|Title:||Lack of Adequate Controls for Choice Payments Processed through the Plexis Claims Manager System|
|VA Office:||Veterans Health Administration (VHA)
|Report Author:||Office of Audits and Evaluations
The OIG examined whether the VA Office of Community Care accurately reimbursed third-party administrators under the Veterans Choice Program for payments made to community healthcare providers for services to veterans during the audit period. This is the third OIG report on healthcare claims payments under the Choice program. It focuses on claims processed through the Plexis Claims Manager system that were paid from February 21, 2017, through December 31, 2018.