Vol. I · Spring 2026Issue No. 02

An operating layer you can hear, read, and trust.

Voice, vision, orchestration, and integration — wrapped in HIPAA-grade controls and tuned to the rhythm of a modern medical practice.

Vision
Phase 01 · Before the visit

Intake, scheduling, and prep.

Patients reach a real answer on the first call. Charts arrive warmed up, with records requested, insurance verified, and the right questions pre-populated.

01

Records and imaging chased from referring providers

02

Benefits verified, copays quoted, prior auth queued

Phase 02 · In the room

Ambient documentation, no keyboard.

Clinicians talk with patients. Sarthi produces the note, the problem list update, the orders, and the follow-up plan — ready for review before the next visit starts.

01

Specialty-tuned ambient scribe for cardiology and pulmonology

02

Structured findings, not generic SOAP templates

03

Orders and referrals drafted for signature

Phase 03 · Care coordination

Nothing falls through the cracks.

Care plans become actions. Cohorts are monitored between visits, medication refills are handled quietly, and clinicians are paged only when the data warrants it.

01

Longitudinal follow-up for chronic cohorts

02

Refill and lab-ordering workflows on autopilot

03

Priority inbox that surfaces only human-scale decisions

Phase 04 · Revenue & compliance

Billing as a quiet background process.

Coding, claim preparation, denials, and documentation for payers — done as the note is finalized, not weeks later.

01

Code suggestions with payer-specific nuance

02

Clean claim preparation and electronic submission

03

Denials worked as they arrive, not monthly

The layer beneath the layersOne shared memory of the patient

Every workflow reads from and writes to one shared Patient Engram.

The Engram is the substrate beneath every Sarthi capability. Voice, documents, orchestration, and EHR bridges all read from and write to one continuous, longitudinal model of the patient — built up call by call, visit by visit, claim by claim.

Without it, Sarthi would be a better bundle: a tidier set of tools sitting next to the EHR. With it, Sarthi is a different architecture — a system of intelligence that compounds with every encounter rather than re-learning the patient each time.

That is the line between a productivity layer and an operating layer. The Engram is what puts Sarthi on the right side of it.

TrustThe controls underneath

Earned by architecture, not by policy PDFs.

Every design decision starts with one question: would a privacy officer approve this before it ships? If not, it doesn't.

Control · 01

HIPAA

Control · 02

SOC 2

Control · 03

Encryption

Control · 04

Access & residency

Control · 05

Transient PHI

Transient PHI: short-lived, TTL-enforced, auto-purged. Sarthi is not a system of record — it processes, acts, and lets your EHR keep the canonical chart.