As part of the
Consolidated Appropriations Act (CAA), participating providers* are required to notify us whenever there are changes to their provider data. In addition, health plans are required to verify and update their provider directory information every 90 days. To help us meet this requirement, we ask that you review and attest your provider data
every 90 days.Our members, your patients, rely on the accuracy of our provider directories (Find a Doctor tool) to make informed choices about care.
Reviewing and attesting your data
Primary method
The Provider Data Maintenance transaction in PEAR Practice Management allows participating providers to easily view and to attest to the accuracy of key practice data elements that appear in our directory.
A step-by-step user guide is available in the
PEAR Help Center under Practice Management – Provider Administration.
Need access to the Provider Engagement, Analytics & Reporting (PEAR) portal?
Learn more.
Secondary method
If you do not have access to PEAR, review your provider profile on the
AmeriHealth New Jersey or
AmeriHealth Pennsylvania Find a Doctor tools. Enter your facility/provider name in the search field and review the accuracy of the information presented.
If you have a change to your provider data, follow these instructions:
Please include “CAA mandate" in the subject line of your email. Our team will contact you if additional information is needed.
* Behavioral health providers contracted with Magellan Healthcare, Inc. (Magellan) must submit any changes to their practice information to
Magellan via Magellan’s online Provider Data Change form by selecting the “Display/Edit Practice Info” link. If you have questions, please contact the Magellan Provider Services Line at 1-800-788-4005.
† Any change to your primary specialty must be made in accordance with the AmeriHealth credentialing standards. Please note that a specialty change will only be made to the provider directory once AmeriHealth has ensured credentialing criteria have been satisfied.