As a third-party organization, you can obtain access to PAT and certain transactions in the PEAR Practice Management application.
Provider Administration Tool
PAT is the application that Organization Administrators and Location Administrators use to manage user access to the PEAR portal and its applications.
Once provisioned on the PEAR portal, Organization and Locations Administrators use PAT to manage access to the portal for their organization. Access must be granted by each provider organization to gain access to that provider organization's transactions within PEAR. Organization and Location Administrators' role in PAT includes provisioning End Users and assigning access to third-party provider organizations within PEAR. End Users should contact their third-party administrators directly to get access to the PEAR portal.
PEAR Practice Management
PEAR Practice Management (PEAR PM) is the application that provides a connection point to the plan information and transactions that health care providers use every day in caring for patients. From eligibility checks to referrals and beyond, PEAR PM provides a streamlined and simplified experience through its all-in-one Member Center and the Transactions tab. PEAR PM replaced the NaviNet® web portal (NaviNet Open) for our plans.
For more on PEAR PM, check out the What is PEAR Practice Management video and PEAR Practice Management Overview course.
As a third-party organization, you will be able to support the health care providers with whom you work via read-only access to the following transactions on PEAR PM:
Provider Payments
|
Claims
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Referrals
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Authorizations
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Benefits
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EOB & Remittance Inquiry
AH, IBX
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Claims Investigation Inquiry
AH, IBX
|
Referral Inquiry
AH, IBX
|
Authorization Status Inquiry
AH, IBX |
BlueExchange®Eligibility & Benefits
IBX
|
|
Claims Investigation Submission
AH, IBX
| | |
BlueExchange®Claims Status Inquiry
IBX
|
| |
1500 Claim Submission
AH, IBX
| | |
BlueExchange® Medical Policy
IBX
|
|
Claims Status Inquiry
AH, IBX
| | |
Eligibility and Benefits
AH, IBX
|
|
Claims Log
AH, IBX
| | | |
AH AmeriHealth Third-Party Access (both AHPA & AHNJ) IBX Independence Blue Cross Third-Party Access
Once you have access to the portal and PEAR PM, find more on each of these transactions in the PEAR Help Center.
PEAR Comprehensive Visit
This is a primary care tool that assists providers with accurately documenting a member's visit, assessment, and treatment plan in one form. This replaced the ePASS® tool for this health plan. Third-party organizations can obtain access to PEAR CV in a support staff role to assist primary care providers who may not have the staff to perform administrative tasks in the application. Please note that while third-party organizations can perform administrative tasks in the application, the CV form (or a print-out version) should be used by the provider during point of care with the patient to ensure comprehensive documentation. To gain access to a provider's practice in PEAR CV, please ask the Provider Organization or Location Administrator to call 1-833-444-PEAR (1-833-444-7327). They will not be able to assign access to third-party organizations for PEAR CV using PAT.
Once you have access to the portal and PEAR CV, find more on each of these transactions in the PEAR Help Center.