international calling)	languages, numbers, international	31 October 2026
Assort Health: BAA text last modified 25 June 2026	Assort Health	assorthealth.com/baa	31 October 2026
Assort Health: 20+ EHRs; 29 languages; transfer with collected information; referrals agent 12 August 2026; Nextech partnership 9 October 2026	Assort Health scheduling, primary care, inbound and press pages	scheduling, primary care, inbound, press	31 October 2026
Hello Patient: BAA with every practice; BAA text updated September 2026; English and Spanish; athenaOne integration	Hello Patient FAQ and BAA pages	FAQ, BAA	31 October 2026
Hello Patient: Converse Health acquisition, 15 September 2026	Hello Patient news	hellopatient.com	31 October 2026
Hyro: BAA as Exhibit A to its EULA; reseller wording	Hyro end-user licence agreement	hyro.ai	31 October 2026 (text reader)
Hyro: six named EHRs; English and Spanish; transfer context	Hyro integrations, scope of work and routing pages	integrations, scope of work, routing	31 October 2026 (text reader)
Infinitus: signs a BAA where it processes PHI	Infinitus security page	infinitus.ai/security	31 October 2026
Infinitus: warm transfer, 911 prompt, nurse queue (June 2026); Spanish support (September 2025); Epic and Salesforce integrations	Infinitus blog	clinical escalations, September 2025, integrations	31 October 2026
Scores (100, 95, 87.5, 87.5, 67.5, 42.5)	zian.ai, Patient Line Scorecard, from the cells above	This page	31 October 2026