TriFetch comes out of stealth to automate the administrative work that slows specialty clinics

By Published On: April 27, 2026Last Updated: April 27, 2026
TriFetch comes out of stealth to automate the administrative work that slows specialty clinics

TriFetch has announced a US$1.9 million pre-seed round led by Nexus Venture Partners with participation from angels from Google, Hipprocratic, Mercor, MIT to scale its automation platform for the front, mid, and back office of specialty care.

TriFetch is building an end-to-end automation layer for independent specialty clinics, covering patient calls and scheduling, referral processing, and prior authorisations.

The pressure TriFetch is targeting is structural. Independent clinics face the same administrative load as large health systems with a fraction of the staff.

A single prior authorisation can take 45 minutes and referral coordination often means hours on hold.

Patient calls pile up while the front desk triages between the waiting room and the phone line and those left unanswered go to an inbox with hundreds of unread messages.

“Clinics are doing everything they can to keep up, but the administrative workload keeps expanding,” said Varuni Sarwal, CEO and co-founder of TriFetch.

“We built TriFetch to plug into how clinics already run and take the tasks staff dread the most off their plate, calls, referrals, and prior auth, so teams can focus on the parts of care that require the human touch.”

TriFetch automates the three workflows that eat the most staff time.

Its multilingual voice agent handles patient calls end to end – inbound inquiries, outbound scheduling, and follow-ups.

Its referral engine routes and processes referrals, verifies eligibility, and books patients with humans in the loop.

And its prior auth automation submits and tracks requests so paperwork delays never push costs onto patients.

The platform plugs directly into how a clinic already runs, with no EHR migration or retraining required.

Co-founder and COO Rosemary He is leading the product team.

He said: “Clinics don’t need more software where every new tool adds another tab, another login, another thing to learn; they need less friction.

“TriFetch integrates as the connective tissue of a clinic’s existing operations, adapting to the clinic’s ecosystem and not the other way around.”

TriFetch is currently running multiple active pilots with specialty clinics across California.

In an ophthalmology clinic, the doctor and his staff are being overtaken by phone calls and prior authorizations while trying to deliver the highest quality of care to his patients. In a cardiology clinic, staff have been overwhelmed by patient inquiries and internal routing needs.

In a GI practice, two staff members work full-time processing up to 100 referrals a day and calling patients to schedule them.

TriFetch handles that workflow end-to-end, freeing roughly 16 hours of staff time a day and returning more than US$200,000 a year to the clinic.

For a mid-size specialty practice, that range of recovered costs and captured revenue can run anywhere from US$500,000 to US$1.4 million a year.

Dr Shashi Ganti, ophthalmologist, Cal Retina MD said: “Clinics up and down the US are facing the same administrative headache.

“Working with TriFetch, we’ve been able to relieve our staff from managing patient calls and scheduling: freeing them up from hundreds of voicemails and phone calls  to focus on the patients in front of them.

“AI can be incredibly powerful when adopted safely, and I can’t think of a better team to trust with that in my clinic.”

Jishnu Bhattacharjee, partner at Nexus, added: “Varuni and Rose are deep domain experts in healthcare AI.

Healthcare administrative workflows represent one of the largest untapped opportunities for AI, and the Trifetch team is uniquely positioned to unlock it.

“They combine deep AI capabilities with real-world clinical understanding to build what we believe can become a category-defining company in healthcare AI.

“We are excited to partner with Trifetch and support them on this journey.”

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