Adonis vs Penguin Ai
Adonis sells to provider revenue cycle teams chasing denial and underpayment recovery, and raised a $40M Series C. MedCity's March 2026 coverage names Mount Sinai Health System, Baptist Health South Florida, AdventHealth and ApolloMD as customers. A hospital revenue cycle VP who wants customer references gets them here, and Penguin Ai trails on that point, since no customer appears on its homepage or about page.
Penguin Ai is a payer-and-provider platform founded in 2024, with a $29.7M round announced in September 2025. Intelligent UM does prior authorization and appeals review for payers, HCC Coding and Risk Adjustment handles coding, and Intelligent RCM covers pre-submission review and denial recovery. It lists Epic FHIR and Cerner, plus HIPAA and SOC 2 with the SOC 2 type not stated. The vendor says 96% accuracy across deployed AI Workers and cites no study. A health plan utilization management lead is the natural buyer, and Adonis's homepage and partner page describe no prior authorization product.
Billing & coding · Reviewed November 2, 2026

Adonis
by Adonis Technology, Inc. · founded 2022
AI agents that work denials, underpayments and stalled claims for revenue cycle teams.

Penguin Ai
by Penguin Ai · founded 2024
Agentic AI for medical coding, HCC risk adjustment, prior authorization and claims for providers and payers.
When to pick each one
Adonis
- Mount Sinai and AdventHealth named by MedCity
- Denial clustering and Smart Worklists
Penguin Ai
- Prior authorization and appeals review for payers
- HL7, FHIR R4 and X12 standards supported
Score
Each row shows points earned of points available under the published rubric.
Adonis
53of 100
Penguin Ai
40of 100
| Dimension | Adonis | Penguin Ai | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 10 / 10 | 10 / 10 | 0 |
| EHR integrations (count) | 9.1 / 18.2 | 5.5 / 18.2 | +3.6 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 5.6 / 8 | 5.6 / 8 | 0 |
| Bidirectional write-back | 0 / 5.2 | 0 / 5.2 | 0 |
| Peer-reviewed papers | 0 / 7 | 0 / 7 | 0 |
| RCT / meta-analysis / systematic review | 0 / 3 | 0 / 3 | 0 |
| Funding & adoption signal | 8.4 / 12 | 3 / 12 | +5.4 |
| Pricing transparency | 3.3 / 6.5 | 3.3 / 6.5 | 0 |
| Years in market | 4.2 / 6 | 3 / 6 | +1.2 |
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Pricing
Adonis
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
Penguin Ai
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. Site CTA is "Talk to us". |
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Adonis | Penguin Ai |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Epic, athenahealth, AdvancedMD, ModMed, NextGen Healthcare, Canvas | Epic, Cerner |
| Founded | 2022 | 2024 |
| HQ | US | US |
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Common questions
Open the full billing & coding comparison
Autonomous coding (CodaMetrix #1 KLAS 2026), denial prevention, prior-auth automation. The single fastest path to ROI in healthcare AI is RCM — these tools deliver it.
