SOMNIA is an operating system of coordinated AI agents running the entire sleep medicine lifecycle — intake, scoring, interpretation, therapy, behavioral care, billing, and longitudinal outcomes — under clinician command.
Diagnosis is bottlenecked, first-line insomnia treatment is undeliverable at human scale, and the clinicians who hold the system together are burning out.
The intelligence layer beneath and between every system in the sleep pavilion. SOMNIA ingests every data source, reasons across the full care continuum, and executes the work autonomously — inside clinician-approved boundaries, with every action audited.
Tap a layer to open it.
Unified ingestion across in-lab PSG, home sleep tests, PAP/BiPAP/ASV telemetry, FDA-cleared wearables, sleep diaries and validated instruments, EMR, staffing, and patient communications. One source of truth replaces the fragmented stack.
The multi-agent system: scoring, diagnostics, endotyping, therapy optimization, behavioral care, triage, revenue cycle, scheduling, and staffing — specialists that work in concert.
Event-driven workflow automation with human-in-the-loop gates on every consequential clinical decision, and a complete audit trail — every agent action logged with identity, inputs, and reasoning.
AASM-accuracy automated scoring, endotype analysis, multi-night longitudinal assessment beyond the single-night snapshot, and predictive models for treatment response — interoperable with FDA-cleared AI tools.
Continuous real-world monitoring through cleared wearables and RPM programs — powering chronic-care management and the longitudinal datasets that feed the foundation model.
Purpose-built agents for patients, clinicians, technologists, administrators, and payers — 24/7 education, ambient documentation, study QA, operational intelligence, and clean claims.
Every agent below runs in the SOMNIA Command Center today. Consequential actions always carry a human signature.
Activates specialists by context, integrates their outputs, and manages the conversation between agents and the human team.
Full PSG and HSAT scoring at AASM accuracy — stages, arousals, respiratory events, limb movements — in minutes.
Drafts interpretations with confidence scores and flags artifacts for human review.
Identifies physiological subtypes — loop gain, arousal threshold — and predicts treatment response.
PAP and ASV optimization, adherence prediction, proactive outreach before therapy fails.
Grounds every recommendation in the current guideline evidence base, on demand, with a citation packet for the chart.
Clinician-supervised digital CBT-I with adaptive sleep-restriction titration and COMISA sequencing.
Tracks supervised hypnotic taper as CBT-I takes hold — a measurable safety endpoint, not a hope.
24/7 patient line with strict escalation rules — resolves the routine, wakes a human for the rest.
Welcomes every referral with a personal registration link — MQ readiness assessment embedded, sleep-study walkthrough included, 7th-grade level verified.
Routes referrals to in-lab or home pathways and collapses time-to-diagnosis from weeks to days.
Rewrites every visit at a verified 7th-grade reading level — the readability grade is computed, not assumed.
Keeps primary care and specialty referrers engaged; reactivates dormant referral sources.
Attacks every note the way a payer auditor would — before submission. Finds the denial before the denial finds you.
Repairs the note in real time so the documentation supports the code the first time.
Tells the physician exactly why a note was risky and what the fix changed — in one breath, no jargon.
Auto-coding, payer validation, prior authorization, denial prevention.
Utilization optimization, waitlist backfill, in-lab and home-test coordination.
Demand-forecast scheduling, absence prediction, automatic on-call backfill.
Masks, tubing, electrodes, the HSAT device fleet — and the resupply revenue line, worked automatically.
Aggregates wearable, PAP, and home-test streams to catch deterioration between visits.
AASM accreditation readiness, HIPAA posture, audit-response packets compiled on demand.
Licensure, certifications, payer enrollment, CAQH — tracked and prepared before deadlines bite.
Staff CEU tracking and competency modules, with attestations queued to the medical director.
Watches longitudinal sleep signatures for early markers of neurodegenerative, psychiatric, and cardiometabolic risk.
Multi-pavilion benchmarking, load balancing, and best-practice propagation — one organism, many sites.
CBT-I is the guideline-recommended first-line treatment for chronic insomnia. The workforce math makes it undeliverable by humans alone:
The CBT-I Agent delivers the full protocol — sleep restriction with adaptive titration, stimulus control, cognitive restructuring, relapse prevention — personalized nightly from diary, wearable, and psycho-respiratory data, with a supervising clinician approving each phase transition. Built on the PulmIQ / SleepIQ behavioral intelligence core, it is the first platform to treat comorbid insomnia and sleep apnea as one condition with one coordinated pathway.
Overnight sync3 studies auto-scored and interpreted. 2 PAP reports reviewed. 14 CBT-I check-ins processed.
Patient insight — 10:00 AMGood adherence, persistent fatigue. High loop gain detected. Recommend ASV transition — evidence attached.
CBT-I cohortWeek-3 titration ready for 6 patients. 1 escalation flagged for specialist review.
OperationsTech absence auto-backfilled. 0 denials pending. Tonight's lab at 96% utilization.
Every deployment ships with an outcomes registry — the platform's accountability layer and the evidence base for payers and federal partners.
| Measure | Legacy baseline | SOMNIA target |
|---|---|---|
| Referral to diagnosis | 3–6 weeks | 72 hours on the home-test pathway |
| Study scoring turnaround | Days; 1.5–2 hrs of labor each | Same night, minutes per study |
| Insomnia remission | First-line CBT-I inaccessible to most | Guideline-concordant digital CBT-I at scale |
| PAP adherence at 90 days | ~50% typical | Endotype-guided therapy targeting 80% |
| COMISA identification | Rarely screened | Universal dual-stream screening |
| Clinician sustainability | 45% burnout, pajama-time charting | Notes, scoring, and billing drafted by agents |
Existing sleep centers adopt SOMNIA as their operating layer. Scoring labor collapses, lab capacity rises toward full utilization, denials fall, and new reimbursable service lines — digital CBT-I, remote monitoring, chronic care management — open. The ROI is arithmetic.
An 80%-undiagnosed gap cannot be closed by incumbent efficiency — the nation needs new capacity. Track Two packages the full agent stack, validated device kit, clinical protocols, credentialing playbooks, and revenue rails so clinician-entrepreneurs can open SOMNIA-native pavilions in months.
Sensory Grid, Scoring & Triage Agents, CBT-I Agent v1, outcomes registry live from day one.
Diagnostic, Endotyping & Revenue Agents; orchestration engine; COMISA screening.
Therapy, Scheduling, Staffing & Remote Monitoring Agents; first value-based payer contract.
Patient Agent at scale; Pavilion-in-a-Box launch with the first operator cohort.
100+ sites, cross-center learning, Sentinel Agent — sleep as an early-warning vital sign.
A scalable, measurable answer to a first-line treatment the human workforce cannot deliver — extended from a working clinical stack, with endpoints captured in a built-in registry across diverse deployment settings.