About

We're operators,
not a vendor.

We embed with your team, do the work, and stay on the hook for the outcome.

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The anatomy

How the work moves through your stack.

Every workflow we run is a Case: one record per patient task that moves through the same five layers, with a human in the loop wherever judgment is needed.

Fax · Call · Referral
01Connectors Bidirectional read/write into your EHR, PM, payer portals, fax line, and phone system. No migration.
02The Case record One thread per patient task, stitched across channels and held on a single record so nothing falls between systems.
03Agents & skills Fine-tuned on your remits, payers, and protocols. Runs the rules your best operator carries in their head, 24/7.
04Human in the loop High-stakes steps route to a named person for sign-off. Everything else runs end to end with an audit trail.
05Writeback The disposition lands in the chart and the schedule. Your team sees the outcome where they already work.
EHR · Schedule · Audit log
Ohtari memo

Architecting the AI-native practice.

Specialty medicine has a hidden tax. For every surgeon, there is a small army doing work no patient ever sees. Prior authorizations. Intake. Faxes. Chasing records. Collecting outcomes. This is the operational layer of a practice, and nobody owns it.

It does not scale. You cannot hire your way out. The admin staffing crisis is not a labor problem you solve with more labor. The work grows faster than the people willing to do it.

We learned this the hard way. At one orthopedic practice, ninety days of looking turned up real, preventable billing errors no one had time to catch. The money was on the floor. The team was too buried to pick it up.

That is the insight. The bottleneck in specialty care is not clinical. It is operational. And it is automatable.

Ohtari runs the operational layer of a specialty practice. We are not a dashboard. We are not a tool you have to figure out and configure. Admins do not know what to build, and they should not have to. We deliver the outcome, not the software.

We embed. Our engineers sit with your team, learn how the practice actually works, and stand up AI that does the work. You see what it did and why. Every decision is legible. Every dollar is traceable.

We organize around the only thing that matters: the episode of care. From the moment a patient needs access, through authorization, to the outcomes that prove the work was worth doing. Access. Authorization. Outcomes. That is the spine.

Why now. The models are finally good enough to do administrative work, not just summarize it. 2026 is the year agentic AI stops being a demo and starts being a coworker. Practices that move first will compound. The rest will be competing against teams that already run with ten times the leverage.

We build for the independent practice and the groups that still answer to patients, not committees. The unit of value is the surgical episode. The mission is to keep specialty medicine independent by making it run like it has the staff it deserves.

The admin layer was always going to be automated. We are just the ones who showed up to do it.

Let's schedule an in-person office visit.

Start with an in-person audit: our founding team comes in, talks to your staff, and finds where we can help.

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