TRICARE Providers Report Year-Long Payment Delays After Claims Processor Switch, Now Receiving Clawback Letters

TRICARE providers say they went more than a year without being paid after Humana Military switched claims processing from Wisconsin Physicians Service to PGBA on Jan. 1, 2025. Some providers are now receiving clawback letters seeking repayment, raising concerns about billing disruptions that could affect access to care for beneficiaries.