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CommercialReimbursementHigh impact

New fee schedules, effective July 1, now updated and available on PEAR portal

AmeriHealth New Jersey·NJ·Provider Notice
Effective date
Jul 1, 2026
We identified it
Jun 20, 2026
Days to comply
10 days

Summary

AmeriHealth has updated their fee schedules effective July 1, 2026, which are now available on the PEAR portal. Billing teams need to access the updated fee schedules to ensure proper reimbursement rates are being used for AmeriHealth HMO and AmeriHealth Insurance Company of New Jersey claims.

Action Required

Before Jul 1, 2026
By July 1, 2026: Billing team must log into the PEAR portal at the provided URL to download and review the updated AmeriHealth fee schedules. Update billing system with new reimbursement rates for AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey. Verify all fee schedule changes are implemented before processing claims with the new effective date to ensure proper reimbursement.