Otter.ai vs Fathom: which signs a HIPAA BAA?
Both can be covered by a BAA, on different terms. Otter.ai signs one only on Enterprise (with HIPAA add-on). Fathom Video Inc. signs a BAA for Fathom on every plan we list.
- Business associate
- Otter.ai
- Tool
- Otter.ai
- Plans with a BAA
- Enterprise (with HIPAA add-on)
- Checked
Some plans only
- Business associate
- Fathom Video Inc.
- Tool
- Fathom
- Plans with a BAA
- All plans (blanket BAA via Terms)
- Checked
Signs a BAA
Side by side
| Otter.aiOtter.ai | FathomFathom Video Inc. | |
|---|---|---|
| BAA | Some plans only | Signs a BAA |
| Plans with a BAA | Enterprise (with HIPAA add-on) | All plans (blanket BAA via Terms) |
| How to get it | Through sales | Included in the terms |
| AI features outside the BAA | None listed | None listed |
| Sources | 4 sources | 3 sources |
| Last checked | Oct 11, 2026 | Oct 11, 2026 |
Every plan
Otter.ai
- Enterprise (with HIPAA add-on)BAA must be signed before any PHI is handled; start through your account executive/account manager or Otter sales. Pricing page lists HIPAA compliance as an Enterprise add-on. Otter recommends admins restrict Notetaker auto-join, disable external sharing, enforce SSO/2FA and set retention.Signs a BAA
- Plans below EnterpriseOtter's HIPAA help article says HIPAA compliance is available only on the Enterprise plan.No BAA
Fathom
- All plans (blanket BAA via Terms)Terms incorporate the BAA at fathom.ai/baa by reference when HIPAA applies to the customer. A separately signed BAA can be requested from help@fathom.video. No plan restriction is stated, but plan scope is also not explicitly confirmed.Signs a BAA
If you handle patient data
Either can work. Choose on features and price, then make sure you’re on a plan listed above and the BAA is signed before anyone enters protected health information.
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A signed BAA is necessary but not sufficient for HIPAA compliance, which also depends on configuration, access controls, and your own policies. Verdicts summarize the vendor's own published terms as of the date checked; confirm with the vendor and your counsel before sending protected health information. Not legal advice.