AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth) have updated several fee schedules effective January 1, 2025, that are available to view on our Provider Engagement, Analytics & Reporting (PEAR) provider portal:
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Hospice
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Home Health
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Baby FootSteps®
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Private Duty Nursing
Due to the timing and volume of code updates for 2025, however, some fee schedule updates are delayed. We will publish an update when the following fee schedules are updated and available on the PEAR portal:
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Outpatient Hospital
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Home Infusion
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Direct Ship
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Ambulatory Surgical Center (ASC)
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Durable Medical Equipment (DME)
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Prevailing Standard Professional Injectable & Vaccine
Accessing updated fee schedules
Updated fee schedules can be found on the PEAR portal using the PEAR Practice Management (PM) application. From there, use the Reference icon (
) and select Generic Fee Schedule.
Accessing current allowances
To find the rate for a specific code within PEAR PM on the PEAR portal, select Allowance Finder from the Transactions menu under the Provider Payment section.
Additional Information
Future updates regarding fee schedules will be posted routinely on the Provider News Center. If you prefer to get a news summary (including fee schedule updates) delivered to you each week, sign up for our Weekly Recap email.
If you have questions about a particular fee schedule, please contact your Contract Manager or connect with your Provider Network Services (PNS) contact:
If you have not registered for the PEAR portal, learn more about enrollment. For PEAR support or assistance with accessing a fee schedule, please contact 1-833-444-PEAR (1-833-444-7327).
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