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Medical claims are processed by the national Tricare Dual Eligible Fiscal Intermediary Contractor. Pharmacy claims are processed by the Tricare Pharmacy Contractor (Express Scripts) and Overseas Tricare for Life claims are processed by the Tricare Overseas Program Contractor (as of September 2010 this will be International SOS using Wisconsin ...
Since 1956, WPS has continually served the Military Health System as a claims administrator. WPS managed the first regional plan for Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). WPS MVH provides claims administration, customer service, and related activities for the TRICARE Overseas Program and TRICARE For Life Program.
Under TRICARE, seven managed care support contracts were awarded covering DoD's 12 health care regions. [7] TRICARE has been restructured several times, with contract regions having been redrawn , Base Realignment and Closure, and by adding "TRICARE For Life" benefits in 2001 for those who are Medicare-eligible. [8]
Express Scripts was purchased by New York Life Insurance Company in 1989 and became a publicly traded company in 1992. [19] In 1993, Express Scripts signed on both FHP International and Maxicare Health Care and corporate clients Lockheed, Service Merchandise, and Ingersoll-Rand.
Centene was founded by Elizabeth Brinn as the Managed Health Services in Milwaukee, Wisconsin, in 1984. [3] After the death of Brinn, the non-profit organization was sold to investors, with the proceeds going to the Betty Brinn Foundation, which subsequently became a major shareholder in Centene.
It also serves as proof of eligibility for medical care delivered either directly within the military health system or non-military providers via the TRICARE medical system. [1] The modern military identification card is a smart card commonly known as a Common Access Card (CAC) used by servicemembers and DoD civilians. It works with specialized ...
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They were awarded their first TRICARE contract in 1995, and began serving military beneficiaries in 1996. [32] From 2004 to 2009, HMHS was the managed care contractor for the Department of Defense Military Health System TRICARE South Region.