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Both BastionGPT and Freed are HIPAA-compliant AI medical scribes designed to reduce documentation time for clinicians. They share a similar promise — turn recorded patient encounters into structured clinical notes — but they serve different types of practices with meaningfully different capabilities.
This comparison covers pricing, note types, compliance, document handling, and the AI features that extend beyond basic transcription, so you can decide which tool fits your clinical workflow before committing to a trial.
Freed is a scribe. BastionGPT is a scribe and a full generative AI assistant. After the visit note is done, BastionGPT can draft the referral letter, write the insurance appeal, generate patient education materials, and summarize the records from the last provider — all within the same HIPAA-compliant platform. That means fewer tools, fewer subscriptions, and no copy-pasting patient data between applications.
Freed accepts audio files. BastionGPT accepts PDFs, Word documents, Excel spreadsheets, PowerPoint presentations, and images in addition to audio. On the Professional Plus plan, you can upload and analyze documents up to 150,000 words — a full patient history, a multi-hundred-page psychological evaluation, or a stack of records from a referring provider. That document capacity is built for the clinicians whose work goes well beyond the visit encounter.
BastionGPT produces SOAP, Detailed SOAP, DAP, BIRP, and Summary notes from every recording. It also includes a Custom Note tab that accepts any free-form prompt, so therapists documenting crisis episodes, school psychologists writing eligibility reports, and forensic clinicians producing narrative documentation can define exactly what they need. Freed supports SOAP and provider-trained templates, but does not offer BIRP or open-ended custom prompting.
Freed's entry plan caps clinicians at 40 notes per month. A full-time provider in a busy outpatient practice can hit that ceiling in a week. Unlimited usage on Freed costs $119/month. BastionGPT includes unlimited transcription and unlimited AI assistant usage on the $20/month Professional plan — no tier upgrade needed.
Consumer AI platforms frequently block or flag language related to trauma, substance use, abuse, sexual health, and crisis documentation. BastionGPT is built for healthcare, with content filtering calibrated for clinical language. Behavioral health providers, forensic clinicians, and any specialty that regularly documents sensitive topics can work without false flags interrupting their workflow. BastionGPT has been reviewed by the American Psychological Association and exhibited at the APA 2025 Annual Conference.
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"The HIPAA compliance is a huge time saver because I do not have to take out identifying information."
"We love that we found a tool that actually makes our work better, not just faster."
"The efficiency gains have been substantial enough that I can serve more people without sacrificing quality."
Every tool here does one thing well. No clutter, no confusion, just what works.
BastionGPT is better suited for mental health documentation. It supports BIRP and DAP notes, includes healthcare-appropriate content filtering for sensitive clinical language, and offers a full AI assistant for treatment plans, progress summaries, and insurance appeals. Freed focuses on visit transcription only.
Yes. Both BastionGPT and Freed include a BAA and are HIPAA compliant. BastionGPT additionally supports FERPA, PIPEDA, PHIPA, and Australian Privacy Principles for practices operating in education, Canada, or Australia.
No. Freed supports audio transcription only. BastionGPT supports PDF, Word, Excel, PowerPoint, and image uploads — up to 150,000 words on the Professional Plus plan.
BastionGPT starts at $20/user/month with unlimited transcription and full AI assistant access. Freed starts at $39/month but caps notes at 40 per month. Unlimited usage on Freed requires the $119/month tier.
No. BastionGPT is compatible with all major EHR systems including Epic, Oracle Health, Allscripts, Meditech, Practice Fusion, TherapyNotes, and TheraNest through copy/paste or document upload — no IT setup required.