# ROOK vs Zus Health (slim)

> Zus Health scores 56.6 (C) to ROOK's 54.9 (C) for patient consent. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/rook-vs-zus-health.md (~2,250 tokens) · this version ~630 tokens · JSON https://www.anchorterminal.com/compare/rook-vs-zus-health.json · canonical https://www.anchorterminal.com/compare/rook-vs-zus-health
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

Zus Health scores 56.6 (C) on agent readiness against ROOK's 54.9 (C), and leads in 4 of 7 scored categories. ROOK leads on reliability, payments & pricing and maintenance & community. Both do patient consent.

- ROOK: C 54.9, rank #718 of 1076 · https://www.anchorterminal.com/tools/rook.min.md
- Zus Health: C 56.6, rank #669 of 1076 · https://www.anchorterminal.com/tools/zus-health.min.md
- ROOK, good for A wellness, insurance, corporate wellness or remote monitoring product that wants normalised wearable data pushed to its backend, with plan prices it can see up front. Ahead on Reliability, 75 against 66; Payments & pricing, 25 against 5; Maintenance & community, 73 against 64.
- Zus Health, good for US care organisations and digital health builders that want a shared, continuously refreshed patient profile in FHIR with EHR embedding. Ahead on Agent ergonomics, 67 against 49; Security & auth, 49 against 32.

| Category | ROOK | Zus Health |
| --- | --- | --- |
| Reliability (16%) | 75 | 66 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 74 | 77 |
| Agent ergonomics (13%) | 49 | 67 |
| Security & auth (14%) | 32 | 49 |
| Payments & pricing (10%) | 25 | 5 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 73 | 64 |
| Transparency & trust (7%) | 55 | 59 |

| Fact (where they differ) | ROOK | Zus Health |
| --- | --- | --- |
| Vendor | Rookeries Development Corp. | Zus Health, Inc. |
| Auth | API key | OAuth |
| Licence | Proprietary service under ROOK's Terms and Conditions for ROOK services | Proprietary service under the Zus Builder Terms of Service (last updated 11 March 2025), the Developer Sandbox Terms and the Zus Business Associate Addendum |
| Last release | 2026-10-07 | 2026-10-14 |
| Terms last updated | 2026-08-01 | 2025-03-11 |
| Privacy policy last updated | 2026-05-28 | 2026-06-24 |
| Terms restrict benchmarking | yes | not found in the text |
| Arbitration or class-action waiver | yes | not found in the text |