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To: usnavy_cop_retired
stars and stripes article on the problem from last yearlink.
7 posted on 11/08/2012 2:02:38 AM PST by LadyDoc
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To: LadyDoc

Yea. I was interviewed by Travis Tritten on that article and provided him a lot of background information for the article.

As to your other question, I would rather not name the hospital in public, but it is not one in Manila. I am very familiar with almost all of the good hospitals in Manila. St. luke’s has the only Pet Scan. Philippine Heart Center is top of the line. Asian Medical is also top quality.

The problem is that ISOS had over a year to try to recruit hospitals and doctors for the network but couldn’t get anyone to bite. Most of the hospitals and quality doctors have been burned by Tricare in the past 10 years or more and will have nothing to do with them.

Our information is that The Medical City, in Manila, was so badly underpaid or had so many claims denied, even though they were legitimate claims, that they lost around $1,000,000 as a result of playing ball with Tricare.

St. Luke’s refused to file claims directly to Tricare because of the loss of substantial payments. We approached them a few years ago to attempt to get them to try again and were told that until Tricare pays all of the back claims, either denied or underpaid, they would have nothing to do with Tricare.

So basically, ISOS had to beg the sub-standard hospitals to join the network and had to do the same with the doctors.


8 posted on 11/08/2012 2:35:16 AM PST by usnavy_cop_retired (Retiree in the P.I. living as a legal immigrant)
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