Many times we refer to Philippine TRICARE beneficiaries as being treated as second class beneficiaries by the Defense Health Activity (DHA) and International SOS (ISOS).
There are many reasons for this classification including multiple Philippine unique policies that are designed to cause beneficiaries to be denied access to care and denied payment for legitimate care from legitimate providers and all in the name of protecting the taxpayer from massive fraud; if one cares to believe the DHA hype. In addition ISOS tends to ignore beneficiary inquires claiming secrecy or just ignore you after saying they will get back to you. Continue reading
Anyone that has tried to use the appeal or complaint processes through the TRICARE system knows they are designed to make the process as difficult and drawn out as possible.
Have a complaint against International SOS (ISOS)? Are you tired of their wrong answers on the phone or telling you they don’t know the answer but will call you back and never do? Are you tired of sending emails to this contractor only to be ignored? Go to Contact Us in ISOS’s very own web page; you know the one called “www.tricare-overseas.com”. Go to any country and this is what you will find. Continue reading
International SOS (ISOS) no longer posts lists of Certified or Approved providers as they continue to reduce their costs at the detriment of beneficiaries in the Philippines. We reviewed the total listing of providers and compared them to the previous total listing to determine any suspicious removal activity and to see the bigger picture of trends such as the continued loss of access to care in Angeles and which is now hidden from the average beneficiary. Continue reading
Back in March 2014, 4.5 months ago, we received what the Defense Health Agency (DHA) likes to call a “TRICARE email update” entitled Philippine Demonstration Project: How Are We Doing? Our inquiries, at the time, about the survey resulted in us being told it would start in a few weeks. As the weeks passed and nobody was contacted we inquired again. This time we were told that DHA forgot about a government requirement concerning contractors and access to medical information. We continued to follow-up on the status. Finally about three weeks ago we were told the survey would start within a few days. Continue reading
See TRICARE’s Disaster Information webpage from 20 July 2014.
Can you say SILENCE? What about SILENT? Or maybe the real answer is WE REALLY DON’T CARE? Can you say Déjà vu?
The Defense Health Agency (DHA) likes to go to great lengths to brag to Congress about how caring they are and how much they do for beneficiaries in need.
Here is just one example. Continue reading
The latest “Certified” list was posted by International SOS (ISOS) on 15 July 2014. We reviewed the list for suspicious removal activity. The providers we are concerned with were not moved to the Not Seen in > 2 Years list. This means beneficiaries used these providers during the last 2 years yet they secretly disappeared if you believe the notice in their webpage. While it is possible that they died or retired we find that is not the case with most of the ones we researched. So the removals are extremely suspicious and appear to involve the secret sanctioning process that is only conducted against providers in the Philippines; every other beneficiary anywhere in the world can access a list of sanctioned providers in their area. In the Philippines the Defense Health Agency (DHA) prefers beneficiaries play their game of Russian Roulette! Continue reading
International SOS (ISOS) pushed out an ominous notice to TRICARE Philippine beneficiaries. It applies to both of their convoluted versions of TRICARE; programs that are far different from what every other Standard overseas beneficiary is offered outside the Philippines which do not force beneficiaries to use substandard providers.
While they tried to hide the loss of access to care that is now limited to a single questionable hospital under the Demo in Angeles they apparently decided to go public with their latest attack. Continue reading
Since the beginning of time the Defense Health Agency (DHA) and its predecessors, apply U.S. health care industry standards to the rest of the world. It also appears they are very slow learners as well as the teller of tall tales.
The most recent example is this newly posted video, New TRICARE TV Episode: How to File a Claim. Continue reading
Posted in Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS)
Tagged Itemized bills, Medical billers, Medical claim denial, Medical coders