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Beacon Appeals Manager (BAM)

Master Your Appeals and Grievances Management

In today’s complex healthcare landscape, managing appeals and grievances manually isn’t just inefficient—it’s risky. Beacon Appeals Manager (BAM) transforms this challenging process into a streamlined, automated workflow that ensures compliance while reducing costs. With real-time integration, automated correspondence, and one-click regulatory reporting, BAM helps health plans maintain audit readiness while delivering better member experiences.

ROI Impact

Streamline A&G Process

Cut processing time and boost innovation with intelligent automation and generate CMS Universes and regulatory reports with just one click.

More Satisfied Members

Increase member satisfaction with faster resolution times while reducing further appeals through root cause analysis and trend tracking.  

Speedy Implementation

Implementation and training are completed in 120 days or less, ensuring zero IT headaches.
Plus, real-time integration with existing systems eliminates the need for manual data entry.

User-Friendly Interface

Navigate seamlessly with our intuitive dashboards and alerts.

Automated Correspondence

Streamline communication with automated letter generation.

Efficient Workflows

Optimize your processes with customizable workflows.

Comprehensive Reporting

Gain valuable insights with detailed reporting capabilities.

Health Insurance Casework System (HICS)

Designed for commercial insurers to support the HICS process, this workflow provides the tracking and resolution of complaints and issues related to the health plan (e.g., identity verification, eligibility determinations, or appeals).

Complaint Tracking Module (CTM)

This module integrates with BAM and is designed as an appeal and grievance management software for Medicare plans, to manage and process complaints filed with CMS. CTM provides the tracking and resolution of complaints and issues rather than just a “get next” method.

Workbaskets

Automating the workflow to push and pull, Workbaskets auto-assign cases (appeals or grievances) using a queuing logic method rather than the standard functionality in BAM.

Robotic Process Automation (RPA)

Also known as robotics or bots, this add-on feature imitates human actions, improving quality and reducing redundancy in business processes. 

Ready To Get Started?

Experience the power of our innovative and trusted health plan solutions to meet regulatory requirements with confidence.
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Additional Modules

Todd Petersen,

Chief Executive Officer & Board Member

Todd brings 22 years of experience in scaling SaaS-based companies within the health plan payer market. He has a proven track record of fostering strong client relationships and building high-performing teams. Todd joined Beacon Healthcare Systems from HighRoads, where he played a pivotal role in providing SaaS solutions for health plan design and modification. His extensive career includes significant contributions to sales and growth at HealthSparq, a web-based consumer enablement solution provider; InstaMed, which facilitates financial transactions among payers, members, and providers; DestinationRx, specializing in Medicare shopping for government and commercial programs; and Ingenix, known for its cost containment technology services. Todd is also an acting board member for Beacon Healthcare Systems.

Jeremy Hays

Vice President of Strategic Accounts

Jeremy is an accomplished executive with extensive experience in health insurance and supporting technology. He is a seasoned sales and operational leader passionate about driving revenue growth and elevating customer satisfaction He has a long track record in Medicare leading teams to consistently exceed revenue targets by developing and executing highly effective growth strategies within organizations like United Healthcare, DestinationRx, and InstaMed, all while nurturing enduring, mutually beneficial customer relationships. Jeremy will be leading the existing Account Management team.

Alexis Elam JD, CHC

Vice President of Compliance

Alexis is a trusted and valued healthcare compliance, privacy, and risk leader with 18+ years of audit, oversight, and effective program management across payors, providers, and SaaS support tools. She specializes in implementing corporate initiatives and software solutions that promote adherence to government contracting and service delivery regulations.

Ayman Mohamed

Chief Technology Officer

With over 20 years of senior leadership, strategic, and operational product management experience, Ayman brings a wealth of knowledge and expertise to his role. Ayman is a seasoned technology leader with a proven track record of launching innovative products in new and existing markets, generating significant revenue streams, and creating profitable enterprises. His passion for building high-quality products and commitment to servant leadership have earned him a reputation for building trust and fostering collaborative, high-performing teams. Throughout his career, Ayman has demonstrated a deep understanding of software architecture and broad hands-on technical skills. He has successfully helped organizations succeed, with experience spanning startups and larger companies in the San Francisco Bay and Washington, D.C. metro areas.

Chris Mahoney

Chief Financial Officer

Chris Mahoney is a resourceful and results-driven senior finance executive with 25+ years of CFO-level experience leveraging keen financial expertise to create cost-efficient and sustainable financial results across both small and large corporate organizations. He consistently demonstrates the ability to critically evaluate and respond to rapidly evolving environments while identifying business-critical financial enhancements and developing proactive and actionable improvement initiatives.
Chris also utilizes business acumen and cross-functional communication skills to routinely produce sophisticated solutions and align all financial activities with strategic business goals. Chris has acquired and integrated businesses, assisted in raising millions in $30mm equity and debt through private placements, transformed a business from a Perpetual to a SaaS model, assisted in growing businesses from $250mm to $1bn, and has implemented Project Accounting systems, cost, and management information systems.

Ken Stockman

Chief Executive Officer
Ken Stockman, Founder and Chief Executive Officer of Beacon Healthcare Systems, is a seasoned healthcare executive with strong Payer and Provider experience focused on bringing innovative solutions to Government program revenue management, operations, compliance, and risk adjustment. Ken was an early leader in the Medicare Advantage Risk Adjustment industry building a full suite of tools such as Full Enrollment, Member Reconciliation And Part D Platform to support the health plans’ initiatives in 2006 as co-founder and former CEO of Dynamic Healthcare Systems, Inc. His expertise in Risk Adjustment Strategy, Transaction Processing And Analytics positions him as a unique subject matter expert. Additionally, his experience in CMS Transaction Processing And Regulatory Requirements led to the successful design and implementation of industry-leading information systems.