Real-time bilingual care,from the first visit to a clean claim.
Sefton is the clinical operating system for SLP, OT, PT, and ABA practices —
scheduling, notes, families, and billing in one place, in your patients' language.
No credit card · No contract · Import from your current EHR
Available on
Web
iPhone
iPad
HIPAA compliance support · BAA available · Your data never trains AI models
sefton.health
The platform
What the all-in-ones can't match
An assistant you can talk to, real-time interpreted bilingual care, therapy-native
workflows, and unmetered billing — connected on web and iOS, not stitched together
from separate tools.
Sefton Voice
Talk to your practice
"Book Maria Tuesday at three." Sefton finds the patient, checks the slot, reads the booking back, and waits for your yes. It drafts your note while you talk, suggests the codes with confidence scores, files the claim when you confirm — and signs the note with a spoken attestation.
Books visits, submits claims, and signs notes by voice — always confirming before it acts
Works in English and Spanish, hands-free or hold-to-talk
Privacy mode never speaks a patient’s name out loud
Nothing is coded, billed, or signed unattended — you have the final word, every time
Language access
The other half of your caseload finally gets the same visit
Live English–Spanish interpretation in telehealth and in the room. Captions in 8 languages, dubbing in 7, a patient portal in 10 — and clinical-grade Spanish tuned to medical vocabulary, not a translated menu.
Real-time interpreted telehealth with live subtitles and dubbing
Streaming interpreter for in-person sessions — the parent in the room hears you in their language
Documentation, messaging, and the portal stay aligned across languages
Not a mental-health EHR with your specialty’s name pasted on
Sefton was built around the way therapy practices actually run — assistants who need supervision sign-off, payers who count visits, Medicare clocks that don’t care how busy you are.
Home programs that report back — assign HEPs and parent training; families complete them in the portal and you see 7-day adherence at a glance
Goal banks and progress reports — track goals session by session and generate the report from data you already entered
Co-sign built in — SLPA, COTA, PTA, and RBT supervision workflows with a pending-notes queue
Medicare that minds itself — plan-of-care recert clocks, 8-minute-rule time tracking, KX-modifier thresholds
Referrals and auths that count down — visits-remaining and units-remaining meters with expiry alerts
Pediatric & family care
Families are part of the chart
Most of your patients arrive with someone. Sefton treats guardians as first-class: who gets the messages, who signs the consents, who does the home practice — and what language they hear it all in.
Guardian and caregiver records with communication routing and a designated legal signer
Parent-training home programs families complete from a 10-language portal
Intake forms that go to the right adult, in their language
Live interpretation for the parent in the room or on the call
Revenue cycle
Unlimited claims. Zero percent of your revenue
No RCM vendor, no per-claim fees, no metered eligibility checks. Sefton scrubs claims before they leave, auto-heals them when payers push back, and drafts the appeal when a denial lands — with a success estimate attached.
Electronic claims, ERA auto-posting, prior auth, and AR aging in one queue
Pre-submission scrubbing catches errors before the payer does
Auto-healing retries fixable rejections without you touching them
AI-drafted appeals for denials — you review, edit, and send
Cash-pay or superbill practice? Core at $99/mo generates superbills, CMS-1500s, and Good Faith Estimates — no clearinghouse required
One command center
A real iOS app. Not a wrapper
One dashboard across sessions, families, billing, and messages — on the web and on a native iOS app that works when the clinic Wi-Fi doesn’t.
Offline access with encrypted on-device storage — sessions sync when you’re back
Your day on Siri, home-screen widgets, and CarPlay; claim status on the Lock Screen
Face ID gate, session timeout, and remote wipe for lost devices
One login, every practice — switch between the practice you own and the clinics you contract for
The honest math
What the all-in-ones actually cost, all in
Published list prices for a solo practice that bills insurance, uses AI notes, and
runs group telehealth:
A typical all-in-one: $79 base + $20 insurance add-on + $5 practitioner billing fee + $15 AI notes + $15 group telehealth ≈ $134/mo — plus a separate paid clearinghouse account and its per-claim fees.
Another leading platform: $79 base plan + $59 billing add-on ≈ $138/mo — with 10 claims/month included, then ~$0.25 per claim and $0.05 per eligibility check.
Sefton Complete: $199/mo founding rate — everything above included and unmetered, plus live bilingual interpretation no one else offers at any price.
All-in-one list prices as published July 2026; verify current pricing on their
sites. Your Sefton bill grows only with providers — never with your patient count,
claim volume, or language needs.
$99/moSefton Core — for cash-pay and superbill practices
$199/moSefton Complete founding rate — full revenue cycle, unmetered
0%of your claims revenue taken — no per-claim fees, ever
Onboarding
Onboarding without the busywork
Getting started shouldn't fall on your patients or your front desk. Sefton does the
data entry for you — on both sides of the visit, and on the way in from your old
system.
For patients
Onboarding that fills itself in
An automatic eligibility check pulls demographics and coverage, so new patients never face long intake forms — they review what is already there and sign.
Eligibility check auto-populates demographics and coverage
Patients only verify and sign — no data entry
Consent and signature captured in the same flow
For providers
Set up in minutes, not days
Add a provider by NPI and NPPES autofills the profile — name, taxonomy, and credentials — so your team is ready to see patients fast.
NPPES NPI lookup autofills the provider profile
Guided setup through credentials and billing readiness
No manual re-keying of provider details
For switchers
Bring your caseload with you
Leaving another EHR shouldn’t mean starting from a blank chart. Import patients, appointments, and insurance from CSV or Excel exports and keep moving.
Import wizard for patients, appointments, and insurance
Works with standard CSV and Excel exports from your current system
Your data stays yours — records export back out if you ever leave
Beyond patient care
Runs your back-office, not just visits
Sefton isn't only patient-facing. Your team coordinates inside the platform, and the
busywork writes itself.
Team messaging
Encrypted internal team chat
Your staff coordinate inside Sefton — not in a separate, unsecured app. Real-time messaging, encrypted in transit, tied to the same workspace as the chart.
Staff-to-staff messaging, not just patient chat
Encrypted in transit
Connected to the same records your team already works in
Team meetings
Meetings that write their own notes and tasks
Run internal meetings in Sefton and let AI capture them — a summary, the decisions made, and action items assigned to the right people with due dates.
AI summary and key decisions from the meeting
Action items with assignees and due dates
A cross-meeting tracker for what is still open
Network intelligence
Learn from the network — privately
Opt in to anonymized benchmarks to see how your coding and payer performance compare, with live insight while you document.
Anonymized peer benchmarks
Payer and coding-pattern intelligence
Opt-in, with privacy controls you manage
How Sefton handles PHI
Our AI never freelances, and your audio never leaves covered infrastructure
Trust, verifiable
The posture behind the platform
Consumer speech engines are removed from every PHI path — voice runs only on BAA-covered AWS services, and recordings aren’t retained after transcription
Your data never trains AI models
Every AI action — a code, a claim, a signature — waits for a human yes
PHI-aware audit logging on every record access; patient-rights requests tracked with their legal clocks
Encryption at rest and in transit · BAA available · HIPAA compliance support
Straight answers about where Sefton fits and how practices use it.
What’s the difference between Core and Complete?
Core ($99/mo) runs the whole practice — scheduling, documentation with AI coding, Sefton Voice, telehealth with interpretation, the family portal, superbills, CMS-1500s, and Good Faith Estimates. Complete ($199/mo founding rate) adds the full revenue cycle: electronic claims, unlimited eligibility checks, ERA auto-posting, prior auth tracking, AR aging, denial management with AI-drafted appeals, and auto-healing resubmission. Both are unmetered, and both are +$49/mo per additional provider.
How does the 30-day free trial work?
You get the full platform for 30 days with no credit card and no contract. Cancel anytime — and if you leave, your records export with you.
How is your language support different from a translated client portal?
Depth and reach. Beyond a translated portal, Sefton runs real-time English–Spanish interpreted care — in telehealth and in the room — and clinical-grade Spanish coding through the whole platform, so documentation, messaging, and billing stay aligned, not just the patient-facing screens. And it goes wider than Spanish: live translated captions in 8 languages, dubbing in 7, with a patient portal in 10.
Does the AI code claims automatically?
No. It suggests ICD-10 and CPT codes with confidence scores you can check, and you confirm before billing. Quick Dictate drafts the note and connects it to the claim, but coding stays something you review — never coded or billed unattended.
Where does my patients’ audio go?
Only to infrastructure covered by our Business Associate Agreement. Consumer speech engines are removed from every PHI path — voice features run on BAA-covered AWS services, recordings aren’t retained after transcription, and your data never trains AI models. See the AI FAQ and Security pages for the full picture.
How hard is switching?
Sefton imports patients, appointments, and insurance details from CSV and Excel exports, so you can bring your caseload over without re-keying it. Start the import from Settings on day one of your trial.
See Sefton in action
The practice that's yours — real-time bilingual care, billing built in.
Thirty days, full platform, no credit card. See Sefton Voice, real-time interpreted
care, and unmetered billing working together — with your own caseload imported.
