Features

Everything an allied-health practice needs, in one platform

Sefton brings an assistant you can talk to, real-time interpreted bilingual care, therapy-native workflows, built-in billing, scheduling, telehealth, and a family portal into a single workspace — connected on web and the native iOS app, and yours to run independently. 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 (no credit card). Below is what each part of the platform 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 drafts the note while you talk, 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

Bilingual to the core, multilingual by design

Real-time interpreted telehealth — Spanish-deep, multilingual-wide

Bilingual care runs through the whole platform, not bolted onto an English product. Sefton goes deeper than a translated client portal — live English–Spanish interpretation inside the visit and clinical-grade Spanish coding tuned to medical vocabulary — and wider than Spanish, so you can serve your whole limited-English population without a separate interpreter app. Live translated captions and dubbing cover 7 languages (English, Spanish, Chinese, Arabic, Korean, Russian, Portuguese), live captions add Vietnamese, and the patient portal plus written translation reach 10 languages including Tagalog and Haitian Creole.

Real-time English–Spanish interpretation, live subtitles, and dubbing inside telehealth
Live translated captions + dubbing in 7 languages; live captions in Vietnamese; 10-language patient portal
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) drafts the clinical note while you talk, 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
Ambient dictation drafts the SOAP note as you talk through the visit
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 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

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 — unmetered, with no per-claim fees and no revenue share. Sefton scrubs claims before they leave, auto-heals them when payers push back, 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 ($199/mo founding rate) adds the full electronic revenue cycle.

Insurance claims submitted electronically to payers through Optum — unlimited, never metered
Pre-submission claim scrubbing and auto-healing 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 unlimited 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 experience is identical on web and the native iPad and iPhone apps.

Calendar and scheduling across providers and locations, with waitlist backfill
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 real native iOS app — offline access with encrypted storage, Siri, widgets, and CarPlay
One login across every practice you work with — yours and the ones you contract for

Security & compliance

Built to support HIPAA compliance

Sefton handles protected health information (PHI) with security built to support HIPAA compliance: encryption at rest and in transit, PHI-aware audit logging, and infrastructure hosted in a HIPAA-eligible cloud environment. A Business Associate Agreement (BAA) is available so your practice can document its compliance posture with confidence. Our AI holds the same line: consumer speech engines are removed from every PHI path — voice features run only on BAA-covered services, recordings aren't retained after transcription, your data never trains AI models, and every AI action waits for a human yes.

See Sefton in action

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.

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