A living platform that replaces spreadsheets, disconnected apps, and 2009-era software with a real-time command center for ABA therapy clinics.
Confidential · May 2026 · Seed Round
The $25–35 billion ABA therapy industry is powered by fragmented, legacy software built for data entry — not clinical operations. Clinics cobble together 3–5 disconnected tools for scheduling, billing, notes, and data collection.
Most clinics use separate systems for data collection, practice management, billing, and scheduling. None talk to each other. Staff re-enter data constantly.
Unbilled sessions, expired authorizations, and denied claims go unnoticed for weeks. The average clinic loses 8–12% of potential revenue to operational blind spots.
Frontline therapists quit — not because of the work, but because the administrative burden is crushing. Paperwork follows them home every night.
Existing platforms don't surface problems. Owners discover expired auths, missed co-signs, and denied claims days or weeks after the damage is done.
Autism prevalence is accelerating. Insurance mandates are universal. The workforce is scaling. The only thing that hasn't kept up is the software.
1 in 31 children (up from 1 in 150 in 2000). Better screening + expanded diagnostic criteria = structurally growing demand for decades.
All 50 states now mandate ABA insurance coverage. Commercial rates exceed Medicaid by 15–25%. The payment infrastructure is in place.
BCBAs up 3x and RBTs up 5x since 2018. Supply is growing but outpaced by demand — creating operational complexity that legacy tools can't handle.
Every competitor was built as an EHR or data collection tool, then bolted on features. No one built a true operational platform from scratch. Until now.
Not an EHR with features bolted on. A living platform that behaves like your office manager — proactive, visual, and always keeping score.
Every actionable item from every system — billing, scheduling, EHR, Slack, email — ranked by priority in one live feed.
Every morning: what happened overnight, what's at risk, what needs your decision. 30 seconds of reading replaces an hour of digging.
EDI connections to major payers. Claims, denials, appeals — tracked in real time. No separate billing portal.
Utilization, expiration, reauth status — monitored live. Alerts fire before problems become crises.
Offline-first, thumb-native session recording. Auto-generated notes. Built for therapists in the field, not at a desk.
Email, Slack, Teams, Google Chat — any communication tool flows into the Today widget as actionable tasks.
| Dimension | Legacy ABA Software | Cue Platform |
|---|---|---|
| Architecture | EHR with bolted-on modules | Operational platform, designed as one system |
| Dashboard | Static report pages | Real-time command center with prioritized queue |
| Billing | Separate system or add-on | Integrated EDI with live claim tracking |
| Proactivity | You discover problems | Problems are surfaced and ranked for you |
| Integrations | API connections between tools | Email + chat flow into unified action queue |
| Mobile | Responsive web or basic app | Offline-first, thumb-native data collection |
| Design | Functional but dated | Flow Design System — built to reduce cognitive load |
| Onboarding | Weeks of training | Intuitive from the first click |
"When the software is ugly, people avoid it.
When people avoid it, data goes missing.
When data goes missing, kiddos fall through the cracks."
Cue is built with the Flow Design System — a design language that treats clinical software
with the same care Apple brings to consumer products. Design isn't vanity. It's clinical integrity.
The top 9 ABA providers control only 27% of revenue. The software market mirrors this fragmentation — lots of tools, no platform.
| Platform | Focus | Pricing | Rating | Weakness Cue Exploits |
|---|---|---|---|---|
| CentralReach | Enterprise EHR | Custom quote (+7%/yr) | 4.3/5 | Complex, slow, legacy UI |
| RethinkBH | Multi-discipline PM | From $20/user/mo | 4.1/5 | Functional but not proactive |
| Motivity | Clinical data | $24–48/learner/mo | 4.6/5 | Data-only, no ops platform |
| AlohaABA | PM for small clinics | $29.99/staff/mo | 4.3/5 | Requires partner for clinical |
| Catalyst/Ensora | Data collection | ~$15–25/client | 4.0/5 | Data only, no billing/ops |
Every competitor is either a data collection tool or an EHR that added features.
No one built a true operational platform from the ground up.
Per-clinic monthly fee covering dashboard, scheduling, staff management, authorizations, reporting, and the widget system. Tiered by clinic size.
Integrated EDI, claim tracking, denial management. Priced per-claim or flat add-on — replaces external billing systems.
Email, Slack, Teams, payer EDI feeds. Included in higher tiers, available as add-ons for base plans.
Clinic owners feel the pain most acutely. They're the buyer. Once the platform is live, BCBAs, RBTs, and billers all become daily active users — creating deep organizational lock-in.
Direct outreach to clinic owners (5–50 staff). The dashboard and daily briefing sell themselves in a 15-minute demo. Product-led growth with a white-glove onboarding.
Once the owner is on, BCBAs use the co-sign queue, RBTs use mobile data collection, billers use claims tracking. Every role depends on Cue daily.
Multi-site chains → School districts → Payer partnerships → International (UK, Australia NDIS)
Core platform live. Dashboard, scheduling, staff, authorizations, billing, widget system, mobile data collection. First 10 paying clinics. Product-market fit validation.
50+ clinics. Integration marketplace (payer EDI, clearinghouses). Advanced analytics and reporting. BCBA supervision tracking automation. Referral-driven growth engine.
200+ clinics. Multi-site management. School district partnerships. AI-powered scheduling optimization. Outcomes-linked authorization workflows with payer pilots.
500+ clinics. Series A. National presence in top 10 ABA states. Payer-facing analytics dashboard. Begin international expansion (UK, Australia). Become the standard.
Cue isn't built by outsiders guessing at clinical workflows. It's built by a clinic owner who spent years fighting the exact tools everyone else sells.
Operating an ABA clinic (Stride Behavioral), building Cue to solve real problems encountered every day. Every feature is born from operational pain.
A proprietary design language built from the ground up for clinical operations. Not a template — a full system with principles, components, and an aesthetic that competitors can't replicate overnight.
Dashboard, kiddos, scheduling, staff, authorizations, billing, payroll, reports, integrations, mobile data collection — all live.
Apple-inspired widget grid with drag-and-drop, auto-fill, page-specific assignments, and 16+ operational widgets.
Universal email + chat integration that transforms messages into actionable clinic tasks. Gmail, Outlook, IMAP, Slack, Teams, Google Chat.
$25–35B market. 10–13% growth. Zero modern platforms.
We're building the one they'll all switch to.
Fran C. · Founder & CEO
fran@usecue.com
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