The short version: Adentris and Attunement are close competitors: both use AI to keep behavioral health documentation compliant and protect revenue, rather than to write notes. The differences that matter are SUD depth and how denials are handled. Attunement is known for AI compliance software that keeps behavioral health organizations continuously audit-ready and turns outside records, EHR data, and faxes into structured, clinician-ready intelligence. Adentris is built around the SUD-specific rules that drive denials, ASAM level of care and 42 CFR Part 2, reviews the note in real time before the claim is submitted, drafts the correction, and includes an appeals and denials module, running on any EHR through a secure web agent.
Both aim at compliance and protected revenue for behavioral health, so a head-to-head comes down to SUD depth, when the review happens, and whether denials are handled in the same place. Here is an honest comparison.
What Adentris does
Adentris is an AI platform for revenue integrity and documentation compliance built specifically for behavioral health and SUD programs. It works on top of the EHR you already run, connecting through an API or HL7 where one exists (for example Alleva, Pimsy, Kipu, Epic, or Athenahealth) and through a secure web agent where it does not, so there is no migration. It reviews notes in real time and flags the elements that get behavioral health claims denied before the claim is submitted: medical necessity, ASAM level-of-care justification, treatment plan updates, group therapy attendance, service units, signature timing, and 42 CFR Part 2 consent. When something is missing, it drafts the correction for the clinician to accept, and it pairs documentation review with an appeals and denials module. Adentris is HIPAA compliant and SOC 2 certified, with 42 CFR Part 2 controls and BAAs in place.
What Attunement does
Attunement is an AI company focused on behavioral health that builds compliance software to keep organizations continuously audit-ready, reduce documentation costs, and protect revenue by automating compliance work. It turns outside records, EHR data, faxes, and clinical imaging into structured, clinician-ready intelligence, which is especially useful on longitudinal cases where context across many documents matters. For behavioral health organizations that want to automate compliance work and stay audit-ready, Attunement is a capable, well-backed option.
Adentris vs Attunement at a glance
| Adentris | Attunement | |
|---|---|---|
| Best for | BH and SUD programs focused on denials and compliance | BH organizations automating compliance and audit-readiness |
| Primary job | Catch and fix denial-driving gaps before the claim is submitted | Automate compliance work and keep charts audit-ready |
| Review timing | Real time, before the claim is submitted | Continuous, audit-readiness oriented |
| Is it a scribe? | No, it reviews the note, however it was written | No, it is compliance and records intelligence |
| SUD depth | ASAM level of care and 42 CFR Part 2 built in | Behavioral health focus |
| EHR fit | Any EHR via API, HL7, or a secure web agent (no migration) | Works alongside the EHR |
| Compliance focus | Payer claim denials and revenue integrity | Continuous audit-readiness and cost reduction |
| Denials | Paired appeals and denials module | Compliance automation, not a dedicated appeals module |
Capabilities change quickly in this market, so confirm current details with each vendor before you decide.
Which should you choose?
Both keep behavioral health documentation compliant and protect revenue, so the real question is emphasis and depth. Attunement is built around automating compliance work and keeping the organization continuously audit-ready, turning scattered records into structured intelligence. Adentris is built around the specific gaps that get behavioral health and SUD claims denied and fixing them before submission: it flags a missing medical necessity statement, an unjustified ASAM level of care, or a missing 42 CFR Part 2 consent, drafts the correction while the note is open, and pairs review with an appeals and denials module. For a SUD program in particular, the ASAM and Part 2 depth, the real-time pre-submission timing, and running on any EHR through a secure web agent are the practical differences.
- Choose Attunement if you want to automate compliance work and keep a behavioral health organization continuously audit-ready, turning scattered records into structured intelligence.
- Choose Adentris if you run a SUD or behavioral health program and want the specific denial drivers, ASAM, medical necessity, and 42 CFR Part 2, caught and corrected before submission, with a paired appeals and denials module, on any EHR.
Adentris as an Attunement alternative for SUD revenue integrity
If your program uses Attunement, or is evaluating it, and you want deeper SUD-specific denial prevention and a built-in appeals workflow, that is where Adentris focuses. Both automate compliance for behavioral health, but Adentris is built around the rules that drive SUD denials, ASAM level of care, medical necessity, and 42 CFR Part 2, reviews the note in real time before submission, drafts the fix, and pairs it with an appeals and denials module. It runs on any EHR through an API, HL7, or a secure web agent, so it can complement a broader compliance platform or stand in for one where SUD depth and denials support matter most.
How Adentris helps
For behavioral health and SUD organizations, the biggest revenue leak is documentation, and it is specific: medical necessity that was never shown, missing ASAM justification, a Part 2 consent that was not captured. Adentris reviews every chart in real time inside your existing EHR and flags exactly those gaps before the claim is filed, then drafts the fix, and it pairs that with an appeals and denials module so compliance and revenue integrity live in one place. In practice that means fewer denied claims, less audit exposure, and far less time spent reworking documentation after a payer pushes back. Adentris is HIPAA compliant and SOC 2 certified, with 42 CFR Part 2 controls and BAAs in place. To see it on your own charts, book a 30-minute call with our team.
The bottom line
Attunement and Adentris both automate compliance and protect revenue for behavioral health. If you want broad audit-readiness and records intelligence, Attunement is a strong fit. If you run a SUD or behavioral health program and need ASAM and 42 CFR Part 2 denial prevention with a built-in appeals module, Adentris is built for that, on any EHR.
Related reading
- AI chart review tools for behavioral health
- Best behavioral health documentation compliance software
- Behavioral health payer audit readiness solutions
Frequently asked questions
What is the difference between Adentris and Attunement?
Both use AI to keep behavioral health documentation compliant and protect revenue, rather than to write notes. Attunement is known for compliance software that keeps organizations continuously audit-ready and turns outside records and EHR data into structured intelligence. Adentris is built around the SUD-specific rules that drive denials, ASAM and 42 CFR Part 2, reviews the note in real time before submission, drafts the correction, and includes an appeals and denials module, on any EHR.
Can Adentris and Attunement be used together?
Yes. They solve different halves of the problem, so a program can use Attunement to automate compliance and audit-readiness and Adentris to verify the documentation supports the claim and to handle appeals. Adentris reviews the note however it was written, so it fits alongside Attunement.
Is Adentris a good alternative to Attunement?
For programs whose problem is denials and audit exposure rather than audit-readiness and compliance automation, yes. Adentris focuses on catching and correcting the behavioral health and SUD gaps that drive denials before submission, with ASAM and 42 CFR Part 2 built in and an appeals and denials module, and it runs on any EHR without a migration.
Which is better for a substance use disorder program?
For SUD, the claims that get denied usually turn on ASAM level of care, medical necessity, and 42 CFR Part 2, which Adentris is built around with real-time, pre-submission review and drafted corrections. Attunement is strong for automating compliance work and keeping behavioral health organizations audit-ready. Programs that want SUD-specific compliance depth and denials support often lean Adentris.
About the author: Sergey Yudovskiy is the Chief Product Officer of Adentris, which builds AI for revenue integrity and documentation compliance in behavioral health and substance use disorder care.