Enrollment system problems in the TRICARE West Region, 2002 - 2005
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My letter to Mr. Thomas F. Carrato
Executive Director
TRICARE Management Activity
Skyline 5, Suite 810, 5111 Leesburg Pike
Falls Church, VA 22041-3206
Subject: "What it's really like in the field"
February 24, 2002
An early warning from me to the TRICARE Management Activity about serious problems in the enrollment billing system.
My letter, December 6, 2002 to Dr. Windenwereder Jr.
Subject: "Attention to Detail and Better Business Practices Urgently Needed by DOD Contractor, Health Net Federal Services"
December 2, 2002
My request to have Tricare enrollment billing statements printed either in duplicate or with a "tear off", so the beneficiary can keep a copy -- a "tip of the iceberg" part of the problem.
DOD response to my letter of December 6, 2002.
(Letter with Enclosure)
January 6, 2003
Contractor enrollment billing documents will have new contrator name and will be a two-part document.
(2 pages)
Tricare billing statement dated 08/18/2004
for the period 10/01/2004 - 09/30/2005
August 18, 2004
My note on this document indicates that I did not renew for Tricare Prime coverage after 30 September, 2004. Could I have renewed for the one fiscal quarter in question?
Tricare billing statement dated 12/07/2004
for the period 01/01/2005 - 03/31/2005
December 7, 2004
This document indicates that I did pay for the period 1 October 2004 to 31 December 2004.
"Letter of Disenrollment", January 18, 2005 from James A. Johnson, Rear Admiral, US Navy, Regional Director, TriWest Healthcare Alliance, 1541 North 28th Ave., Phoenix, Arizona 85053
January 18, 2005
"This letter is to notify you of disenrollment from TRICARE Prime as of 30 September 2004 because of your reported disenrollment."
Letter from TriWest Healthcare Alliance, February 2, 2005, Karen Bruns, Director, Congressional and Customer Relations, TriWest Healthcare Alliance, 1541 North 28th Ave., Phoenix, Arizona 85053 in response to my 21 January 2005 e-mail complaint.
February 2, 2005
TriWest Healthcare Alliance reply is in general terms and is inadequate in regard to accounting for missing funds.
My indignant letter to TriWest Healthcare Alliance, Karen Bruns, February 9, 2005 with copy to David J. McIntyre, Jr. President and CEO, TriWest Healthcare Alliance.
February 9, 2005
TriWest Healthcare Alliance needs to show DOD 'proof positive' that funds are accounted for. Follow-up action of a DOD IG investigation may be in order.
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