Adentris

What do they actually do

Adentris runs software that monitors medical records as clinicians write them and flags documentation mistakes that can lead to insurance denials, failed audits, or patient‑safety issues. When it detects a problem, it either opens a short correction workflow with the responsible staff or generates a draft fix inside the EHR for clinician approval (their “AutoFix”), aiming to resolve issues before claims are submitted or audits occur adentris.com. The platform integrates directly with EHRs, operates in near‑real time, and provides compliance dashboards, automated reports, and time‑stamped audit trails. Public materials say the rules library includes 5,000+ compliance rules adentris.com.

Today it’s an early commercial product used by hospitals and clinics, positioned for compliance officers, CMOs/CMIOs, revenue/coding teams, and nursing leadership. The company reports roughly $54K ARR with a handful of clinic customers and larger pilots in progress from its YC launch, and it has published a SOC 2 Type I milestone as part of enterprise readiness YC product updates.

Who are their target customer(s)

• Compliance officer (hospital/clinic): Relies on manual chart reviews that miss timestamp, signature, and form issues; needs near real‑time surfacing of deviations and audit trails to reduce fines or corrective actions.
• Chief Medical Information/Medical Officer (CMIO/CMO): Sees documentation mistakes that create safety risks or conflicting entries; needs a way to catch and standardize fixes in‑workflow without disrupting care.
• Revenue cycle / coding manager: Loses time and money to denials and retroactive edits; needs to prevent documentation errors pre‑submission so claims go out clean and appeals decline.
• Nursing leaders (nurse managers, documentation leads): Frequent incomplete forms, missing signatures, and timestamp errors cause rework and follow‑ups; needs real‑time nudges that fix items before they become billing or audit problems.
• Frontline clinicians (physicians, NPs, PAs): Burdened by after‑the‑fact audits and noisy, non‑actionable alerts; needs short, actionable corrections or draft fixes in the moment to cut administrative work.

How would they acquire their first 10, 50, and 100 customers

• First 10: Convert current pilots and early adopters into paid deployments via 30–90 day paid pilots with clear success metrics (error reduction, fewer denials) and a small integration fee; use clinician/compliance champions to validate AutoFix and create first case studies adentris.com YC.
• First 50: Run targeted outreach to compliance, CMIO, and revenue leaders at community hospitals and specialty groups using ROI case studies and audit‑trail evidence; package standardized EHR connector templates and an onboarding playbook with a pilot‑to‑subscription path adentris.com YC.
• First 100: Build a small enterprise sales/implementation team and partner with EHR integrators, RCM vendors, and HIT consultancies; productize integrations, security artifacts (e.g., SOC 2), and contract templates; add reseller program and volume/performance‑linked pricing to accelerate multi‑facility rollouts product updates.

What is the rough total addressable market

Top-down context:

Adentris maps to clinical documentation improvement (CDI), claims/denial management within revenue cycle management (RCM), and EHR‑integration services. Published estimates place the U.S. CDI market around $1.33B in 2024, with other sources as high as ~$2.5B; RCM is a much larger category measured in the tens to hundreds of billions and includes claims & denial management as a key function; EHR integration services are also a multi‑billion category Precedence Research MarkNtel Grand View Research Verified Market Research Fortune Business Insights.

Bottom-up calculation:

A simple bottoms‑up view using buyer counts and conservative price bands: 6,093 U.S. hospitals at $50k–$200k ARR yields ~$305M–$1.22B; 213k physician offices at $1k–$5k ARR yields ~$213M–$1.07B. Combined, an initial U.S. product TAM of roughly ~$0.5B–$2.3B, before expanding into broader RCM budgets AHA AHA PDF PMC.

Assumptions:

• Price bands reflect typical SaaS for compliance/RCM add‑ons and will vary by system size and scope of modules deployed.
• Clinic estimate uses 213k physician office establishments (excluding mental health specialists) as the relevant clinic base PMC.
• Assumes current product focus (real‑time documentation checks and AutoFix) without counting adjacent RCM modules that could expand contract value.

Who are some of their notable competitors

• Iodine Software: Large CDI/clinical AI vendor focused on documentation accuracy and revenue integrity; widely deployed in U.S. hospitals and directly addresses missed documentation and denials.
• 3M Health Information Systems (3M HIS): Established CDI and coding solutions provider (incl. CAPD) used by many health systems; strong footprint across documentation, coding, and compliance workflows.
• Nuance (Microsoft) Healthcare: Provides ambient clinical documentation and CDI tools (e.g., CDE/CAPD) embedded in EHR workflows; deep clinician adoption via speech/ambient solutions.
• SmarterDx: AI platform for chart review and revenue capture that aims to prevent denials and missed codes; goes after a similar pre‑submission quality problem for RCM.
• MDaudit: Revenue integrity and compliance auditing software used by provider organizations to detect risk and reduce payer denials; emphasizes proactive audit/denial prevention.