JustReva vs Smith.ai
Smith.ai offers a hybrid model combining human receptionists with AI assistance. Their live agents handle calls with AI supporting them in the background, primarily serving legal, home services, and some healthcare clients.
Feature Comparison
| Feature | JustReva | Smith.ai |
|---|---|---|
| Built for healthcare | Yes - dental, medical, physio, chiro, and more | Varies |
| HIPAA compliant | Yes | Varies |
| 24/7 availability | Yes - every day, including holidays | Extra cost for after-hours |
| Multi-provider scheduling | Yes - handles complex provider calendars | Limited |
| Free pilot | Yes - 50 calls free | No |
| Pricing | Transparent, starting at $0 for pilot | Starting at $292.50/mo for 30 calls, scaling to $600+ for higher volumes |
| Call transcripts | Included | Varies |
| Analytics dashboard | Included in Professional plan | Limited or extra cost |
Smith.ai - Strengths
- +Human receptionists provide a personal touch on calls
- +AI assists agents for faster responses
- +Established brand with a large client base across industries
- +Offers chat, SMS, and phone coverage
Smith.ai - Limitations
- -Expensive per-call pricing adds up quickly for busy practices
- -Human agents are not healthcare specialists - training is generic
- -Limited availability outside business hours unless you pay for after-hours plans
- -Slower to scale since it depends on human staffing
Best for: Professional services firms (legal, consulting) that value having a human voice on every call and can absorb higher per-call costs.
Who is Smith.ai best for?
Professional services firms (legal, consulting) that value having a human voice on every call and can absorb higher per-call costs.
Pricing breakdown
Smith.ai: Smith.ai charges on a per-call basis, starting at $292.50 per month for 30 calls (roughly $9.75 per call). Higher volume plans scale to $600 or more per month. After-hours coverage requires an additional plan, and overage calls are billed at a premium rate. For busy healthcare practices receiving 100 or more calls per month, monthly costs can easily exceed $900. There are no free trials - practices must commit to a paid plan to test the service.
JustReva: JustReva offers transparent pricing starting at $399 per month for the Professional plan, with a free 50-call pilot so you can test with real patients before committing any budget. There are no per-call overage fees, no after-hours surcharges, and no hidden costs. Call transcripts, analytics, and multi-provider scheduling are included in every plan.
Frequently asked questions
Is Smith.ai HIPAA compliant?
Smith.ai offers HIPAA compliance as an add-on for healthcare clients, but it is not included by default since the platform primarily serves legal and professional services. Practices should confirm that a signed BAA is in place before routing patient calls. JustReva is HIPAA compliant on every plan with BAA included as standard, because healthcare is the only industry we serve.
How does Smith.ai pricing compare to JustReva?
Smith.ai uses per-call pricing starting at about $9.75 per call, which adds up quickly for practices with high call volumes. A practice receiving 100 calls per month could pay $900 or more. JustReva offers flat monthly pricing starting at $399 with no per-call charges, plus a free 50-call pilot to test before committing. For most healthcare practices, JustReva costs significantly less per call.
Can I switch from Smith.ai to JustReva?
Yes. Many practices switch from Smith.ai to JustReva to reduce costs and get healthcare-specific call handling. The transition is simple - set up call forwarding to your JustReva number and you can be live the same day. Start with the free pilot to compare call quality and patient experience before canceling your Smith.ai plan.
Why clinics choose JustReva over Smith.ai
24/7 availability with no after-hours surcharge - REVA never calls in sick
Healthcare-trained AI that understands clinical terminology and workflows
Predictable monthly pricing instead of per-call billing that spikes with volume
Instant scalability - handles 5 calls or 500 calls with the same quality
Ready to see the difference?
Start with a free 50-call pilot. No credit card required, no commitment. See how REVA handles your patient calls.