Comparison

Microsoft Dragon Copilot vs Alfred

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

Head to head
About

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.

Highlights
  • AI-powered clinical workflow assistance
  • Trusted voice dictation
  • Ambient listening capabilities
  • Generative AI integration
  • EHR integration
  • Healthcare-adapted safeguards
Features
Read full description

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.

About

Alfred

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

Microsoft Dragon Copilot4 screens
Alfred4 screens

Verdict

The call

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

CostPrice · In-app purchases · Ads · Monetization

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

UpkeepUpdate frequency

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.

Scorecard1 real difference · 9 level
Microsoft Dragon Copilot versus Alfred: the parameters behind the verdict, then further details
ParameterMicrosoft Dragon CopilotAlfred
PriceFreeFree
Rating3.6 (18 ratings) — better—
Positive reviews0.0% of reviews—
Number of ratings18 — better—
Update frequencyEvery 3 weeksEvery 11 days — better
AdsNoNo
In-app purchasesNoNo
MonetizationFree—
DevicesiPhone, iPadiPhone, Apple Watch
Requires iOS17.0 — better26.1
Further details — not scored
Size92 MB22 MB
Age rating17+17+
DeveloperMicrosoft CorporationMerza Medical, LLC

In-app purchases

None

Microsoft Dragon Copilot

No in-app purchases

None

Alfred

No in-app purchases

Questions

Is Microsoft Dragon Copilot free?
Microsoft Dragon Copilot is free to download, with no in-app purchases.
Is Alfred free?
Alfred is free to download, with no in-app purchases.
Do Microsoft Dragon Copilot or Alfred have ads?
Neither Microsoft Dragon Copilot nor Alfred shows ads.
Which is updated more often, Microsoft Dragon Copilot or Alfred?
Microsoft Dragon Copilot ships an update every 3 weeks, and Alfred every 11 days. Most recently, Microsoft Dragon Copilot was updated on October 20, 2026 and Alfred on October 7, 2026.

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