VoxHealthvsSmith.ai
The short answer
VoxHealth is HIPAA compliant, signs a BAA, answers calls 24/7, and handles texts, email, and web chat in 33 languages across 80+ practice management systems, while Smith.ai states it is "not HIPAA-compliant and cannot handle protected health information (PHI)." Smith.ai suits general businesses wanting human backup and per-call pricing.
Last reviewed October 4, 2026
Pick VoxHealth if
- You run a medical, dental, or dermatology practice that needs HIPAA compliance and a BAA.
- You want appointments booked directly in Dentrix, Open Dental, ModMed, ezyVet, or similar systems.
- You want the latest AI models and your choice of voice vendors.
- You want 24/7 answering, booking, transfers to your own staff, and texts, email, and web chat in 33 languages.
Pick Smith.ai if
- You want optional handoff to 500+ North America-based human receptionists.
- You want published per-call pricing, a free 25-call AI plan, and a 30-day money-back guarantee.
At a glance
| Feature | VoxHealth | Smith.ai |
|---|---|---|
| Capabilities | 24/7 calls, phone and online booking, intake, outbound campaigns, insurance verification, text reminders, live transfer, fax and email processing | 24/7 answering, calendar booking, human handoff |
| Built for | Healthcare practices, from independent practices to DSOs | General small businesses, including law, home services, and wellness |
| HIPAA and BAA | HIPAA compliant; signs a BAA | States "Smith.ai is not HIPAA-compliant and cannot handle protected health information (PHI)." |
| Practice software | 80+ systems, including Dentrix, Open Dental, Eaglesoft, Curve, Denticon, ModMed, ezDerm, ezyVet, Cornerstone, AVImark | HubSpot, Salesforce, Clio, Calendly, Acuity, Google Calendar, Zapier, Jane, Mindbody, WellnessLiving; no dental, medical, or veterinary systems listed |
| Channels | Calls, texts, email, and web chat | Calls; live chat offered as a separate product |
| Outbound calls | Outbound campaigns for recall, reactivation, confirmations, and no-shows | Not stated publicly |
| Insurance verification | Verifies coverage by calling payers | Not stated publicly |
| Online booking | Patients book appointments online, 24/7 | Not stated publicly |
| Call transfer | Live transfer to the right staff member or location | Optional handoff to 500+ North America-based human receptionists |
| Fax and email processing | Reads incoming faxes and emails, such as referrals, and routes them | Not stated publicly |
| AI models | Latest models from OpenAI, Google, and Anthropic | Not stated publicly |
| Voice options | Choose from ElevenLabs, Cartesia, Deepgram, or Azure voices | Not stated publicly |
| Books into the schedule | Books, reschedules, cancels in the practice management system | Books into connected calendars such as Jane; $1.50 per call extra on human plans |
| Languages | 33 languages, auto-detected | AI in English and Spanish |
| Setup time | Under 24 hours; most live in under a week | Not stated publicly; no setup fees |
| Pricing | Custom quote; no per-minute charges | AI: free 25 calls, then $3 per call; humans from $300 per month for 30 calls |
Which AI receptionist can handle PHI for a medical or dental practice?
Smith.ai's own medical page says: "Smith.ai is not HIPAA-compliant and cannot handle protected health information (PHI)." Most calls to medical, dental, and dermatology practices involve PHI. VoxHealth is HIPAA compliant and signs a BAA, which makes it the choice for those practices.
Which AI receptionist books into my practice management system?
VoxHealth connects to 80+ practice management systems and books, reschedules, and cancels directly in systems such as Dentrix, Open Dental, ModMed, and ezyVet. Smith.ai connects to general calendars and CRMs such as Google Calendar, Calendly, and HubSpot, plus Jane, Mindbody, and WellnessLiving, and it lists no dental, medical, or veterinary systems. Smith.ai fits when your schedule lives in a calendar tool.
What can the AI receptionist actually do?
VoxHealth answers every call 24/7, books and reschedules appointments, handles new-patient intake, and verifies insurance by calling payers. It makes outbound calls for recall, reactivation, confirmations, and no-shows, sends appointment confirmations and reminders by text, reads incoming faxes and emails such as referrals and routes them, and transfers calls live to the right staff member or location. It runs on the latest OpenAI, Google, and Anthropic models.
Questions buyers ask
Is Smith.ai HIPAA compliant compared with VoxHealth?
Smith.ai states on its medical page: "Smith.ai is not HIPAA-compliant and cannot handle protected health information (PHI)." VoxHealth is HIPAA compliant and signs a BAA.
Does Smith.ai integrate with dental, medical, or veterinary software like VoxHealth does?
Smith.ai lists general CRMs and calendars plus Jane, Mindbody, and WellnessLiving, but no dental, medical, or veterinary systems. VoxHealth connects to 80+ practice management systems, including Dentrix, Open Dental, ModMed, ezDerm, ezyVet, Cornerstone, and AVImark.
How much do Smith.ai and VoxHealth cost?
VoxHealth prices by custom quote with no per-minute charges. Smith.ai publishes per-call pricing, including a free AI plan with 25 calls, then $3 per call, and human plans from $300 per month for 30 calls.
Does VoxHealth or Smith.ai offer human receptionists?
Smith.ai offers human virtual receptionists 24/7 and optional handoff to 500+ North America-based humans, while VoxHealth is a HIPAA-compliant AI receptionist that transfers calls live to the right staff member or location.
Can I choose the AI voice with VoxHealth and Smith.ai?
VoxHealth practices choose their agent's voice from ElevenLabs, Cartesia, Deepgram, and Azure Speech, with many voices per provider. Ask Smith.ai which voices it offers.
Sources
Details about Smith.ai come from its public website and listings as of October 4, 2026. Products change, so check with Smith.ai for current details. If something here is out of date, tell us and we'll correct it.
Hear VoxHealth answer a call
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