AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey have updated the following fee schedules that are now available to view on
PEAR, our provider portal:
-
Prevailing Standard Professional Injectable & Vaccine, Effective April 1, 2024
-
Ambulatory Surgical Center (ASC), Effective July 1, 2024
-
Durable Medical Equipment (DME), Effective July 1, 2024
Accessing updated Fee Schedules
To access
Prevailing Standard Professional Injectable & Vaccine updates:
- Find the rate for a specific code within PEAR Practice Management (PEAR PM) on the
PEAR portal. From PEAR PM, select
Allowance Finder from the Transactions menu under the Provider Payment section.
To access
ASC or
DME updates:
- From
PEAR PM, use the Reference icon (book) at the top right and select Generic Fee Schedule.
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.
Visit this page to enroll in PEAR or to obtain more information. For PEAR support or assistance with accessing a fee schedule, please visit the PEAR
Help Center or contact 1-833-444-PEAR (1-833-444-7327).