Vendor profile
Smith.ai: HIPAA, BAA, Booking, EHR Integrations and Pricing From Its Own Pages
- HIPAA 0/2
- BAA 0/2
- 24/7 1/1
- Books 0/2
- EHRs 0/2
- Pricing 1/1
- Medical only 0/1
- Languages 0/1
Best for: Practices that want human receptionists or a human and AI mix
Human plans from 300 dollars a month for 30 calls to 2,100 dollars for 300 calls; AI receptionist from a free 25-call tier to 500 dollars a month (as published on Nov 2, 2026). We found no HIPAA or BAA statement on its pricing, AI receptionist or industries pages.
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By the AIPlayPark editorial team, part of MedReception AI
What Smith.ai publishes, criterion by criterion
Every quote below is taken from smith.ai on the date shown, as it read on that day. Where a value says not stated, the pages we read did not address it; that is a description of the pages, not a judgment about the product. The vendor can request a correction through our contact page.
| Criterion | What the pages state | Points | Quote, source and date |
|---|---|---|---|
| HIPAA compliance | States it is not HIPAA compliant and cannot handle PHI calls | 0 of 2 | Smith.ai's virtual receptionist FAQ, as published on Nov 2, 2026, reads: 'Smith.ai is not HIPAA-compliant, so we cannot handle calls that involve protected health information (PHI).' The same answer says the company works with medical, dental and wellness practices only for non-PHI call handling such as answering FAQs, taking messages, qualifying new patient leads and transferring calls, and it recommends that practices needing HIPAA-compliant support discuss their requirements with Smith.ai before getting started. Note: Smith.ai's virtual receptionist FAQ, as published on Nov 2, 2026, reads: 'Smith.ai is not HIPAA-compliant, so we cannot handle calls that involve protected health information (PHI).' The same answer says the company works with medical, dental and wellness practices only for non-PHI call handling such as answering FAQs, taking messages, qualifying new patient leads and transferring calls, and it recommends that practices needing HIPAA-compliant support discuss their requirements with Smith.ai before getting started. (smith.ai, Nov 2, 2026) |
| Business associate agreement | No. States it is not HIPAA compliant and cannot handle PHI calls | 0 of 2 | Smith.ai's virtual receptionist FAQ, as published on Nov 2, 2026, reads: 'Smith.ai is not HIPAA-compliant, so we cannot handle calls that involve protected health information (PHI).' The same answer says the company works with medical, dental and wellness practices only for non-PHI call handling such as answering FAQs, taking messages, qualifying new patient leads and transferring calls, and it recommends that practices needing HIPAA-compliant support discuss their requirements with Smith.ai before getting started. Note: Smith.ai's virtual receptionist FAQ, as published on Nov 2, 2026, reads: 'Smith.ai is not HIPAA-compliant, so we cannot handle calls that involve protected health information (PHI).' The same answer says the company works with medical, dental and wellness practices only for non-PHI call handling such as answering FAQs, taking messages, qualifying new patient leads and transferring calls, and it recommends that practices needing HIPAA-compliant support discuss their requirements with Smith.ai before getting started. (smith.ai, Nov 2, 2026) |
| Coverage | 24/7 | 1 of 1 | On after-hours, Smith.ai publishes 24/7 live-staffed coverage on every virtual receptionist plan and 24/7 AI call answering on its AI receptionist plans. |
| Books appointments | Takes messages | 0 of 2 | Smith.ai's virtual receptionist FAQ, as published on Nov 2, 2026, reads: 'Smith.ai is not HIPAA-compliant, so we cannot handle calls that involve protected health information (PHI).' The same answer says the company works with medical, dental and wellness practices only for non-PHI call handling such as answering FAQs, taking messages, qualifying new patient leads and transferring calls, and it recommends that practices needing HIPAA-compliant support discuss their requirements with Smith.ai before getting started. |
| Named EHR integrations | None named on the pages we read (as of 2026-11-02) | 0 of 2 | No statement found on the pages we read (as of Nov 2, 2026). |
| Published pricing | Published, from $150 per month | 1 of 1 | AI receptionist: free tier of 25 calls, Pro $150 a month at $2.00 per call, Enterprise $500 a month at $1.67 per call. States it is not HIPAA-compliant and cannot handle PHI calls. |
| Healthcare focus | not stated on the pages we read (as of 2026-11-02) | 0 of 1 | No statement found on the pages we read (as of Nov 2, 2026). |
| Languages | not stated on the pages we read (as of 2026-11-02) | 0 of 1 | No statement found on the pages we read (as of Nov 2, 2026). |
Not scored, shown for context
- Who answers
- AI plus live agents
Human plans from 300 dollars a month for 30 calls to 2,100 dollars for 300 calls; AI receptionist from a free 25-call tier to 500 dollars a month (as published on Nov 2, 2026). We found no HIPAA or BAA statement on its pricing, AI receptionist or industries pages.
From smith.ai, as published on Nov 2, 2026 - Lowest published monthly price
- $150 per month
AI receptionist: free tier of 25 calls, Pro $150 a month at $2.00 per call, Enterprise $500 a month at $1.67 per call. States it is not HIPAA-compliant and cannot handle PHI calls.
From smith.ai, as published on Nov 2, 2026
Where Smith.ai appears
- Best Medical Answering Services in 2026: AI, Hybrid and Live Agents Compared (rank 6 of 6)
- Best After-Hours Answering Services for Medical Practices in 2026 (rank 22 of 22)
- Which AI Receptionists Sign a BAA? HIPAA Statements From Each Vendor's Own Pages (rank 27 of 28)
- Best AI Receptionists for Small Practices in 2026 (Published Pricing Only) (rank 12 of 13)
- Best AI Receptionists for Small Businesses in 2026 (Any Industry) (rank 9 of 10)
- Best Virtual Receptionist Services for Medical Offices in 2026 (Live and Hybrid) (rank 12 of 13)
Alternatives to Smith.ai
Other ai plus live agents services, highest rubric score first.
- CallMyDoc7 of 12
- MedConnectUSA5 of 12
- PerfectServe4 of 12
- Abby Connect3 of 12
- Ambs Call Center3 of 12
Voice agents rubric
Smith.ai on the voice agents rubric: 12 of 12
- Pricing 1/1
- Trial 1/1
- Inbound 1/1
- Outbound 1/1
- Books 1/1
- Integrations 2/2
- Handoff 1/1
- Languages 1/1
- 24/7 1/1
- Security 1/1
- Channels 1/1
Scoring note: Security: the only SOC 2 statement is in a blog webinar recap, not on a product or security page (the site has none). The site states it is not HIPAA compliant. Outbound calls are attributed to live agents on Virtual Receptionist plans, not to the AI. Starting price is the lowest paid AI plan; a $0 free tier exists. The integrations directory lists 136 tools; the table names the 15 on the CRM and Zapier page.
Every quote below is taken from smith.ai on the date shown, as it read on that day. Where a value says not stated, the pages we read did not address it; that is a description of the pages, not a judgment about the product. The vendor can request a correction through our contact page.
| Criterion | What the pages state | Points | Quote, source and date |
|---|---|---|---|
| Published pricing | Published, from $150 per month | 1 of 1 | Smith.ai's AI receptionist pricing page lists a Free forever plan at $0 a month with 25 live calls a month and $3.00 per call after that, Pro at $150 a month at $2.00 per call, and Enterprise at $500 a month at $1.67 per call, as published on Nov 5, 2026. |
| Free trial or free tier | Free trial or free tier stated | 1 of 1 | Smith.ai's homepage offers a free forever tier of 25 calls a month and says "Try it free before you commit." |
| Answers inbound calls | Answers inbound calls | 1 of 1 | Smith.ai's homepage says "Smith.ai answers every call, qualifies every lead, books the consultation live on the call." |
| Places outbound calls | Places outbound calls | 1 of 1 | Smith.ai's homepage says that on Virtual Receptionist plans its live agents place outbound calls to confirm appointments, return missed calls and follow up on leads. |
| Books appointments | Books appointments | 1 of 1 | Smith.ai's homepage lists appointment booking, described as scheduling consultations live on the call with no follow-up required. |
| Named integrations | Salesforce, HubSpot, ActiveCampaign, Clio, Slack, Microsoft Teams, Zapier, Make, Google Spreadsheet, Calendly, HighLevel, ServiceTitan, MyCase, PracticePanther, Zoho | 2 of 2 | Smith.ai's CRM and Zapier integration page names Salesforce, HubSpot, ActiveCampaign, Clio, Slack, Microsoft Teams, Zapier, Make, Google Spreadsheet, Calendly, HighLevel, ServiceTitan, MyCase, PracticePanther and Zoho among its integrations and says it has over 7,000 integrations. |
| Handoff to a person | Transfers or escalates to a person | 1 of 1 | Smith.ai's homepage says complex or urgent matters are routed and that the call can be transferred to your team or one of its Live Agents immediately when needed. |
| Languages | Multilingual (2 languages) | 1 of 1 | Smith.ai's AI receptionist page lists bilingual call handling with "Conversational fluency in English and Spanish." |
| Coverage | 24/7 | 1 of 1 | Smith.ai's AI receptionist page says "Your AI receptionist answers on the first ring, 24/7." |
| Security statement | Stated on its own pages | 1 of 1 | Smith.ai's blog recap of a September 14, 2026 webinar quotes the company saying "we're SOC 2 compliant" and that it is undergoing an audit for HIPAA attestation; no SOC 2 statement appears on its product or pricing pages, and its /security link returns 404. |
| Channels | Voice plus SMS, chat or email | 1 of 1 | Smith.ai's homepage says that after a call the caller may receive an SMS with a booking confirmation or a request for further action. |
Not scored, shown for context
- Kind of product
- Human plus AI
Smith.ai's homepage says "AI handles the routine, live agents handle the complex." and that for complex calls the AI hands off to a human receptionist from its Live Agent Network.
From smith.ai, as published on Nov 5, 2026 - Lowest published monthly price
- $150 per month
Smith.ai's AI receptionist pricing page lists a Free forever plan at $0 a month with 25 live calls a month and $3.00 per call after that, Pro at $150 a month at $2.00 per call, and Enterprise at $500 a month at $1.67 per call, as published on Nov 5, 2026.
From smith.ai, as published on Nov 5, 2026
Where Smith.ai appears in the voice agent rankings
- Best AI Voice Agents for Business in 2026, Ranked by a Published Rubric (rank 1 of 2)
- Best AI Phone Answering Services for Small Businesses in 2026 (Published Pricing Only) (rank 2 of 13)
- Which AI Voice Agents Place Outbound Calls? From Each Vendor's Own Pages (rank 9 of 19)
- AI Voice Agents With a Free Trial or Free Tier in 2026 (rank 9 of 19)
- What Each AI Voice Agent States About SOC 2, HIPAA, GDPR and ISO 27001 (rank 9 of 25)
- Best Multilingual AI Voice Agents in 2026 (rank 9 of 26)
- AI Voice Agents That Name Their CRM and Calendar Integrations (rank 9 of 25)
- Goodcall Alternatives in 2026: AI Phone Answering Services Compared on a Published Rubric (rank 2 of 12)
Alternatives to Smith.ai on this rubric
Other human plus ai vendors in the voice agents table, highest rubric score first.
- Abby Connect11 of 12
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By the AIPlayPark editorial team, part of MedReception AI