AI Healthcare
Upheal AI vs Blueprint
Upheal and Blueprint are the closest match among AI-native therapy platforms, both offering a free EHR tier alongside usage-based AI pricing. The real differences show up in the details: cost ceilings, recording retention, and how each tracks client progress. This comparison weighs those specifics to help you choose.
Reviewed by Ahsan Javaid Last reviewed
AI Healthcare
Blueprint
Quick Verdict
Upheal fits providers wanting a predictable monthly cost ceiling and control over session recordings, while Blueprint fits those wanting a completely free EHR core and are comfortable with uncapped, per-session AI pricing.
Upheal and Blueprint are the closest match of any Upheal comparison so far, since both are AI-native platforms offering a free EHR tier and usage-based AI pricing. The real difference is in the details. Upheal's Premium plan caps at $69 a month regardless of session volume, and clinicians can choose to retain session recordings for supervision. Blueprint's Core EHR is free with no caps at all, but its AI pricing has no monthly ceiling, so cost rises linearly at $0.99 or $1.49 per session, and recordings are deleted after transcription by default. Blueprint's progress tracking leans on completed assessments, while Upheal's Golden Thread draws continuously from note content. Readers can also browse AIToolister's AI Healthcare category for related tools.
Upheal AI
Best for a predictable, capped monthly cost
Choose Upheal if you want usage-based pricing that stops increasing past $69 a month, regardless of session volume.
Blueprint
Best for a completely free, uncapped EHR core
Choose Blueprint if you want free scheduling, billing, and telehealth with no session caps, and don't mind uncapped per-session AI pricing.
At a Glance
| Feature | Upheal AI | Blueprint |
|---|---|---|
| Pricing | Upheal AI Freemium | Blueprint Freemium |
| Starting Price | Upheal AI $1 per session, capped at $69 per month | Blueprint $0.99 per session |
| Free Trial | Upheal AI Yes | Blueprint Not listed |
| API Available | Upheal AI Yes | Blueprint Not listed |
| Best For | Upheal AI Individual therapists and group mental health practices that want AI-generated therapy notes combined with scheduling, telehealth, and billing in one platform | Blueprint Therapists with variable or part-time caseloads who want a free all-in-one EHR paired with pay-per-session AI documentation |
| Use Cases | Upheal AI Generate AI therapy notes from live or recorded sessions, Draft AI treatment plans with progress tracking, Hold HIPAA-compliant telehealth sessions, Capture in-person session audio for documentation, Manage scheduling, intake forms, and client billing | Blueprint Generate AI-drafted progress notes and treatment plans from sessions, Use Blueprint's AI Assistant alongside an existing EHR, Run scheduling, telehealth, and billing from Blueprint's built-in EHR, Track client progress with built-in outcome measures, Draft referral letters and other clinical documents |
| Category | Upheal AI AI Healthcare | Blueprint AI Healthcare |
Key Features Comparison
| Feature | Upheal AI | Blueprint |
|---|---|---|
| Pricing Structure and Cost Ceiling |
Tool A
Upheal AI Upheal's Premium plan is usage-based at $1 per session but caps at $69 a month per provider, creating a predictable ceiling regardless of caseload size. |
Tool B
Blueprint Blueprint charges $0.99 per session for AI documentation alongside an existing EHR, or $1.49 per session for its all-in-one EHR, with no monthly cap, so cost rises linearly with session volume. |
| Free EHR Core |
Tool A
Upheal AI Upheal offers a genuine free plan with unlimited AI-generated notes, though its broader practice-management features are concentrated in the paid Premium tier. |
Tool B
Blueprint Blueprint's Core EHR is entirely free with no session or client caps, including scheduling, telehealth, billing, and insurance claims, with payment charged only for the separate AI layer. |
| AI Documentation and Note Formats |
Tool A
Upheal AI Upheal's Premium plan supports SOAP, DAP, GIRP, BIRP, EMDR, PIRP, SIRP, PIE, psychiatry, and Headway-compliant note formats, with full session transcripts included. |
Tool B
Blueprint Blueprint generates custom and specialty note formats including a distinctive Couples SOAP note that automatically produces separate notes for each partner plus a joint process note. |
| Progress Tracking Approach |
Tool A
Upheal AI Upheal's Golden Thread feature tracks client progress session-to-session as part of its AI Treatment Plans, drawing directly from note content over time. |
Tool B
Blueprint Blueprint's progress tracking is primarily questionnaire-driven, so visibility depends on when structured assessments are completed rather than continuous note-based tracking. |
| Session Recording Retention |
Tool A
Upheal AI Upheal gives clinicians control over session recordings, allowing them to be retained for supervision, clinical review, or training rather than deleted automatically. |
Tool B
Blueprint Blueprint deletes session recordings after transcription by default, which limits their use for later supervision or peer consultation compared to Upheal's retention options. |
| EHR Integration vs Standalone Use |
Tool A
Upheal AI Upheal can run as a practice's primary EHR or alongside an existing one, with AI-powered migration importing clients and notes directly from SimplePractice. |
Tool B
Blueprint Blueprint explicitly supports both models too, working alongside EHRs like SimplePractice, TherapyNotes, Headway, or Alma, or replacing them entirely through its own free Core EHR. |
| Compliance and Security |
Tool A
Upheal AI Upheal publishes HIPAA, PHIPA and PIPEDA, GDPR and DPA, and SOC 2 compliance, alongside continuous external security testing across its platform. |
Tool B
Blueprint Blueprint is HIPAA and PHIPA compliant and SOC 2 Type II certified, with a signed BAA available, matching Upheal's compliance posture closely. |
Pros & Cons
Pros & Cons
Upheal AI
Pros
- Premium pricing is capped at $69 a month, giving high-volume providers a predictable ceiling
- Session recordings can be retained for supervision or clinical review rather than deleted automatically
- Golden Thread treatment plans track progress continuously from note content
- Genuine free plan with unlimited notes for lighter caseloads
Cons
- Insurance billing is still rolling out and not yet fully live everywhere
- Broader practice-management depth is concentrated in the paid tier rather than the free plan
- Multiple providers cannot share a single Upheal account
Blueprint
Pros
- Core EHR is completely free with no session or client caps at all
- Distinctive Couples SOAP note automatically splits into per-partner and joint notes
- SOC 2 Type II certification and a signed BAA match strong enterprise compliance expectations
- No monthly contract, with session credits that never expire
Cons
- No monthly cost cap, so per-session pricing scales linearly with caseload size
- Session recordings are deleted after transcription by default
- Progress tracking depends on completed assessments rather than continuous note-based tracking
Decision Guidance
Who Should Choose Upheal AI or Blueprint?
Upheal AI
Upheal fits best if you want a predictable monthly cost ceiling and control over whether session recordings are kept or deleted.
Choose Upheal AI if...
- You want usage-based pricing that stops increasing past $69 a month
- You want to retain session recordings for supervision or review
- You want continuous, note-based progress tracking through Golden Thread
- You're comfortable with insurance billing still rolling out
Blueprint
Blueprint fits best if you want a completely free EHR core and don't mind per-session AI pricing with no monthly cap.
Choose Blueprint if...
- You want a genuinely free, uncapped EHR for scheduling, billing, and telehealth
- You're comfortable with per-session pricing that scales with your caseload
- You don't need to retain session recordings after transcription
- You want the option to use Blueprint either standalone or alongside your EHR
Frequently Asked Questions
Frequently Asked Questions
Is Upheal or Blueprint better overall in 2026?
Neither is a universal winner, and this is one of the closest comparisons among AI-native therapy EHRs. Upheal is the stronger pick if a predictable, capped monthly cost and the ability to retain session recordings matter to you. Blueprint is the stronger pick if a completely free, uncapped EHR core matters more than a spending ceiling on the AI layer.
Which is cheaper, Upheal or Blueprint?
It depends on session volume. Upheal's Premium plan is usage-based at $1 per session but caps at $69 a month, so high-volume providers pay the same ceiling regardless of caseload. Blueprint charges $0.99 or $1.49 per session with no monthly cap, so a busy provider running 80 to 100 sessions a month could pay noticeably more than Upheal's capped rate.
Does Blueprint have a free plan like Upheal?
Yes, and Blueprint's free tier is arguably more generous for practice management. Its Core EHR is completely free with no session or client caps, including scheduling, telehealth, billing, and insurance claims. Upheal's free plan focuses on unlimited AI notes, with broader practice-management depth concentrated in its paid Premium tier.
What happens to session recordings on each platform?
This is a meaningful difference. Upheal gives clinicians control over session recordings, allowing them to be retained for supervision, clinical review, or training. Blueprint deletes session recordings after transcription by default, which limits their use for later peer consultation or supervision.
How do the two platforms track client progress?
Differently. Upheal's Golden Thread feature tracks progress continuously by drawing from note content session-to-session. Blueprint's progress tracking is primarily questionnaire-driven, so visibility depends on when structured assessments are completed rather than continuous note-based tracking.
Can either platform work alongside an existing EHR?
Yes, both support this. Upheal can run alongside an existing EHR or serve as a practice's primary system, with AI-powered migration from SimplePractice. Blueprint explicitly supports working alongside EHRs like AIToolister's SimplePractice, TherapyNotes, Headway, or Alma, or replacing them entirely through its own free Core EHR.
Which has stronger compliance and security certifications?
Both have a strong, closely matched compliance posture. Upheal publishes HIPAA, PHIPA and PIPEDA, GDPR and DPA, and SOC 2 compliance. Blueprint is HIPAA and PHIPA compliant and SOC 2 Type II certified, with a signed BAA available, making this one of the more evenly matched dimensions between the two.
How does Mentalyc compare to Upheal and Blueprint?
Mentalyc takes a narrower approach than either platform, focusing purely on modality-specific AI documentation rather than a full EHR. AIToolister's Mentalyc review covers that documentation-only alternative in more depth.
Methodology
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