BastionGPT is a private, healthcare-grade alternative to ChatGPT built for clinicians who handle protected health information (PHI). It wraps the same frontier models everyone else uses behind HIPAA-compliant infrastructure, a signed Business Associate Agreement, and a hard guarantee that PHI is never sent to the model providers or used for training. Built by Bastion Intelligence (FortaTech Security, LLC), it is aimed squarely at doctors, therapists, and health organizations that want modern AI without the compliance risk of pasting patient data into a consumer chatbot.
What it does
- AI medical scribe: ambient transcription of a visit (up to 240 minutes, ~10 participants), with multi-speaker identification by acoustic fingerprinting.
- Clinical notes: drafts SOAP, DAP, BIRP, and H&P notes, referral and appeal letters, discharge summaries, and patient-education material.
- Document analysis: ingests up to 1,000+ pages (with OCR for scans), reviews for coding errors, analyzes images, charts, and graphs.
- Custom templates: learns a clinician's format and writing style so output matches house style.
- Fits existing workflow: copy-paste into 50+ EMR/EHR systems (Epic, Cerner, Athena, SimplePractice) with no IT install, plus Zoom/Teams/Meet capture.
For business people
The problem it solves is narrow and real: clinicians waste hours on documentation, and the obvious fix, ChatGPT, is a HIPAA violation waiting to happen the moment PHI is pasted in. BastionGPT removes that objection. Every plan, including the free trial, comes with a signed BAA, so a practice can use frontier AI without carrying the compliance liability itself.
- Where it fits: solo therapists and physicians up to large health systems. The pitch is time saved on notes, letters, and summaries, work that is high-volume and low-judgment.
- Cost shape: per-seat SaaS, $20 to $75 per user per month (see pricing below). Cheap relative to a clinician's hourly value if it genuinely saves an hour a day.
- The claims to sanity-check: BastionGPT advertises ~6 hours saved per clinician per week, 99.3% documentation accuracy (attributed to a peer-reviewed Baylor / Texas Children's study), and a customer list naming Mayo Clinic, Stanford Medicine, Cleveland Clinic, and others. Treat vendor metrics and logo walls as marketing until verified in your own pilot.
- When to choose it: when you want a broad, secure AI assistant across clinical and admin tasks. If you only need ambient scribing, the dedicated scribes (below) may fit better.
For technical people
BastionGPT is essentially a compliance and orchestration layer over third-party LLMs. As of mid-2026 it routes across OpenAI (GPT-5.5), Anthropic (Claude Sonnet), and Google (Gemini 3 Pro), auto-selecting per task, with manual model choice on the Plus plan.
The security posture is the actual product:
- Hosting: Microsoft Azure HIPAA-compliant infrastructure, data held in a private, isolated environment separate from the public models.
- Encryption: AES-256 at rest, TLS 1.3 in transit.
- Data handling: PHI is never shared with the model providers, never used for model training, and never sold. Customers retain full ownership of their data.
- Compliance: HIPAA with BAA on all plans, plus PIPEDA (Canada), FERPA, and the Australian Privacy Principles. Independent third-party audits, Qualys Secured, and Microsoft Partner status.
The integration model is deliberately low-friction: no EMR plugin to certify, just copy-paste and a browser, which is how they onboard a clinician in "60 seconds" without hospital IT in the loop. The trade-off is that it is a companion tool beside the EMR, not an embedded one, so it does not write back into the chart automatically.
Pricing
| Plan | Price (per user/mo) | For |
|---|---|---|
| Professional | $20 | Single documents up to 30 pages, HIPAA-secure chat + AI Scribe |
| Professional Plus | $45 | Multi-document up to 1,000+ pages, image/chart analysis, early model access, system-wide instructions |
| Ultra | $75 | 100+ user minimum, SSO, custom BAA and security config, dedicated CSM, usage analytics |
A 7-day free trial of Professional includes the BAA and a money-back guarantee.
How it compares
BastionGPT sits between two categories. Against consumer AI (ChatGPT, Claude, Gemini) it trades raw capability for compliance you can actually deploy in a clinic. Against the dedicated ambient scribes, Abridge, Nuance DAX Copilot, Suki, and Freed, it is broader (a full secure AI assistant, not only a scribe) but shallower on deep EMR write-back and enterprise voice workflows. The dedicated scribes integrate directly into the chart; BastionGPT wins on breadth, price, and speed to deploy.
My take
The interesting thing here is not the AI, it is the wrapper. BastionGPT is a clean template for selling frontier models into a regulated buyer: take GPT / Claude / Gemini, host on Azure, sign a BAA, guarantee no-training and data isolation, and the compliance objection that blocks every enterprise AI deal disappears. The healthcare specifics (SOAP notes, ambient scribing) are the wedge, but the pattern generalizes to any compliance-heavy industry. For anyone selling AI into enterprises, this is worth studying as a go-to-market model, not just a product. The caveat is the same as with any thin wrapper: the moat is the compliance and workflow, not the intelligence, so pricing power depends on trust and switching cost, not on the model, which anyone can license.
Further Reading / Sources
