Agentic Index
Freed vs SPRY (2026)
Both turn a therapy visit into a note, and one of them replaces the EMR. That verdict is the Agentic Index coverage score, graded from each vendor's own published materials.
Freed is a self serve ambient scribe. It drafts notes from in person and telehealth visits, summarizes the last note and open follow ups before the visit, suggests diagnosis, CPT and E/M codes and learns a clinician's format from one edited note, then pushes notes into browser based EHRs such as SimplePractice, Tebra and Athena on its Premier plan. Prices start at $39 a month with a seven day trial. SPRY is a rehab EMR whose Agentic Scribe drafts straight into SPRY's own SOAP, evaluation and progress note fields, carries the episode's goals, baselines and range of motion history forward, takes spoken corrections across sections and flags body part mismatches before sign off, with the signed note feeding authorization and billing. Choose Freed to add a scribe to the EHR you have today, and SPRY when you are ready to move the whole clinic onto one rehab system.
This comparison is published by Agentic Index, an independent agentic AI vendor research platform. Freed and SPRY are each graded against the same 14 capability Agentic Index taxonomy, from the vendor's own public materials under the Agentic Index verification standard, alongside 955 researched vendors. No vendor pays for placement and no vendor has reviewed this page. How this evidence is graded
Choose Freed if
- You want a scribe running this week, bought online, without changing your EHR.
- Your EHR is browser based, such as SimplePractice, Tebra or Athena, and notes can be pushed into it.
- Plans from $39 a month and a seven day trial with no credit card suit a small practice.
- Front Desk, an AI receptionist for lunchtime and after hours calls, would help as well.
Choose SPRY if
- You run outpatient rehab and want notes drafted into rehab fields, goals, grids and measurements rather than a narrative.
- The scribe should carry the episode forward, with prior visits, baselines and plan of care loaded before each session.
- Signed notes should feed prior authorization, coding and claims in the same system.
- You are ready to switch EMRs to get scheduling, authorization and billing agents as well.
| Feature | F Freed |
S SPRY |
|---|---|---|
| Action & orchestration | ||
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Integrations & Tool Calling Ability to connect agents to real systems through native integrations, OAuth-authenticated actions, custom tools, APIs, webhooks, or MCP-compatible tools. |
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FreedIntegrations & Tool Calling EHR push through a Chrome extension places the note in the right fields of browser based EHRs such as Aarista, Athena, DrChrono, Elation, Kipu, Optimantra, Practice Fusion, SimplePractice and Tebra on the clinician's click, and the eCW plugin is supported. Freed can also create new diagnoses directly in an Athena chart, and Front Desk cancels appointments directly in eCW, Athena and Practice Fusion. Freed names no API integration or custom tools, so the list of systems is fixed with no way to add your own. SourceFreed, getfreed.ai/features, /release-notes/ai-scribe and /release-notes/front-deskread 2026-10-06 |
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SPRYIntegrations & Tool Calling Claims leave SPRY through a Claim.MD clearinghouse connection, with ERA files posted back automatically. Orders from ModMed arrive in SPRY and charges return to ModMed over HL7 once care is done, and Zocdoc bookings sync straight into the schedule. A Zapier connection reaches more than 5,000 other apps. Payments run through Stripe, Square, Paya, FortisPay and GoCardConnect, texting and reminders through Twilio and Emitrr, faxes through eFax, home exercise programs through Wibbi, and CRM through Mailchimp, Keap and the Zoho products. Sourcespryhealth.ai/integrationsread 2026-10-09 |
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Workflow Orchestration Ability to sequence, branch, retry, route, and combine deterministic workflow nodes with autonomous agent steps. |
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FreedWorkflow Orchestration Pre-charting, the ambient scribe, coding, patient instructions and letters, and the Front Desk receptionist are each fixed function products. Front Desk routes calls by intent, sending topics such as referrals to the transfer number the clinic sets. Beyond those routing settings, Freed names no multi agent flow or workflow the clinic designs. SourceFreed, getfreed.ai/features and /release-notes/front-deskread 2026-10-06 |
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SPRYWorkflow Orchestration An authorization runs as a chain of steps. The eligibility check flags whether the plan needs prior authorization, the agent reads the therapist's note for diagnosis, goals, treatment plan, visit count and medical necessity, then completes and submits the payer workflow and tracks approved, used and remaining visits against the expiration date. Anything it cannot finish goes to staff with the payer details, reference IDs, documentation and request history attached. One patient record carries the work across the scribe, scheduling, claim and denial steps, so a signed note feeds both the authorization and the claim. Sourcespryhealth.ai/prior-authorizationread 2026-10-09 |
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Triggers & Channel Coverage How agents wake up and where they work: schedules, webhooks, message events, CRM events, inbox events, chat, email, voice, and collaboration tools. |
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FreedTriggers & Channel Coverage Front Desk is an AI receptionist that answers the clinic's inbound calls during overflow, lunch and after hours, within AI hours the clinic sets, with two way SMS and a shared clinic inbox, so an inbound patient call starts it on its own. It collects new patient information, visit reasons and refill requests, and it is in beta with small and mid sized practices. Scribe capture is started by the clinician. SourceFreed, getfreed.ai/front-desk; frontdesk.help.getfreed.ai/enread 2026-10-06 |
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SPRYTriggers & Channel Coverage Work starts from events in the clinic day. Running eligibility routes a patient into the authorization workflow when the plan requires it, and benefits are checked daily so the front desk sees every scheduled patient's coverage each morning. A logged cancellation sends the open slot to eligible waitlist patients, who can accept after hours. Incoming faxes are read, classified and filed to the right chart and workflow. Outbound, webhooks tell connected systems when patient, appointment, case and SOAP note activity happens. Sourcespryhealth.ai/schedulerread 2026-10-09 |
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| Knowledge & context | ||
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Knowledge Grounding & RAG Ability to ground agent behavior in company data through document ingestion, retrieval, external knowledge APIs, semantic search, or RAG layers. |
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FreedKnowledge Grounding & RAG Front Desk answers from a knowledge base built by scanning the clinic's website, which the clinic edits. It was rebuilt as Knowledge Base 2.0 to make the information the agent draws on easier to manage, and Front Desk answers hours questions only from the clinic's hours settings. In the scribe, Clinical Evidence gives cited answers from 50+ medical sources on every plan, pre-charting summarizes the last note, open follow ups and relevant history for each visit, and clinicians can upload lab results, referral letters or past visit history to ask questions about a patient. Freed does not say how the knowledge base is retrieved. SourceFreed, getfreed.ai/front-desk, /release-notes/front-desk, /release-notes/ai-scribe and /features; getfreed.ai/release-notes/front-deskread 2026-10-06 |
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SPRYKnowledge Grounding & RAG The agents draw on the clinic's own record at each step. Before a visit the scribe brings forward prior notes, goals, baselines, range of motion history and plan of care context, and the authorization agent pulls what each payer asks for out of the therapist's note. Payer and clinic rules are applied to eligibility, authorization and claim scrubbing, and payer submissions run on workflows trained payer by payer. The agents work from the EMR record itself, rather than a separate index or knowledge base built over the clinic's documents, so their context moves with every signed note. Sourcespryhealth.ai/agentic-scriberead 2026-10-09 |
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Memory & State Persistence Ability to persist context across a run, conversation, workflow, user, team, or longer-term memory layer. |
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FreedMemory & State Persistence A clinician edits one note and asks Freed to learn the format, and later notes follow it, with dictation and saved phrases on Premier that Groups members can share with their team. This personalizes each clinician's style, and Freed states no lifetime for it. SourceFreed, getfreed.ai/features and /release-notes/ai-scriberead 2026-10-06 |
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SPRYMemory & State Persistence The scribe learns how each clinician documents and applies those repeated preferences to future notes, and approved corrections, prior actions and outcomes make the next case easier. That learning is kept per clinician, with no set lifetime and no screen where a clinic can review or clear it. The patient history the scribe loads before each visit comes from the EMR's own notes and measures, so it is the clinical record rather than a separate memory. Sourcespryhealth.ai/agentic-scriberead 2026-10-09 |
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| Control & trust | ||
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Human Oversight & Guardrails Approval steps, consent checkpoints, escalation rules, structured guardrails, policy constraints, and pause/resume controls. |
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FreedHuman Oversight & Guardrails The note reaches the EHR only when the clinician pushes it with one click. Front Desk runs within AI hours and handoff hours the clinic configures, and its transfer and escalation settings send topics such as referrals to the staff number the clinic chooses, while routine requests resolve on their own and the shared inbox holds only what needs a person. Clinic wide coding policies keep every note to the clinic's rules. Freed names no review step or approval queue before the receptionist acts. SourceFreed, getfreed.ai/features, /front-desk, /release-notes/front-desk and /release-notes/ai-scriberead 2026-10-06 |
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SPRYHuman Oversight & Guardrails The Scheduling Agent books nothing until staff approve. It generates appointment sets from the plan of care, staff review the options and pick one, and that approval locks the plan before visits are created and confirmations go out. Clinics set the booking rules, provider availability, active hours and blocked time it works within, and can override its matches. Clinicians review, edit and sign every scribe note, with flags for body part mismatches, conflicting measurements and missing details before sign off. On trained payer workflows the authorization agent submits supported requests itself, and anything outside them goes to staff with the case history attached. Sourcespryhealth.ai/schedulerread 2026-10-09 |
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Security, Identity & Governance RBAC, SSO, auditability, encryption, least-privilege tool access, compliance posture, and data handling policy. |
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FreedSecurity, Identity & Governance PHI is encrypted at rest and in transit with TLS 1.2 to 1.3, alongside SOC 2 Type 1 and Type 2, HIPAA and HITECH with BAAs, and Front Desk is SOC 2 Type II certified as well. Recordings are kept only until the note and its quality checks are complete and then deleted, and notes can be deleted at any time or automatically after 30 days. SSO and admin dashboards on the Groups plan and team roles configured in Front Desk settings cover access. SourceFreed, getfreed.ai/security, /pricing and /front-deskread 2026-10-06 |
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SPRYSecurity, Identity & Governance Access inside SPRY is role based, with clinical, billing and operational permissions kept separate, and data is encrypted at rest and in transit with audit logging. BAAs are available for covered entities. API and agent access is approved per partner, scoped per tenant and held to role based permissions and read and write boundaries. The EHR is ONC certified health IT with a CHPL listing. Alongside that, SPRY's security rests on HIPAA alignment rather than a SOC 2, HITRUST or ISO 27001 attestation, and there is no single sign on or SCIM provisioning for clinic users. Sourcespryhealth.ai/trust-and-complianceread 2026-10-09 |
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Observability & Auditability Traces, logs, execution histories, metrics, audit events, and debugging detail for production agent behavior. |
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FreedObservability & Auditability Front Desk keeps a shared clinic inbox where staff review and manage the receptionist's patient conversations, with statuses, internal notes signed by their author and a thumbs up or down rating on each conversation. Clinic usage and coding dashboards show adoption, time saved and how providers code. Freed names no audit trail or record of each action the scribe or receptionist took. SourceFreed, getfreed.ai/release-notes/front-desk and /release-notes/ai-scribe; frontdesk.help.getfreed.ai/enread 2026-10-06 |
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SPRYObservability & Auditability Authorization reporting follows approval status, payer turnaround, denials, expirations and follow up needs across locations. Each case that reaches staff carries its request history, payer reference IDs and documentation, so a biller picking up an exception sees what was already tried. Audit logging is part of the platform's security controls, though clinics work from these reports and case histories rather than a searchable log of every agent action. Sourcespryhealth.ai/prior-authorizationread 2026-10-09 |
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Deployment & Data Residency Deployment modes and options, including SaaS, dedicated cloud, VPC, on-prem, hybrid, local runtime, and self-hosting. |
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FreedDeployment & Data Residency All data is stored in the United States on Microsoft Azure's high availability infrastructure, a fixed region the customer cannot choose, with no customer environment option. SourceFreed, getfreed.ai/securityread 2026-10-06 |
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SPRYDeployment & Data Residency SPRY runs as a hosted service on its own infrastructure, with no region choice, single tenant or customer cloud option and no on premises install. When a clinic leaves, billing stops without penalties or lock in fees, and one designated user keeps seven years of read only access to its records at no cost. Sourcespryhealth.ai/trust-and-complianceread 2026-10-09 |
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| Solution readiness | ||
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Prebuilt Agents, Templates & Packs Ready-made workflows, packaged employees, templates, blueprints, industry solutions, and role-specific agents that reduce time-to-value. |
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FreedPrebuilt Agents, Templates & Packs Specialty specific templates come on every plan, an instant template builder from Core turns a sample note into a template, and 14+ types of patient letters, including referrals, work notes, school notes and caregiver letters, are drafted from the visit. Clinicians use these note formats and the builder themselves, and there is no library of agents to adopt. Front Desk is a second product beside the scribe, from $149 a month per block of 250 calls. Scribe plans run from Starter at $39 a month for 40 notes through Core and Premier to custom Groups pricing. SourceFreed, getfreed.ai/pricing, /features and /front-deskread 2026-10-06 |
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SPRYPrebuilt Agents, Templates & Packs SPRY ships named agents for separate jobs: Agentic Scribe for documentation, the Prior Authorization Agent, the Scheduling Agent for plan of care booking and cancellation backfill, and AI Fax for reading and filing incoming documents, with Claim, AR and Compliance Intelligence on the billing side. Each does its own work on the shared record, and the Scheduling Agent also runs in connected scheduling workflows outside the full platform. AI Scribe comes with the Plus plan. Sourcespryhealth.ai/spry-airead 2026-10-09 |
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| Platform extensibility | ||
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Model Flexibility & Routing Ability to work across multiple foundation models, route tasks to different models, or let buyers bring their own providers and keys. |
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FreedModel Flexibility & Routing The model is trained only on de-identified notes and runs on Azure infrastructure. Freed is partway through moving note generation to an improved model. It names no provider and no customer model choice or routing. SourceFreed, getfreed.ai/security and /release-notes/ai-scriberead 2026-10-06 |
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SPRYModel Flexibility & Routing The models behind the scribe and the agents are undisclosed, and clinics have no choice of model. SPRY puts the weight on context instead: patient history, payer rules and the schedule each agent draws on when it acts. Sourcespryhealth.ai/spry-airead 2026-10-09 |
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APIs, SDKs & MCP Extensibility Composability layer: stable APIs, SDKs, MCP tool consumption/serving, custom tools, and integration into internal systems. |
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FreedAPIs, SDKs & MCP Extensibility Freed's EHR connections run through the Chrome extension and the eCW plugin, not an interface other software can call. No API, SDK or developer documentation for the platform is published. SourceFreed, getfreed.ai, /features and /release-notes/ai-scriberead 2026-10-06 |
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SPRYAPIs, SDKs & MCP Extensibility A public developer site documents a REST API, v1 current and v2 in beta, across scheduling (clinics, providers, availability, appointments, cancellation reasons, waitlists), patient and clinical records (patients, cases, documents, insurance, referring providers, SOAP notes) and revenue operations (eligibility, prior authorization, staff, tasks). Webhooks report patient, appointment, case and SOAP note activity, and a quickstart walks through creating an appointment. Credentials and a sandbox go to approved customers and partners on request. SPRY MCP sits over these APIs as a governed layer for outside agents, with no public endpoint or tool list. Sourceapi-docs.spryhealth.careread 2026-10-09 |
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Testing, Debugging & Optimization Testing, debugging, scoring, retries, fallbacks, quality gates, and optimization loops for improving agent workflows before and after deployment. |
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FreedTesting, Debugging & Optimization Clinics can rate each Front Desk conversation with a thumbs up or down, and that feedback goes to Freed's team to improve how the AI handles their calls. Freed's own measurements give 98 percent recall on medical terms across 30+ specialties, tested against thousands of clinical concepts, and for Front Desk, 79% of calls handled on their own and a 60% drop in after hours calls. Freed names no way for customers to evaluate or test the AI themselves. SourceFreed, getfreed.ai, /front-desk and /release-notes/front-deskread 2026-10-06 |
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SPRYTesting, Debugging & Optimization Approved corrections, prior actions and outcomes feed back into the agents, and the scribe checks each draft for inconsistencies before sign off. There is no evaluation harness or test suite a clinic can use to measure agent accuracy before or after a change, and the sandbox SPRY offers is for partners testing API integrations. Sourcespryhealth.ai/spry-airead 2026-10-09 |
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| Specialist automation | ||
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Browser & Computer Use Browser, desktop, or remote/local computer control for workflows that cannot be handled through stable APIs alone. |
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FreedBrowser & Computer Use The Chrome extension places the note into EHR fields when the clinician clicks push, a step a person drives. It now carries AI chat and Clinical Evidence as well. Freed names no agent that navigates or operates an interface on its own. SourceFreed, getfreed.ai/features and /release-notes/ai-scriberead 2026-10-06 |
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SPRYBrowser & Computer Use For supported payers the authorization agent completes the payer's form, attaches the documentation and submits the request itself, on trained workflows for Carelon and BCBS, UnitedHealthcare and Humana, with more payer portals on the way. A supported request takes about 90 seconds against twenty minutes by hand. Whether that runs through a browser session on the payer portal or a direct payer connection is unclear. Sourcespryhealth.ai/prior-authorizationread 2026-10-09 |
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Pricing snapshot
Sourced from the Index pricing dataset · open each vendor's profile for full detail.
| Pricing | F Freed |
S SPRY |
|---|---|---|
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Entry price Lowest public entry point |
$39 per month (Starter, up to 40 notes); $79 Core unlimited; $119 Premier or $104 per month billed annually | EMR plans quoted per full time provider by visit volume · Billing service 4 to 6% of collections |
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Pricing confidence How public the numbers are |
Public, exact | Public, partial |
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Billing Primary billing axis |
seats (per clinician per month), tiered | Per full time provider, priced by visit volume with pro rata rates for part time providers; the billing service is a percentage of collections |
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Variable cost Workload / overage exposure |
Low variable cost | Medium variable cost |
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Free tier / trial Try before you buy |
No free tierTrial
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No free tier
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Buying motion Self-serve vs sales call |
Mixed | Sales call |
Freed costs $39 to $119 a month, with group pricing by quote. SPRY includes AI Scribe in its Plus EMR plan, quoted per full time provider by visit volume.
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