Capitation Rosters accessible via PEAR portal

​As we previously communicated, AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth) are moving our core business to a new claims processing platform. As part of this transition, the vendor we use to issue medical claim payments will be changed to PNC Bank's Claim Payments & Remittances (CPR) service, powered by ECHO Health. The transition will include medical claim payments and remittances and capitation payments, including 835 transactions and electronic funds transfer.

For all AmeriHealth members, all base capitation payments will be processed by CPR starting January 2024. This new vendor will help streamline payments to providers for medical claims and capitation by offering more efficient electronic methods and reducing the need to mail paper checks. You can continue to use the PEAR Analytics & Reporting application to view your capitation rosters. Please note that we will no longer mail capitation rosters starting January 1, 2024. Access to the PEAR portal is required to view your capitation roster.

Not registered for PEAR?

Please visit the PEAR Portal page to learn more and get registered. The Provider Engagement, Analytics & Reporting (PEAR) portal, offers access to specific plan information, self-service tools, and other reports to help you deliver care.

Once registered and logged in to PEAR, follow these steps:

  1. Select the Analytics & Reporting application.
  2. Select Payment Rosters from the Report Center drop-down menu.
  3. Select PCP CAP ROSTER from the roster options.
  4. Complete the desired reporting criteria and click Submit.

We encourage you to frequently visit our dedicated Platform Transition page to stay up to date on the upcoming changes.