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TriWest Healthcare Alliance administers the military’s healthcare benefits to more than 4 million people.
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In a publicly posted letter this week, TriWest Healthcare Alliance’s president and CEO David McIntyre Jr. apologized to beneficiaries for problems with coverage.
David McIntyre Jr., president and CEO
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David McIntyre Jr. wrote, "I want to personally take this opportunity to apologize to those of you who have experienced challenges with Other Health Insurance on our watch, and to assure you of my and my whole team’s commitment to your beneficiary experience."
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The errors McIntyre referred to were errors in beneficiaries’ patient portals that incorrectly stated they had other coverage, leading to denials.
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TriWest Healthcare Alliance is one of the contractors that administers TRICARE, the military’s healthcare program for active service members, veterans and their families.
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TRICARE transitioned its contract from Health Net Federal Services to TriWest in 2025.
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Guy Shoemaker, 64, of Fort Worth, Texas, had tens of thousands of dollars in previously approved claims overturned and money paid to providers clawed back due to coverage errors.
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Guy Shoemaker is a retired Army sergeant first class and recruiter who spent a year in Afghanistan.
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Guy Shoemaker was diagnosed with Stage 2 throat cancer in 2021.
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After chemotherapy and radiation, Guy Shoemaker needed regular speech-language pathology therapy to ensure he could speak and safely swallow.
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Guy Shoemaker stopped his speech-language pathology appointments last year when denials started rolling in.
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When he returned to appointments in January, his speech-language pathologist told him his health had deteriorated so much due to delays in care that he should consider a feeding tube.
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His insurance portal incorrectly indicated that the denials he faced stemmed from an Other Health Insurance error.
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Guy Shoemaker did not have other health insurance, only a vision plan.
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TriWest was contacted about Shoemaker’s case and then a customer service representative contacted him and TriWest began to correctly process his claims.
David McIntyre Jr., president and CEO
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In his letter McIntyre wrote, "I understand that some beneficiaries’ claims incorrectly reflected that they had OHI, which resulted in the claims initially being denied — as well as delay and frustration."
David McIntyre Jr., president and CEO
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McIntyre wrote, "What’s more, the encounters for some with our customer service operation were not efficient or effective. This is not acceptable, and our team has been working diligently to fix this issue."
Guy Shoemaker, retired Army sergeant first class and recruiter
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Shoemaker said reading the letter gave him goosebumps.
Guy Shoemaker, retired Army sergeant first class and recruiter
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Guy Shoemaker said, "What they’ve done is acknowledged the fact that they have an issue."
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A spokesperson said that a little over a year ago, the denial rate for Other Health Insurance errors was 2.3%.
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McIntyre’s letter stated that the denial rate for Other Health Insurance errors is now down to 1.3%.
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TriWest processes more than 2 million claims per month.
David McIntyre Jr., president and CEO
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McIntyre wrote, "We are not going to rest until we are convinced that we have smoothed this process as much as we can."
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TriWest representatives have been in touch with some beneficiaries since early May.
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Some TriWest representatives have been aggressively trying to get coverage claims resolved for beneficiaries.
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TRICARE is overseen by the Defense Health Agency, a part of the Defense Department.
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TRICARE coverage is divided into two regions, East and West.
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In 2025, TriWest took over the West region, replacing the previously contracted provider Health Net.
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After TriWest was awarded the contract, the Defense Health Agency was repeatedly warned that the company was not ready to take on the work, according to two sources with direct knowledge of the transition.
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The Defense Health Agency said that it had conducted rigorous testing before transitioning to TriWest.
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The Defense Health Agency said that the inability to perform testing on live operational systems contributed to some unforeseen challenges emerging after go-live.
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The Defense Health Agency did not immediately respond to a request for comment on Thursday.
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