Referral submission rules

AmeriHealth does not accept paper referrals with HMO/POS claims for payment. Any paper referrals submitted will be returned to the issuing provider without payment.

PCPs

All referrals should be submitted through PEAR Practice Management (PM) on the Provider Engagement, Analytics & Reporting (PEAR) portal.

Specialists

Please check PEAR PM to ensure that a referral was received for a member before services are rendered. Specialists are not permitted to accept paper referrals.

PEAR portal

Register online for the PEAR portal. If you have questions, you can submit a PEAR Portal Inquiry form.