MentalNote vs Microsoft Dragon Copilot (formerly DAX Copilot)
Facts checked on 14 October 2026. Prices change, so check each vendor's page before you decide.
Nuance's old DAX Copilot page now redirects to Microsoft Dragon Copilot, so this page compares MentalNote with Dragon Copilot.
The short answer
- Choose Dragon Copilot if your organization already buys Microsoft or Nuance clinical tools, you document inside Epic, or your team includes nurses in the United States as well as physicians.
- Choose MentalNote if you are a solo clinician or small practice focused on therapy or psychiatric visits and want to start today with a published price and no sales call. MentalNote is HIPAA-compliant, with a BAA included on every plan.
Side by side
| MentalNote | Dragon Copilot | |
|---|---|---|
| How to start | Free plan: 5 web-app scribe sessions a month, no time limit, no credit card. | "Contact a Dragon Copilot representative" on Microsoft's product page. |
| Price | Premium: $99 a month, or $990 a year ($82.50 a month). | Microsoft's Dragon Copilot product page, which we checked on 14 October 2026, did not list a price. |
| Who it is built for | Therapists and other mental health clinicians today. Formats and note rules are written for mental-health visits; the Intake format includes psychiatric history, medications and mental status observations. | Physicians; nurses (United States only); radiologists (in preview in the United States). |
| Notes | SOAP, DAP, BIRP, GIRP, PIRP and Progress notes, plus Intake and Treatment Plan workflows. | Specialty-specific, customizable notes, plus coding suggestions, referral letters and after-visit summaries. |
| Where you use it | Browser, including a telehealth call in a browser tab. Optional Word add-in drafts a note from a typed summary. | For physicians: web browser, mobile app, desktop app, and embedded in supported EHRs such as Epic. |
| EHR | Copy or export the reviewed draft. No direct EHR write-back. | Integrates with EHRs and other health IT systems. |
| HIPAA and BAA | MentalNote is HIPAA-compliant, with a BAA included on every plan. | Microsoft describes "trusted compliance" and "enterprise-grade security". |
Where Dragon Copilot is stronger
- Inside your EHR. Physicians can use it embedded in supported EHRs such as Epic. MentalNote has no direct EHR write-back.
- More roles and specialties. Specialty-specific notes for physicians, nursing flowsheets for nurses in the United States, and radiology reporting in preview in the United States. If most of your visits are primary care or another non-behavioral specialty, Dragon Copilot has specialty notes today.
- More than the note. Coding suggestions, referral letters, after-visit summaries and cited answers from medical references.
- Mobile and desktop apps as well as the browser.
Where MentalNote is stronger
- A solo clinician can just start. Free plan, no credit card, no sales call. Dragon Copilot's page sends you to a representative.
- A published price. $99 a month or $990 a year.
- Mental-health formats. BIRP, GIRP and PIRP next to SOAP and DAP. The Intake format includes psychiatric history, medications and mental status observations.
- Note rules against filling gaps. The app instructs the AI to write "Not documented in session" for anything you did not cover, and to include risk content only if it was discussed. Review every draft.
Which should you pick?
| If you... | Pick |
|---|---|
| Work in a hospital or health system on Epic | Dragon Copilot |
| Need nursing documentation too (United States) | Dragon Copilot |
| Already use Dragon Medical One | Dragon Copilot (Microsoft offers a migration path) |
| Run a solo or small therapy or psychiatric practice | MentalNote |
| Want to see the price and start on your own | MentalNote |
Frequently asked questions
Is DAX Copilot still available?
Nuance's DAX Copilot page now redirects to Microsoft Dragon Copilot, Microsoft's AI clinical assistant.
How much does Dragon Copilot cost?
Microsoft's Dragon Copilot product page, which we checked on 14 October 2026, did not list a price. It asks you to contact a representative.
Can a small practice use Dragon Copilot?
Microsoft's page speaks to organizations and asks you to contact a representative, so ask Microsoft about your practice size. If you want to start on your own today, MentalNote has a free plan with no credit card.
Is MentalNote HIPAA compliant?
MentalNote is HIPAA-compliant, with a BAA included on every plan.
Try it
Start free at app.mentalnote.ai: 5 scribe sessions a month, no credit card, no sales call.
Try it freePrefer Microsoft Word? Get the free Word add-in. Installs from Microsoft AppSource.
More comparisons
Microsoft, Dragon Copilot, Dragon Medical One, DAX Copilot and Nuance are trademarks of Microsoft Corporation. Epic is a trademark of Epic Systems Corporation. This page compares public information as of 14 October 2026 and is not endorsed by Microsoft. A clinician must review every AI draft. Spotted something out of date? Email support@mentalnote.ai and we will fix it.