Viva AI vs Smith.ai AI Receptionist
Short answer: Viva AI scores higher (57 vs 33). Smith.ai says its AI Receptionist isn't HIPAA-compliant, so it can't be a top pick for patient data. Both are Level 1 desk reviews from public sources; accuracy is untested for both. Scores are out of 85 (tested so far); hands-on accuracy testing (15 points) is pending.
| Criterion | Viva AI | Smith.ai AI Receptionist |
|---|---|---|
| Category | AI receptionist | AI receptionist |
| Preliminary score | 57/85 | 33/85 |
| BAA | BAA stated “HIPAA + BAA Fully compliant, with a Business Associate Agreement signed for every practice.” | Not HIPAA-compliant “Smith.ai is not HIPAA-compliant and cannot handle protected health information (PHI) in regulated healthcare environments” |
| Pricing as shown | Gold '$349 /mo' (4,000 credits, 'Additional credits $0.10 each'), Platinum '$899/mo' (7,000 credits), Diamond '$1,199 /mo' (12,000 credits, 'Additional credits $0.08 each') [1]. | Free $0 (25 calls/mo, $3.00/call after); Pro $150/mo (75 calls, $2.00/call); Enterprise from $500/mo (300 calls) [1]. |
| HIPAA / BAA availability (20) | 16 Vendor: 'a BAA signed for every practice' [1]. BAA text not public. | 0 Vendor states it is not HIPAA-compliant [2]. |
| Integrations (dental PMS / EHR) (25) | 13 Vendor: 'official, direct integrations with all major practice management systems' and 'Viva reads and writes your schedule in real time' [1]. No PMS is named on the pages we read, so 13 (write-back claimed, systems not named). | 5 Calendly, Clio, Zapier and '7,000+' integrations via automation [1][2]. No dental PMS listed. |
| Pricing transparency (12) | 12 All three tiers, included credits and overage rates are published [1]. | 12 All tiers and per-call rates published [1]. |
| Accuracy / output quality (15) | 0 Not tested yet. Accuracy needs a Level 3 hands-on test with synthetic data. 0/15 until then. | 0 Not tested yet. Accuracy needs a Level 3 hands-on test with synthetic data. 0/15 until then. |
| Setup effort (8) | 4 Vendor: 'How long does setup take? About one week' [1]. | 6 Self-setup with 'Quality Studio - test before going live' [1]. |
| Support (8) | 2 Support hours or channels not stated on pages we read. | 5 'Live phone, email & chat support' on Pro [1]. |
| Contract terms (7) | 5 Vendor: '30-day risk-free trial — cancel anytime, no questions asked' [1]. Terms after the trial aren't stated; the linked privacy/terms pages didn't render. | 4 Receptionist pricing FAQ: 'Smith is a month-to-month service' with a 30-day money-back guarantee [3]. Whether this also applies to AI plans isn't stated explicitly (unverified). |
| Specialty fit (dental) (5) | 5 Built for dental practices [1]. | 1 General SMB, not healthcare-specific. |
| Last checked | 2026-10-15 | 2026-10-14 |
Source numbers like [2] refer to each tool's own source list on its review page.
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