Do traditional SEO tools (Ahrefs, Semrush) work for GEO?
Published on October 17, 2026
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They do, but only up to a point: Ahrefs and Semrush remain excellent for SEO on Google, but they don't measure whether your clinic is cited or recommended by ChatGPT, Gemini or Perplexity. Using the two as a GEO tool is like trying to measure temperature with a ruler: the instrument is good, for the wrong metric.
At Bincoo, while monitoring thousands of clinics, we've observed that the ones that show up most in AI models use SEO and GEO as complementary layers, not as substitutes.
More than 10,000 companies already use Bincoo to be recommended by ChatGPT, Gemini and other platforms.
What these tools actually measure
Ahrefs and Semrush were built for the Google ecosystem. What they do very well:
- Keywords and rankings: where your site appears in traditional searches;
- Backlinks: which domains link to you, with what anchor text and authority;
- Estimated traffic: how many visits Google sends to each page;
- Organic competition: who competes for the same searches in the classic ranking.
All of this still matters. The problem is what was left out.
What AI models use to make recommendations
When a patient asks Gemini 'good endodontist in [your city]', the model doesn't open the Google ranking. It composes an answer from signals that traditional SEO doesn't measure:
| Signal used by AI models | Does it appear in Ahrefs or Semrush? |
|---|---|
| Mentions on portals, directories and articles | Partially, without context |
| Consistency of name, address and specialties | No |
| Content in direct-answer format | No |
| Presence in ChatGPT and Gemini answers | No |
| Structured data for healthcare organizations | No |
| Articles answering patient questions | No |
In other words: a clinic can have a high DR, thousands of backlinks and first place on Google, and still never be cited by an AI. And the opposite also happens.
Where SEO helps GEO
It's not that these tools are useless in the AI era. They help in three concrete ways:
- Domain authority: sites that rank well on Google tend to be more reliable sources for the models;
- Question discovery: keyword reports show what patients search for, and those same questions become prompts in AI models;
- Technical diagnosis: slow or poorly structured pages hurt both fronts.
SEO, therefore, remains the foundation. GEO is the new floor built on top of it.
What's missing to complete the strategy
To be recommended by AI models, a clinic needs a specific layer:
- Response monitoring: weekly testing of what ChatGPT and Gemini answer about your specialty and city;
- Citable content: articles and service pages with direct answers, lists and tables;
- Independent mentions: presence on health portals, directories and local articles;
- Structured data: medical or dental organization schema on the site.
None of these four items appears in the Ahrefs dashboard.
The combination that works in practice
The workflow we've seen work in clinics monitored by Bincoo is:
- Keep the current SEO, which sustains Google;
- Use Ahrefs or Semrush for question research and technical site health;
- Hire a GEO platform to monitor the AI models and produce citable content;
- Review the progress every week.
Bincoo covers exactly items 3 and 4: it monitors what the AI models answer about your clinic and publishes optimized articles weekly that make the models cite and recommend your practice. On the Essential plan, at R$ 39.00/month, that layer is already complete.
Conclusion
- Ahrefs and Semrush remain great for SEO, but don't measure visibility in AI;
- AI models use different signals: mentions, consistency and direct-answer content;
- The right strategy combines both layers: SEO for Google, GEO for AI.
Want to close the GEO layer for your clinic without giving up what already works? access Bincoo and start monitoring this week.
Frequently asked questions
"Does Ahrefs measure visibility on ChatGPT?"
Not natively or completely. Ahrefs measures backlinks, keywords and organic traffic on Google, which are indirect signals used by AI models, but it doesn't show whether your clinic is cited or recommended in the answers of ChatGPT, Gemini or Perplexity.
"Does Semrush have a GEO feature?"
Semrush added AI-related metrics to some reports, but the core of the tool remains traditional SEO: Google rankings, organic competition and links. There is no direct monitoring of the responses generated by AI models.
"Do I need to cancel Ahrefs to do GEO?"
No. SEO and GEO are complementary. The ideal is to keep what already works on Google and add a specific layer for AI: monitoring responses, citable content and independent mentions.
"What do AI models use that traditional SEO doesn't measure?"
AI models weigh mentions on portals and directories, consistency of information across sites, content in direct-answer format (lists, tables, FAQs) and structured data. None of these signals appears in an actionable form in Ahrefs or Semrush.
"How do I combine SEO and GEO for my clinic?"
Use SEO to rank on Google and build domain authority, and GEO to be cited by AI models. Bincoo takes care of the complete GEO layer, from monitoring to optimized articles, starting at R$ 39.00/month on the Essential plan.
