Customized Solutions - American Health Group
 
 

Health Plan Administration
Customized to each self-insured employer group's specific plan benefits, American Health Group (AHG) combines innovative technology along with medical expertise to protect your healthcare spending.


 
 
Medical Management
Health Plan Administration

  • American Health Group is an independent medical management corporation that partners with self-insured employer groups to take action on the oppressive cost of healthcare.
  • We are not like every other health plan administrator. We provide an innovative and flexible claims administration system combined with excellent customer service.
  • We will partner with your organization to develop a solution that will determine the best healthcare plan for your organization.
 
 




 
 
Quality Assurance

With American Health Group as your medical manager, you can be assured that your healthcare claims will be processed accurately and efficiently. Claims are adjudicated using our highly automated, proprietary Health Management Information System (HMIS).

  • 100% of claims received go through a quality assurance process. This process helps prevent overpayment due to eligibility errors, duplicate claim submission, network repricing errors, benefit limitations, subrogation and coordination of benefits (COB).
  • Claims are also reviewed for coding errors such as add-on codes, unbundling, or charges inadvertently billed by hospitals and providers.
 
 

 
 
Regulatory Compliance

  • AHG is licensed and registered as a third-party administrator (TPA) in all fifty states and the U.S. Virgin Islands.
  • AHG employees adhere to all HIPAA policies protecting the privacy and confidentiality of your employee's health records and data.
  • AHG successfully completes a Statement of Accounting Standards audit (SAS-70) on an annual basis.
  • AHG ensures federal ERISA compliance with correct coding, billing, and payment guidelines.
 
 


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