The short version: Upheal and Adentris both apply AI to behavioral health documentation, but they solve different halves of the problem. Upheal is an AI documentation platform for mental health that drafts notes, adds built-in telehealth, scheduling, and billing, and surfaces session analytics. Adentris is a revenue integrity and documentation compliance layer that reviews the note, however it was 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, running on any EHR. If your problem is documentation, telehealth, and analytics in one place, Upheal is built for that. If your problem is denials and audit exposure, that is where Adentris focuses.
One is an all-in-one for sessions and notes, the other protects the claim, so the comparison is about the gap you feel. 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 Upheal does
Upheal is an AI documentation platform for mental health professionals that captures sessions, drafts progress notes in formats like SOAP, DAP, and BIRP aligned to payer requirements, and adds built-in telehealth video, scheduling, billing, and session analytics such as talk-time ratios and emotional-tone shifts. It is HIPAA compliant. For therapy practices that want documentation, telehealth, and analytics in one platform, Upheal is a strong, well-funded option.
Adentris vs Upheal at a glance
| Adentris | Upheal | |
|---|---|---|
| Best for | BH and SUD programs focused on denials and compliance | Therapy practices wanting notes, telehealth, and analytics |
| Primary job | Catch and fix denial-driving gaps before the claim is submitted | Draft notes and provide telehealth and session analytics |
| 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 and therapy focus |
| EHR fit | Any EHR via API, HL7, or a secure web agent (no migration) | Own platform with EHR features |
| Compliance focus | Payer claim denials and revenue integrity | Compliance checking within notes |
| Denials | Paired appeals and denials module | Compliance checking within notes, not an appeals module |
Capabilities change quickly in this market, so confirm current details with each vendor before you decide.
Which should you choose?
Upheal is built to draft notes and run telehealth, scheduling, and analytics in one platform. Adentris is built for a different job: catching the documentation 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 supports the appeal if a payer denies. For SUD programs, ASAM and Part 2 depth, real-time pre-submission timing, and running on any EHR through a secure web agent are the practical differences. A practice can use Upheal to run sessions and write notes and Adentris to make sure the claim gets paid.
- Choose Upheal if you want notes, telehealth, scheduling, and session analytics for a therapy practice in one platform.
- Choose Adentris if you lose behavioral health or SUD claims to documentation gaps and want them flagged and fixed in the moment, with SUD-specific rules and denials support in one place, without migrating EHRs.
Adentris as an Upheal alternative for revenue integrity
If your practice uses Upheal, or is evaluating it, and the gap you feel is not documentation and telehealth but denied claims and audit exposure, that is a different job. Upheal checks compliance within the notes it drafts; Adentris reviews the finished documentation against payer and regulatory denial criteria, 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 works whether you stay on Upheal or run another system. For practices that write notes and run telehealth well but still lose claims, it is a natural complement.
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
Upheal is a strong all-in-one for notes and telehealth. Adentris is a revenue-integrity layer on any EHR that checks whether the documentation will actually be paid and defends denials.
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 Upheal?
Upheal is an AI documentation platform for mental health that drafts notes and adds built-in telehealth, scheduling, billing, and session analytics. Adentris is a revenue integrity and documentation compliance layer that reviews the note 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, running on any EHR. Upheal helps run sessions and write notes; Adentris makes sure the claim gets paid.
Can Adentris and Upheal be used together?
Yes. They solve different halves of the problem, so a program can use Upheal to run telehealth sessions and draft notes 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 Upheal.
Is Adentris a good alternative to Upheal?
For programs whose problem is denials and audit exposure rather than documentation, telehealth, and analytics, 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. Upheal is strong for notes, telehealth, and session analytics in one platform. 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.