Prevent Denials
Before They Happen

Most RCM platforms react after the damage is done. Kustode catches eligibility gaps, authorization issues, and coding errors before submission — so your claims get paid the first time.

11.8%
avg denial rate industry-wide
$25–$118
cost per denied claim
50%
caused by preventable errors
The Industry Problem

The Denial Crisis Is Costing You Revenue

Healthcare claim denials have reached crisis levels, and the root causes are entirely preventable.

41%

of providers have denial rates above 10%

Source: Experian 2025

68%

say submitting clean claims is harder than last year

Source: Experian 2025

$19.7B

spent annually fighting claim denials

Source: AHA 2022

Top Causes of Claim Denials

All of these are preventable — and that is exactly what Kustode does.

Missing or inaccurate claim data50%
Authorization issues35%
Incomplete patient information26%
Coding errors18%
Medical necessity questions15%

We support all major payers

cca logo
MassHealth logo
hne logo
tufts logo
uhc logo
wellsense logo
Cigna logo
Aetna logo
Harvard Pilgrim logo
cca logo
MassHealth logo
hne logo
tufts logo
uhc logo
wellsense logo
Cigna logo
Aetna logo
Harvard Pilgrim logo
cca logo
MassHealth logo
hne logo
tufts logo
uhc logo
wellsense logo
Cigna logo
Aetna logo
Harvard Pilgrim logo
How It Works

From Chaos to Clean Claims

Kustode automates every step of the revenue cycle, catching issues before they become denials.

1
Automation Touchpoint

Eligibility Verification

Real-time insurance checks before every visit

2
Automation Touchpoint

Prior Authorization

Automated auth status monitoring and alerts

3
Automation Touchpoint

Claim Scrubbing

AI validates codes, modifiers, and documentation

4

Clean Submission

Error-free claims submitted electronically

5

Payment Reconciliation

Automated ERA posting and follow-up

Built for Your Role

Value That Speaks to You

Whether you care about revenue, efficiency, or technology — Kustode delivers measurable results.

Maximize Revenue, Minimize Loss

Kustode recovers revenue you are currently losing to preventable denials — with zero upfront cost and fully aligned incentives.

  • 4% success-based pricing — you only pay when we collect
  • Average $2K additional monthly revenue per practice
  • 95% first-pass claim acceptance rate
  • $180K average denied revenue recovered annually
Calculate Your ROI
Core Capabilities

A Prevention Engine for Your Revenue Cycle

From eligibility checks to payment reconciliation, Kustode catches errors before they become denials — all from a single unified platform built for specialty healthcare.

Claims Management

End-to-end claims lifecycle from creation to payment. Automated validation, bulk processing, and denial management.

  • Real-time claim status tracking
  • Automated claim scrubbing
  • EDI 837/835 processing
  • Denial tracking & appeals
Learn more

Billing & Payments

Streamlined billing workflows with automatic payment reconciliation and revenue tracking.

  • Invoice generation
  • ERA/835 auto-posting
  • Payment reconciliation
  • Revenue analytics
Learn more

Eligibility & Authorization

Real-time eligibility verification and prior authorization management to reduce denials.

  • Real-time eligibility checks
  • Prior auth workflows
  • Multi-insurance COB
  • Batch verification
Learn more

Built for Specialty Healthcare

Advanced capabilities for home health, mental health, and behavioral health practices

Provider Management
Credentials & NPI Verification
Caregiver Management
EVV & scheduling
Document Management
OCR & secure storage
Analytics & Reporting
Custom dashboards
Customer Success Metrics

Real Results from Real Customers

See the measurable impact Kustode has delivered for healthcare practices across the country

0%

Revenue Growth

Average increase in monthly collections within 6 months

Dr. Sarah Mitchell
Valley Medical Group
"
+0 days

Speed to Cash

Faster payment collection compared to previous billing system

Michael Chen
Pacific Health Partners
"
0%

First-Pass Acceptance

Claims approved on first submission without rejections

Jennifer Rodriguez
Metro Family Practice
"
0K

Denied Revenue Recovered

Previously lost revenue successfully reclaimed and collected

Dr. Robert Kim
Coastal Medical Center
"

Ready to Join These Success Stories?

See how your practice can achieve similar results with Kustode's AI-powered revenue cycle optimization

Calculate Your ROI
Product Preview

See the Platform

Intuitive interfaces designed for healthcare billing workflows

Revenue Dashboard

Revenue Trends

Last 6 months

12.5%

Total Revenue

$1.71M

Collected

$1.62M

Revenue
Collected

Dashboard

Claims Management

Claims Overview

This month

1,247

Total Claims

87.3%

Approval Rate

4.8%

Denial Rate

2.1% less denials than last month

Claims

Eligibility Verification

Eligibility Status

Real-time verification

Live

94%

Verified

Verified
84794%
Pending
384%
Failed
182%
Avg. verification time1.2 seconds

Eligibility

Our Pricing Model

Zero Upfront Cost. Pay Only When We Deliver.

We only win when you get paid. Our incentives are fully aligned with yours.

4% Success-Based

You only pay a percentage of what we actually collect. No monthly fees, no setup charges, no hidden costs.

$0 Implementation

Free onboarding, training, and integration. We invest in your success from day one.

Cancel Anytime

No long-term contracts or lock-in. We earn your business every single month.

Traditional RCM
7-12% of collections
+ $5K-$15K setup fee
+ Monthly minimums
+ 12-month contract
Kustode
4% of collections
+ $0 setup fee
+ No minimums
+ Cancel anytime
Why Kustode

The Only Proactive RCM Platform Built for SMBs

Well-funded competitors focus on enterprise accounts and react to denials after submission. We prevent denials for the practices they ignore.

Enterprise
SMB
Reactive
Proactive
Arrow Health
Waystar
R1 RCM
Adonis
Kustode

Others react to denials after submission

Kustode prevents denials before they happen

Others charge 7-12% of collections

Kustode charges just 4% — success-based

Others require $5K-$15K setup fees

Kustode: zero upfront cost, cancel anytime

HIPAA Compliant

Built-in PHI protection, audit logging, and role-based access control with 88+ granular permissions.

Security First

Data encryption at rest and in transit, MFA support, and complete audit trails for compliance.

Modern Integrations

We integrate with all major EHRs for seamless data exchange.

Schedule a Demo

See the platform in action

Customer Success

Trusted by Healthcare Organizations

Mental Health Provider

Kustode transformed our billing operations. We've seen significant improvements in our claim acceptance rates and dramatically reduced our time to payment.

Denial Rate
18%4.2%
Monthly Revenue Lost
$12,400$1,800
P
Pamela J.
Administrator, Holistic Care Mental Health Association