Comparison

OrthoScribe vs Alfred

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

OrthoScribe

This AI-powered app assists medical professionals with clinical documentation. It automatically generates notes, ICD-10 codes, procedures, and orders from recorded patient appointments.

Highlights
  • AI-powered clinical note generation
  • Automatic ICD-10 code assignment
  • Procedure and order creation
  • Record patient appointments
  • Streamlined documentation workflow
Features
Read full description

Focus on the patient. Turn orthopedic encounters into clinical notes with OrthoScribe. Record a visit, generate a structured draft, and review and refine the note in your own words. OrthoScribe brings recording, notes, templates, and your schedule into one documentation workflow. RECORD AND REVIEW • Capture encounters from your iPhone or Apple Watch. • Review generated clinical notes and make edits before using them in your documentation. • Add audio when you need to document more of the encounter. MAKE IT YOURS • Use voice macros and templates for recurring documentation. • Select guided template fields by touch or voice while dictating. • Advance through fields and apply default values. KEEP YOUR DAY MOVING • View your appointment schedule and note status. • Access shared schedules on Apple Watch. • Use the web portal for additional note review and documentation tools. PRACTICE WORKFLOWS OrthoScribe supports standalone documentation and configured EHR-connected workflows. Coding tools and integration features vary by practice configuration. Clinicians remain responsible for reviewing notes and coding suggestions. GETTING STARTED An active OrthoScribe account is required. Access may be provided through your practice or an individual plan. Visit orthoscribe.ai for setup, plan information, and support.

About

Alfred

This app assists clinicians by automatically generating structured SOAP notes from patient conversations, eliminating the need for manual typing or dictation. It focuses on streamlining documentation so healthcare professionals can dedicate more time to patient care.

Highlights
  • Automatic SOAP note generation
  • Natural conversation transcription
  • ICD-10 code suggestions
  • Electronic signature
  • HIPAA-compliant infrastructure
  • Biometric and multi-factor authentication
Features
Read full description

Clinicians spend over two hours per day on documentation. That's time taken from patients, from families, from the work that drew them to medicine in the first place. Alfred changes that. It sits quietly in the exam room, listens to the conversation between doctor and patient, and produces a complete, structured SOAP note — ready for review and signature. No typing. No dictation templates. No after-hours charting. HOW IT WORKS 1. Open Alfred and tap Record before your patient encounter begins. 2. Have your visit normally. Alfred captures the full conversation. 3. When you're done, tap Upload. Within minutes, Alfred delivers a structured clinical note with Subjective, Objective, Assessment, and Plan sections, along with suggested ICD-10 codes. 4. Review the note, make any edits, and sign it electronically. Done. Alfred handles the documentation so you can focus on what matters: your patient. BUILT FOR CLINICIANS - Full SOAP notes generated from natural conversation — no templates, no keywords - ICD-10 diagnostic code suggestions to accelerate billing workflows - Electronic signature with provider attestation (name, NPI, timestamp) - Signed notes are immutable with append-only amendments, supporting medical record integrity - Works for primary care, specialty, urgent care, and telehealth encounters SECURE BY DESIGN Alfred is built for healthcare from the ground up, not retrofitted. - HIPAA-compliant infrastructure with Business Associate Agreements executed with all data processors - All data encrypted in transit (TLS 1.2+) and at rest (AES-256) - Audio recordings are automatically deleted from processing servers after transcription is complete - User-level data isolation ensures each provider can only access their own patients and notes - Biometric authentication (Face ID) and multi-factor authentication protect every session - Data stored exclusively in the United States IMPORTANT: DOCUMENTATION AID, NOT A DIAGNOSTIC TOOL Alfred is a clinical documentation assistant. It does not provide diagnostic recommendations, treatment suggestions, or clinical decision support. All AI-generated content — including transcriptions, clinical notes, and suggested codes — are drafts that require review, verification, and electronic signature by a licensed healthcare provider before becoming part of the medical record. Alfred is intended for use by licensed healthcare professionals including physicians, nurse practitioners, physician assistants, and other qualified clinicians credentialed to document patient encounters within their scope of practice. A Merza Medical account is required to use this app. Questions? Contact us at contact@merzamedical.com.

Screenshots

OrthoScribe4 screens
Alfred4 screens

Verdict

The call

The clearest difference is rating: Alfred at 5.0 against OrthoScribe's 4.6. OrthoScribe's advantage is ratings volume (10 vs 3) and iOS requirement (16.4 vs 26.1). On price, update cadence, ads and in-app purchases there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

Alfred holds the better App Store score, 5.0 against 4.6. Both are backed by a comparable volume of ratings — 10 and 3 respectively.

UpkeepUpdate frequency

OrthoScribe ships an update every 3 weeks, Alfred every 11 days. The most recent releases landed on November 3, 2026 and October 31, 2026 respectively.

Scorecard3 real differences · 7 level
OrthoScribe versus Alfred: the parameters behind the verdict, then further details
ParameterOrthoScribeAlfred
PriceFreeFree
Rating4.6 (10 ratings)5.0 (3 ratings) — better
Positive reviews100.0% of reviews—
Number of ratings10 — better3
Update frequencyEvery 3 weeksEvery 11 days — better
AdsNoNo
In-app purchasesNoNo
MonetizationFreeFree
DevicesiPhone, iPad, Apple Watch — betteriPhone, Apple Watch
Requires iOS16.4 — better26.1
Further details — not scored
Size56 MB22 MB
Age rating17+17+
DeveloperHannibalAI LLCMerza Medical, LLC

In-app purchases

None

OrthoScribe

No in-app purchases

None

Alfred

No in-app purchases

Questions

Is OrthoScribe free?
OrthoScribe is free to download, with no in-app purchases.
Is Alfred free?
Alfred is free to download, with no in-app purchases.
Which has better reviews, OrthoScribe or Alfred?
Alfred is rated higher. OrthoScribe averages 4.6 out of 5 from 10 ratings, while Alfred averages 5.0 from 3 ratings.
Do OrthoScribe or Alfred have ads?
Neither OrthoScribe nor Alfred shows ads.
Which is updated more often, OrthoScribe or Alfred?
OrthoScribe ships an update every 3 weeks, and Alfred every 11 days. Most recently, OrthoScribe was updated on November 3, 2026 and Alfred on October 31, 2026.

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