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, risk stratification, clinical co-pilot, and crisis detection.
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. If your approval rate doesn't move, our gain-share is zero. Your EHR stays the chart of record.
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52.7% net collection against contracted rates at a pilot facility — a healthy facility runs 95%.
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8 of 10 payers collect under 70% of what their own contract allows; six collect under 40%.
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501 denied claims with no documented appeal outcome in the data we received. 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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1.4% denial rate at our pilots, before Cendri. Denials aren't the problem. The process that stops at the denial is.
Platform Capabilities — 3 Portals, 23 AI Endpoints
AI Scribe, Clinical Co-Pilot, CendriPredict (4-model risk engine), Care Concierge, UR Package Builder, ASAM Assessment Generator, Concurrent Review Brief, Peer-to-Peer Brief, Ask-the-Chart, Pre-Visit Brief, Treatment Tracker, Prior Auth Letters, Claim Audit + Appeal Generator, Payer Intelligence, Crisis Detection, AES-256-GCM PHI Encryption. Patient portal, 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 and real-time webhooks, syncing continuously. 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: SUD records gated at the database level. Independent web application penetration test by Qualysec — April 2026, all findings closed at retest. 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: documentation time, authorization lift, preventable denials, prior-auth approval rates, and clinician satisfaction.
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, ambient Scribe, 4-model risk engine (readmission, crisis, adherence, treatment-response), and clinical co-pilot. 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 and real-time webhooks, syncing continuously. Additional EHR integrations are built per facility using the same configuration-driven framework. We add the reconciliation layer, with hybrid retrieval across 20M+ scenarios spanning 112 clinical domains, governed by a 10-stage pipeline, with multi-model clinical risk stratification running continuously. 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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Hybrid Retrieval, Not Hallucination: Hybrid keyword + semantic search across 20M+ BH scenarios injects validated clinical pathways into every AI response. 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 — and adjusts all risk pipelines accordingly.
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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.
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Cultural Competency: 8 CDC race/ethnicity modifiers that change actual clinical output — built into every AI response, not bolted on.
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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 Compliance: SUD consent enforced at the database level — 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. 24,276 claims baselined across two pilot facilities. 8 payer × 5 ASAM templates. 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. AWS WAF in production.
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Phase 3 — AI Enhancement and IP (Complete): Streaming responses, crisis auto-escalation, what-if analysis, retrieval quality gates. Prior-auth feedback flywheel live. 8 patent-pending claims, priority date locked April 2026.
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Phase 4 — Pilot and Scale (Live): Two contracted pilots, 85 beds, live EHR integration.
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: A BH platform detecting comorbidity bridges, 18 care barriers, cultural modifiers, and faith integration simultaneously — which we have not found in another BH platform.
JCAHO and CARF Standards Built In
Survey-ready documentation. JCAHO: NPSG.15.01.01 (C-SSRS suicide screening at every encounter), PC.01.02.13 (biopsychosocial assessments flagged if missing within 24 hrs). CARF: CARF-BH-3.A.2 (SMART goals + person-served sign-off on every treatment plan), CARF-BH-3.E.1 (PHQ-9/GAD-7/PCL-5 flagged missing at intake).
Authorization ROI — Cendri Health Clinical-to-RCM Bridge
Behavioral health facilities collect roughly half of what their payer contracts already allow. The gap is not in denials — it is in underpayments nobody checks. The Clinical-to-RCM Bridge reconciles your clinical documentation against real remittance data to surface what is recoverable.
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52.7% net collection against contracted rates at a pilot facility; a healthy facility runs 95%.
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Fewer than 11% of denied claims are ever appealed (KFF analysis of CMS data, 2024).
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80.7% of Medicare Advantage PA appeals are overturned when pursued (KFF analysis of CMS data, 2024).
Cendri's Payer Outcome Intelligence Engine uses 24,276 claims baselined across two pilot facilities, 8 payer-specific medical necessity templates, and a closed-loop learning system (Save → Outcome → Appeal → Payer Intelligence) to draft better prior-auth letters, make appeals faster, and calibrate continuously to your payer mix. The Clinical-to-RCM Bridge audits your clinical documentation against real remittance data — classifying exactly why each unpaid claim is underpaid, denied, or recoverable.
30-day pilot available — no cost to your facility. Cendri covers platform and infrastructure. No commitment to continue. Before/after measurement you own: documentation time, authorization lift, preventable denials, prior-auth approval rates, and clinician satisfaction.
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.
$8,327 annual lift per bed — modeled from four levers measured at a 37-bed pilot's own claims. Two contracted pilots, 85 beds, live EHR integration. 24,276 claims baselined across two pilot facilities.
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
Documentation time per encounter, prior-auth approval rate by payer, authorization lift, preventable denials, and clinician satisfaction — measured before and after. PHQ-9 trajectory trends and readmission rate are included where the facility administers those instruments. 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 runs through a 10-stage governance pipeline, Part 2 records are gated at the database, 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). Infrastructure inherits AWS's HITRUST-certified environment — no PHI ever leaves the covered environment.
42 CFR Part 2 enforced at the database
SUD records are gated at the database layer. The AI cannot access Part 2-protected records without documented patient consent. Consent-aware architecture — not bolted on as an afterthought.
Independent penetration test
Independent web application penetration test by Qualysec — 17 April 2026, retested 28 April 2026, all findings closed at retest. 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 on every request, governed or not.
Cendri never contradicts your clinician
No document Cendri produces may argue against the treating clinician's documented level of care. This 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
Fewer than 11% of denied claims are ever appealed, yet 80.7% of Medicare Advantage PA appeals are overturned when pursued (KFF analysis of CMS data, 2024). 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, 24,276 claims baselined across two pilot facilities, 8 payer × 5 ASAM templates.
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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.
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Phase 3 — AI Enhancement & IP (Complete): streaming responses, crisis auto-escalation, retrieval quality gates, prior-auth feedback flywheel live, 8 patent-pending claims.
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Phase 4 — Pilot & Scale (Live): Two contracted pilots, 85 beds, live EHR integration.
How we win the days
The same level of care gets 12.3 days from one payer and 6.5 from another. Cendri calibrates to that variance — we model closing only to your own mean, never to the best payer. Across 530 real authorizations at a pilot facility spanning 24 payers, Cendri calibration yields +0.50 days granted per authorization. BCBS of Florida: 12.3 mean days granted. Health First: 6.5 mean days granted. Every authorization outcome feeds back into the payer intelligence engine.
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, risk engine, or payer intelligence. Cendri vs. Eleos: scribe-only, no payer intelligence or risk engine. 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, 4-model risk engine, 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. The Clinical-to-RCM Bridge audits your clinical documentation against real remittance data — classifying exactly why each unpaid claim is underpaid, denied, or recoverable. 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: Discovery & Baseline. Week 2: Integration & Go-Live. Weeks 3–4: Calibration. 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 SUD consent is enforced at the database level — the AI cannot access substance use records without documented consent. Independent web application penetration test by Qualysec — April 2026, all findings closed at retest. AES-256-GCM field-level PHI encryption. Every AI response runs through a 10-stage governance pipeline.
