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Software & AI · Ranking

10 Best Healthcare Chatbots of 2026

By the DBotMaker research desk · Updated November 9, 2026 · Next review December 24, 2026 · 10 products compared

Ranked firstHyroHospitals and health systems that want a managed rollout of chat and voice agents tied to the EHR and the contact center.8.3

Spec sheet

Vendor-documented specs. Click a column to sort.

ProductFree plan or trialSetupEHR integrations
1Hyro8.3Check priceNoVoice, Web chat, SMSEpic, Oracle Health, Salesforce, Five9, Cisco, GenesysSales-ledEpic, Oracle Health
2Syllable8.3$0.06NoVoice, SMS, Web chatEpic, Twilio, Salesforce, Google DriveBothEpic EHR
3Microsoft healthcare agent service8.2$0.01NoWeb chat, Voice, Bot Framework channelsBot Framework channels, OpenAPI plugins, Azure data connectionsSelf-serveCustom EMR connections via data connections
4Retell AI8.2$0.00NoWeb chat, SMS, VoiceNot publishedSelf-serveNot published
5Kore.ai8.1Check priceNoVoice, Web chat, Mobile, Slack, Microsoft TeamsEpic, Oracle Cerner, NextGen, Artera, Denticon; Genesys, NICE, Talkdesk, Twilio, Amazon ConnectSales-ledEpic, Oracle Cerner, NextGen, Denticon
6Google Conversational Agents7.9$0.01NoWeb chat, Voice, Phone (SIP)Dialogflow Messenger, Phone Gateway, Twilio, Avaya, AudioCodes, VoximplantSelf-serveNot published
7Luma Health7.8Check priceNoSMS, VoiceEpic, Oracle Health, athenahealth, eClinicalWorks, MEDITECH; partners NextGen, Nextech, Greenway, PCCSales-ledEpic, Oracle Health, athenahealth, eClinicalWorks, MEDITECH
8Notable7.8Check priceNoVoice, SMSEpic, Oracle, athenahealth; HL7, SFTP, SIPSales-ledEpic, Oracle, athenahealth (bi-directional)
9Amazon Lex7.7$0.00NoMobile, SMS, Facebook Messenger, Slack, VoiceAmazon Connect, Genesys Cloud CX, Twilio SMS, AWS LambdaSelf-serveNot published (via AWS Lambda)
10Infermedica7.5Check priceNoWeb chat, Voice, APIEngine, Platform and Conversational Triage APIs; webhooksSales-ledNot published

The short version

Hyro is the strongest managed choice for hospitals and large groups: its agents handle FAQs, appointment requests, prescription refills and referrals across chat, phone and text, and connect to Epic, Oracle Health, Salesforce and contact center software such as Five9 and Genesys. Syllable is the best build-it-yourself platform built for healthcare, with voice, SMS and chat channels, an Epic integration, HITRUST e1 and published per-unit rates. Retell AI is the quickest self-serve start, with chat agents from $0.002 a message and a HIPAA-ready enterprise tier. Microsoft's healthcare agent service gives IT teams a triage engine and healthcare safeguards for $0.01 an action. Kore.ai fits enterprises that want 100+ prebuilt healthcare use cases, Google Conversational Agents and Amazon Lex suit cloud teams that already sign a BAA with those providers, Notable and Luma Health suit patient access teams buying a workflow product, and Infermedica is the specialist for symptom triage and pre-visit intake.

Short answer

Hyro is the best healthcare chatbot for health systems that want chat, voice and SMS agents tied to Epic or Oracle Health in 2026; Syllable suits teams that want to build their own patient agents on metered pricing from $0.06 a minute. Amazon Lex is the cheapest documented option at $0.00075 per text request, and Retell AI chat agents start at $0.002 a message.

This list is for clinics, medical groups, health systems and digital health teams that want a bot to book and change appointments, collect intake details and answer patient questions on the website, by text or on the phone. We compared documented features and published prices for 10 products that state HIPAA compliance or are covered by their vendor's HIPAA program, and scored each on capabilities, ease of setup and value. Five vendors publish US dollar prices; the healthcare specialists quote on request, so their entries show a pending price check. The spec sheet compares the EHR systems each vendor names on its own site.

Figures worth knowing

The ranking at a glance

  1. 1HyroHospitals and health systems that want a managed rollout of chat and voice agents tied to the EHR and the contact center.8.3
  2. 2SyllableHealth systems and digital health teams that want to build their own patient agents with metered pricing.8.3
  3. 3Microsoft healthcare agent serviceHealth system IT teams on Azure that want a compliant bot platform with medical content built in.8.2
  4. 4Retell AIClinics and small health teams that want to self-serve a patient chat or SMS agent and pay per message.8.2
  5. 5Kore.aiLarge provider organizations that want prebuilt patient agents across voice and digital channels.8.1
  6. 6Google Conversational AgentsEngineering teams on Google Cloud that want a metered chat bot under Google's HIPAA BAA.7.9
  7. 7Luma HealthMedical groups and community health centers that want automated outreach and rebooking tied to their EHR.7.8
  8. 8NotableHealth systems that want AI agents to run patient access workflows end to end, beyond a chat window.7.8
  9. 9Amazon LexTeams on AWS that want the lowest per-request cost for a HIPAA eligible patient bot and can build it themselves.7.7
  10. 10InfermedicaProviders, payers and telehealth services that need clinically validated symptom triage and structured intake in their own app or portal.7.5

How we make the call

Every entry gets a 0 to 10 rating on the three criteria below, and the order follows the weighted total. The ratings rest on the documented features and published prices on each maker's own pages, never hands-on testing.

  • 40%Capabilities
  • 30%Ease of setup
  • 30%Value

See the full method

  1. No. 1, top ranked

    Hyro

    Agentic patient communications for health systems across phone, web chat and text, sold as Care OnCue.

    8.3of 10

    Best for Hospitals and health systems that want a managed rollout of chat and voice agents tied to the EHR and the contact center.

    Capabilities
    9.3
    Ease of setup
    7.6
    Value
    7.8

    Price

    See vendor pricing (USD check pending)

    No US price was listed when we checked. See the Hyro pricing page.

    Hyro, now branded Care OnCue, sells agents that sit on top of the systems a health system already runs. On the web, Chat OnCue answers questions and routes patients; on the phone, Routing OnCue replaces long IVR trees; and the same agents handle FAQs, appointment requests, prescription refills and referral fulfillment against the EHR. When a patient needs a person, the agent has already verified identity in the EHR and passes a summary and a CRM pop-up to the staff member. Hyro names Epic, Oracle Health and Salesforce as EHR and CRM integrations and Five9, Cisco and Genesys for contact centers. The vendor says Care OnCue runs at 2,500 hospitals, clinics and facilities. The trade-offs are the usual ones for enterprise healthcare software: no published prices, a sales process and an implementation project, which makes it a poor fit for a single clinic that wants a website bot this week.

    What it does well

    • +One agent layer across phone, web and text
    • +Named integrations with Epic, Oracle Health and Salesforce
    • +Works inside existing telephony and contact center software

    Where it falls short

    • −No public pricing
    • −Built for health systems rather than small practices
    • −Demo and implementation required
    Footprint
    2,500 hospitals, clinics and facilities, per the vendor
    Patients reached
    30 million, per the vendor
    CCaaS partners
    Five9, Cisco, Genesys

    Visit hyro.ai|Read the full Hyro profile

  2. No. 2

    Syllable

    A healthcare-focused platform to build, run and tune AI agents on voice, SMS, chat and web.

    8.3of 10

    Best for Health systems and digital health teams that want to build their own patient agents with metered pricing.

    Capabilities
    8.7
    Ease of setup
    7.6
    Value
    8.4

    Price

    Enterprise voice hosting $0.06 per minute; text $15 per 1M characters; AI services passed through at cost

    Quoted from the Syllable pricing page on November 9, 2026: Enterprise Voice 60 seconds $0.0600

    Syllable is a platform rather than a finished product: you build agents with code or its no-code tools, run them on its infrastructure and tune them with analytics. It covers voice, SMS, chat and web channels and lists an Epic EHR integration alongside Twilio SMS, Twilio SIP trunking, Google Drive and Salesforce. The use cases on its site are the core of patient access work: call routing, appointment scheduling, outbound reminders and medical records requests. Pricing is unusually open for healthcare. Enterprise voice hosting is $0.06 a minute, text costs $15 per million characters each way, and model and speech providers are passed through at cost with zero markup. Syllable lists SOC 2 Type II and HITRUST e1. The catch is the work involved: someone on your side has to design the flows, test them and keep integrations current, and a full per-conversation cost only appears once you add model usage.

    What it does well

    • +Published per-unit rates with AI services at cost and zero markup
    • +Epic EHR integration listed on the integrations hub
    • +SOC 2 Type II and HITRUST e1 listed

    Where it falls short

    • −Your team designs and maintains the agents
    • −Total cost depends on model and speech usage on top of hosting
    • −Only one EHR named on the site
    Text pricing
    $15 per 1M characters input and $15 per 1M output
    Volume
    5M+ calls automated annually, per the vendor
    Certifications
    SOC 2 Type II, HITRUST e1, GDPR

    Visit syllable.ai|Read the full Syllable profile

  3. No. 3

    Microsoft healthcare agent service

    An Azure service for building healthcare copilots and patient bots with built-in triage, medical content and healthcare safeguards.

    8.2of 10

    Best for Health system IT teams on Azure that want a compliant bot platform with medical content built in.

    Capabilities
    8.6
    Ease of setup
    7.4
    Value
    8.4

    Price

    Pay as you go at $0.01 per action; free F0 tier for evaluation and development

    Quoted from the Microsoft healthcare agent service pricing page on November 9, 2026: Where every Action will be billed at $0.01, meaning customers only pay for what they use.

    Microsoft's healthcare agent service, formerly Azure Health Bot, is a developer platform with healthcare parts already in the box. It ships with a triage and symptom checker based on medical protocols, Healthcare Intelligence content sources and generative answers grounded in your own websites or documents through Azure AI Search or Bing Custom Search. Every answer passes healthcare safeguards for evidence detection, provenance and clinical code validation, and chat safeguards add disclaimers and abuse monitoring. Teams author custom scenarios, such as appointment scheduling, in a visual editor and connect EMR and customer systems through data connections. Pricing moved to $0.01 per action in November 2025, where a classic message uses one action and an answer grounded in customer sources uses two, and a free F0 tier covers evaluation. Microsoft lists it as HIPAA-ready with HITRUST and SOC 2 Type 2. It needs developers, and scheduling against your EHR is something you build.

    What it does well

    • +Medical content and triage included rather than built from scratch
    • +HIPAA-ready, with HITRUST and SOC 2 Type 2 among listed certifications
    • +Open source web chat client for your site or app

    Where it falls short

    • −Built for developers; no ready-made scheduling integration
    • −Generative answers consume more actions than rule-based replies
    • −Microsoft states it is not a medical device
    Free tier
    F0, for evaluation and development
    Action use
    1 action per classic message, 2 for answers grounded in customer sources
    Runs on
    Azure and Bot Framework

    Visit microsoft.com|Read the full Microsoft healthcare agent service profile

  4. No. 4

    Retell AI

    A pay-as-you-go platform for AI chat and voice agents with appointment booking, knowledge bases and a HIPAA-ready enterprise tier.

    8.2of 10

    Best for Clinics and small health teams that want to self-serve a patient chat or SMS agent and pay per message.

    Capabilities
    7.8
    Ease of setup
    8.4
    Value
    8.6

    Price

    Pay as you go: chat agents from $0.002 per message, voice agents $0.07 to $0.31 per minute, $10 in free credits

    Quoted from the Retell AI pricing page on November 9, 2026: $0.002+ / msg for AI Chat Agents

    Retell AI is a general agent platform, but it is one of the few on this list a clinic can sign up for today and pay per message. Chat agents start at $0.002 a message and voice agents cost $0.07 to $0.31 a minute depending on the model and voice, with $10 in free credits to start. The building blocks fit patient work: an appointment booking action that checks availability, knowledge bases for FAQ answers, transfer to a human and simulation testing before launch. Retell describes itself as SOC 2 certified and HIPAA-ready, with a HIPAA BAA listed among its enterprise terms, so confirm the plan before handling patient data. The downsides follow from its general design. There are no healthcare-specific workflows out of the box, EHR connections are not listed on the pricing page, and SMS adds $0.01 a message. It suits a practice with someone comfortable writing prompts and testing flows.

    What it does well

    • +Self-serve signup with $10 in free credits
    • +Low per-message pricing for chat agents
    • +SOC 2 certified and HIPAA-ready, per the vendor

    Where it falls short

    • −Not built only for healthcare, so flows start from general templates
    • −HIPAA and BAA terms sit with the enterprise offering
    • −SMS adds $0.01 a message on top of the chat rate
    Chat agents
    From $0.002 per message
    Voice agents
    $0.07 to $0.31 per minute
    Concurrency
    First 20 concurrent calls free, then $8 each per month

    Visit retellai.com|Read the full Retell AI profile

  5. No. 5

    Kore.ai

    An enterprise AI agent platform with prebuilt healthcare provider use cases for patient access, care coordination and back office work.

    8.1of 10

    Best for Large provider organizations that want prebuilt patient agents across voice and digital channels.

    Capabilities
    9.2
    Ease of setup
    7.2
    Value
    7.6

    Price

    See vendor pricing (USD check pending)

    No US price was listed when we checked. See the Kore.ai pricing page.

    Kore.ai is a general enterprise agent platform with a healthcare provider package that arrives with more than 100 prebuilt use cases, integrations and HIPAA compliance included. Patient-facing agents cover appointment booking and management, prescription refills, lab results and registration, while care coordination agents handle prior authorization and referrals. The same platform supports HR, IT and recruiting work, which matters if your organization wants one vendor for internal and patient bots. Kore.ai names Epic, Oracle Cerner, NextGen Healthcare, Artera and Denticon as EHR connectors and Genesys, NICE, Talkdesk, Twilio and Amazon Connect for contact centers, with web, mobile, Slack and Microsoft Teams among its channel connectors. Its page reports 40 to 60% self-service containment. Prices are not published, and the breadth of the platform means a sales-led project rather than a quick install. SMS is not listed on the provider page, so confirm text messaging if patients expect it.

    What it does well

    • +Wide use case library for patient access and back office work
    • +Named EHR connectors, including Epic and Oracle Cerner
    • +HIPAA, SOC 2 and ISO 27001 badges listed

    Where it falls short

    • −No public pricing
    • −SMS is not named as a channel on the provider page
    • −An enterprise platform with a matching rollout effort
    Prebuilt use cases
    100+
    Reported containment
    40 to 60% self-service containment, per the vendor
    Compliance badges
    HIPAA, FedRAMP, SOC 2, GDPR, ISO 27001, PCI DSS

    Visit kore.ai|Read the full Kore.ai profile

  6. No. 6

    Google Conversational Agents

    Google Cloud's agent builder, formerly Dialogflow CX, with deterministic Flows and generative Playbooks for chat and voice.

    7.9of 10

    Best for Engineering teams on Google Cloud that want a metered chat bot under Google's HIPAA BAA.

    Capabilities
    8.0
    Ease of setup
    7.4
    Value
    8.4

    Price

    Chat from $0.007 per request on Flows and $0.012 on Playbooks; free trial credits for new users

    Quoted from the Google Conversational Agents pricing page on November 9, 2026: Chat $0.007 / 1 count

    Google Conversational Agents is the current name for Dialogflow CX plus its generative Playbooks. Flows suit predictable tasks such as checking clinic hours or walking a patient through a reschedule, while Playbooks let you describe a generative agent in plain language and ground it in data stores built from your website or documents. Chat requests cost $0.007 on Flows and $0.012 on Playbooks, voice is billed per second, and new users get trial credits for 12 months. Google lists Conversational Agents among the products covered by its HIPAA BAA, though its guidance says not to put PHI in agent definitions such as intents, training phrases and entities. Deployment options include the Dialogflow Messenger web widget and telephony through Phone Gateway, Twilio, Avaya, AudioCodes and SIP trunks. What it lacks is healthcare content: there are no healthcare templates or EHR connectors, so scheduling against your system is custom work.

    What it does well

    • +Listed as a covered product under Google's HIPAA BAA
    • +Clear per-request pricing and free design-time requests
    • +Mix rule-based and generative logic in one agent

    Where it falls short

    • −No healthcare templates or EHR connectors listed
    • −Google advises keeping PHI out of intents and training phrases
    • −Needs Google Cloud skills to build and maintain
    Voice pricing
    $0.001 per second on Flows, $0.002 on Playbooks
    Data store storage
    10 GiB free per month, then $5 per GiB
    HIPAA
    Conversational Agents is on Google Cloud's HIPAA covered products list

    Visit cloud.google.com|Read the full Google Conversational Agents profile

  7. No. 7

    Luma Health

    Operational AI for patient access, outreach, intake and payments, with AI agents that text patients and book into the EHR.

    7.8of 10

    Best for Medical groups and community health centers that want automated outreach and rebooking tied to their EHR.

    Capabilities
    8.4
    Ease of setup
    7.4
    Value
    7.4

    Price

    See vendor pricing (USD check pending)

    No US price was listed when we checked. See the Luma Health pricing page.

    Luma Health sells a patient engagement platform that now runs on AI agents. Its outreach agent texts patients after they cancel or miss an appointment, keeps following up until they rebook, and writes the chosen time into the EHR; the same approach closes care gaps when visits are due. Around it sit intake forms and checklists, eligibility checks, reminders, payments and Fax Transform, and Agent Launchpad orchestrates agents for tasks such as procedure prep. Luma names integrations with athenahealth, eClinicalWorks, Epic, Oracle Health and MEDITECH and partnerships with NextGen, Nextech, Greenway Health and PCC, the broadest EHR list here. It describes itself as HIPAA-compliant and lists HITRUST CSF r2, HITRUST ai2 and SOC 2 Type II. As a chatbot, Luma leans toward outbound text and phone rather than a website FAQ widget, and pricing requires a demo, so it suits groups replacing reminder and intake tools more than those adding a site bot.

    What it does well

    • +The widest list of named EHR integrations on this list
    • +HIPAA-compliant with HITRUST CSF r2, HITRUST ai2 and SOC 2 Type II listed
    • +Covers intake, reminders and payments as well as conversations

    Where it falls short

    • −Web chat is not described on its AI pages
    • −No public pricing
    • −Agents focus on outreach more than inbound FAQs
    Reported results
    2.3x as many cancelled visits rescheduled at CLS Health versus standard SMS reminders, per the vendor
    Certifications
    HITRUST CSF r2, HITRUST ai2, SOC 2 Type II, ISO 27001:2022
    Calls resolved
    614,709 without staff in 12 months, per the vendor

    Visit lumahealth.io|Read the full Luma Health profile

  8. No. 8

    Notable

    A healthcare AI platform with patient access agents for scheduling, onboarding, intake and contact center work.

    7.8of 10

    Best for Health systems that want AI agents to run patient access workflows end to end, beyond a chat window.

    Capabilities
    8.8
    Ease of setup
    7.0
    Value
    7.4

    Price

    See vendor pricing (USD check pending)

    No US price was listed when we checked. See the Notable pricing page.

    Notable approaches patient conversations as one part of a wider automation platform. On the access side, its voice and SMS agents handle inquiries, scheduling and billing around the clock, reach out to book follow-ups and referrals or fill open slots, welcome new patients and support MyChart questions with a warm transfer for complex issues. Around those agents sit workflows that a chatbot vendor would not touch, such as reading faxed orders into Epic and sending good faith estimates. Notable says it integrates bi-directionally with EHRs and payer portals and names Epic, Oracle and athenahealth, using HL7, SFTP and SIP. Flow Builder and the newer Flow Compass let operators design and govern automations. Named customers include MUSC Health, UC San Diego Health and CommonSpirit. For a list about chatbots the gap is web chat: the access page describes voice and SMS but no website chat agent, and pricing is only available through a demo.

    What it does well

    • +Covers patient access work beyond conversations, such as fax intake
    • +Bi-directional EHR integration, with Epic named across flows
    • +Named health system customers such as MUSC and UC San Diego Health

    Where it falls short

    • −No web chat agent described on the access page
    • −No public pricing
    • −A platform purchase rather than a simple bot
    Standards
    HL7 MDM, ORU and ORM, SFTP, SIP
    Reported results
    66% call deflection at Catholic Health, per the vendor
    Builder tools
    Flow Builder, Flow Compass, Sidekick

    Visit notablehealth.com|Read the full Notable profile

  9. No. 9

    Amazon Lex

    AWS's service for building chat and voice bots, with generative FAQ answers through Amazon Bedrock and native Amazon Connect support.

    7.7of 10

    Best for Teams on AWS that want the lowest per-request cost for a HIPAA eligible patient bot and can build it themselves.

    Capabilities
    7.6
    Ease of setup
    6.8
    Value
    8.6

    Price

    Pay per request: $0.00075 per text request and $0.004 per speech request; AWS Free Tier credits for new customers

    Quoted from the Amazon Lex pricing page on November 9, 2026: 2,000 text requests $0.00075

    Amazon Lex is the building block AWS customers reach for when they want a bot on their own infrastructure. Text requests cost $0.00075 and speech requests $0.004, which makes it the cheapest metered option on this list, and new AWS customers can apply Free Tier credits to it. Lex appears on the AWS list of HIPAA eligible services, so it can process PHI under an AWS BAA. The features that matter for clinics are the conversational FAQ intent, which answers from an authorized knowledge source using Amazon Bedrock models, assisted slot resolution for free-form answers during intake, and AWS Lambda for checking or updating schedules in back-end systems. Phone bots run natively in Amazon Connect or through Genesys Cloud CX, and text bots reach Twilio SMS, Slack and Facebook Messenger. Everything healthcare-specific is yours to build, including EHR scheduling, and setup requires AWS skills, which is why it scores lower on ease of setup.

    What it does well

    • +On the AWS list of HIPAA eligible services
    • +Lowest published per-request price on this list
    • +Same bot can serve text and speech

    Where it falls short

    • −No healthcare templates or EHR connectors
    • −Requires AWS development skills
    • −No ready-made web chat widget named on the features page
    Speech requests
    $0.004 each
    Free Tier
    Up to $200 in AWS Free Tier credits for new customers from July 15, 2025
    HIPAA
    Listed among AWS HIPAA eligible services

    Visit aws.amazon.com|Read the full Amazon Lex profile

  10. No. 10

    Infermedica

    A clinical AI triage engine for symptom checking, call center triage and pre-visit intake by chat, voice or form.

    7.5of 10

    Best for Providers, payers and telehealth services that need clinically validated symptom triage and structured intake in their own app or portal.

    Capabilities
    8.0
    Ease of setup
    7.0
    Value
    7.2

    Price

    See vendor pricing (USD check pending)

    No US price was listed when we checked. See the Infermedica pricing page.

    Infermedica solves a narrower problem than the other entries: deciding where a patient should go. Patients describe symptoms by chat, voice or form inside your app, portal or contact center flow, and the engine weighs symptoms, risk factors and conditions to recommend an urgency level and next step. The same engine supports nurse and call center triage and pre-visit intake that collects structured information before the appointment. Developers work through the Engine API, a Platform API with triage, intake and follow-up interview types, and a Conversational Triage API with streaming, handoff and summary reports. Infermedica says its triage is certified as a Class IIb medical device under EU MDR and states HIPAA and SOC 2 Type 2 compliance, and it reports more than 30 million checkups in over 30 countries. It does not book appointments or answer general clinic FAQs, so most buyers pair it with a scheduling bot, and pricing comes through sales.

    What it does well

    • +Class IIb medical device certification under EU MDR
    • +HIPAA and SOC 2 Type 2 compliance stated
    • +30M+ checkups across 30+ countries, per the vendor

    Where it falls short

    • −Triage and intake only; no scheduling or general FAQ bot
    • −No public pricing
    • −Needs integration work through its APIs
    Scale
    30M+ checkups in 30+ countries, per the vendor
    Certifications
    ISO 13485:2016, ISO 27001:2022, EU MDR Class IIb
    Interview types
    Triage, Intake, Follow-up

    Visit infermedica.com|Read the full Infermedica profile

Before you pick a product or a plan

Confirm the BAA and where PHI can go

A bot that sees names, birth dates or symptoms handles protected health information, so the vendor must sign a Business Associate Agreement. Cloud platforms add their own limits: Google says not to put PHI in agent definitions such as intents and training phrases, and Amazon Lex is on the AWS list of HIPAA eligible services only under an AWS BAA. Ask each healthcare vendor for its BAA and its SOC 2 or HITRUST report before a pilot.

Check what the bot can write back to the EHR

Answering FAQs is easy; booking a visit is only useful if the bot reads live availability and writes the appointment to your system. Hyro and Kore.ai name Epic and Oracle among their integrations, Syllable lists an Epic EHR integration, and Luma Health lists Epic, Oracle Health, athenahealth, eClinicalWorks and MEDITECH. Ask which actions are read only and which write to the chart.

Pick a managed product or a platform

Hyro, Notable, Luma Health and Kore.ai configure agents around your workflows with an implementation team. Syllable, Retell AI, Microsoft, Google and Amazon are platforms your own staff build on, which costs less per conversation but needs someone to design flows, test them and maintain integrations.

Model the cost per conversation

Metered platforms bill per message, request or action, and one patient conversation can use many. Amazon Lex charges $0.00075 per text request, Google charges $0.007 per chat request on Flows and $0.012 on Playbooks, Microsoft bills $0.01 per action with generative answers using more actions than rule-based replies, and Retell starts at $0.002 a chat message. Multiply by the turns in a typical scheduling chat before comparing them with a flat enterprise contract.

Keep clinical questions with clinicians

A scheduling or FAQ bot should not give medical advice. Microsoft states its service is not a medical device, while Infermedica's triage engine is certified as a Class IIb medical device under EU MDR. Decide which questions the bot answers, which it routes to a nurse line, and test the handoff before launch.

Questions readers ask

What is the best healthcare chatbot in 2026?
Hyro ranks first in our comparison for health systems because one agent layer covers web chat, phone and text and connects to Epic, Oracle Health and Salesforce. Syllable is the runner-up for teams that want to build their own agents on published rates from $0.06 a minute.
Are healthcare chatbots HIPAA compliant?
Only when the vendor supports HIPAA and signs a Business Associate Agreement with you. Microsoft lists its healthcare agent service as HIPAA-ready, Google lists Conversational Agents under its HIPAA BAA, Amazon Lex is a HIPAA eligible AWS service, and Luma Health describes itself as HIPAA-compliant. Confirm the BAA before any patient data flows through the bot.
How much does a healthcare chatbot cost?
Metered platforms publish rates: Amazon Lex charges $0.00075 per text request, Retell AI chat agents start at $0.002 a message, Google charges $0.007 per chat request on Flows, and Microsoft bills $0.01 per action. Hyro, Kore.ai, Notable, Luma Health and Infermedica quote prices on request.
Can a chatbot book appointments in Epic?
Several vendors name Epic integrations: Hyro, Syllable, Kore.ai, Notable and Luma Health all list Epic on their sites. On cloud platforms such as Amazon Lex or Google Conversational Agents, your team builds the scheduling connection itself.
Should a healthcare chatbot answer medical questions?
Most scheduling and FAQ bots should route clinical questions to staff. Microsoft states its healthcare agent service is not a medical device, while Infermedica's triage engine is certified as a Class IIb medical device under EU MDR and is built for symptom assessment.

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