Rev.com sends patient recordings to human transcribers—real people who listen to every word. SecureScribe processes locally with AI and auto-deletes. Here's the full comparison for healthcare providers, clinics, and compliance teams.
Every feature that matters when your transcription contains protected health information, patient diagnoses, or clinical content.
| Feature | SecureScribe | Rev.com |
|---|---|---|
| Transcription Method | ✅ AI-only — zero human access | ✘ Human transcribers listen to your audio |
| Audio Processing Location | ✅ Local — never leaves your machine | ✘ Uploaded to Rev servers + human workforce |
| HIPAA Compliance | ✅ HIPAA-ready architecture — no third-party access | ✘ BAA available but human transcribers still access patient audio |
| Auto-Delete | ✅ Built-in, configurable, with audit trail | ✘ No auto-delete — files stored per Rev's retention policy |
| Deletion Audit Log | ✅ Cryptographic proof of destruction with timestamps | ✘ No audit log |
| Pricing Model | ✅ $29/mo flat rate — unlimited | ✘ $1.50/min — costs compound at volume |
| Cost: 10 hrs/month | ✅ $29 flat | ✘ ~$900 ($1.50 × 600 min) |
| Turnaround Time | ✅ Minutes (AI, instant) | 12–24 hours (human, manual) |
| Encryption | ✅ AES-256 + SHA-256 checksums | TLS in transit (human workforce can access files) |
| PHI Disclosure Risk | ✅ None — no third party ever has your data | ✘ Human transcriptionists = PHI third-party handlers |
| Data Used for Training | ✅ Never — zero data retention | Recordings processed by human workforce per Rev's terms |
| Available 24/7 | ✅ Instant, any time | Rush rates apply for faster delivery |
Human transcription was the only option in 2005. In 2026, it's an unnecessary compliance liability.
Rev.com's core service routes your audio to human transcribers—real people who listen to patient encounters, diagnoses, and treatment discussions. Under HIPAA, this is a disclosure of Protected Health Information to a third party. A Business Associate Agreement shifts liability, but it doesn't eliminate the human access. The problem is structural.
A provider dictating 10 hours of clinical notes per month pays ~$900 to Rev. That's $10,800/year. SecureScribe is $29/month with unlimited transcriptions. That $871/month savings doesn't just compound—it compounds alongside stronger privacy guarantees.
Rev stores your audio files per their data retention policy. There's no mechanism to automatically delete recordings after transcription, and no deletion audit log. For practices under HIPAA's data minimization requirements, this is a standing compliance gap that auditors will flag.
Rev's human transcription pipeline takes a full business day under standard delivery, longer for complex medical terminology or heavy audio. SecureScribe returns transcriptions in minutes. Waiting overnight for notes you dictated this morning creates bottlenecks in documentation, billing, and care coordination.
Not better human transcription processes. No humans at all.
Your audio is transcribed by AI on your local machine. No contractor, no employee, no third party ever hears your patient recordings. The only path to your audio is you.
Configure your retention policy and SecureScribe auto-deletes source audio after transcription. Every deletion generates a cryptographic audit log with timestamp and SHA-256 checksum—proof of destruction for your compliance documentation.
Zero cloud storage, encryption at rest, and auto-delete satisfy HIPAA's data minimization requirements by design. Because no PHI reaches a third-party server, there's no BAA negotiation, no disclosure to manage, no liability to transfer.
AI transcription returns results in minutes, not hours. At $29/month flat—regardless of volume—your transcription budget is predictable. The more you use it, the cheaper it gets per minute.
"Rev.com's human transcription model always bothered me—a stranger listening to patient encounters felt wrong under HIPAA. SecureScribe runs locally, deletes the audio, and gives me a log. That's what a compliant workflow looks like."Dr. M. Torres — Family Medicine, Private Practice
Rev.com charges per minute of audio. A busy practice dictating 10 hours/month pays ~$900. SecureScribe is $29 regardless of volume.
Start your 14-day free trial. No credit card required. No human ever hears your patient audio.
Start Your Free 14-Day Trial →$29/mo flat after trial. Cancel anytime. We don't store your files—there's nothing to lock in.