An AI-powered recovery intelligence platform, OpiAID is designed to improve the safety and effectiveness of medications for opioid use disorder treatment. The platform integrates biometric data from commercially available wrist-worn devices with EHR data. Using machine learning to quantify withdrawal symptoms and detect acute substance abuse, the tool delivers real-time actionable insights to clinicians through a decision support dashboard. By enabling timely interventions and remote patient monitoring, OpiAID aims to increase patient retention in treatment, support personalized care planning, and expand billing opportunities for treatment clinics.