For providers

The future of health care is constantly changing, and you need easy access to timely, accurate information which allows you to focus on what's most important — your patients' health.

Resources for providers

Have you registered for the PEAR portal?

The Provider Engagement, Analytics & Reporting (PEAR) portal offers participating providers a single point of entry to multiple digital tools, including PEAR Practice Management, PEAR Comprehensive Visit, and PEAR Analytics and Reporting.

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Visit the Provider News Center

Faster reimbursement

Providers and facilities can choose to receive fully reconciled remittance advice and claims settlement payments quickly and electronically, powered by InstaMed, for services provided to patients who carry an AmeriHealth Administrators ID card.
Visit InstaMed

Dosage and frequency program
Dosage and Frequency Program

Learn how AmeriHealth Administrators reviews treatment regimens for certain specialty drugs to ensure they adhere to safe prescribing limits.

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cost effectuve setting program
Most Cost-Effective Setting Program

Find out how AmeriHealth Administrators reviews the requested treatment settings for certain specialty drugs that are eligible for coverage under the medical benefit.

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direct ship program
Direct Ship Drug Program

AmeriHealth Administrators offers a Direct Ship Drug Program to our in-network physicians. Under this program, physicians can order certain specialty drugs that are given in the office and are eligible for coverage under the plan member's medical benefit when medical necessity criteria are met.

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Claim appeals and reimbursements

Need to appeal a claim or file for a reimbursement? Download these forms:

Peer-to-peer Requests

The peer-to-peer process streamlines workflows, improves cost-efficiencies, and complies with accreditation requirements. To participate in the peer-to-peer process, please complete the Peer-to-Peer Request form.

Prescription drug information

Learn more about the various drug formularies offered to AmeriHealth Administrators members and access prior authorization forms.

Learn more about in-network pharmacies.