Doximity Alternative: BastionGPT vs Doximity (2026)

Open to your whole team, with no membership gate

Doximity membership requires verification as a U.S. healthcare professional, and its free Scribe is advertised for physicians, NPs, PAs, and medical students. Much of the documentation load in a real practice sits outside that list: the therapists and counselors writing session notes, the practice manager drafting policy updates, the front office answering patient messages, and the billing team assembling appeals. BastionGPT is available to every one of them. Any healthcare professional and their staff can subscribe, each user works under the same signed BAA, and there is no verification queue between signing up and working. Practices standardize one tool across clinical and administrative roles instead of splitting workflows by who qualifies for what.

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Built for the United States, Canada, and Australia

Doximity says its services are intended for U.S. users. BastionGPT serves the United States, Canada, and Australia with data residency based on billing geography: U.S. customers default to U.S. processing, Canadian customers to Canadian processing, and Australian customers to Australian processing. Compliance coverage extends past HIPAA to PIPEDA and PHIPA in Canada and the Australian Privacy Principles, alongside 42 CFR Part 2 for substance use records and FERPA for school-based providers. For a Canadian or Australian clinic, BastionGPT is a clinical AI option that Doximity's membership model does not reach.

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Four-hour sessions with every voice labeled

Doximity Scribe's published limit is 140 minutes per session, and Doximity's Dialer Scribe documentation states that added participants and interpreters are not currently supported. BastionGPT's included scribe captures sessions up to 240 minutes, about 71% more recording time, and identifies up to 10 speakers with automatic name and role labeling (clinician, patient, parent, interpreter) in the transcript. That difference decides real encounters: group therapy, couples and family sessions, care conferences with several relatives, multidisciplinary rounds, and long intake or neuropsychological assessments all produce a transcript that reads like a script, and the note attributes each statement to the right person.

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Behavioral health documentation out of the box

Doximity's published template list covers SOAP, H&P, progress, consult, procedure, and dictation notes plus custom templates; DAP and BIRP are not on it. BastionGPT ships DAP, BIRP, SOAP, Detailed SOAP, H&P, and progress formats out of the box, drafts treatment plans and intake summaries, matches your writing style from sample notes, and handles sensitive clinical topics such as self-harm and abuse with clinical grounding. Combined with 10-speaker labeling for group and family work and 42 CFR Part 2 coverage on every plan, this is why therapists, psychologists, counselors, and psychiatric providers make up the largest share of BastionGPT's user base.

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Analyzes the whole chart: 10+ documents, 1,000+ pages

Doximity Ask accepts document uploads, and its public documentation does not state a page capacity. BastionGPT publishes its numbers: Professional Plus and Ultra read 10+ documents at once with 1,000+ pages of combined context, across PDF, Word, Excel, CSV, PowerPoint, HTML, and scanned images with OCR. A clinician can load three years of records from multiple providers, a psychological evaluation, and an insurance denial into one conversation, then summarize, cross-reference, and draft the appeal. Pre-visit chart review, disability and utilization packets, legal-medical chronologies, and policy comparisons are the work this capacity exists for.

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Named frontier models, chosen by you

Doximity's published materials do not offer user model selection in Ask. BastionGPT names its lineup: licensed, HIPAA-compliant versions of the latest GPT, Claude, and Gemini models, with automatic routing on every plan and manual selection on Professional Plus and Ultra. Model choice earns its keep in clinical work: many professionals prefer Claude's writing voice for narrative and patient-facing text, and running the same question through a second frontier model is the fastest check on an answer you are about to rely on.

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You control the reference material

BastionGPT includes no live web search, by design: answers draw on the models plus the documents you upload, so your organization decides which guidelines, payer policies, CMS bulletins, and internal protocols the AI treats as authoritative, and prompts stay inside the BAA-covered environment rather than becoming search queries. Doximity Ask takes the opposite approach, searching medical literature and returning cited sources, which is convenient for quick lookups. The two designs fit different governance postures; if your compliance team wants an approved-source workflow, that is the workflow BastionGPT was built around. The tradeoff is honest work: someone on your team keeps the reference documents current.

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A subscription with one paying customer: you

BastionGPT is paid software from Bastion Intelligence, a healthcare AI and security company founded in Dallas, Texas in 2018. You pay $20 to $75 per user per month, and the terms are the product: customer data is never sold or used to train AI models, chats and transcripts stay under your control, and the BAA is active from the first trial prompt. Doximity's AI tools are free to eligible members because they sit inside a different business: Doximity's privacy policy describes advertising, sponsored content, and commercial-client insights, states that the company may collect and retain prompts and other AI inputs, and states that insights derived from how members use its features (though not the submitted prompts themselves) may be associated with member-record details such as name, NPI, specialty, and ZIP code. None of that means Doximity sells prompts or PHI, and this page makes no such claim. It does mean the two products are funded differently, and buyers who weigh that difference should read both privacy policies and decide which model they want their documentation workflow living inside.

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Peer-reviewed accuracy evidence and a clean record

BastionGPT achieved 99.3% sentence-level accuracy on clinical documentation in a peer-reviewed study by Baylor College of Medicine and Texas Children's Hospital researchers, published in Critical Care Explorations in 2026. The platform has served more than 10,000 healthcare professionals since 2023 with zero reportable PHI breaches, runs exclusively on HITRUST CSF certified and SOC 2 Type II attested infrastructure while pursuing its own SOC 2 Type II attestation and HITRUST CSF certification, and backs a 99.90% uptime guarantee with human support by email, chat, phone, and video on every plan. Verified users rate BastionGPT 5.0/5 on G2 and 4.8/5 on Capterra.