Arizona-Based TriWest Healthcare Agrees to Pay $179.7 Million For Overpayments From VA

In order to resolve claims that it received overpayments from the U.S. Department of Veterans Affairs an Arizona corporation headquartered in Phoenix, TriWest Healthcare Alliance, has agreed to pay the United States $179,700,000.

The settlement resolves allegations that TriWest retained overpayments from the VA in connection with its administration of the VA Patient-Centered Community Care Program (PC3) and Veterans Choice Program. The alleged overpayments included payments by the VA to TriWest twice for the same services as well as payments for services for which TriWest received full or partial reimbursement from certain health care providers.

TriWest is in the business of administering government health care programs, including those operated by the VA. TriWest is responsible for administering certain portions of the PC3 and the VA’s former Choice Programs. Both programs have enabled veterans to obtain medical care from providers in their communities. As an administrator of these programs, TriWest is paid by the VA to coordinate medical appointments and make payments to health care providers.

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