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AmeriHealth New JerseyCommercial · Reimbursement · Provider Notice · NJHigh impact

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

Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
Jun 20, 2026

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.

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What to do

by Jul 1, 2026 · 4 steps
01Billing team must log into the PEAR portal at the provided URL to download and review the updated AmeriHealth fee schedules.
02Update billing system with new reimbursement rates for AmeriHealth HMO, Inc.
03and AmeriHealth Insurance Company of New Jersey.
04Verify all fee schedule changes are implemented before processing claims with the new effective date to ensure proper reimbursement.

Original notice

New fee schedules, effective July 1, now updated and available on PEAR portal
provcomm.amerihealth.com · Always check the source before changing claims.
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