Chandler, AZ – KeenStack, a ServiceNow Partner specializing in healthcare automation, today announced the launch of its AI-Powered Healthcare Appeals & Grievances Management application, now available on the ServiceNow Store. Built natively on ServiceNow, the solution helps U.S. health plans automate and orchestrate the complex appeals and grievances (A&G) process, combining AI-driven intake, workflow automation, and compliance controls to reduce manual effort, accelerate determinations, and strengthen audit readiness.
“Persistent timeliness and notice-quality issues continue to challenge health plans, and that’s exactly where ServiceNow and KeenStack make an immediate impact,” said Thiru Thangarathinam, Founder and CEO, KeenStack. “By embedding AI directly into the A&G process, we help organizations start the right clock on day one, reduce friction, and create regulator-grade audit trails that withstand CMS scrutiny.”
The app verifies completeness, enforces deadlines, and prevents duplicates or clock resets. It automates acknowledgment and determination letters, provides real-time dashboards for backlog and on-time performance, and surfaces denial patterns and compliance risks before they escalate.
“With this launch, we’re giving compliance and operations leaders a better way to manage complexity,” said Elevsis Delgadillo, SVP of Customer Success at KeenStack. “Health plans can trust that every case is documented, every timeline is tracked, and every notice is regulator-ready.”
Recent CMS enforcement actions underscore the urgency for modernization. OIG showed MA plans later overturned ~75% of appealed denials → many initial decisions are fixable upstream with better intake data. KeenStack’s A&G solution directly addresses these control failures by ensuring compliance clocks and communications are right from the start.
To learn more or schedule a demo, please click here.
About KeenStack
KeenStack is a professional services consulting firm that specializes in helping organizations implement, optimize, and manage their ServiceNow platforms to streamline workflows, improve operational efficiency, and drive digital transformation. Through strategic guidance, technical implementation, and ongoing support, KeenStack empowers clients to maximize the value of their ServiceNow investments. To learn more, please visit www.keenstack.com.
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