Summary
This comparison turns on scope and geography. Tandem is the most seriously regulated scribe in Europe. Its scribe, coding assistant and clinical decision support are CE marked under EU MDR Class IIa, it holds ISO 13485, 27001, 42001 and 14001, it is NHS Compliant with UK Cyber Essentials Plus, and it reports more than 5,000 care organisations across Europe with integrations into more than 100 medical record systems. A European health system that buys on regulatory posture should have Tandem on its shortlist.
A private clinic is weighing something different. Tandem's product ends where the documentation ends. The enquiries, the bookings, the recalls, the follow ups and the front desk are not its job, and the United States is not its market, with data processed and stored in European data centres. wai runs the consult and the clinic around it, in the UK and the US, at one published price.
Running the whole clinic is a different job. See it on your own workflows in fifteen minutes.
Book a demo| What you get | Tandem | wai |
|---|---|---|
| The note drafted from the room | Yes | Yes |
| Referrals, sick notes and codes | Yes, ICD-10 and SNOMED | Yes, with cited evidence |
| Clinical decision support | Yes, CE marked | Cited evidence answers, human approved |
| Front desk, enquiries and recalls | No | Yes |
| Patient profiles across clinics | No | Yes |
| Regulatory posture | EU MDR Class IIa, four ISO marks | GDPR and HIPAA aligned, human approval by design |
| United States practices | Not the market, EU data centres | Yes, live in four US cities |
| Published price | Free tier, Pro at 125 euros a user monthly billed yearly | Published on one page, $250 a clinician monthly |
What Tandem gets right
The regulation is real work and it deserves respect. CE marking a scribe, a coding assistant and decision support under MDR Class IIa is a long and expensive road, and most of the category has not walked it. For an NHS-adjacent buyer or a DACH hospital group, that posture answers questions a procurement committee is paid to ask.
The pricing is honest too. A free tier with unlimited note generation, and a published Pro price of 125 euros a user a month billed yearly, put Tandem in the small minority of vendors a clinician can evaluate without a sales call. We publish our prices for the same reason and we recognise the position.
Integration breadth matters in Europe. More than 100 medical record systems with one click transfer is a genuine moat on a continent where every country runs different software.
Where the products separate
Tandem finishes the documentation. The note, the referral, the sick note, the codes. That is the consult room, done well.
A private clinic's day does not end in the consult room. The phone rings, the inbox fills, results need chasing, recalls need sending, no-shows need recovering, and invoices need to match what happened. wai treats that as one job. The clinician workspace drafts the note, letters and codes with cited evidence, and wai Admin answers the phone, the email and the web forms, books and reminds patients, and keeps the follow ups moving, with a human approving anything that touches a patient.
The second separation is geography. Tandem's data lives in European data centres and its market is Europe. wai runs in the UK and the US, live today in London, Miami, New York, San Francisco and Los Angeles.
What the prices buy
Tandem Pro at 125 euros a user a month billed yearly buys the documentation layer. wai Clinician at $250 a clinician a month buys the documentation layer plus the letters, the coding and the evidence answers, and the clinic operations product covers the front desk at a published per location price.
The arithmetic worth doing is not the subscription gap. It is what the uncovered work costs. A front desk that misses calls and a recall list nobody chases cost more per month than any tool on this page. Price the whole job, then compare.
The honest verdict
A European clinic or hospital group that wants a regulated scribe with decision support, inside European data residency, should evaluate Tandem seriously. The free tier makes that evaluation cost nothing.
A private clinic that wants the consult and the clinic around it handled, or any practice in the United States, is buying a different product. wai is live the same day, priced on one public page, and built inside a working clinic that uses it on its own patients every morning.
Frequently asked questions
Is Tandem available in the United States?
Tandem's market is Europe and its site states that data is processed and stored in data centres within Europe. As of August 2026 it does not position for US practices. wai is live in London, Miami, New York, San Francisco and Los Angeles.
Does Tandem publish its pricing?
Yes. A free tier with unlimited note generation, a Pro plan at 125 euros a user a month billed yearly with monthly billing about 15 percent higher, and a tailored enterprise plan. That transparency is rare in this category and worth crediting. wai's full pricing is published on one page with a fourteen day trial.
What does wai cover that Tandem does not?
The clinic around the consult. Enquiries, bookings, reminders, recalls and follow ups through wai Admin, and patient profiles that travel across clinics. Tandem covers documentation, coding and decision support, and covers them well, but the front desk is not its product.
Live this week, not next quarter.
Thirty minutes and you will see the consult, the front desk and the patient record running as one system.