Most AI scribes fail in the same quiet way. They hand you a fluent, confident note, and the one detail they got wrong looks exactly like the details they got right. There is nothing on the page that asks you to slow down, so you sign it. The error was never hidden on purpose. It was just never marked.
Akoua is built the other way around.
Akoua is a private, Australian AI medical scribe. It listens to the consultation, shows you what it heard, flags anything it isn’t sure of, and drafts a note for you to review and confirm. That is the whole idea behind the name we put on the product: the note, not the guess.
One line we keep on every page, because it is a boundary and not a slogan: Akoua is a documentation aid, not a diagnostic device. It makes no clinical inferences. It writes down what was said and marks what wasn’t.
Here are the three things we decided not to compromise on.
It tells you when it isn’t sure
Akoua surfaces uncertainty in three ways, right there in the draft:
- “Not sure I heard this.” Low-confidence words get a dotted underline. Tap it to listen back to that exact moment of audio and decide for yourself.
- “Heard it, couldn’t place it.” When Akoua caught something but couldn’t structure it cleanly, it becomes a highlighted block with a review tag, rather than being forced into the wrong section.
[not stated]. Anything absent from the conversation is marked as[not stated]. It is never padded with plausible filler.
Every statement in the draft is grounded back to the transcript, and nothing is saved until you confirm. The uncertainty is not a confession. It is the product doing its job.
Privacy you can verify, not just read
Audio is processed on Australian infrastructure, in Sydney. It is deleted by default: kept encrypted only while you review, then deleted the moment you confirm the note. Abandoned drafts are wiped within seven days. Your audio is never sent to a third-party AI provider and never used to train models.
And you don’t have to take that on faith. A patient-facing privacy view runs live checks in the room, covering encryption, residency, deletion and audit. The patient can keep a QR deletion receipt and re-scan it later to see the audio is gone.
Built for Australian medicine
Akoua speaks the local language of practice. It carries a roughly 2,900-drug PBS and AMH vocabulary, offers MBS billing-item hints you confirm, and writes RACGP-aware referrals and letters. It ships with the templates you actually use: SOAP, problem-based, detailed history and exam, mental health, GPCCMP, health assessments, antenatal and procedure notes. It was tested on Australian-accent consult audio, not someone else’s.
On the devices you already carry
Akoua is launching soon on web, iPhone, Apple Watch, Mac and Windows. The Apple Watch captures on its own, with no phone in the room. One account works across every device, and your notes and letters export as clean text and PDF. Android is coming after launch, and connections to practice software are on the roadmap.
Founding pricing, locked while you stay
Founding members pay A$79 a month plus GST, and that price stays locked for as long as your subscription is active. Standard pricing is A$99 a month or A$990 a year, and practices are A$69 to A$89 per clinician a month. Every plan is the full product; we don’t gate features by tier.
If you have been waiting for a scribe that earns trust by admitting what it doesn’t know, this is the one. Join early access to be first in — with founders pricing locked in — and we’ll email you the moment it opens. The note, not the guess.