Case No. SY-2015-315678-1
[ ]
Wisconsin Physicians Service Insurance Corporation
1717 W. Broadway
P.O. Box 8190
Madison, WI 53708
Dear Ms. [ ]:
This responds to your request dated December 17, 2014, on behalf of Wisconsin Physicians Service Insurance Corporation, to the Office of Foreign Assets Control (OFAC), requesting authorization to engage in healthcare provider claim and refund transactions on behalf of TRICARE in Syria (the “Application”). You describe TRICARE as a health benefits program of the U.S. Department of Defense Military Health System and indicate that Wisconsin Physicians Service Insurance Corporation is the prime contractor for the TRICARE Dual-Eligibility Fiscal Intermediary Contract and a subcontractor to International SOS Government Services, Inc., the prime contractor for the TRICARE Overseas Program.
The Syrian Sanctions Regulations (SySR), 31 C.F.R. Part 542, block all property...
1) Background
The applicant (WPSIC) is a U.S. person entity that, as described in the letter, was “the prime contractor for the TRICARE Dual-Eligibility Fiscal Intermediary Contract and a subcontractor to International SOS Government Services, Inc., the prime contractor for the TRICARE Overseas Program.” The “Dual-Eligibility Fiscal Intermediary Contract” is for the provision of “claims processing and associated customer support services for claims submitted by, and on behalf of, the Military Health System []beneficiaries who are eligible for both Medicare and TRICARE benefits for services received in the U.S., Puerto Rico, Guam, the U.S. Virgin Islands, America Samoa and the Northern Mariana Islands” (https://www.defense.gov/News/Contracts/Contract/Article/2680485/). The “TRICARE Overseas Program,” by contrast, involves a similar set of services, but with respect to medical care received outside of the U.S. See e.g. this link (https://www.tricare-overseas.com/providers/tco-media/documents/EDI-Agreement-Form-ENG-OCT2021), which is the claim form submitted to...