What Sefton does
Everything an allied-health practice needs, in one platform
An assistant you can talk to, care every family can follow in their language, therapy-native workflows, built-in billing, scheduling, telehealth, and a family portal in a single workspace — on web, with a native iOS app coming. Lean SLP, OT, PT, and ABA practices run from booked visit to clean claim in one place, from $99/mo with no revenue share and a 30-day free trial. Below is what each part actually does.
Sefton Voice
Talk to your practice — book, bill, and sign by voice
"Book Maria Tuesday at three." Sefton Voice finds the patient, checks the slot, reads the booking back, and waits for your yes. It writes down the note you dictate, suggests codes with confidence scores, submits the claim when you confirm, and signs the note with a spoken attestation. It always confirms before it acts, works in English and Spanish, and privacy mode never speaks a patient’s name out loud.
- Book visits by voice with fuzzy patient matching and conflict handling
- Submit claims by voice — spoken candidate list, spoken review, your confirmation
- Sign notes with a spoken attestation, recorded in the audit trail
- Hands-free or hold-to-talk; nothing is coded, billed, or signed unattended
Multilingual by design
Real-time interpreted telehealth — Spanish-deep, multilingual-wide
Language access runs through the whole platform, not bolted onto an English product. Sefton goes deeper than a translated client portal — live interpretation inside the visit, deepest in Spanish with clinical-grade coding tuned to medical vocabulary — and wide enough to serve your whole limited-English population without a separate interpreter app. The written experience — the family portal, messaging, and intake — reaches 11 languages: English, Spanish, Chinese, Vietnamese, Korean, Russian, Arabic, Portuguese, Japanese, Tagalog, and Haitian Creole. Visits run in 10 of them (all but Japanese), with translated captions in all 10, live speech translation in 8, and voice dubbing in 7: Vietnamese has no dubbing, and Tagalog and Haitian Creole are text-only.
- Real-time English–Spanish interpretation, live subtitles, and dubbing inside telehealth
- Written experience in 11 languages including Haitian Creole and Tagalog; live speech translation in 8
- Clinical-grade Spanish coding — medical vocabulary, depth beyond a translated client portal
- Messaging, intake, and the patient portal localized across languages
- Clinical documentation and billing stay aligned across languages
AI coding
AI coding you can check — ICD-10/CPT® with confidence scores
Quick Dictate (Sefton Voice) turns the note you dictate into text, then suggests ICD-10 and CPT® codes with confidence scores you can review before anything is billed. Coding gets faster, and it stays something you confirm — never coded or billed unattended.
- Suggested ICD-10/CPT® codes with confidence scores you can check
- Dictate the note in your own words, into your SOAP template if you use one
- You review and confirm — nothing is coded or billed automatically
- Notes and codes flow into the claim, so documentation and revenue stay connected
Built for how therapy actually works
Therapy-native workflows for SLP, OT, PT, and ABA
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. These aren’t mental-health features with your specialty’s name pasted on.
- Home programs with adherence tracking — families complete HEPs and parent training in the portal
- Goal banks, session-by-session goal tracking, and generated progress reports
- Supervisor co-sign for SLPA, COTA, PTA, and RBT workflows with a pending-notes queue
- Medicare plan-of-care recert clocks, 8-minute-rule time tracking, and KX-modifier thresholds
- Referral visits-remaining and authorization 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 an 11-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
Billing built in
Unlimited claims, zero percent of your revenue — no RCM vendor
Claims, prior authorizations, denials, and remittance live in the same workspace as the visit — with unlimited claims included, with no per-claim fees and no revenue share. Sefton scrubs claims before they leave, flags fixable rejections for one-click corrected resubmission, and drafts the appeal when a denial lands. On Sefton Core ($99/mo), cash-pay and superbill practices get superbills, CMS-1500s, and Good Faith Estimates with no clearinghouse required; Sefton Complete ($179 per therapist per month) adds the full electronic revenue cycle.
- Insurance claims submitted electronically to payers through our clearinghouse — unlimited claims included, $0 per-claim fees, 0% revenue share
- Pre-submission claim scrubbing and one-click corrected resubmission for fixable rejections
- Denial management with AI-drafted appeals — you review, edit, and send
- Prior authorization tracking, AR aging, ERA/remittance auto-posting, and real-time eligibility checks
- Secondary claims and coordination of benefits handled natively
Practice command center
Scheduling, telehealth, and patient portal in one place
Scheduling, telehealth, secure messaging, and the patient portal all stay tied to the chart, while a single dashboard shows the day’s schedule, billing queues, and what needs attention. The web app runs on desktop and mobile browsers today; the native iPad and iPhone apps are in final testing ahead of their App Store release.
- Calendar and scheduling across providers and locations
- Integrated telehealth — group sessions, waiting room, and a shared whiteboard, no separate video vendor
- Patient portal, invite-based intake, documents, and secure messaging per record
- A native iOS app in final testing — offline access with encrypted storage and Siri shortcuts
- One login across every practice you work with — yours and the ones you contract for
Security & compliance
Built to support HIPAA compliance
Encryption at rest and in transit, PHI-aware audit logging, HIPAA-eligible cloud hosting, and a Business Associate Agreement available. Read the full posture in thesecurity center.
No customer record, note, or recording is used for model training, by us or by a vendor.
Voice runs only on BAA-covered 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.
The practice that's yours — care, documentation, and billing in one place.
Start your free trial to see real-time interpreted telehealth, AI coding you can check, the patient portal, and revenue workflows working together.