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In September 2017, VA Inspector General Michael Missal issued a memorandum that listed four major "errors" that had resulted in excess payments to TriWest. These were:
* Duplicate
* Other Health Insurance (OHI)
* Pass-Through
* Rate
Missal stated in his memorandum that duplicate payments alone racked up almost $40 million in overpayments to TriWest.<ref>{{Cite web |last=Missal |first=Michael J. |date=12 September 2017 |title=Memorandum: Accuracy and Timeliness of Payments Made Under the Choice Program Authorized by the Veterans Access, Choice, and Accountability Act |url=https://www.va.gov/oig/pubs/admin-reports/VAOIG-17-00000-379.pdf |archive-url=https://web.archive.org/web/20171201034417/https://www.va.gov/oig/pubs/admin-reports/VAOIG-17-00000-379.pdf |archive-date=1 December 2017 |url-status=live |publisher=US [[Department of Veterans Affairs]] |access-date=30 December 2022}}</ref>
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