One assistant, inside an AI-native clinical platform. Edit notes, draft letters and referrals, get billing and coding support, prepare for audits, surface clinical decision support, and track patient progress — just by asking.
Ask Twofold is an AI clinician assistant built into Twofold's AI-native clinical platform. From one conversational interface, clinicians edit notes, generate letters and referrals, get billing and coding support, prepare for insurance audits, surface clinical decision support, and track patient progress — all in the flow of care.
It isn't a chatbot bolted onto legacy software. Because documentation, coding, and progress tracking share one context, what you capture in a visit is instantly usable across every task. You ask in plain language, Twofold does the heavy lifting, and you review and approve every output — the assistant accelerates the work, it never makes clinical decisions for you.
One AI clinician assistant across documentation, communication, coding, compliance, and care — so you stop switching between point tools.
Reword, restructure, or reformat any note — switch between SOAP, BIRP, DAP, and your own templates without retyping.
Generate referral letters, work and school notes, and patient correspondence from the visit — ready for your review and signature.
Surface suggested CPT and ICD-10 codes from what was documented, so you can confirm the right codes faster. You stay in control of what's billed.
Ask whether a note supports medical necessity and flag language a payer might question — before the claim goes out, not after a denial.
Ask reference-style questions and surface considerations relevant to the encounter — decision support to inform your judgment, never a replacement for it.
Summarize a patient's trajectory across sessions, surface trends in outcome measures, and prep for the next visit in seconds.
Most tools handle one slice of the visit. Ask Twofold is an AI-native clinician assistant that covers the whole workflow — documentation, coding, compliance, and care.
| Capability | Twofold AI clinician assistant | Standalone AI scribes | EHR add-on AI |
|---|---|---|---|
| AI-native platform (not bolted on) | Yes | — | — |
| Generate and edit clinical notes | Yes | Yes | Limited |
| Letters and referrals | Yes | Limited | — |
| Billing and coding support | Yes | — | Limited |
| Insurance audit preparation | Yes | — | — |
| Clinical decision support | Yes | — | Limited |
| Patient progress tracking | Yes | Limited | — |
| HIPAA BAA at signup | Yes | Varies | Yes |
| One assistant for the whole workflow | Yes | — | — |
Comparison reflects the typical capabilities of each category; individual products vary.
The concepts behind Ask Twofold — and how an AI-native assistant differs from a single-purpose tool.
We evaluated several options. Twofold stood out because it fit telehealth workflows, produced structured notes fast, and required minimal setup.
I think it is amazing. One of the biggest positives for me is that it validates the work that I put into a session. It always catches things that I would miss. 10/10 @Twofold_Health
Amazing @Twofold_Health! It works so well with couples/families (multiple voices) and exports well to other filing applications. I love the feature of writing a follow-up email to clients!
I am in love with @Twofold_Health. I can't tell you how grateful I am to cut down the time I spend on notes.
I'm always concerned about completing my documentation and being in compliance for insurance claims. @Twofold_Health helps me with creating beautiful notes in a fraction of the time.
It saves so much time and stress. @Twofold_Health has truly had a positive impact on my own mental health. Thanks for making such an amazing program.
Totally amazing. I am your number 1 fan
Perfect for therapy notes. It picks up on emotional nuance in conversation that I'd normally struggle to document accurately. My notes have never been better.
@Twofold_Health wow this is hands down the best scribe I've tried. I love your app.
Went from spending 3+ hours on notes to under 30 minutes. Wish I had found @Twofold_Health sooner. My patients get better care now because I'm less burned out.
@Twofold_Health is amazing in that I could really focus on my patient instead of bouncing between them and the computer screen. I'm submitting my notes right away and not on weekends!
@Twofold_Health is very easy to navigate and it has saved me time and energy with finishing documentation. Today I'm more motivated to finish my notes at the end of the day. I'm SO glad I found this!
I recommend @Twofold_Health to every colleague who complains about documentation burden. The time savings alone make it worth every penny.
Cut my charting time in half. I can actually leave the office on time now. This tool is a genuine game-changer for work-life balance.
solo primary care, panel of about 1100. a1c trends, weights, BPs — all just there when i open the chart. don't know how i did this job before tbh
Family med is wild. Chronic care visit, then a sick toddler, then a Medicare wellness — all in one afternoon. Twofold just keeps up. I'm not picking templates anymore.
Was honestly skeptical. Three weeks in, my charts were caught up for the first time in like, years? Now i tell every new partner about it on day 1.
my follow-ups are usually 5–6 problems deep and the A&P comes out structured per dx without me babysitting it. coding suggestions are usually right too which is wild.
Hospitalist work is just a wave of admissions all day. With this I'm done before signout. That used to be unthinkable.
AGNP, panel north of 1200. The med rec alone gives me back like an hour a day — every dose change carries forward visit to visit and i don't have to dig through old notes.
Worked through a PE rule-out yesterday and the note basically wrote itself. Cardiopulm exam, d-dimer reasoning, the whole dispo. Saved me at least 20 min on a busy shift.
discharge summaries used to ruin my Fridays. now i dictate the hospital course on the way to the parking lot and twofold handles the rest. it's a different job
Bright Futures language, growth percentiles, anticipatory guidance — all of it ends up in the right section automatically. I'm out the door on time, which is wild for peds.
peds visits are SHORT and full of family voices and twofold attributes parents vs patient correctly every single time. that alone is worth it honestly
Well-checks, sick visits, asthma follow-ups — all in the same morning. Asthma action plans come out clean and parents leave with the printed copy without me opening a template.
triage and immunization docs are way faster. lot numbers, VIS dates, all structured for our IIS — i was dreading immunization clinic days and now they're fine
Adolescent visits with sensitive content (depression screens, sexual health) — Twofold handles the confidentiality framing well. I don't worry about a parent reading something they shouldn't. I trust it.
I do integrated psych evals. Twofold handles the formulation, MSE and plan in a structure that holds up to peer review — and the case-conceptualization narrative still sounds like me, not a robot.
half my caseload is trauma. the PE/CPT-aligned language is actually thoughtful, not just keyword stuffing. saves me from rewriting every note which i used to do constantly
Med-management used to bleed into my evenings every single day. Now MSE, risk assessment, prescribing rationale come out structured the way i'd write them. I have evenings again. real ones.
heavy panel — twofold tracks meds, side effects, PHQ-9 trends visit-over-visit so i can actually look at the patient instead of the chart. that part shouldn't be revolutionary but it kinda is
as a resident, getting clean H&Ps that my attending signs without re-writing? unreal. made my last inpatient month tolerable
Controlled-substance documentation is structured exactly the way my state board wants it — PDMP review, treatment agreement, risk-benefit. I stopped dreading audits.
ROM, MMT, special tests — all there exactly the way i'd write them. my initial evals are done before i leave the treatment room. that did not used to be true
Twofold actually understands rehab docs — outcome measures, plan of care, recerts, all in a Medicare-compliant structure. No more nightly chart catch-up. I stopped working from my couch.
ADL/IADL assessments come out in the format i use for OT evals. The time i get back goes back to my patients, full stop.
daily treatment notes used to be 20 min per patient. now it's 3. same compliance, same detail, way less typing. ngl this changed my whole workflow
Documentation finally feels like part of treatment instead of the thing i have to do after. Game-changer for SNF work.
i bounce between a clinic, a high school, and a college program. mobile capture means i'm not chained to a desk — notes get done on the bus ride home which is where i'd rather do them anyway
Artic and language goals used to mean endless copy-paste. Twofold tracks cueing level and percent accuracy cleanly visit to visit, so my progress reports actually show progress.
school sessions with mixed groups are finally documentable without chaos. attendance, target goals, and homework all land in the right place — i can run six kids in 30 min and still have the note done
For dysphagia follow-ups it captures PO trials and compensatory strategies in a structure my rehab team can actually use. They stopped DMing me asking what i meant.
as a CF, writing strong plans was my bottleneck. twofold gives me a solid first draft that still sounds like me. saved my sanity tbh
Cognitive-comm sessions are nuanced and the tool actually captures real functional progress instead of generic template language. That's rare.
outpatient peds and adults in the same day used to wreck me. twofold adapts without me switching formats every hour
nutrition counseling notes are finally fast AND consistent. assessment, intervention, monitoring — done in one pass. feels like cheating
For DM follow-ups it captures carb goals and adherence barriers exactly how I actually discuss them with patients. Doesn't scrub the personal stuff out which is the whole point.
telehealth visits move fast. twofold keeps pace and i'm closing charts before the next session starts which is genuinely a first for me
Behavior-change plans used to get buried in free text. Now goals, barriers, next steps are obvious to the whole care team — my MA actually reads my notes again.
weight-management documentation is so much cleaner now. trend lines that i can actually point at during a visit. patients respond to that better than my old word salad
I cover oncology nutrition — i need precise, practical notes. Twofold saves me time without losing clinical detail, which i was worried about going in.
Latch assessments are clearer and faster now. I finish charting while the feeding plan is still fresh in my head — i used to forget the small stuff by the end of the day.
home visits used to be impossible to document on time. now i capture positioning changes and parent coaching right there in the room. parents don't even notice
For postpartum follow-ups it organizes symptoms, transfer observations and next-step guidance in a chart-ready format. The whole care team's on the same page now.
i love that it captures exactly what education i covered with families. continuity between visits is so much better — i'm not asking the same questions over and over
In our busy postpartum unit, doc speed matters a lot. Twofold helps me keep notes complete without staying late. That's everything for me right now.
when feeds are complicated i need detail and structure both. this gives me both, no extra clicks. i don't remember what i did before
I think it is amazing. One of the biggest positives for me is that it validates the work that I put into a session. It always catches things that I would miss. 10/10 @Twofold_Health
Amazing @Twofold_Health! It works so well with couples/families (multiple voices) and exports well to other filing applications. I love the feature of writing a follow-up email to clients!
I am in love with @Twofold_Health. I can't tell you how grateful I am to cut down the time I spend on notes.
I'm always concerned about completing my documentation and being in compliance for insurance claims. @Twofold_Health helps me with creating beautiful notes in a fraction of the time.
It saves so much time and stress. @Twofold_Health has truly had a positive impact on my own mental health. Thanks for making such an amazing program.
Totally amazing. I am your number 1 fan
Perfect for therapy notes. It picks up on emotional nuance in conversation that I'd normally struggle to document accurately. My notes have never been better.
@Twofold_Health wow this is hands down the best scribe I've tried. I love your app.
Went from spending 3+ hours on notes to under 30 minutes. Wish I had found @Twofold_Health sooner. My patients get better care now because I'm less burned out.
@Twofold_Health is amazing in that I could really focus on my patient instead of bouncing between them and the computer screen. I'm submitting my notes right away and not on weekends!
@Twofold_Health is very easy to navigate and it has saved me time and energy with finishing documentation. Today I'm more motivated to finish my notes at the end of the day. I'm SO glad I found this!
I recommend @Twofold_Health to every colleague who complains about documentation burden. The time savings alone make it worth every penny.
Cut my charting time in half. I can actually leave the office on time now. This tool is a genuine game-changer for work-life balance.
solo primary care, panel of about 1100. a1c trends, weights, BPs — all just there when i open the chart. don't know how i did this job before tbh
Family med is wild. Chronic care visit, then a sick toddler, then a Medicare wellness — all in one afternoon. Twofold just keeps up. I'm not picking templates anymore.
Was honestly skeptical. Three weeks in, my charts were caught up for the first time in like, years? Now i tell every new partner about it on day 1.
my follow-ups are usually 5–6 problems deep and the A&P comes out structured per dx without me babysitting it. coding suggestions are usually right too which is wild.
Hospitalist work is just a wave of admissions all day. With this I'm done before signout. That used to be unthinkable.
AGNP, panel north of 1200. The med rec alone gives me back like an hour a day — every dose change carries forward visit to visit and i don't have to dig through old notes.
Worked through a PE rule-out yesterday and the note basically wrote itself. Cardiopulm exam, d-dimer reasoning, the whole dispo. Saved me at least 20 min on a busy shift.
discharge summaries used to ruin my Fridays. now i dictate the hospital course on the way to the parking lot and twofold handles the rest. it's a different job
Bright Futures language, growth percentiles, anticipatory guidance — all of it ends up in the right section automatically. I'm out the door on time, which is wild for peds.
peds visits are SHORT and full of family voices and twofold attributes parents vs patient correctly every single time. that alone is worth it honestly
Well-checks, sick visits, asthma follow-ups — all in the same morning. Asthma action plans come out clean and parents leave with the printed copy without me opening a template.
triage and immunization docs are way faster. lot numbers, VIS dates, all structured for our IIS — i was dreading immunization clinic days and now they're fine
Adolescent visits with sensitive content (depression screens, sexual health) — Twofold handles the confidentiality framing well. I don't worry about a parent reading something they shouldn't. I trust it.
I do integrated psych evals. Twofold handles the formulation, MSE and plan in a structure that holds up to peer review — and the case-conceptualization narrative still sounds like me, not a robot.
half my caseload is trauma. the PE/CPT-aligned language is actually thoughtful, not just keyword stuffing. saves me from rewriting every note which i used to do constantly
Med-management used to bleed into my evenings every single day. Now MSE, risk assessment, prescribing rationale come out structured the way i'd write them. I have evenings again. real ones.
heavy panel — twofold tracks meds, side effects, PHQ-9 trends visit-over-visit so i can actually look at the patient instead of the chart. that part shouldn't be revolutionary but it kinda is
as a resident, getting clean H&Ps that my attending signs without re-writing? unreal. made my last inpatient month tolerable
Controlled-substance documentation is structured exactly the way my state board wants it — PDMP review, treatment agreement, risk-benefit. I stopped dreading audits.
ROM, MMT, special tests — all there exactly the way i'd write them. my initial evals are done before i leave the treatment room. that did not used to be true
Twofold actually understands rehab docs — outcome measures, plan of care, recerts, all in a Medicare-compliant structure. No more nightly chart catch-up. I stopped working from my couch.
ADL/IADL assessments come out in the format i use for OT evals. The time i get back goes back to my patients, full stop.
daily treatment notes used to be 20 min per patient. now it's 3. same compliance, same detail, way less typing. ngl this changed my whole workflow
Documentation finally feels like part of treatment instead of the thing i have to do after. Game-changer for SNF work.
i bounce between a clinic, a high school, and a college program. mobile capture means i'm not chained to a desk — notes get done on the bus ride home which is where i'd rather do them anyway
Artic and language goals used to mean endless copy-paste. Twofold tracks cueing level and percent accuracy cleanly visit to visit, so my progress reports actually show progress.
school sessions with mixed groups are finally documentable without chaos. attendance, target goals, and homework all land in the right place — i can run six kids in 30 min and still have the note done
For dysphagia follow-ups it captures PO trials and compensatory strategies in a structure my rehab team can actually use. They stopped DMing me asking what i meant.
as a CF, writing strong plans was my bottleneck. twofold gives me a solid first draft that still sounds like me. saved my sanity tbh
Cognitive-comm sessions are nuanced and the tool actually captures real functional progress instead of generic template language. That's rare.
outpatient peds and adults in the same day used to wreck me. twofold adapts without me switching formats every hour
nutrition counseling notes are finally fast AND consistent. assessment, intervention, monitoring — done in one pass. feels like cheating
For DM follow-ups it captures carb goals and adherence barriers exactly how I actually discuss them with patients. Doesn't scrub the personal stuff out which is the whole point.
telehealth visits move fast. twofold keeps pace and i'm closing charts before the next session starts which is genuinely a first for me
Behavior-change plans used to get buried in free text. Now goals, barriers, next steps are obvious to the whole care team — my MA actually reads my notes again.
weight-management documentation is so much cleaner now. trend lines that i can actually point at during a visit. patients respond to that better than my old word salad
I cover oncology nutrition — i need precise, practical notes. Twofold saves me time without losing clinical detail, which i was worried about going in.
Latch assessments are clearer and faster now. I finish charting while the feeding plan is still fresh in my head — i used to forget the small stuff by the end of the day.
home visits used to be impossible to document on time. now i capture positioning changes and parent coaching right there in the room. parents don't even notice
For postpartum follow-ups it organizes symptoms, transfer observations and next-step guidance in a chart-ready format. The whole care team's on the same page now.
i love that it captures exactly what education i covered with families. continuity between visits is so much better — i'm not asking the same questions over and over
In our busy postpartum unit, doc speed matters a lot. Twofold helps me keep notes complete without staying late. That's everything for me right now.
when feeds are complicated i need detail and structure both. this gives me both, no extra clicks. i don't remember what i did before
Ask Twofold is an AI clinician assistant built into Twofold's clinical platform. From a single conversational interface, clinicians can:
It all happens in the flow of care, without leaving your documentation workflow.
An AI clinician assistant is software that helps healthcare providers with clinical and administrative work through natural language. Instead of one narrow tool per task, a clinician can ask it to do many things:
The clinician reviews and approves every output — the assistant accelerates the work, it doesn't make clinical decisions on its own.
You can ask in plain language — if it's part of documenting, communicating, or coding a visit, you can usually just ask. Common requests include:
The assistant drafts and suggests; you review and approve every output.
No. Ask Twofold provides decision support and drafts work for you to review — it does not diagnose, treat, or bill on its own. Every note, letter, and code suggestion is yours to approve, edit, or reject. The clinician stays fully in control.
It reads what was documented and helps you code faster:
You confirm the codes that are right for the visit — Twofold speeds up the lookup, you make the call.
Yes. Ask Twofold runs on the same secure foundation as the rest of Twofold:
These protections apply to everything you ask Twofold to do.
Twofold was built around AI from the start rather than bolting a chatbot onto legacy software. Documentation, letters, coding support, and progress tracking share one context and one assistant, so what you capture in a visit is immediately usable across every task — instead of being re-entered tool by tool.
Ask Twofold is designed for mental and behavioral health providers and other clinicians — therapists, psychiatrists, psychologists, social workers, counselors, NPs, PAs, and physicians — in solo practices, group practices, and clinics. It works on desktop and mobile, in person and over telehealth.
Create a free account, accept the BAA at signup, and start asking. There's no credit card required and setup takes about five minutes.