Microsoft Dragon Copilot vs Alfred
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Microsoft Dragon Copilot
An AI-powered assistant for healthcare professionals that combines advanced voice dictation and ambient listening with generative AI. It integrates with EHRs to streamline clinical workflows, improve efficiency, and enhance patient care.
- AI-powered clinical workflow assistance
- Trusted voice dictation
- Ambient listening capabilities
- Generative AI integration
- EHR integration
- Healthcare-adapted safeguards
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Microsoft Dragon Copilot, your AI assistant for clinical workflow, brings together the trusted voice dictation capabilities of Dragon Medical One and ambient listening capabilities of DAX Copilot with fine-tuned generative AI and healthcare-adapted safeguards. This unified experience integrates with EHRs and supports clinicians across all stages of their workflow. Part of Microsoft Cloud for Healthcare, it’s an extensible AI workspace that’s built on a secure modern architecture and helps promote clinician wellbeing, increase efficiency, enhance the patient experience, and drive meaningful financial impact.
Alfred
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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.
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Verdict
The clearest difference is iOS requirement: Microsoft Dragon Copilot at 17.0 against Alfred's 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
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
Microsoft Dragon Copilot ships an update every 3 weeks, Alfred every 11 days. The most recent releases landed on October 20, 2026 and October 7, 2026 respectively.
| Parameter | Microsoft Dragon Copilot | Alfred |
|---|---|---|
| Price | Free | Free |
| Rating | 3.6 (18 ratings) — better | — |
| Positive reviews | 0.0% of reviews | — |
| Number of ratings | 18 — better | — |
| Update frequency | Every 3 weeks | Every 11 days — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | — |
| Devices | iPhone, iPad | iPhone, Apple Watch |
| Requires iOS | 17.0 — better | 26.1 |
| Further details — not scored | ||
| Size | 92 MB | 22 MB |
| Age rating | 17+ | 17+ |
| Developer | Microsoft Corporation | Merza Medical, LLC |
In-app purchases
Microsoft Dragon Copilot
No in-app purchases
Alfred
No in-app purchases
Questions
Is Microsoft Dragon Copilot free?
Is Alfred free?
Do Microsoft Dragon Copilot or Alfred have ads?
Which is updated more often, Microsoft Dragon Copilot or Alfred?
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