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Sober Sidekick
For health plans·Recovery Care

We see relapse risk the day it changes.Your claims see it months later.

Sober Sidekick is a 1.5 million member recovery community with a live behavioral signal on every member, wired directly into licensed clinical care. We identify rising risk in real time and act on it before the ED visit, the readmission, or the repeat residential stay.

1.5M+

Platform members

48.2%

Relapse reduction among engaged members

$4,442

Avoided cost per engaged member, per year

90%

Return to the community after a reported relapse

The platform

What it actually takes to recover.

Three things a person in recovery needs. Today they live in three different places. We built all three into the phone the member already carries.

01In the moment

Someone to turn to

The moments that matter are at 10:30 at night, not 10:30 in the morning. A 24/7 peer community, no appointment and no referral, where every post gets a reply.

Sober Sidekick
02When they are ready

An expert care team

Activation does not wait for a waitlist to clear. Licensed clinicians, virtual, inside the app the member already has open.

Recovery Care
03For as long as it takes

Ongoing support

Recovery is longitudinal. The system treats it as an episode. Pulse self-checks between visits, and a community that re-engages members after any setback.

Continuous

Inside the visit · 01

Relapse-reduction counseling against the member’s own scenarios.

Generic coping advice does not survive a Tuesday at 9 p.m. So our clinicians build the plan out of the member’s own history: the exact situations that have taken them out before, and the exact move to make when one shows up again.

A relapse announces itself long before it happens. The member names their own signs, in their own words, in the order they show up.

The slow drift. Usually the easiest to fix and the easiest to miss.

Signs the member names

  • I stop going to meetings
  • I stop checking in on the app
  • I start cancelling plans
  • I stop answering texts and calls
  • I stop taking my medication
  • I get sloppy about sleep

Every item here is the member’s own language, chosen with a licensed clinician and written into the plan they carry. Thousands of combinations, rehearsed before the moment rather than debriefed after it.

A situation is built, not guessed

The member assembles their high-risk moments from the pieces that are actually true for them. Those combinations become the plan, and each one gets its own move.

When
Early morningAfter workLate at nightOvernightand more
Which days
WeekdaysFridayThe weekendPaydayHolidaysand more
Where
At homeIn the carAt a storeSomewhere I used to useand more
Who is around
AloneA group of peopleFamilyCoworkersand more
What is going on in me
BoredLonelyStressed about moneyIn painCelebrating somethingand more

Inside the visit · 02

The plan lives in the palm of their hand.

A recovery plan in a chart the member never sees is a document. A recovery plan in the app they already open every day is a tool. Everything built in the visit lands in the Sober Sidekick app, in the member’s own words, available at the moment they need it rather than at the next appointment.

  • Their why, and what matters most right now
  • What they are working toward, short and long term
  • Their highest-risk situations, each with the move to make
  • Their earliest warning sign, chosen by them
  • The support team and the crisis plan, with real phone numbers

My recovery care plan

Your plan, your words

My why

The people who are counting on me being here.

What I am working toward

90 days, then the job I actually want.

When it gets hard

Weekdays, early morning, in the car, alone, stressed about money

Open the Sober Sidekick app and post what is happening

My earliest warning sign

I stop checking in on the app

If it happens anyway

Call the Recovery Care line. Nobody starts over alone.

Illustrative view of the in-app Recovery Care plan

Inside the visit · 03

A head-to-toe sweep for what is actually driving cost.

SUD rarely arrives alone. Our licensed clinicians review the domains that drive spend in this population, and anything they find is routed to the member’s primary care provider or care management, or handled by the Recovery Care team when same-day follow-up is needed.

01Cardiometabolic
02Cardiac and cerebrovascular
03Respiratory and tobacco
04Liver and GI
05Kidney
06Infection and injection-related
07Chronic pain and musculoskeletal
08Neurologic and psychiatric
09Reproductive and perinatal
10Care access and social needs

Predict, prevent, engage

Every signal routes into a clinical action.

Continuous scoring on the largest relapse dataset in recovery. Behavioral and social signals, read daily across 1.5 million members. Acuity is not fixed; engagement moves members down the stack.

High risk

A smart alert routes to the clinical team. Proactive outreach and a plan the same day.

Rising risk

Converted into Recovery Care before the trajectory turns into an event.

Stable

Held in the peer community, monitored continuously, re-engaged after any setback.

The model

Three ways we engage your members.

Every path lands in the same clinician-led, peer-supported model. Clinical services are furnished and billed through Empathy Health Providers PC under a monthly, per-member recovery model. Turnkey, with no plan build required.

Gap closure and event follow-up

Annual wellness, prenatal and postpartum, ER and hospital discharge follow-up. The qualifying visit closes the care gap and starts treatment.

E/M (9920x) + G2086 in Month 1

Sober Sidekick app conversion

Members already active in the recovery community convert directly into clinical care, flagged by rising-risk predictive indicators. No qualifying visit needed.

G2086, no E/M

Residential rehab discharge

Step-down follow-up after a residential stay keeps members supported through the highest-risk weeks of early recovery.

G2086, no E/M

The care journey

Month 1

Initiation · 70+ min

Individualized treatment plan and recovery care planning, with at least 70 minutes of services in the first calendar month.

Months 2 to 6

Ongoing · 60+ min / mo
M2M3M4M5M6

Monthly relapse-prevention counseling and coordination at 60+ minutes each month. Typical engagement runs 3 to 4 months; available through Month 6.

How it bills

A single agreed-upon case rate keeps billing simple. Billed per engaged member per month; virtual POS 02, F10–F19 primary diagnosis. G2086 in Month 1, up to five G2087 per member per plan year. E/M billed on the date of service; G-codes on the last day of the month.

What is included

  • Sober Sidekick platform license
  • Licensed NPs and peer specialists
  • Predictive risk stratification
  • Care coordination and outreach
  • 42 CFR Part 2 and HIPAA compliant
  • Monthly engagement and outcomes reporting

Reduce SUD spend. Build recovery resiliency.

Let us model the opportunity against your own SUD population.

Relapse reduction and avoided cost figures are from the Charm Economics Prevention to ROI model, certified by the Validation Institute. Clinical services are furnished by Empathy Health Providers PC.