Autonotes vs Freed: Detailed Comparison for 2025 

Clinicians have more AI‑scribe choices than ever. Autonotes and Freed sit at very different ends of the spectrum—one purpose‑built for behavioral‑health workflows, the other positioned as an all‑specialty medical scribe that scales from solo providers to enterprise groups. Below is a deep, research‑driven breakdown to help you decide which (if either) is the better fit for your practice.

Autonotes Overview

Strengths

• Extremely low entry price for typed or dictated notes.
• Rich library of mental‑health‑specific templates out of the box.
• Built‑in treatment‑plan and goal‑tracking modules reduce the need for external tools.

Watch‑outs

• Hard session limits on lower tiers; overage requires an upgrade.
• Because PHI uploads are disallowed, true EHR back‑and‑forth automation is limited to copy/paste, not API‑level sync.
• HIPAA posture is ambiguous (marketing pages reference “HIPAA‑compliant” workflows, but legal pages disclaim covered‑entity status).

Freed Overview

Strengths

• Truly unlimited usage—no token or session caps.
• Robust security stack (HIPAA BAAs, SOC 2, FIPS‑level crypto).
• Flexible integration ladder: free Chrome extension for any web‑based EHR or paid direct‑push API.
• Multi‑specialty templates and multi‑language support broaden applicability.

Watch‑outs

• Entry price (~$99 / mo) is 2‑4× Autonotes’ lower tiers.
• Adaptive‑style engine may require manual tweaking during first few encounters.
• Direct EHR push costs an extra $49 per clinician if you need one‑click insertion.

Autonotes vs Freed — Key Differences

Pricing Breakdown

• Autonotes: Essential $25 ➜ 125 sessions; Premium $49 ➜ 300 sessions; Ultimate $99 ➜ unlimited sessions 
• Freed: $90/month (annual) or $99/month (monthly) per solo clinician with unlimited notes; group discounts to $84; 7‑day free trial, no card .

Reality check: If you chart >3 sessions a day, Autonotes Premium’s 300‑session ceiling may run out mid‑month, forcing either tier‑hops or throttling, whereas Freed’s higher sticker price carries no usage ceiling.

Security & Compliance

Integrations & Workflow

• Autonotes – Copy/paste notes into any EHR; Chrome helper speeds transfers but still manual. No direct API or FHIR push. 
• Freed – Choice of free universal Chrome extension or $49/mo direct‑push that maps sections (HPI, A/P, vitals) into most web‑based EHRs; custom FHIR integrations for enterprises.

User Feedback & Market Traction

Which One Fits Your Scenario?

Why Twofold May Be the Better Choice

If neither product ticks every box, Twofold Health combines the best of both worlds:

• Purpose‑built mental‑health workflows and multi‑specialty support.
• HIPAA compliance with full PHI handling and signed BAAs.
• Unlimited notes at $49/month (annual)—nearly half of Freed yet without Autonotes‑style session caps.
• Native mobile apps, real‑time Zoom capture, and one‑click EHR push included at no extra fee.

In short, Twofold delivers Freed‑level compliance and unlimited usage while preserving the therapist‑friendly nuance that puts Autonotes on the map—at a price closer to Autonotes Premium.

Conclusion

Choosing the right AI scribe hinges on matching your clinical volume, compliance obligations, and workflow preferences. Autonotes shines when ultra‑low pricing and mental‑health‑specific templates top the list, but its session caps and ambiguous HIPAA posture can limit growth. Freed offers enterprise‑grade security, unlimited usage, and broad‑specialty flexibility, yet commands a noticeably higher monthly fee and add‑on costs for direct EHR push. If you need Autonotes’ therapist‑centric finesse and Freed’s rock‑solid compliance—without the trade‑offs—Twofold Health provides a balanced, cost‑effective alternative worth serious consideration.

Note: The information provided in this article is based on data available as of July 11, 2025. Features and pricing are subject to change. Please consult the respective company websites for the most current information.

Disclaimer: This article is for informational purposes only and does not constitute legal or medical advice. Always consult professional guidelines and regulatory bodies for specific compliance requirements.