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BastionGPT

A HIPAA-compliant AI assistant and scribe for clinicians, with a signed BAA on every plan.

About BastionGPT

BastionGPT is a HIPAA-compliant AI assistant and medical scribe built for clinicians who want to use large language models on protected health information without the risk of consumer tools like ChatGPT. It gives access to multiple frontier models (GPT, Claude, and Gemini) in a private, isolated environment, with a signed Business Associate Agreement included on every plan, including the free trial. Alongside general clinical chat, it offers a full AI scribe that records or uploads sessions up to 240 minutes, identifies multiple speakers, and generates SOAP, DAP, BIRP, and progress notes, plus custom templates. It also reviews and summarizes long documents up to 1,000 pages, which suits assessment and report-heavy work. Pricing is per user per month, at $20 for Professional, $45 for Professional Plus, and $75 for Ultra, each with the BAA included. Built by FortaTech Security (Bastion Intelligence), it also supports Canadian PIPEDA and Australian APP privacy requirements.

What BastionGPT does

The features that actually matter for therapy practice.

Healthcare-grade AI assistant using GPT, Claude, and Gemini models on PHI without training public models

AI scribe with live recording or audio upload, sessions up to 240 minutes, up to 10 speakers

Generates SOAP, DAP, BIRP, H&P, and progress notes, plus custom templates matched to your style

Document review and summarization, up to 1,000 pages per document

Automatic model selection per task, with manual model choice on higher tiers

Signed BAA on every plan, including the free trial

AES-256 encryption at rest, TLS 1.3 in transit, third-party security audits

Works alongside your existing EMR by copy-paste, no installation

Honest assessment

What works and what does not, based on hands-on testing.

What works well

  • Signed BAA on every plan including the free trial, which is rare among AI tools
  • Access to multiple frontier models (GPT, Claude, Gemini) in one HIPAA-safe environment
  • Full-featured AI scribe with long sessions, multi-speaker support, and multiple note formats
  • Handles large documents (up to 1,000 pages), useful for assessments and report writing
  • Clear, published per-user pricing with no per-minute or overage billing
  • Strong security posture: AES-256, TLS 1.3, independent audits, Microsoft partnership
  • Also supports Canadian (PIPEDA) and Australian (APP) privacy regimes

Where it falls short

  • Not a full EHR or practice management tool, it works alongside your existing system by copy-paste rather than integrating directly
  • General clinical AI rather than therapy-specific, so it is broader than a dedicated therapy scribe
  • Per-user monthly cost adds up for larger teams, and some features (SSO, custom BAA) sit behind higher tiers
  • As with any clinical AI, output requires clinician review for accuracy
  • Short 7-day trial compared to some competitors

FAQ

Common questions about BastionGPT

  • How much does BastionGPT cost?

    BastionGPT starts at $20/month. Pricing tiers and any free trial are noted in the review above.
  • What is BastionGPT best for?

    A HIPAA-compliant AI assistant and scribe for clinicians, with a signed BAA on every plan.

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