The short version: Clinical Notes AI (also shown as Clinically AI) and Adentris both work in behavioral health documentation, but they solve different halves of the problem. Clinical Notes AI is an AI scribe for behavioral health that drafts notes from the session and adds an internal compliance layer, its Comply module, for documentation fidelity scoring and supervision. Adentris is a revenue integrity and documentation compliance layer that reviews notes, however they are written, in real time before the claim is submitted, with SUD-specific rules like ASAM level of care and 42 CFR Part 2 and an appeals and denials module built in. If your problem is note-writing time and internal review, Clinical Notes AI is built for that. If your problem is denials and payer audit exposure, that is where Adentris focuses. They can work together.
Both use AI on behavioral health notes, so the useful question is which half of the problem you need solved. Here is the honest breakdown.
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 not a scribe: it does not write the note, it makes sure the note will get paid. Adentris is HIPAA compliant and SOC 2 certified, with 42 CFR Part 2 controls and BAAs in place.
What Clinical Notes AI does
Clinical Notes AI is an AI platform for behavioral health best known for its scribe, which drafts progress notes from the session and can cut note-taking time substantially while keeping the clinician in control of the final note. It also offers a compliance feature, Comply, for real-time documentation fidelity scoring, Golden Thread alignment, supervision workflows, and audit logs, aimed at program directors and compliance teams preparing for audits. For organizations that want to reduce documentation time and add an internal review and supervision layer in one place, Clinical Notes AI is a strong, established option.
Adentris vs Clinical Notes AI at a glance
| Adentris | Clinical Notes AI | |
|---|---|---|
| Best for | BH and SUD programs focused on denials and compliance | BH organizations focused on note-writing time and internal review |
| Primary job | Catch and fix denial-driving gaps before the claim is submitted | Draft notes from the session, plus internal fidelity and supervision |
| Review timing | Real time, before the claim is submitted | After the session, when the note is drafted |
| Is it a scribe? | No, it reviews the note, however it was written | Yes, ambient note drafting is a core capability |
| 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) | EHR integrations |
| Compliance focus | Payer claim denials and revenue integrity | Internal fidelity and supervision (Comply) |
| Denials | Paired appeals and denials module | Internal audit and supervision focus (Comply) |
Capabilities change quickly in this market, so confirm current details with each vendor before you decide.
Which should you choose?
Start from the problem you are solving. If your clinicians spend too long writing notes and you want ambient drafting plus an internal fidelity and supervision layer, Clinical Notes AI is built for that. If your problem is that payers deny claims and audits find gaps, and you want a layer that catches a missing medical necessity statement, an unjustified ASAM level of care, or a missing 42 CFR Part 2 consent and drafts the fix before the claim goes out, that is what Adentris is built for. The two are not mutually exclusive: a program can use Clinical Notes AI to generate the note and run its internal review, and Adentris to verify the documentation will actually be paid and to defend it when a payer pushes back. For SUD programs, the depth on ASAM and Part 2, the real-time pre-submission timing, the paired appeals workflow, and running on any EHR through a secure web agent are the practical differences.
- Choose Clinical Notes AI if you want to cut note-writing time with an ambient behavioral health scribe and add an internal fidelity and supervision layer in one place.
- Choose Adentris if your problem is not writing the note but getting it paid: you want the documentation checked against payer and regulatory denial criteria before submission, with ASAM and 42 CFR Part 2 depth and an appeals workflow, on any EHR.
Adentris as a Clinical Notes AI alternative for revenue integrity
If your program uses Clinical Notes AI, or is evaluating it, and the gap you feel is not note-writing time but denials, underpayments, and payer audit exposure, that is a different job. Comply is built for internal documentation fidelity and supervision; Adentris is built for the payer side. It checks whether the documentation supports the claim, flags the specific behavioral health and SUD elements that drive denials, drafts the correction before submission, and pairs that with an appeals and denials workflow. It runs on any EHR through an API, HL7, or a secure web agent, so it fits alongside an ambient scribe or in place of a general compliance scan. For programs that already generate notes well but still lose claims, it is a natural complement or alternative.
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
For cutting documentation time and adding internal supervision, Clinical Notes AI is a strong fit. For getting behavioral health and SUD claims paid, Adentris reviews the finished note before submission, drafts the fix for ASAM and Part 2 gaps, and handles appeals, on any EHR.
Related reading
- AI chart review tools for behavioral health
- Best behavioral health documentation compliance software
- Documentation software for clinicians
Frequently asked questions
What is the difference between Adentris and Clinical Notes AI?
Clinical Notes AI is best known for an AI scribe that drafts behavioral health notes from the session, plus its Comply module for internal documentation fidelity and supervision. Adentris is a revenue integrity and documentation compliance layer that reviews notes in real time before the claim is submitted, drafts corrections, and has SUD-specific rules like ASAM and 42 CFR Part 2 and an appeals module built in. Clinical Notes AI helps write and internally review the note; Adentris makes sure it gets paid.
Can Adentris and Clinical Notes AI be used together?
Yes. They solve different halves of the problem, so a program can use Clinical Notes AI to draft the note and run internal supervision 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 Clinical Notes AI.
Is Adentris a good alternative to Clinical Notes AI?
For programs whose problem is denials and audit exposure rather than note-writing time and internal review, 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. Clinical Notes AI is strong for ambient note drafting and internal supervision across behavioral health. 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.