Doctora vs Twofold
Twofold is a widely used AI scribe that markets an optometry note among many specialties. Doctora is built only for optometry — so the question isn't whether each can document an eye visit, it's how deep the documentation goes. Here's an honest, up-to-date comparison.
The short answer
Both Twofold and Doctora are AI scribes that serve optometry, both use ambient capture with provider review, both offer ICD-10 and CPT code suggestions, and both sign a BAA. The difference is depth. Twofold's optometry workflow produces a SOAP note you copy and paste, with no integration and no optometry EHR named. Doctora structures the whole visit into more than 100 discrete chart fields recorded per eye, links each charge to its diagnosis, and writes it into RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, or OfficeMate.
Doctora vs Twofold at a glance
Several rows are a tie — that's the point. The optometry-specific depth is where they diverge.
| Capability | Doctora | Twofold |
|---|---|---|
| Documents an optometry visit | Markets to optometry | |
| Ambient voice capture | ||
| Built only for optometry, by optometrists | ?Multi-specialty scribe | |
| Structured exam fields, per eye (not just a note) | ?No public claim; outputs a SOAP note | |
| Documents the full encounter (assessment & plan) | ||
| Generates ICD-10 + CPT code suggestions | ||
| Links each charge to its supporting diagnosis | ?No public claim | |
| Writes into your optometry EHR's chart fields | Optometry note is copy-paste; no integration | |
| Works across multiple optometry EHRs | RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, OfficeMate | ?EHR-agnostic; no optometry EHR named |
| HIPAA compliant + signs a BAA | ||
| Pricing | Paid add-on, works with your current EHR | Free trial; paid plans with a signed BAA |
✓ yes · ✗ no · ? not specified in published materials. Comparison based on publicly available information as of June 8, 2026. Twofold and Twofold Health are trademarks of their owner; Doctora is not affiliated with or endorsed by them.
What is Twofold?
Twofold (Twofold Health) is an AI medical scribe used by clinicians across many specialties. It turns a recorded or summarized visit into a formatted clinical note — typically a SOAP note — with templates per specialty and note type, available on web, iPhone/iPad, and Android. It markets a dedicated optometry use case and offers ICD-10 and CPT code suggestions in its general product.
On its optometry page, Twofold describes an EHR-agnostic, copy-paste workflow — you paste the finished note into the system you already use, without an integration — and names no optometry EHR (as of June 2026). Its contact lens documentation is a narrative follow-up note. Every account receives a signed BAA.
What is Doctora?
Doctora is an AI medical scribe built specifically for optometry that works with the EHR you already use. It listens to the exam, structures the entire visit into the discrete chart fields your record uses, recorded per eye, and writes it back into your EHR for you to review and approve.
Because optometry is its only specialty, Doctora goes past a copyable note to the finished, coded chart — history through assessment and plan, with ICD-10 and CPT codes linked to the diagnosis — across RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, and OfficeMate, plus structured contact lens fittings.
See how Doctora's AI scribe works →Doctora documents the entire encounter
A SOAP note captures the visit as text you paste. Doctora structures the whole optometric visit — more than 100 discrete, optometry-specific fields, recorded per eye — and then generates the coding to match.
Background & history
Ocular and medical history, medications, allergies, family history, and review of systems.
Chief complaint & HPI
The patient's reason for the visit and a structured history of present illness.
Entrance testing & visual acuity
Aided and unaided distance and near acuity, recorded per eye.
Pupils, motility & alignment
Pupil testing, extraocular motility, cover test, and confrontation fields.
Refraction
Final spherocylindrical refraction, add, and best-corrected acuity per eye.
Tonometry (IOP)
Intraocular pressure readings with method and timing, per eye.
Slit lamp / anterior segment
Lids, lashes, conjunctiva, cornea, anterior chamber, iris, and lens findings.
Posterior segment / fundus
Vitreous, optic nerve and cup-to-disc, macula, vessels, and periphery.
Special testing
Imaging and ancillary testing such as OCT and visual fields, with results.
Assessment
A structured assessment tied to the findings documented in the exam.
Plan & patient education
The plan for each diagnosis, including follow-up and recommendations.
ICD-10 + CPT codes
Diagnosis and procedure codes generated from the visit, with each charge linked to its supporting diagnosis.
Both serve optometry — Doctora goes deeper
Twofold can produce an optometry SOAP note, and many clinicians like how fast it is. What its public materials do not describe is the optometry-specific depth: a refraction, a slit lamp finding, or an intraocular pressure structured into the discrete, per-eye fields your EHR uses; each charge linked to the diagnosis that supports it; and the result written into an optometry EHR rather than copied and pasted.
Because optometry is the only thing Doctora does, that depth is the whole product. It captures the visit as the same structured fields your EHR uses, right and left, writes them in across RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, and OfficeMate, and generates ICD-10 and CPT codes with each charge linked to its supporting diagnosis. It also documents contact lens fittings as structured data, not just a follow-up note. You review and approve a finished chart instead of pasting one.
Capture the visit however you work
Doctora meets you wherever you chart: on your computer, with the iPhone/iPad app, or with a pocket-sized recording device for hands-free exam rooms. Whichever you pick, the structured exam ends up in the same place — your EHR's real chart fields, ready for your review.
One scribe for the whole visit — on the optometry EHR you already run
From the chief complaint to the coded plan, Doctora handles the full record. The structured exam flows into the chart fields your staff already use; you review, approve, and it's saved — no copy-paste, no reformatting, no clicking field to field.
When Twofold might be the right fit
If you want a fast, low-cost scribe you can use across different kinds of visits, you are comfortable copying a finished note into your system, and a quick SOAP note is all you need, Twofold is a popular and capable option.
Optometry-focused practices tend to choose Doctora when they want the eye exam captured as structured, per-eye chart fields rather than a note to paste, want ICD-10 and CPT coding linked to the diagnosis, or want the documentation written directly into an optometry EHR like RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, or OfficeMate. See how all the optometry AI scribes compare →
Frequently asked questions
- Is Twofold built for optometry?
- Twofold markets an AI scribe for optometry and is used by clinicians across many specialties. Its optometry workflow produces a SOAP note that you copy and paste into the system you already use; its public materials do not describe a structured, per-eye optometric exam or native optometry-EHR write-back (as of June 2026). Doctora is built specifically for optometry, by optometrists, and captures the encounter as discrete chart fields recorded per eye.
- Does Twofold work with optometry EHRs like RevolutionEHR or Eyefinity?
- On its optometry page, Twofold describes copying and pasting the finished note into the system you already use, without an integration, and names no optometry EHR (as of June 2026). Its general note-export feature pushes a finished note into general-medicine systems such as athenahealth, SimplePractice, AdvancedMD, and DrChrono. Doctora writes the structured exam directly into the chart fields of RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, and OfficeMate.
- Does Twofold generate ICD-10 and CPT codes?
- Twofold offers ICD-10 and CPT code suggestions in its general product. Doctora also generates ICD-10 and CPT codes, and additionally links each charge to its supporting diagnosis — a linkage Twofold makes no public claim about (as of June 2026).
- What is the best Twofold alternative for an optometry practice?
- Doctora is the leading optometry-specific alternative. Both products can document an eye visit, but Doctora captures the whole optometric encounter as more than 100 discrete, per-eye chart fields, generates ICD-10 and CPT codes with each charge linked to its diagnosis, and writes the structured exam into RevolutionEHR, Eyefinity, EyeCloudPro, CrystalPM, or OfficeMate — depth a general scribe with an optometry note does not publicly match.
- Does Doctora replace my EHR?
- No. Doctora is a scribe that layers on top of the EHR you already use — there is no migration and no data conversion. The structured exam flows into the chart fields your staff already use, and you review and approve before it is saved.
- Is Doctora HIPAA compliant?
- Yes. Doctora is HIPAA compliant, encrypts data in transit and at rest, and signs a Business Associate Agreement (BAA) with your practice. Twofold also states that every account receives a signed BAA.
The scribe built only for optometry
Keep your EHR. Add the scribe that captures the whole per-eye exam, codes it, and writes it into your chart. Works with your current optometry EHR, no migration required.
Works with your current EHR · HIPAA compliant · No contracts