Heidi Health Alternative: BastionGPT vs Heidi Health (2026)

Price — by a wide margin

Heidi Health restructured its plans in early 2026, so older reviews citing a $99 Pro plan are out of date. Heidi's current US lineup: a free tier, Evidence Plus at $40 per user per month ($30 billed annually), Clinician at $150 per user per month ($110 billed annually), Practice at $180 per user per month (annual billing only), and custom Enterprise pricing. Full individual access, including unlimited Ask Heidi and advanced templates, starts at the Clinician plan.

BastionGPT Professional starts at $20 per user per month. Professional Plus, the closest match to Heidi's Clinician tier, costs $45 and includes the full AI assistant, multi-document analysis, image and spreadsheet reading, and manual model selection. Prices have held steady for over two years, and annual billing includes a free month.

The math for a five-clinician practice: Heidi Clinician runs $9,000 per year at monthly billing ($150 x 5 x 12). BastionGPT Professional Plus runs $2,700 ($45 x 5 x 12). That is a difference of $6,300 per year, or $3,900 if both are billed annually.

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A scribe that knows who is speaking

BastionGPT's AI Scribe is included on every plan with no note caps or credits: record live or upload audio, capture sessions up to 240 minutes, and let speaker diarization separate up to 10 speakers while the AI labels each speaker's name and role — clinician, patient, or parent — in the transcript. Couples, family, and group sessions are included on every plan. Heidi supports multi-speaker recognition, but publishes neither a speaker count nor per-speaker labeling details, which matters for behavioral health teams documenting group work.

Accuracy is documented, not asserted: BastionGPT cites 99.3% sentence-level accuracy on clinical documentation tasks from a peer-reviewed study by Baylor College of Medicine and Texas Children's Hospital researchers. Heidi's published research covers documentation time savings; it publishes no equivalent accuracy rate.

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Note flexibility

BastionGPT produces SOAP, Detailed SOAP, DAP, BIRP, H&P, and progress notes, and a Custom Note tab accepts any free-form prompt per recording: narrative formats, parent-friendly summaries, forensic documentation, and other specialty outputs. You can also upload example notes so BastionGPT matches your writing style and formatting.

Heidi generates notes from standard templates on every tier, with a community template library. On the free tier, custom templates draw from the same 10-credit monthly pool as documents and Ask Heidi.

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A full AI assistant, not just a Q&A tool

Ask Heidi works inside a session: it edits the note, creates session documents such as referral letters and discharge summaries, and answers clinical questions with citations. It is also metered. Free users get 10 credits per month across advanced features, Evidence Plus caps advanced queries at 10 per week, and unlimited access starts at the $150 Clinician plan, per Heidi's help center.

BastionGPT includes an unlimited general AI assistant on every plan. Clinicians use it to draft referral letters, insurance appeal letters, treatment plans, and patient education materials; review documentation for incorrect names, pronouns, vague language, and suspected under- or over-coding; and analyze lab summaries and spreadsheets.

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Reads the records your practice receives

This is the widest gap between the two platforms.

On Professional Plus and Ultra plans, BastionGPT reads 10+ documents at once, up to 1,000+ pages of combined context. Supported formats include PDF, Word, Excel, CSV, PowerPoint, HTML, plain text, and JPG or PNG images, including scanned PDFs, charts, and graphs. A clinician can upload a full patient history, a psychological evaluation, and records from multiple providers, then query, summarize, and cross-reference all of it in one conversation. The Professional plan covers a single PDF, Word, or text document up to 30 pages.

Heidi accepts PDF, Word, JPG, and PNG attachments as session context. It publishes no page limit; the practical constraint is a per-file size cap of roughly 20MB, which clinicians on Heidi's public feature-request board report hitting with scanned records in the 20 to 25 page range, splitting 100+ page documents by hand to work around it. Spreadsheets are unsupported, template example uploads are capped at 5 files, and new sessions automatically link only the 3 most recent past sessions.

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AI models you can see and choose

BastionGPT names its engines: licensed and HIPAA-compliant versions of the latest GPT, Claude, and Gemini models. Every plan selects the best model for each task automatically, and Professional Plus adds manual model selection plus early access to new models as they ship. Model quality drives note quality, and naming the models lets you verify exactly what is reading your records.

Heidi Health does not disclose which foundation models power its product.

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Saved Prompts for teams

BastionGPT includes a Saved Prompts library with folder organization and team sharing on every plan. A practice can standardize documentation by sharing one vetted prompt set across all providers and inserting any prompt into a chat with a slash command. Heidi offers snippets and templates, and gates team template sharing to its Practice and Enterprise plans.

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A signed BAA on every plan

BastionGPT enters a signed Business Associate Agreement with every customer on every plan, including the free trial, and supports HIPAA, 42 CFR Part 2, FERPA, PIPEDA, PHIPA, and Australian APP requirements. Data is encrypted with AES-256 at rest and TLS in transit, runs on HITRUST CSF certified and SOC 2 Type II attested Microsoft Azure infrastructure, and is independently penetration tested at least annually. In three years serving more than 10,000 healthcare organizations, BastionGPT has had zero breaches of protected health information.

Heidi states that it executes BAAs when it processes PHI on behalf of covered entities, and its help center lists an organization-wide BAA as an Enterprise plan feature. A self-serve BAA process for individual clinicians is not published. For a solo practitioner, that difference matters on day one.

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User ratings on independent review sites

BastionGPT holds a 4.8 out of 5 average across the three major verified B2B review directories: Capterra, Software Advice, and GetApp. Reviewers most often cite time saved on documentation and the freedom to use AI on real cases because data protection is built in.

Heidi Health holds a 3.3 out of 5 rating on Trustpilot across more than 480 reviews as of June 2026. Recent Trustpilot reviews most frequently report lost recordings, dropped sessions, and slow support responses, while positive reviews praise speed and reduced after-hours charting.

Ratings shift over time, so this page cites the source and date for each figure. The links in the sources section lead to the live numbers.

BastionGPT assists with documentation and analysis. Clinicians review and approve all AI-generated output; it does not replace professional judgment.

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