SMB AI answering from $49
Clinic Answering Service vs Rosie
Rosie is the easiest entry-level AI answering service, from $49 per month for 250 minutes, with good audio demos and a simple setup. It is built for general small businesses; we could not find a BAA offer or clinical-system integration in its public material. Based on public information as of October 2026; check with the vendor.
Verdict: Rosie is the cheapest easy start for a general small business at $49 a month. We could not find a BAA offer or clinical-system connection in its public material, so medical and dental practices should look at Clinic Answering Service. Based on public information as of October 2026; check with the vendor.
Choose Clinic Answering Service if…
- You are a clinic and need HIPAA with a BAA
- You want the AI to book visits and check insurance (EHR write-back and clearinghouse sandbox today)
- You need Spanish and English without add-ons
- You want cancellations filled from a waitlist
Choose Rosie if…
- You are a non-clinical business on a tight budget
- You only need calls answered and messages texted to you
- You want to self-serve a trial in minutes
Side by side
| Capability | Clinic Answering Service | Rosie |
|---|---|---|
| HIPAA compliant with a signed BAA | ✓ | — |
| Books real slots in the EHR schedule | Sandbox today; planned | — |
| Native OpenEMR integration | Sandbox today; planned first | — |
| athenahealth, eClinicalWorks via FHIR/HL7 | Sandbox today; planned | — |
| Eligibility (270/271) during the call | Sandbox until clearinghouse contracted | — |
| AI voice waitlist fill on cancellation | ✓ | — |
| Warm transfer with whisper summary | ✓ | — |
| Live human agents | Your staff, by transfer | — |
| Revenue ledger in dollars | ✓ | — |
| English and Spanish included | ✓ | ✓ |
| Missed-call text-back | ✓ | ✓ |
| Public pricing | ✓ | ✓ |
| Entry price / month | $149 | $49 |
Pricing and feature notes come from public pages as of October 2026; confirm with each vendor before deciding.
Switching from Rosie?
We migrate your data free and run both in parallel until your team is comfortable.