Cendri Health — The Clinical-to-RCM Bridge for Behavioral Health
The reconciliation layer between clinical documentation and revenue cycle for behavioral health and SUD facilities. Works alongside your existing EHR — live API integrations with Kipu and Sunwave today, additional EHRs built per facility — and adds what they aren't built to do: clinical-to-RCM reconciliation, payer outcome intelligence, AI-drafted auth letters and denial appeals, ambient Scribe, and clinical co-pilot.
The gap is in what was allowed, not what was denied.
Cendri drafts the authorization and appeal, records what you requested and what the payer granted, and reports the lift against the baseline you locked on day one. Flat per-bed fee plus a tiered share of results, agreed up front — never a percentage of your claims or collections. Your EHR stays the chart of record.
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Preventable denials — expired filing windows, documentation never received, eligibility not met — each carrying a reason code, catchable before submission.
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Authorized days per completed stay — the number that matters, measured against your locked baseline by payer and level of care.
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Denied claims frequently close with no documented appeal outcome — not proof nobody appealed, proof nobody can tell. A denial that closes without a recorded decision is where the money goes.
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Behavioral health authorizations are rarely denied outright — the loss is in days, not denials. The process that stops at the denial is the problem.
One platform for UR teams and clinicians
UR Package Builder (initial + concurrent), ASAM / LOCUS, Peer-to-Peer Brief, Prior Auth Letters, Claim Audit, Before-review gap check, Work queue, Ambient Scribe, Ask-the-Chart. Clinician portal, Administrator portal. One governance pipeline.
How Cendri Fits Your Stack
Cendri runs live API integrations with Kipu and Sunwave today — census, medications, clinical notes, utilization reviews, insurance — plus a nightly chart read that captures confirmation labs, medication administration records, scored assessments and attached documents the APIs don't expose. Your EHR stays the chart of record and your billing workflow does not change. Additional EHR integrations are built per facility using the same configuration-driven framework. Onboarding is a configuration exercise, not a development project.
Security and Compliance
HIPAA-aligned on AWS under signed BAA. 42 CFR Part 2 enforced before anything leaves the program. Independent web application penetration test by Qualysec — April 2026, all findings closed at retest. One finding regressed in July and was re-closed on 21 September. AES-256-GCM field-level PHI encryption for MRN, DOB, NPI, and emergency contacts at rest. JCAHO and CARF survey-ready documentation built in.
Pilot Program
30-day pilot — no cost to your facility. We cover the build, integration, infrastructure, and dedicated support. No commitment to continue. Selective with pilot facilities. Before/after measurement you own: authorized days per completed stay, initial and concurrent authorization length by payer, before-review documentation gaps closed, and reviewer time per package.
Cendri Health — About Us
Cendri Health™ is the reconciliation layer between clinical documentation and revenue cycle for behavioral health and SUD — patent-pending payer outcome intelligence, clinical-to-RCM reconciliation, AI authorization letters and denial appeals, and ambient Scribe. Works alongside your EHR via live API integration with Kipu and Sunwave — additional EHRs built per facility.
Behavioral health is a $92.14B market in the U.S. alone in 2026 (Fortune Business Insights 2026). Primary care physicians spend 36 minutes on the EHR per visit (AMA, 2025). PHQ-9 scores, GAD-7s, encounter notes, and utilization reviews sit in separate systems with no connection between them. Cendri connects them. Mental Health Apps market: $8.64B in 2026 growing to $35.29B by 2034 at 19.23% CAGR.
Cendri runs live API integrations with Kipu and Sunwave today — census, medications, clinical notes, utilization reviews, insurance — plus a nightly chart read that captures confirmation labs, medication administration records, scored assessments and attached documents the APIs don't expose. Additional EHR integrations are built per facility using the same configuration-driven framework. We add the reconciliation layer, with a 20M+ scenario behavioral-health corpus informing Cendri's drafting, governed by a 10-stage pipeline. Built specifically for behavioral health and SUD — not adapted from generic medical AI.
Why Generic AI Fails in Behavioral Health
Generic LLMs hallucinate treatment protocols, miss comorbidities, and give one-size-fits-all responses. Cendri runs hybrid retrieval over a BH-specific corpus, governed at every response, and tuned to the patient in front of the clinician.
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Corpus-Informed Drafting: A 20M+ scenario behavioral-health corpus informs Cendri's drafting. One of 8 patent-pending claims, priority date locked April 2026.
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10-Stage Governance Pipeline: HIPAA/42 CFR gating, bias detection, C-SSRS crisis scoring, human-in-the-loop review, and immutable audit trail.
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Physical-Behavioral Bridge: Detects how conditions amplify each other — PTSD, SUD, cardiometabolic risk. Available in Cendri's risk models.
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Military Readiness: VA/DoD/civilian routing. 18 auto-detected care barriers with mitigation guidance — security clearance, fitness-for-duty, SEAD-4, LIMDU. Available in Cendri's risk models.
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Cultural Competency: 8 CDC race/ethnicity modifiers in the corpus. Available in Cendri's risk models.
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Faith-Based Care: Purpose-built clinical content for religious trauma, moral injury, faith-integrated treatment, and denominational perspectives — which we have not found in another BH AI platform.
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42 CFR Part 2: Enforced before anything leaves the program — without SUD consent, substance-use diagnoses, MAT, SUD screening instruments and drug-screen results are removed from every payer-facing document. Architectural enforcement, not a UI checkbox.
Built. Secured. In Pilot.
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Phase 1 — Platform Built (Complete): 3 role-based portals. 23 AI endpoints. 20M+ scenarios across 112 clinical domains. Payer-specific requirements for 15+ payers in UR packages; 8 payer templates for prior-auth letters and appeals. AWS with signed BAA.
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Phase 2 — Security and Compliance (Complete): HIPAA-aligned on AWS. 42 CFR Part 2 consent-aware governance. Independent web application penetration test by Qualysec — April 2026, all findings closed at retest. One finding regressed in July and was re-closed on 21 September. AWS WAF in production.
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Phase 3 — AI Enhancement and IP (Complete): Streaming responses, retrieval quality gates. The outcome loop is built; first measured outcomes come from the pilots. 8 patent-pending claims, priority date locked April 2026.
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Phase 4 — Pilot and Scale (Live): Live EHR integration with behavioral health facilities. The outcome loop is built; first measured outcomes come from ongoing pilots.
The Platform Moat
Clinical Depth: 112 clinical domains — PTSD, SUD, TBI, MST, eating disorders, faith-based, adolescent, elderly, oncology, cardiometabolic, and more. Validated at Scale: Independent web application penetration test by Qualysec — April 2026, all findings closed at retest. All governance, retrieval, and payer intelligence test suites passing. Whole-Person AI: Comorbidity bridges, 18 care barriers, cultural modifiers, and faith integration are available in Cendri's risk models — which pilots don't use today.
JCAHO and CARF Standards Built In
Survey-ready documentation. JCAHO: NPSG.15.01.01 (missing or out-of-date C-SSRS flagged before every review), PC.01.02.13 (biopsychosocial assessments flagged if missing within 24 hrs). CARF: CARF-BH-3.E.1 (PHQ-9/GAD-7 flagged when not on file in the last 30 days).
Authorization ROI — Cendri Health Clinical-to-RCM Bridge
Behavioral health authorizations are rarely denied outright. The loss is in days: approvals that come back shorter than the care requested, and nobody tracks the difference. The reconciliation layer records what you requested against what the payer granted and reports the lift against the baseline you locked on day one.
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Authorized days per completed stay — the number that matters, measured against your locked baseline by payer and level of care.
-
Preventable denials — expired filing windows, documentation never received, eligibility not met — each carrying a reason code, catchable before submission.
-
Denied claims frequently close with no documented appeal outcome — a denial that closes without a recorded decision is where the money goes.
-
Behavioral health authorizations are rarely denied outright — the loss is in days, not denials. The process that stops at the denial is the problem.
Cendri's Payer Outcome Intelligence Engine uses payer-specific requirements for 15+ payers in UR packages, 8 payer templates for prior-auth letters and appeals, and a closed-loop learning system (Save → Outcome → Appeal → Payer Intelligence) to draft better prior-auth letters and make appeals faster. Payer intelligence draws on your facility's own authorizations from the last 180 days.
30-day pilot available — no cost to your facility. Cendri covers platform and infrastructure. No commitment to continue. Before/after measurement you own: authorized days per completed stay, initial and concurrent authorization length by payer, before-review documentation gaps closed, and reviewer time per package.
30-Day Pilot | Cendri Health
A 30-day pilot at no cost and no commitment to your facility. Cendri covers development, integration, infrastructure, and dedicated support. The pilot validates authorization lift, preventable denials, and documentation time against your real claims data — not industry averages or a demo environment. The 30-day pilot is where the first attributable dollar gets recorded.
Live EHR integration with behavioral health facilities. The outcome loop is built; first measured outcomes come from ongoing pilots.
What's included
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No cost for 30 days — no platform fees, no infrastructure costs.
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Reconciliation layer setup: live API integrations with Kipu and Sunwave today; additional EHRs built per facility. Onboarding is a configuration exercise, not a development project.
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30-day timeline: Discovery & Baseline → Integration & Go-Live → Calibration → Outcome Report.
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Dedicated support — direct access to our team, not a ticketing system.
Outcome measurement you own
Authorized days per completed stay, initial and concurrent authorization length by payer, before-review documentation gaps closed, and reviewer time per package — measured before and after. You own the data regardless of what you decide.
Security & Compliance | Cendri Health
Cendri is a governed clinical AI platform for behavioral health and SUD. Every AI response is drafted from the chart, checked, and reviewed and signed by a clinician before it leaves Cendri. Nothing is auto-submitted. Part 2 consent is enforced before anything leaves the program, and the platform passed an independent penetration test in April 2026 with all findings closed at retest.
HIPAA on AWS
Cendri runs on AWS under a signed Business Associate Agreement (BAA). PHI is processed only by vendors under a signed BAA — AWS (hosting, AI models via Amazon Bedrock, medical transcription) and Daily.co (telehealth video).
42 CFR Part 2 enforced before anything leaves
Without the patient's SUD consent, substance-use diagnoses, MAT medications and doses, SUD screening instruments (AUDIT/DAST/CIWA/COWS), drug-screen labs and orders, and BAM barrier findings are removed from every payer-facing document Cendri drafts. Facility staff see their own patients' records, as Part 2 permits for internal program use.
Independent penetration test
Independent web application penetration test by Qualysec — 17 April 2026, retested 28 April 2026, all findings closed at retest. One finding regressed in July and was re-closed on 21 September. Continuous RLS regression testing in production. AWS WAF is in production across all endpoints.
AES-256-GCM field-level encryption
PHI fields encrypted at rest with AES-256-GCM — MRN, DOB, NPI, emergency contacts, full address, health goals, user email and phone, provider license number, and the clinical note bodies themselves — SOAP notes and AI-generated drafts. Encryption is applied at the field level, not just the volume.
The 10-stage AI governance pipeline
1. Consent Verification (HIPAA + 42 CFR Part 2) · 2. EHR Population Alignment · 3. Model Registry Validation · 4. AI Inference Execution · 5. Bias Scan (6 dimensions) · 6. C-SSRS Safety Evaluation · 7. Crisis Escalation · 8. Human Loop Gate · 9. FHIR Write Preparation · 10. Audit Trail Emission. No document is auto-submitted to a payer — a clinician or UR director reviews and signs. Role-based access control, rate limiting, and immutable audit logging are enforced at the platform layer. Every PHI access and AI generation is audit-logged to the database and an S3 bucket with Object Lock in COMPLIANCE mode, 6-year retention.
Cendri never contradicts your clinician
Every package requests the level of care your clinician documented. Cendri's own placement opinion never appears in front of a payer — that is enforced in the software, not written in a policy.
Investors | Cendri Health — Market Opportunity & Traction
The U.S. behavioral health market reaches $92.14B in 2026, growing at 5.3% CAGR (Fortune Business Insights 2026). The Mental Health Apps segment alone hits $8.64B in 2026 en route to $35.29B by 2034 at a 19.23% CAGR. Cendri Health sits at the intersection of clinical accuracy, governed AI, and authorization-revenue optimization.
Why the billing revenue leak persists
At our pilot facilities, Denied claims frequently close with no recorded appeal outcome — a denial that closes without a recorded decision is where the money goes. Kipu, Netsmart, and Qualifacts store documentation but do not generate auth letters. Eleos transcribes encounters but does not touch billing. No BH platform we've found connects clinical documentation to billing outcomes.
Built. Secured. In Pilot.
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Phase 1 — Platform Built (Complete): 3 role-based portals, 23 AI endpoints, 20M+ scenarios across 112 clinical domains, payer-specific requirements for 15+ payers in UR packages, 8 payer templates for prior-auth letters and appeals.
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Phase 2 — Security & Compliance (Complete): HIPAA-aligned on AWS, 42 CFR Part 2 consent-aware governance, independent web application penetration test by Qualysec — April 2026, all findings closed at retest. One finding regressed in July and was re-closed on 21 September.
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Phase 3 — AI Enhancement & IP (Complete): streaming responses, retrieval quality gates, the outcome loop is built, 8 patent-pending claims.
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Phase 4 — Pilot & Scale (Live): Live EHR integration with behavioral health facilities. The outcome loop is built; first measured outcomes come from ongoing pilots.
How we win the days
The headline measure is authorized days per completed stay, compared with your locked baseline, by payer and level of care. Authorized days per completed stay, measured from your facility's own EHR authorization records, frozen before Cendri goes live. On every package Cendri drafts, we record what you requested and what the payer granted — by payer and level of care.
Competitive landscape
Cendri vs. Cohere Health: Cohere is payer-side only; Cendri is provider-side. Cendri vs. Kipu and Netsmart: legacy EHRs with no AI prior-auth intelligence or payer intelligence. Cendri vs. Eleos: scribe-only, no payer intelligence. Cendri vs. Dazos: BH CRM with billing-analytics add-on that tracks claims but does not perform clinical-to-RCM reconciliation or draft authorization/appeal letters. Cendri's moat: 20M+ BH clinical retrieval corpus, closed-loop payer outcome learning (8 patent-pending claims), 10-stage governance pipeline, 112 clinical domains.
FAQ | Cendri Health — Clinical-to-RCM Bridge
How the Clinical-to-RCM Bridge works
EHRs track the chart. Billing platforms track the code. Nobody connects them. Cendri drafts the authorization and appeal from the chart, and measures authorized days per completed stay against your locked baseline. It does not replace your EHR or billing workflow; it sits on top of both.
How it differs from standard EHR features
Your EHR billing module tells you what happened (submitted, paid, denied). It does not tell you why a claim was underpaid, whether the denial was wrong, or whether the money is still recoverable. It does not draft appeal letters or learn from payer outcomes. Standard RCM tools focus on coding accuracy and denial tracking but cannot see the clinical documentation that explains why a claim should have been paid. Cendri connects the clinical work to the financial outcome.
The 30-day pilot
Week 1: Connect Kipu or Sunwave (API + read-only integration user), chart map, baseline frozen, BAA countersigned. Week 2: Integration & Go-Live. Weeks 3–4: First packages reviewed with your UR lead. Day 30: Outcome Report. No cost to your facility — Cendri covers platform and infrastructure. No commitment to continue. Live API integrations with Kipu and Sunwave today; additional EHRs built per facility.
HIPAA & 42 CFR Part 2
HIPAA-aligned on AWS under Cendri's signed BAA. 42 CFR Part 2 consent is enforced before anything leaves the program — without the patient's SUD consent, substance-use diagnoses, MAT, SUD screening instruments and drug-screen results are removed from every payer-facing document. Independent web application penetration test by Qualysec — April 2026, all findings closed at retest. One finding regressed in July and was re-closed on 21 September. AES-256-GCM field-level PHI encryption. Every AI response runs through a 10-stage governance pipeline.
