FAQ

Common questions about Isa, the Community Hub, models, and Scribe.

If your question isn’t answered here, ask in the Isaree Discord.

Is Isa free?

Isa is free to install and use during the alpha. Cloud Primary Agents (OpenAI, Aki.io) and the ElevenLabs transcription option charge you directly because you bring your own API key — Isaree doesn’t bill or mark up those calls. On-device models run for free.

Can I use Isa with real patient data?

No. Isa is a research version — use synthetic patient data only. See Data and privacy.

When will Isa be on the App Store?

Not yet — Isa is distributed through TestFlight today and we don’t have a public App Store date. See Install Isa.

Can I invite a colleague to TestFlight?

Not yet. The alpha is currently limited to an initial group of clinical innovators. Once we open Isa more broadly, you’ll be able to invite colleagues directly. In the meantime, point them to the Isaree Discord so they can ask to join when invites open up.

Does Isa work offline?

Yes, when your Primary Agent and any invoked Agents are on-device, and Scribe is set to on-device transcription and extraction in Settings. Browsing the Isa Hub, downloading models, and using cloud models or ElevenLabs all require an internet connection.

Where does my data go when I use a cloud Primary Agent?

It goes to the provider you selected — OpenAI or Aki.io. The request is made directly from your device using your API key, so Isaree doesn’t see or store it. Aki.io hosts open-weight models on EU infrastructure. See Data and privacy for the full picture.

Does OpenAI, Aki.io, or ElevenLabs see my chats and recordings?

When you route to a cloud provider — Primary Agent via OpenAI or Aki.io, transcription via ElevenLabs, extraction via OpenAI — that provider processes your content according to its own terms. Isaree never receives it. If you need the data to stay on the device, keep the Primary Agent on-device and route Scribe’s Transcription and Extraction to On-Device.

Why don’t patients sync between my iPhone and iPad?

By design. Patient data is stored encrypted on the device that created it and is not uploaded anywhere. A patient created on your iPhone won’t appear on your iPad. See Data and privacy.

Why do I have to bring my own API key?

So your cloud requests go directly from your device to your provider — Isaree never sees the traffic, you pay the provider directly with no markup, and you choose which provider to trust with your data.

How do I get an OpenAI or Aki.io API key?

Sign up with the provider and create a key in their developer dashboard, then paste it into Settings → Primary Agent Model → [provider] in Isa. New Aki.io users get €10 in free credits, which is enough to try a cloud Primary Agent without setting up billing first.

Can I use Anthropic, Claude, or my hospital’s LLM as the Primary Agent?

Today the cloud Primary Agent supports only OpenAI and Aki.io. Aki.io hosts a range of open-weight models — Llama 3.3, Qwen 3.6, Gemma 4, GPT-OSS, and MiniMax M2.5 — on EU infrastructure, which covers many of the model families clinicians ask for. Custom or self-hosted endpoints are not supported yet.

Which model should I pick?

It depends on your device, what you’ll use the model for, and whether you want to stay on-device. See Choose a model for sizing and family guidance, and Hardware requirements for what your iPhone or iPad can run.

What’s the difference between an Agent and the Primary Agent?

The Primary Agent is the one you talk to directly in Patient Chat. An Agent is a specialized program built for a specific task — you invoke it with @ in Patient Chat or pick it directly in Workspace. The Primary Agent can route to Agents on your behalf; Agents themselves run on-device only.

Do I need to know how to code to build an Agent?

No. Building happens on the Community Hub through a web UI — you write a system prompt in plain language, optionally attach a Knowledge Base, and pick environments.

Can I share an Agent privately with a colleague?

Not today. The only way to share an Agent is to publish it on the Community Hub, where it’s visible to every Isa user. A private organization hub — where you can share Agents with colleagues in your organization without making them public — is planned.

Can I sell my Agents?

Not yet. In the future Isaree will enable anyone to monetize their Agents on the Community Hub marketplace.

Which languages does Scribe support?

Scribe language coverage depends on the models in its pipeline. Transcription is handled by the ASR model you select (on-device or ElevenLabs), and extraction is handled by your Primary Agent’s on-device model or OpenAI. The combined coverage is whatever those models support — check each model’s language capabilities.

Can I edit Scribe output before saving it?

Yes. Scribe writes its structured output into the Patient Chat for that patient, where you can review and correct it before relying on it.

How do I give feedback or report a bug?

The fastest channel is the Isaree Discord — both for bug reports and for product feedback.

Next

Troubleshooting

Common problems with Isa and how to fix them.

Hardware requirements

Which devices Isa runs on today.

Data and privacy

What you can put into Isa, where your data goes, and how it’s stored.