Tali AI is two tools in one: an ambient scribe and a clinical search assistant. That’s genuinely useful if you want to ask a drug question without leaving the note. But Tali doesn’t ship a record system, and it prices in Canadian dollars, which trips up a US practice doing the math. If you want structured output plus a chart you own, the honest alternative is a scribe that bundles an EHR. Patient Square’s Copilot plan does exactly that at $119 a month on annual billing, and you can book a demo and see a finished note before you decide.
This isn’t a knock on Tali. It’s a fit question. Below: what Tali does well, what it costs once you convert the currency, where a bundled-EHR tool pulls ahead, and the cases where Tali is still the right call.
Key takeaways
- Tali bundles an ambient scribe with a clinical search assistant and has a real free tier: 5 scribes plus 60 minutes of dictation a month.
- Tali prices in Canadian dollars. Starter runs about CA$60/mo but caps ambient notes at 40; Pro is about CA$100/mo annual (CA$150 regular) for unlimited.
- Tali doesn’t ship an EHR. If you also need the chart, that’s Tali plus a separate record system.
- Patient Square’s Copilot plan bundles an AI EHR with the scribe at $119/mo annual, in US dollars, one subscription.
- Tali wins when the search assistant is the feature you want, or you only need a scribe layer over an EHR you’re keeping.
| Tali AI | Patient Square | |
|---|---|---|
| Ambient scribe | Yes | Yes (AI Medical Scribe) |
| Structured note + ICD-10 + Rx draft | SOAP note; search assistant | SOAP note, ICD-10 suggestions, Rx draft in one pass |
| Bundled EHR | No | Yes, at Copilot ($119/mo annual) |
| Currency | Canadian dollars | US dollars |
| Free tier | Yes (5 scribes, 60 min dictation/mo) | 7-day trial |
| Published price | Yes (CAD) | Yes ($79 / $119 / $199/mo annual) |
Prices verified against each vendor’s pricing page in July 2026. Tali figures are in CAD; convert before comparing.
What Tali AI is actually good at
Give Tali credit for the idea. Most scribes write the note and stop. Tali adds a clinical search assistant in the same window, so a question like “what’s the renal dosing here” doesn’t send you to a browser tab mid-visit. For a clinician who reaches for a reference tool a dozen times a day, that’s a real time save, not a checkbox.
The free tier is the other honest thing about Tali. Five ambient scribes and 60 minutes of dictation a month, no card required, per Tali’s pricing page. That’s enough to feel whether ambient documentation fits your visit style before you pay a cent. Not every vendor lets you do that.
So if a search co-pilot beside your notes is the thing you want, Tali has a clear answer. The question is whether that’s your actual need, or whether you’re really shopping for structured output and a chart. If it’s the latter, you can book a demo and compare a finished note side by side.
What Tali AI costs once you convert the currency
Here’s where a US practice has to slow down. Tali prices in Canadian dollars, and its pricing page (fetched July 2026) lists a free Personal plan, a Starter plan around CA$60 a month, and a Pro plan around CA$100 a month on annual billing (CA$150 at the regular rate). Enterprise is custom.
Two details matter more than the headline number. First, Starter caps ambient scribes at 40 a month. If you see 20 patients a day, you’ll blow past 40 in the first week, so Starter isn’t really a full-time scribe plan; it’s a light-use tier. Second, the prices are in CAD, so a US buyer has to convert before comparing against a US-dollar tool, and the exchange rate moves. Neither is a dealbreaker. Both are things you want to know before the renewal, not after.
Patient Square prices in US dollars, on the pricing page with no conversion step: $79 a month for Assist, $119 for Copilot with the bundled AI EHR, $199 for Autopilot, all per clinician on annual billing, all with unlimited visits and notes and no per-note metering. If you want the whole self-serve field laid out, our best AI medical scribes roundup is the honest version.
Does Tali AI bundle an EHR? No, and here’s why that matters
This is the split that decides most of these evaluations. Tali is a layer that sits on top of your chart. It writes the note and answers reference questions; it doesn’t store the record. If you already run an EHR you’re happy with, that’s a clean fit: bolt Tali on, keep your chart.
But a lot of practices reading a page like this are shopping for two things at once, a better scribe and a better chart, and they haven’t realized those are separate purchases with Tali. Buy Tali plus a standalone EHR and you’re running two subscriptions, two logins, two renewal conversations, and a copy-paste step between them.
Patient Square’s Copilot plan puts both in one place. The AI Medical Scribe is one module inside Practice Copilot, Patient Square’s AI platform for the whole practice, and it listens during the visit and hands back a structured SOAP note, ICD-10 suggestions, and a prescription draft, ready to review and sign about two minutes after the visit. At the Copilot tier ($119/mo annual) that scribe is bundled with an AI Copilot EHR, so the note lands in the chart you’re already in. One subscription, US dollars. If you’re weighing scribe-plus-EHR against a bolt-on layer, book a demo and see how the two feel in a real workflow.
A note on scope, so we’re honest: our eRx is a draft you review and sign, not pharmacy transmission, and ICD-10 is suggestions, not a coding engine. If those are the features you’re buying for specifically, put them on your demo checklist for every vendor.
What you trade by leaving Tali for a bundled-EHR scribe
There’s a real trade, and pretending otherwise helps nobody.
You give up the clinical search assistant. That’s Tali’s signature feature, and Patient Square doesn’t replicate it. If asking reference questions inside your notes tool is core to how you work, weigh that seriously; it’s the one thing you’d miss.
You also give up the free tier as a permanent option. Patient Square runs a 7-day trial, not an ongoing free plan. The trial is enough to test note quality on real visits, but if “free forever for light use” is what you want, Tali’s Personal plan is a genuine advantage.
What you gain is the chart and the codes in one pass. A SOAP note, ICD-10 suggestions, and a prescription draft, plus a bundled EHR at the Copilot tier, all in US dollars. Audio is processed in memory and discarded the moment the note drafts, so nothing is retained. And a BAA is available for every customer, solo practices included. If you want the enterprise-versus-self-serve version of this comparison, Abridge alternatives covers the other end of the market.
When Tali AI is the better choice
Stay with Tali, or pick it, if the clinical search assistant is the feature you actually came for. Nothing here replaces it, and if you lean on a reference tool all day, that integration is worth real money to you.
Tali also wins if Canadian-dollar billing suits your practice, if you only need a scribe layer over an EHR you’re keeping, or if you want to trial ambient documentation on a free plan before paying. Those are legitimate reasons, and Tali serves them well.
Choose a bundled-EHR scribe if you want US-dollar pricing you can read at a glance, structured output in one pass, and the chart and the scribe under one subscription. That’s most of the US practices landing on this page, which is why we wrote it.
The split is about what you’re buying, a search-plus-scribe layer or a scribe-plus-chart bundle, not about note quality. Both write good notes. Match the tool to the actual gap.
How to decide in a week
Skip the feature grid and run the real test:
- Name your real gap. If it’s “I want reference answers inside my notes,” Tali belongs on your list. If it’s “I want a better scribe and a better chart,” you’re shopping for a bundle.
- Convert the currency. Put Tali’s CAD prices into US dollars at today’s rate so you’re comparing like for like, and check the 40-scribe cap on Starter against your daily volume.
- Match the clinical output. A note plus ICD-10 suggestions plus a checked prescription draft, so you’re comparing the same thing across vendors.
- Settle the audio question with every vendor: stored or not, and for how long. Ours is never stored.
- Trial on real visits, not a scripted demo. Every scribe looks good on a canned encounter.
The receipts behind our claims, encryption, access, audit status, are on the security page; the price ladder with no asterisks is on the pricing page. Book a short demo to see the note against your own visit type, then run the 7-day trial on a real clinic week. If your real need is a chart plus a scribe in US dollars, a bundled tool does the job a search-plus-scribe layer wasn’t built for.