Vol. I · Spring 2026Issue No. 01

Built with cardiologists and pulmonologists in Phoenix

Clinical operations,
quietly handled.

Sarthi is the operating layer for specialty medical practices. Intake, scheduling, charting, prior auth, and follow-up — run end-to-end, so the practice operates at a different gear.

Book a walkthroughEstimate your ROI

Currently working with

Heart & Rhythm Solutions

Cardiology · Chandler & Queen Creek, AZ

Integrity Pulmonary Specialists

Pulmonology · Phoenix, AZ

Launch partners
02
Phoenix · AZ
Specialties
Card · Pulm
US workflows
Security
HIPAA
SOC 2 in progress
Built
In the U.S.
With clinicians
§ 01Launch partners

We are building this
with clinicians,
not for them.

Two independent specialty practices in Arizona are co-designing Sarthi with us — sitting next to intake coordinators, medical assistants, and physicians to build what their day actually needs.

Heart & Rhythm Solutions

Cardiology & Cardiac Electrophysiology

Chandler & Queen Creek, Arizona

Board-certified cardiovascular practice serving the East Valley — ablation, pacemaker implantation, and arrhythmia management.

Integrity Pulmonary Specialists

Pulmonary Disease & Critical Care

Phoenix, Arizona

Multi-physician pulmonology practice — 23+ years experience, triple board-certified in Critical Care, Internal Medicine, and Pulmonology.

§ 02What Sarthi does

Three capabilities
that plug into your day —
from the first phone call to the last claim.

Not another dashboard. Sarthi works where your team already works — the phone, the fax, the chart — and hands clean, ready work back to you.

01Voice agents

A voice layer that never misses a ring.

Sarthi answers, schedules, triages, and routes — in natural conversation — across office hours, overflow, and after-hours. Transcripts, summaries, and disposition codes are written back to your chart before you hang up.

02Document intelligence

Faxes, forms, and referrals — read at a glance.

Vision models extract structured data from the paper flood, attach it to the right patient, and surface what a human needs to review.

03Task orchestration

Quiet agents that close the loop.

Prior auths, refills, coding, callbacks — Sarthi keeps the long-tail of practice work moving so nothing stalls in someone's inbox.

§ 03A Tuesday at the practice

A quiet
Tuesday
at the practice.

  1. 07:42
    Voicemail

    An overnight patient calls about chest pressure. Sarthi triages, books the same-day slot, and pings the on-call cardiologist before the office opens.

  2. 09:15
    Fax inbox

    Twelve referrals arrive. Sarthi extracts demographics, insurance, and reason for consult, and stages the charts for front-desk review.

  3. 11:04
    Visit note

    A pulmonology follow-up wraps. The ambient scribe drafts an A/P with ICD-10 candidates. The physician edits two lines and signs.

  4. 13:30
    Prior auth

    A cardiac MRI needs authorization. Sarthi pulls the right clinical history, fills the form, submits, and watches for the payer response.

  5. 16:55
    Follow-up

    Post-ablation patients get a personalized check-in. Sixteen respond; two flag symptoms and are routed to the triage queue.

  6. 18:10
    End of day

    No unfinished charts. No faxes waiting. The inbox is at zero.

§ 04What we are designing for

Outcomes we’re
building toward.

These are the targets our launch partners set with us. They are aspirational, not achieved — a public commitment to what Sarthi has to earn.

Return on investment
1.5—2.5×
Target ROI per practice, year one. Launch partners today report meaningful weekly hours back.
Team capacity
10×
Target throughput on repetitive workflows. Baseline today: an intake coordinator handles ~40 inbound calls / day; Sarthi handles unbounded concurrent.
Unit economics
35—50%
Target cost versus outsourced human labor. Priced to sit well under an offshore BPO FTE — with no training ramp and no attrition.
Estimate your practice’s ROISarthi vs. the alternatives
§ 05The roadmap

From automation
to autonomy.

A three-phase evolution. We’re honest about what ships when — and what is still a hypothesis.

Phase 01Q4 2025 — Q1 2026
Active development

Foundation

The ambient scribe, voice agent, document intake, and prior-auth orchestration — production-grade, HIPAA-aligned, deployed with our first two partners.

  • +NLP engine
  • +GCP Vertex
  • +HIPAA / SOC 2
  • +Pilot: 10 practices
75% complete
Phase 02Q1 2026 — Q4 2027
Next horizon

Intelligence

Specialty-specific models trained on consented, de-identified workflow data — delivering higher accuracy on coding, triage, and predictive care gaps.

  • +Custom models
  • +Specialty-tuned
  • +Closed feedback loops
Phase 032028 and beyond
Vision

Ecosystem

An open clinical operations platform — third-party integrations, payer-side bridges, and multi-practice network effects.

  • +API platform
  • +Data exchange
  • +Multi-sided network
§ 06Healthcare-first posture

Built like infrastructure.
Held to healthcare standards.

Boring choices where patient data is involved. Bold ones where the product experience is involved.

Status · Live

HIPAA

Business Associate Agreement on request. Administrative, physical, and technical safeguards in production.

Status · In progress

SOC 2

Type II observation window underway. Audit report targeted for 2026.

Always on

Encryption

AES-256 at rest, TLS 1.3 in transit. Per-tenant key isolation. Zero plaintext PHI in logs.

By default

US-only PHI

Data residency in the United States. Hardware-key MFA, immutable audit logs, RBAC scoped per workflow.

Read the full security paper

Final note

If you run a specialty practice
and you’re curious —
let’s talk.

We take on one or two new launch partners per quarter. Expect a real conversation about your day, your EHR, and what you wish would just do itself.

Book a walkthroughsarthi@sarthi.ioEmail →