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Line 68: 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 ~~Errors–Payments~~Errors{{snd}}Payments for medical claims that have been paid more than once * Other Health Insurance (OHI) ~~Errors–Payments~~Errors{{snd}}Payments that were not adjusted for the amount OHI was responsible to pay the provider * Pass-Through ~~Errors–Payments~~Errors{{snd}}Payments to reimburse the TPA that were more than the TPA paid the provider * Rate ~~Errors–Payments~~Errors{{snd}}Payments that did not use the appropriate Medicare or contract adjusted 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>

TriWest Healthcare Alliance: Difference between revisions