Scaling TRICARE with Speed & Precision

Overview

Where Military Readiness
Meets Modernization

Behind every TRICARE claim is a commitment—to active-duty service members, retirees, and their families. But legacy review systems strained under scale and complexity, risking slowdowns in care. Through our partnership with TriWest, Commence brought intelligent automation, clinical precision, and data transformation to care operations—proving that modernization isn’t just possible, it’s mission-critical.

Problem

A Complex System
Stretched Too Thin

With more than 9.6 million beneficiaries and billions in claims flowing through TRICARE, the existing system relied heavily on manual processes. This created inefficiencies, backlogs, and limited visibility into overall program performance. TRICARE needed a secure, scalable solution to align with its goals around medical readiness, patient experience, and operational resiliency.

Solution

Automating at National Scale

Commence deployed an AI-powered automation and clinical review platform across TRICARE’s operations—integrating directly with existing infrastructure. The system standardizes incoming claims data, applies intelligent routing, and flags cases for clinician oversight where needed. By eliminating manual data entry and accelerating review workflows, TRICARE gained speed without sacrificing accuracy or compliance.

Impact

300% More Productive.
100% Committed.

By deploying automation and integrating with TRICARE’s infrastructure, Commence increased review productivity from 1.5 to 4 claims per hour, processed over 750K transactions monthly, and reclaimed 16,000+ hours annually. The result? A faster, smarter system that keeps pace with the needs of military families nationwide.

• 750K+ transactions processed every month
• 300% increase in claims review productivity
• 16,000+ hours saved annually through automation

We delivered outcomes that matter—with clinical oversight, high-throughput tech, and a deep understanding of military health systems.