Attuned Intelligence vs Hyro (2026)
Two agent companies answering the inbound line, for different buyers. Attuned Intelligence answers the main phone lines of community health centers, federally qualified health centers and hospitals in the caller's language, starting from a forwarded line before deeper Epic integration. Hyro serves health systems and payers across the call center, website, text and mobile apps. Its agents answer from sources the health system approves, through a knowledge graph built from the customer's own data, and it runs outbound campaigns and IT help desk work alongside. A community health center or safety net hospital that needs multilingual answering live within days looks at Attuned. A large health system that wants one conversational layer across channels, tied to its IT service desk, looks at Hyro.
- A fast start: customers begin by forwarding a phone line, and Lowell Community Health Center went live in 10 days.
- Built for safety net providers, answering in Spanish, Portuguese and other languages, with purchasing through CommonWealth Purchasing Group.
- Stated escalation triggers, including urgent keywords and signs of distress, with calls recorded, supervised in real time and reviewed after the call.
- One conversational layer across the call center, website, text and mobile apps, with outbound campaigns such as coverage renewal outreach.
- A described architecture: a customer knowledge graph, smaller task specific models, and large language models from several providers with fallback between them.
- Named health system customers, from Tampa General Hospital to Intermountain Health, and an Epic Showroom listing.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Attuned Intelligence and Hyro are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Attuned Intelligence | Hyro |
|---|---|---|
| Primary category | Patient Voice Agents | Patient Voice Agents |
| Founded | Not recorded | 2018 |
| Headquarters | Orlando, Florida, United States | New York, New York |
| Website | attuned-intelligence.com | hyro.ai |
Side by Side
Select any grade to read the note behind it.
Product updates
The latest logged changes from each vendor, newest first, each linked to its source.
Hyro
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Model / architecture
Hyro published a breakdown of the architecture behind its patient scheduling agent, disclosing that it orchestrates seven distinct smaller models rather than driving the workflow from one large language model.
Source -
EHR / interoperability
Hyro has launched a new integration with ServiceNow to deliver voice and digital self-service capabilities for health systems.
Source
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Attuned Intelligence, based in Orlando, sells a voice AI agent that answers the main phone lines of community health centers, federally qualified health centers and hospitals around the clock, in the caller's language (Spanish, Portuguese and others). Customers start by forwarding a phone line.
Source: AI Health Index, September 2026
Conversational AI agent platform for health systems and payers, covering the call center, website, text messaging and mobile apps. Agents handle appointment scheduling and management, provider and location search, prescription refill requests and status updates, frequently asked questions answered from sources the health system approves, MyChart password resets and IT help desk requests, handing complex calls to staff.
Source: AI Health Index, September 2026
Questions buyers ask
How do Attuned Intelligence and Hyro work with the EHR?
Attuned says it integrates with Epic and other systems for scheduling, refills and call notes. The March 2026 announcement of its partnership with CommonWealth Purchasing Group lists verifying identity, canceling and rescheduling appointments, scheduling visits, creating telephone encounters and supporting prescription refill workflows in Epic, and Lowell Community Health Center runs the integration against its own Epic instance.
Hyro is listed on Epic's Showroom, where the listing describes appointment scheduling and management, prescription refills, MyChart password resets and provider and location searches, and the home page describes using Epic's APIs for patient record identification, scheduling management and prescription support: reading the record and writing to it. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 25, 2026. No vendor pays for placement.
How are Attuned Intelligence and Hyro priced and sold?
Attuned sells through demo bookings and, since March 2026, to community health centers through CommonWealth Purchasing Group, a group purchasing organization.
For Hyro, a public return on investment calculator estimates time and cost savings, and the home page claims a 5.5 times return within six months, but neither shows what the product costs. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 25, 2026. No vendor pays for placement.
How do Attuned Intelligence and Hyro handle patient data?
Attuned's privacy policy (April 2026) says data it processes for customers is handled as their service provider or business associate under the customer agreement, and is shared only with Attuned's own service providers as needed to deliver the service. The FAQ says every call is recorded and transcribed, with recordings, transcripts and QA notes available to the customer.
In Hyro's case, the privacy policy adds that anonymized or de-identified information may be used and shared without restriction, for example to improve the services, and that an internal retention policy prevents perpetual retention, with no periods given. By design the customer defines and restricts the knowledge sources an agent may use, and each foundation model step receives only the context it needs. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 25, 2026. No vendor pays for placement.
Which settings and specialties do Attuned Intelligence and Hyro cover?
Attuned sells to community health centers and federally qualified health centers, which its chief executive says are nearly all of its focus, and to hospital and health system main lines, answering daytime and after-hours calls in multiple languages.
With Hyro, coverage is organized by organization and channel rather than specialty: health systems, federally qualified health centers (sold on multilingual access), children's hospitals and payers (member and agent experience), across calls, websites, text and mobile apps, with an outbound line for ACA and Medicaid coverage renewal outreach. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 25, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers.
Both records were reviewed on this site in September 2026. Attuned publishes a business associate statement in its privacy policy but no security attestation and no price, while sitting in the telephony path. It also markets after hours triage, so ask which protocol the agent follows and who decides the calls it does not escalate. Hyro hands complex calls to staff and publishes no rule for when.
Neither publishes performance by caller language or accent. Recording consent obligations sit with the deploying organization, and several states require all party consent.