Every family gets the same visit
Live English–Spanish interpretation in the room and on telehealth, with a family portal and home programs in eleven languages.
Built for SLP · OT · PT · ABA
Scheduling, notes, the family portal, and unlimited insurance claims in one platform — running in English and Spanish, on the web and on iPhone.
What Sefton does
Language, documentation, and the revenue cycle are one system here — not a base plan with two add-ons and a clearinghouse account you manage yourself. The full list is on the features page.
Live English–Spanish interpretation in the room and on telehealth, with a family portal and home programs in eleven languages.
Sefton writes the note while you talk and suggests the codes — nothing is signed, coded, or billed without your yes.
Scrubbing, ERA posting, prior auth, and drafted appeals are included — no per-claim fees and no share of what you collect.
The Sefton app
The same system as the desktop, on your phone, and a portal the family actually uses. Tap a feature to see its screen.





Coming soon to the App Store.
The microphone in the tab bar books visits, signs notes, and files claims by voice, with spoken confirmation before anything is sent.
Record the session, generate the codes, submit to billing. Nothing is signed, coded, or billed without your yes.
Claims, prior auth, AR aging, and ERAs on one screen. Send to insurance from your phone; scrubbing, resubmission, and posting are included.
Sessions today, notes ready to submit, and messages that need you, the moment you open the app.
The directory with each family's coverage at a glance, plus individual-rights requests and referral records logged with their 30-day clock.
Interpreter, credentials, locations, payer participation, and data import live in Settings, in English or Spanish.





Coming soon to the App Store.
Families write in their language and clinicians read it in theirs; replies come back translated. No interpreter needed for the everyday questions.
The plan of care and each therapy goal with its progress, on the family's phone, with progress pulled in from Apple Health when they allow it.
Every screen, reminder, and daily check-off in the language the family reads, in Spanish, Haitian Creole, Tagalog, and eight more, with the clinician's exercises exactly as written.
Upcoming visits with a join button for telehealth, live captions, and an interpreter when the visit needs one.
What insurance covered, what is owed, and paying online from the phone.
Families can ask for their records, amendments, or an export, and see the 30-day clock the practice is held to.
What it costs
Flat per therapist, per month. Your bill grows with providers — never with your patient count, claim volume, or the languages your families speak.
$99 / therapist / month
For cash-pay and superbill practices.
The whole practice: scheduling, AI documentation, Sefton Voice, telehealth with interpretation, the family portal, superbills, CMS-1500s, and Good Faith Estimates.
$179 / therapist / month
For practices that bill insurance.
Everything in Core plus the full revenue cycle — electronic claims, eligibility checks, ERA auto-posting, prior auth, AR aging, and AI-drafted appeals. Three therapists are $537 a month; rates drop for teams of six or more.
A billing service at 6% of collections, on $15,000 a month.
A typical all-in-one once you add insurance, AI notes, and group telehealth — before the clearinghouse account.
Sefton Complete. All of the above, plus live interpretation, at one price.
List prices as published July 2026; verify current pricing on those sites. At an average reimbursement near $85 a visit, two visits a month pays for Sefton Complete. Full plan detail on the pricing page.
How Sefton handles PHI
Four commitments you can check, not four badges. Read the full posture in the security center.
No customer record, note, or recording is used for model training, by us or by a vendor.
Voice runs only on BAA-covered, HIPAA-eligible cloud services, and dictation audio is deleted after transcription — held briefly for processing, never retained long-term.
A code, a claim, a signature — nothing leaves the building until you approve it.
At rest and in transit, with PHI-aware audit logging, a BAA on request, and export whenever you leave.
Bring your caseload in from a CSV export, see Sefton Voice and interpreted care working together, and bill a real claim before you decide.