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April 2-3, 2026
New York, NY
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IMPORTANT NOTE: Timing of sessions and room locations are subject to change.


Friday April 3, 2026 3:25pm - 3:50pm EDT
Healthcare providers lose 30-60 minutes per insurance claim error, with the industry wasting $250B+ annually on administrative overhead. At Kustode, we built a multi-tenant RCM platform processing thousands of daily EDI transactions (837P claims, 835 remittances, 270/271 eligibility). While we automated the EDI pipes, intelligent workflow orchestration—denial management, prior authorization, claim intervention—remained manual until we integrated MCP.
You'll learn:
- Integrating MCP into existing production systems vs. greenfield builds
- Multi-tenant MCP architecture with PHI isolation and compliance
- Orchestrating long-running workflows (45+ day denial cycles) with state management
- Real workflows: automated denial resolution, prior auth orchestration, intelligent claim intervention
- Security patterns for MCP in regulated environments
- Production metrics: time savings, denial reduction, deployment challenges
- When MCP beats traditional API orchestration
This talk shares production lessons from deploying MCP workflows in a HIPAA-compliant healthcare platform
Speakers
avatar for Andrew Espira

Andrew Espira

Founding Engineer, Kustode
Andrew Espira is a Site Reliability Engineer with over seven years of experience in DevOps, Infrastructure, and Site Reliability Engineering. He specializes in optimizing large-scale system environments, cloud infrastructure, and distributed systems. Andrew is passionate about cloud-native... Read More →
Friday April 3, 2026 3:25pm - 3:50pm EDT
Juilliard Complex (5th Floor)
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