AI scribes for telepsychiatry
For telepsychiatry, the best AI scribes capture the full two-way audio through the browser or a virtual audio device — not just the clinician microphone. Twofold Health, Freed, and Heidi Health handle this cleanly. Suki and Abridge were designed around in-person capture and are weaker over telehealth.
Two capture models: browser vs system audio
Browser-tab capture
A Chrome extension captures the tab audio directly — used by Freed and Heidi. Fastest to set up; works with any browser-based telehealth platform.
System-audio capture
A native app captures all system audio via a virtual audio device — used by Twofold and JotPsych. Works with any telehealth platform, native or browser.
Capture-quality checklist
- Use wired headphones on both ends when possible.
- Confirm the scribe is capturing patient audio, not just yours — do a test visit.
- Set the correct input device before every visit.
- Check that background noise suppression is not filtering out patient speech.
Frequently asked
- Do AI scribes work with Doxy.me?
- Yes. Any browser-based capture handles Doxy.me natively. Native-app scribes capture Doxy.me via system audio.
- Do AI scribes work with Zoom?
- Yes. Both browser-tab capture (Zoom web client) and system-audio capture (Zoom desktop) work.
- Is telepsychiatry AI documentation billable differently?
- No — the documentation standard is the same. Coding differences (POS, modifiers) are on the billing side, not the note itself.
Scribes referenced in this guide
Related guides
- The best AI scribes for psychiatrists in 2026
Vendor-neutral 2026 ranking of AI scribes for psychiatry, scored on MSE structure, medication management, risk assessment, HIPAA, EHR fit, and pricing.
- AI scribes vs traditional dictation for psychiatry
How ambient AI scribes compare with Dragon-style dictation for psychiatric documentation — time savings, accuracy, control, and hybrid workflows.