Zoom AI Companion vs Otter.ai: which signs a HIPAA BAA?

Both can be covered by a BAA, on different terms. Zoom Communications signs one for Zoom AI Companion only on Pro (Zoom for Healthcare); Business / Business Plus / Enterprise. Otter.ai signs one only on Enterprise (with HIPAA add-on).

Business associate
Zoom Communications
Tool
Zoom AI Companion
Plans with a BAA
Pro (Zoom for Healthcare); Business / Business Plus / Enterprise
Checked
Some plans only
Zoom Communications signs only for the plans listed.
Business associate
Otter.ai
Tool
Otter.ai
Plans with a BAA
Enterprise (with HIPAA add-on)
Checked
Some plans only
Otter.ai signs only for the plans listed.

Side by side

Zoom AI CompanionZoom CommunicationsOtter.aiOtter.ai
BAASome plans onlySome plans only
Plans with a BAAPro (Zoom for Healthcare); Business / Business Plus / EnterpriseEnterprise (with HIPAA add-on)
How to get itAccept or sign online; Through salesThrough sales
AI features outside the BAA partly covered excluded
  • Meeting Summary with AI Companion (Partly covered)
  • ZoomMate and other Zoom AI features (in-meeting questions, smart recording, Team Chat AI) (Partly covered)
None listed
Sources6 sources4 sources
Last checkedOct 11, 2026Oct 11, 2026

Every plan

Zoom AI Companion

  • Pro (Zoom for Healthcare)At checkout, choose 'United States Agreement (BAA)' and accept it. Existing accounts can turn on the BAA under Plans and Billing > Plan Management. No extra manual configuration is needed after the BAA is signed.Signs a BAA
  • Business / Business Plus / EnterpriseNew Business, Business Plus, and Enterprise customers go through Sales. Existing accounts can turn on the BAA in the web portal. Zoom also signs BAAs for other paid plans on its pricing page.Signs a BAA

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

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. Keep PHI out of the AI features listed as outside the BAA.

More comparisons

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.