Telehealth only works when the video connection does. For healthcare providers, every call needs to be easy to join, totally private, and rock-solid no matter where the patient is or what device they’re using.
That’s where iotum shines. It’s HIPAA-compliant, browser-based, and connects patients and doctors instantly, and no downloads, no long setup, no “Can you hear me now?” moments.
In this comparison, we’ll see how iotum stacks up against competitors like Agora, MirrorFly, ZegoCloud, and 100ms. Each platform brings something to the table, but not all hit the same marks for usability, security, and smooth integration.
By looking at features, pricing, and real-world performance, healthcare teams can pinpoint which solution truly supports virtual consultations, patient management, and communication across devices without sacrificing privacy or reliability.
iotum:
Connect Patients and Providers Anywhere
iotum’s telehealth video API was built to simplify secure healthcare communication. Whether embedded into your EHR, mobile app, or standalone portal, it allows providers to launch HIPAA-compliant sessions in seconds, no apps, no passwords, just a browser link.
Calls are stable even on low bandwidth, and features like transcription, file sharing, and whiteboard tools come fully integrated.
Why Healthcare Chooses iotum
- Fully HIPAA-Compliant: Ensures total data protection in transit and at rest
- Browser-First Access: No app downloads needed, just click and connect
- High-Quality Calls: Supports HD audio and smooth video, even on weak networks
- Integrated Collaboration: Includes secure messaging, file sharing, and real-time annotations
- Built-In Transcription with Cue™ AI: Automatically cleans up, tags, and stores call notes
- Custom Branding Options: White-label features match your platform or clinic
- Developer-Friendly API: Quick to integrate with detailed documentation and sandbox tools
- Accessible Features: Live captions and mobile-friendly performance make care more inclusive
Powered by Cue™ AI
Cue™, iotum’s AI assistant, transforms each virtual visit into structured, searchable data. It transcribes and summarizes sessions, highlights key topics, and stores everything securely, ready for compliance audits, recordkeeping, or patient follow-up.
No manual note-taking. No missed details. Just cleaner, faster documentation, automatically.
Integrations That Work for You
Siotum plugs into your existing workflows with ease. Use its REST API to sync with tools like:
- Google Calendar or Outlook for scheduling
- YouTube for secure live streaming
- CRM or EHR systems for patient record integration
- Webhooks for real-time session tracking
Perfect for:
iotum is ideal for:
- Healthcare developers embedding video into their platform
- Providers seeking a no-download, browser-based telehealth solution
- Clinics needing AI-powered tools for compliance and documentation
- Organizations expanding virtual care across regions with limited connectivity
If security, simplicity, and scalability matter to your healthcare operations, iotum delivers a complete telehealth API stack that’s ready to deploy.
Agora
Agora’s global network spans over 200+ countries, making it a popular choice for telehealth applications. But iotum stands out as the best tool when healthcare providers need quality video conferencing.
Agora Key Features
Agora delivers practical telehealth capabilities through its Software-Defined Real-Time Network™:
- Video and voice conferencing with ultra-low latency at 400 ms or less
- Live transcription during video calls
- HIPAA compliant telehealth software that keeps patient information secure
- Smart routing that adapts to device and network conditions
- VP9 video codec support delivering higher quality at lower bitrates
- Resolution that adapts automatically in challenging network environments
Agora Pros And Cons
Pros:
- Smart routing ensures optimal performance with global coverage
- Handles sudden traffic spikes efficiently
- Works seamlessly with different devices and platforms
- First 10,000 minutes free monthly for all products
Cons:
- High-traffic applications can get pricey
- Documentation proves challenging for newcomers
- Multiple SDKs needed based on required features
- Users report latency problems despite network optimization
Agora Pricing
Agora uses a simple pay-as-you-go model without upfront costs:
- Video HD: USD 3.99 per 1,000 minutes
- Video Full HD: USD 8.99 per 1,000 minutes
- Voice calling: USD 0.99 per 1,000 minutes
- Cloud recording: USD 5.99 per 1,000 minutes for HD video
- Chat: Starts at USD 349.00 per month
Usage over 100,000 minutes automatically qualifies for volume discounts (5-10% based on volume).
Agora Best For
Healthcare providers choose Agora when they need:
- Face-to-face remote medical consultations
- Patient monitoring systems with round-the-clock access
- Mental health services that need live interaction
- Telehealth apps requiring cross-platform HIPAA compliant video and conferencing API
- Healthcare services in areas with limited bandwidth
MirrorFly
MirrorFly provides an AI-powered CPaaS solution that offers extensive customization. However, iotum stands out as the top choice for healthcare providers who need HIPAA compliant video and conferencing API.
Mirrorfly Key Features
MirrorFly brings powerful capabilities to telehealth applications:
- Video calling features with complete customization options
- Private cloud or data center self-hosting choices
- Full control over user data
- Migration and integration services at no cost
- Multiple security protocols with end-to-end encryption
- One-on-one and group video conferencing support
- Screen sharing and recording options
- Chat functionality during video calls
MirrorFly’s peer-to-peer architecture enables custom call metadata that helps analyze and report data effectively.
MirrorFly Pros And Cons
Pros:
- Source code ownership with white-label possibilities
- SDKs that offer 1000+ video features with full customization
- Maximum data security through on-premise hosting
- Scalable multi-tenant architecture
- Support for iOS, Android and web platforms
Cons:
- Video calls experience latency issues
- Connection stability needs improvement
- Documentation requires updates
MirrorFly Pricing
MirrorFly presents three pricing tiers:
- Easy: Free for lifetime
- Essentials: USD 399/month with advanced chat features
- Premium: USD 999/month includes voice and video calls up to 7,500 minutes
Each plan comes with unlimited messages and storage.
MirrorFly Best For
MirrorFly suits healthcare organizations that need:
- Secure virtual medical consultations
- Fully customizable telehealth applications
- HIPAA compliant healthcare messaging
- Patient-doctor video communication
- White-labeled medical platforms
ZEGOCLOUD
ZEGOCLOUD provides immediate video engagement solutions for healthcare applications. iotum stands out as the best tool for providers who need HIPAA compliant video and conferencing API.
Zegocloud Key Features
ZEGOCLOUD’s telemedicine toolkit includes:
- 4K resolution video that delivers ultra-low latency at 300ms
- Support across Web, Android, iOS, Flutter, and React Native platforms
- Development acceleration with 20+ pre-built UIKits containing 50+ components
- Enhanced user experience with virtual backgrounds, screen sharing, and cloud recording
- Patient data protection through end-to-end encryption with TLS/SSL
- Medical condition explanations through whiteboard collaboration tools
Zegocloud Pros And Cons
Pros:
- Video calls can accommodate up to 10,000 participants simultaneously
- Reliable worldwide coverage through 500+ global network nodes
- Dependable patient care with 99.99% service uptime
- Seamless IoT medical device integration
Cons:
- Customer support is limited to the English language
- Developers may find documentation scattered
- Moderation features lag behind competitors
Zegocloud Pricing
ZEGOCLOUD operates on a pay-as-you-go pricing structure:
- Audio calls cost USD 0.99 per 1,000 minutes
- HD video runs at USD 3.99 per 1,000 participant minutes
- Full HD video costs USD 8.99 per 1,000 participant minutes
- 4K video priced at USD 35.99 per 1,000 participant minutes
- New users receive a 10,000-minute free trial
Zegocloud Best For
Healthcare organizations benefit from ZEGOCLOUD when they need:
- High-quality video for remote medical consultations
- Online dentistry platform capabilities
- Healthcare event streaming and educational webinar solutions
- Platforms connecting specialists for consultations
- IoT medical device integration in telehealth systems
100ms
iotum stands out as the top choice for healthcare providers, though 100ms presents a compelling alternative for HIPAA compliant video and conferencing API with specialized telehealth solutions.
100ms Key Features
100ms provides robust telehealth capabilities:
- Video quality remains high even with 100 kbps bandwidth
- HIPAA-compliant system masks all PHI effectively
- SIP interconnect enables audio dial-in/out services
- AI creates clinical notes and call summaries
- Latency stays under one second in the USA, Europe, and India
- Speaker-labeled transcription service
100ms Pros And Cons
Pros:
- 97% call success rate SLA includes service credits
- SOC2 Type II certification ensures data security
- Data storage options in the USA, Europe, and India
- Debug-friendly call insights
Cons:
- Documentation needs improvement compared to competitors
- The developer community is growing, but small
- Role options are limited to host and participant
100ms pricing
100ms keeps pricing simple:
- 10,000 conferencing minutes free each month
- 10,000 streaming minutes free each month
- Video conferencing costs USD 0.00 per participant per minute
- Audio-only calls cost USD 0.00 per participant per minute
- Recording services priced at USD 0.01 per minute
100ms best for
100ms shines in healthcare applications that need:
- Teleconsultations where bandwidth is limited
- Detailed clinical summary generation
- Interpreter services through SIP integration
- Region-specific data storage requirements
Final Words:
In telehealth, every call has to be safe, clear, and easy for both patients and providers. While platforms like Agora, MirrorFly, ZEGOCLOUD, and 100ms offer solid options, iotum takes it a step further.
Its browser-based, HIPAA-compliant system works instantly, with no downloads or tech stress. It connects seamlessly with everyday productivity tools and includes AI-powered transcription for accurate, organized records.
The result? Consistently stable performance, crisp audio, and patient-friendly features that make virtual care feel effortless. For healthcare organizations that value efficiency and privacy, iotum delivers both, helping providers widen access, lower barriers, and maintain the trust that’s essential in today’s tech-driven healthcare world.
