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Smith.ai AI Receptionist review
AI-first receptionist with human backup and transparent per-call pricing. Its own medical page says it is not HIPAA-compliant and can't handle PHI. Don't use it for patient calls involving health information.
Caution: Vendor states it is not HIPAA-compliant. Not suitable for calls that involve patient health information.
No affiliate links. Smith.ai AI Receptionist has not paid for this review and has no listing with us. Facts are from the public sources below. Each claim shows its last-checked date. Website: https://smith.ai/
Pricing (as shown by vendor)
Free $0 (25 calls/mo, $3.00/call after); Pro $150/mo (75 calls, $2.00/call); Enterprise from $500/mo (300 calls) [1].
Last checked: 2026-10-14
HIPAA / BAA (vendor's own statement)
“Smith.ai is not HIPAA-compliant and cannot handle protected health information (PHI) in regulated healthcare environments”
This is from the vendor's own medical and wellness page [2].
Last checked: 2026-10-14
Score breakdown
| Criterion | Score | Why (evidence) | Last checked |
|---|---|---|---|
| HIPAA / BAA availability | 0 / 20 | Vendor states it is not HIPAA-compliant [2]. | 2026-10-14 |
| Integrations (dental PMS / EHR) | 5 / 25 | Calendly, Clio, Zapier and '7,000+' integrations via automation [1][2]. No dental PMS listed. | 2026-10-14 |
| Pricing transparency | 12 / 12 | All tiers and per-call rates published [1]. | 2026-10-14 |
| Accuracy / output quality | 0 / 15 | Not tested yet. Accuracy needs a Level-3 hands-on test with synthetic data. 0/15 until then. | n/a |
| Setup effort | 6 / 8 | Self-setup with 'Quality Studio - test before going live' [1]. | 2026-10-14 |
| Support | 5 / 8 | 'Live phone, email & chat support' on Pro [1]. | 2026-10-14 |
| Contract terms | 4 / 7 | 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). | 2026-10-14 |
| Specialty fit (dental) | 1 / 5 | General SMB, not healthcare-specific. | 2026-10-14 |
| Preliminary total | 33 / 85 (tested so far) | Hands-on accuracy testing (15 pts) pending. Accuracy is untested (0/15) until a hands-on test, so the full 100-point rubric total isn't shown yet. Rubric | |
Strengths
- Transparent per-call pricing
- Human escalation available
Watch-outs
- Vendor says it is NOT HIPAA-compliant and can't handle PHI [2]
- No dental PMS integration
More: Smith.ai AI Receptionist pricing · Smith.ai AI Receptionist HIPAA/BAA · comparisons
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Sources
- [1] https://smith.ai/pricing/ai-receptionist (AI Receptionist pricing page). Checked 2026-10-14
- [2] https://smith.ai/industries/medical-wellness-answering-service (Medical & wellness page (HIPAA statement)). Checked 2026-10-14
- [3] https://smith.ai/pricing/receptionists (Receptionist pricing page + FAQ (contract terms)). Checked 2026-10-14
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