American Health Group provides superior claim administration services to self-funded, employer-sponsored benefit plans. With a state-of-the-art, Windows-based Health Management Information System, we process health care claims in an accurate, prompt, and cost-effective manner.

As a third-party administrator, our services include claim adjudication of the full array of health care claims, as well as Coordination of Benefits (COB) claims, subrogation, Explanation of Benefits (EOB) and benefit checks, network repricing, and quality assurance oversight of all processes.

American Health Group is HIPAA-compliant with Electronic Data Interchange (EDI) transactions, and our services are performed in an office environment that meets or exceeds HIPAA's regulatory standards. We have a Regulatory Compliance staff to ensure compliance with federal and state statutes. American Health Group is licensed and/or registered as a third-party administrator (TPA) in all fifty states and the U.S. Virgin Islands.

Our corporate headquarters provides a safe and secure environment for your claim administration services. Our building is locked 24 hours a day, seven days a week, with access provided only to employees or authorized visitors. Every aspect of our claim administration services is performed on-site. No TPA functions are outsourced to an external entity. All AHG employees adhere to strict policies protecting the privacy and confidentiality of your company's health records and data.

Our claims analysts are highly trained, with a four-year bachelor's degree or equivalent experience required. All new hires are required to participate in AHG's job training program, with extensive training and feedback sessions provided during the first six months of employment. As a minimum requirement of their continued employment, AHG staff participate in annual training programs.