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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
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Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Adentris
Adentris

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Categories

Solutions

Description

Product Description:
Adentris is a healthcare AI platform built to augment EHRs, not replace them. We help hospitals and clinics prevent documentation and compliance issues before they turn into claim denials, audits, or revenue loss. Our platform integrates directly with hospital EHRs, continuously monitors clinical workflows in real time, and uses AI agents to detect, explain, and resolve issues such as missing notes, timing errors, or documentation gaps. When an issue is identified, Adentris initiates a targeted, in-context interaction with the responsible clinician or staff member to confirm and correct it immediately — closing the loop instead of just generating alerts.
About Adentris:

Product Description:

There is a different way to work. If you were to reimagine the way you run your business, what would you do differently? What if you could save up to 80% of your operational costs by reimagining the way business outcomes are delivered?

Through the power of automation emerging technologies, we challenge you to think differently about how you work and how you use your people to full effective.

We can help you across the automation journey from thinking through your strategy to implementing and executing robotic process automation, machine learning and other emerging technologies across the enterprise.  

Revenue Cycle Management:

Prior Authorization ​

Insurance Claims - Posting

Patient Payment - Posting

Coordination of Benefits: Primary, Secondary, & Tertiary

Revenue Integrity - Payment Audits (Under & Over)

Provider: Insurance Enrollment

Revenue Integrity - Charge Description Master (CDM) Management

Revenue Integrity - IME or IMR Audits (CMS & Medicare Advantage)

Insurance Claims - Denied & Rejected Follow-Up

About TQA Healthcare - Formerly Element Blue:

TQA Healthcare enables healthcare and life sciences organizations to transform the patient experience and reduce costs through increased personalization, intelligent automation, and AI. 

The practice’s solutions impact patient access, the revenue cycle, order processing, and clinical needs at the most critical stages of the patient journey, resulting in a seamless encounter.

By empowering individuals to actively manage their unique experiences, TQA Healthcare increases the satisfaction of every healthcare consumer: patients, staff, and clinicians.

Houston-based, TQA Healthcare is formerly Element Blue. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

Adentris is an AI-powered healthcare compliance and revenue integrity platform. It analyzes clinical documentation in real time, detects compliance gaps against payer and regulatory requirements, and guides providers to correct issues before claims are submitted. The platform reduces claim denials, audit risk, and revenue leakage — with a primary focus on Behavioral Health and Substance Use Disorder providers.

Pediatric use cases:

None provided

Users:

Clinical documentation specialists, compliance officers, revenue cycle managers, and billing staff at behavioral health facilities, SUD treatment centers, and their billing companies. Secondary users include CMOs and CFOs who need visibility into documentation quality and denial trends across their organization.

Description:
  • Prior Authorization
  • Claims Status
  • Coding
  • Scheduling
  • HIM
  • Remittance Posting
  • Provider Credentialling
  • Accounts Payable
  • Human Resources
  • Clinical Services
  • Patient Access
  • Revenue Cysle Management 
  • Supply Chain
  • Finance
  • HR
  • Referrals
  • Faxes
  • PDFs
  • Emails
  • Scans
  • Invoices
  • Patient Charts
  • Patient Records
  • Lab Orders
  • Mail
  • Paper Documents
  • Resumes
Pediatric use cases:

Same as for any health system, but additional applications related to newborn insurance and patient proxy for infants and children.

Users:

Revenue Cycle Leaders

Finance Leaders

IT Leaders

HR Leaders

HIM Leaders

Operations Leaders

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Point Click Care, Athenahealth

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

Not applicable

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

Differentiators vs EHR Functionality

EHRs capture and store documentation but do not validate it against payer-specific rules, coding requirements, or regulatory compliance standards. Adentris sits on top of the EHR layer, actively analyzing the content of clinical notes and records to detect missing elements, medical necessity gaps, and billing errors — before the claim leaves the facility. No EHR provides this level of pre-submission compliance intelligence natively.

Differentiators vs Competitors:

Adentris is purpose-built for Behavioral Health and SUD — a segment most compliance tools treat as an afterthought. Unlike generic CDI or coding tools, Adentris embeds BH-specific regulatory logic (42 CFR Part 2, ASAM criteria, Medicaid and commercial payer LCD policies) directly into its AI agents. It integrates with BH-native EMRs (Kipu, Alleva, BestNotes, TheraNest) that competitors do not support. All AI inference runs within a HIPAA/42 CFR Part 2-compliant Azure environment under BAA — no patient data leaves the controlled infrastructure

Differentiators vs EHR Functionality:

While EHRs offers integration tools, achieving seamless data exchange, particularly with non-EHR systems, can be challenging due to their limited interoperability.

This can create communication hurdles between providers using different EHRs, healthcare facilities not on a particular EHR, and providers who need to integrate with other advanced technology platforms outside of the EHR ecosystem.

TQA's solutions can integrate with any platform and are independent of particular products or technologies. This affords our teams unlimited creativity when ideating custom solutions for each healthcare organization.

Differentiators vs Competitors:

TQA has a practice that is dedicated exclusively to healthcare and life sciences. This is unique among our UiPath competitors, who serve multiple industry verticals.

A UiPath Platinum partner, TQA is recognized as a leading systems integrator with more than 20 years' experience in working with some of the world's best known providers, payers, diagnostics, and life sciences organizations.

Keywords

Images

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Videos

No videos provided

1 of 3

Epic Claim Denial Resubmission with BCBS.mp4

Downloads

No content provided

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66329_EB RPA Case Study REVISED.pdf

Alternatives

Company Details

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