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Several updated fee schedules are available on the PEAR portal
Act
by Sep 15, 2026
Effective date
Oct 1, 2026
Identified
Sep 29, 2026
Summary
AmeriHealth (HMO and Insurance Company of New Jersey) has updated fee schedules effective October 1, 2026, now available on the PEAR provider portal. The billing team must access and review these updated schedules to ensure accurate reimbursement rates for all AmeriHealth plans going forward.
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What to do
by Sep 15, 2026 · 4 steps
01Billing team must access the PEAR portal (https://provcomm.amerihealth.com/pnc-ah/Pages/Home.aspx#fn-18) and download the updated AmeriHealth fee schedules.
02Review all affected CPT, HCPCS, and ICD-10 codes for rate changes.
03Update billing software and fee schedule tables to reflect new reimbursement rates before October 1, 2026 effective date.
04Notify providers of any significant rate changes.
If missed: Failure to update fee schedules will result in incorrect claim submissions and either underbilling or claim denials from AmeriHealth.
Original notice
Several updated fee schedules are available on the PEAR portal
provcomm.amerihealth.com · Always check the source before changing claims.