Aura AI Scribe vs MEDILIT (2026)
Two small scribes that each do one thing unusually well for their size. Aura has the assurance and distribution position: SOC 2 Type II named and typed, an integration position verified by the platform vendors themselves through an Epic Toolbox designation and an athenahealth Marketplace listing, and a complete four tier price ladder well below the category norm including a free entry tier. MEDILIT has the architectural privacy position, achieved by design rather than by policy: voice recordings are never stored, identifiers are redacted on the clinician's device before transcripts leave it, and transcriptions are deleted once the note is generated. It also produces letters, referrals and clinical documents rather than only notes. The gap on MEDILIT is what happens at the edges. A clinician review and approval step is published, and a self auditing layer checks the output before the clinician sees it, but that audit is the same system checking its own work, and nothing describes a confidence signal, an abstention, or how an error found after approval is corrected. That matters more for a product that writes referral letters than for one that writes progress notes.
- SOC 2 Type II is named and typed rather than asserted, which is the top of this axis.
- The integration position is verified by the platform vendors themselves rather than asserted by the scribe: an Epic Toolbox designation for ambient voice recognition notes and an athenahealth Marketplace listing.
- A complete four tier ladder is published and priced well below the category norm, including a free entry tier.
- The privacy position is architectural rather than a policy statement: voice recordings are never stored, identifiers are redacted on the clinician's device before transcripts leave it, and transcriptions are deleted once the note is generated.
- A published two tier ladder with the gating stated is better commercial disclosure than most of this segment offers.
- Output breadth covers letters, referrals and clinical documents rather than the progress note alone.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Aura AI Scribe and MEDILIT 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 | Aura AI Scribe | MEDILIT |
|---|---|---|
| Primary category | Ambient Scribes | Ambient Scribes |
| Founded | Not recorded | 2024 |
| Headquarters | Austin, Texas, United States | Sydney, Australia |
| Website | insighthealth.ai | medilit.com |
Side by Side
Each record in one paragraph
Written to be quoted whole. Each paragraph states what the AI Health Index verified about the vendor, with the caveats attached. Generated from this pair’s live capability grades, so it moves when a grade moves.
The AI Health Index awards Aura AI Scribe its top capability grade on several axes, including AI Centrality, HIPAA and BAA Posture and Security Certifications and Trust Center. Set against MEDILIT, Aura AI Scribe grades higher on several axes, including Clinical and Operational Evidence, HIPAA and BAA Posture and Security Certifications and Trust Center. Grades reflect evidence the AI Health Index could verify at the last review, so a low grade records disclosure the vendor has not published rather than a capability it has been shown to lack.
Source: AI Health Index, August 2026
The AI Health Index awards MEDILIT its top capability grade on AI Centrality. Set against Aura AI Scribe, MEDILIT grades higher on Model and Technology Transparency, Model Supply Chain Disclosure and FDA and Regulatory Status. Grades reflect evidence the AI Health Index could verify at the last review, so a low grade records disclosure the vendor has not published rather than a capability it has been shown to lack.
Source: AI Health Index, August 2026
Questions buyers ask
Should we choose Aura AI Scribe or MEDILIT?
On the axes where the AI Health Index separates them, Aura AI Scribe grades higher on several axes, including Clinical and Operational Evidence, HIPAA and BAA Posture and Security Certifications and Trust Center, and MEDILIT grades higher on Model and Technology Transparency, Model Supply Chain Disclosure and FDA and Regulatory Status. Aura AI Scribe leads on the greater share of scored axes, but the split means the decision turns on which constraint is binding rather than on an overall winner.
Where do Aura AI Scribe and MEDILIT differ most?
The widest separation the AI Health Index records between Aura AI Scribe and MEDILIT is on EHR and Interoperability Depth, where Aura AI Scribe grades A and MEDILIT grades C. That axis sits in the Integration and Deployment group, so it should carry the most weight for a buyer whose binding constraint is how the product lands in the stack already in place.
Where do Aura AI Scribe and MEDILIT grade the same?
The AI Health Index grades Aura AI Scribe and MEDILIT the same on several axes, including AI Centrality, Autonomy and Oversight Model and AI Safety and PHI Stewardship. Neither holds an advantage the index can evidence on those axes, so they should not carry weight in a selection between these two.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Ambient Scribes page.
An earlier version of this comparison said MEDILIT states no human review gate and publishes no named certification, and called its privacy architecture the strongest in the long tail of this category. The first two are contradicted by MEDILIT's own material and the third is a ranking. Corrected 15 September 2026.
MEDILIT publishes a review step: its patient facing explanation states that after the consultation the doctor reviews the draft, makes any necessary edits for accuracy and completeness, and approves the final version for the medical record. A self auditing layer checks the output for omissions and consistency before the clinician sees it, and that is the same system checking its own work rather than independent verification. What is missing is the edge behaviour: no confidence signal, no abstention, no flag when the audit layer finds a problem, and nothing on how an error found after approval is corrected.
Its certifications are named inconsistently and none is dated. The compliance section says ISO 27001 certified, the security summary on the same site says ISO 27001 compliant and SOC 2 certified, and the footer says SOC 2 compliant. No certificate, report type, date, auditor or scope is published. The difference between certified and compliant matters here, because a pipeline that claims never to store audio and to delete transcripts on note generation is exactly what an independent assessment exists to test. MEDILIT also publishes no named integration mechanism, so establish how the output reaches your record system before buying.
Aura publishes no fairness statement, subgroup analysis or accent and dialect performance disclosure. Neither vendor publishes an accuracy figure or an evaluation methodology.