Saturday, March 12, 2011
violations of civil rights page 16 Appeal to Federal Blue Cross/Blue Shield of ILLINOIS,TX,OK, NM
Attached are a recap summary of all claims back to 8/1/00 which are currently appealed or are new items received not paid correctly. All claims need to be referred first to federal workers compensation and your contact should be the regional office manager in Dallas, TX, not the non- compliantcontractor as to how this can be facilitated. New actions since your last, inaccurate decisions based on false and incomplete information. Remember you are alleging OPM' past director gave you one set of ' facts' and ACS, the paper controller and claims processor for US dept of labor, claims they were told an opposite set of 'facts' by that same director. Trailblazers has been non cooperative with judges, etc. but Cigna Govt services did cooperate and the only Final decision was issued by Medicare's appellate judge on 9/29/2010 was based on the internal documents that were withheld from you, even from the officials at OPM? , by that director. Federal workers comp gets claims first. Then you and last would be Medicare for any co- pays or deductibles on medical issues not yet reviewed or accepted yet. All conditions accepted or filed on 1/10/89 injury . HIPPAA reqeust for written recap of who said what, when to solve. not yet answered.
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UPDATE; No change. Impasse continues. The passage of HR 1063 signed into law by President Obama on 1/11/13 puts the liablity for overpayemnts to Medicare back on the govt to enforce its own laws. The govt is we, the people; thruogh our elected and hired officials are to enforce the laws, not the pateints, and their estates.
The question is whether all the overpayment liabilities created before 1/11/13 through nearly 20 years of the conditonal law being suspended in 1994 when the ripple effect of Medicare saying the hwole ins industry and health plans and partners of the govt plans to 'police ' themselves led to near total collapse of the entire healt care system where we get third world care and pay the most money in the world for it.
Citation of this is in Mo9-1406 Medcicare appellalte case where I tried to get the paid oxygen claims and the recovery letter sent to ACS-Xerox enforced by the govt and the judges said they could not over turn what the former Sec of HHS put in place.
Impossible situation.
Now, does the law protect the patients for overpayemnts prior to 1/11/13?
A detailed legal opinion from a top DC false cliams attorney, siad I had until some time next year to go to court and do what the govt is now requried to do, or am I relieved of this impossible duty under HR 1063?
After 20 years of no enforcement, few know what the legal definition of conditonal paymenr really is any more.
There is @ 4 million in overpayments from Trailblazers creating 17 medicare numbers and payments from each claim back to 1/06 and the money taken from Medicare by the Federal Reserve and where did all but one payment go? Only they know? Only CGS had recovery letters sent to ACS for US Dept of Labor to refund the money. CGS only 'partner' to ever one obey the law on this.
All we patients have to do now is inform what our health care planls) are and clam numbers are. NO MORE, ANY MORE!
This old, disabled womn, choses to live and why am I being denied services to have the right to even breathe to susutain life. Why are others denied with some already losing the battle for life modern medicine can save?
Linda Joy Adams 12/27/13
EVERY APPEAL IS NOW CALLED AN INQUIRY AS THIS BLOCKS US FROM GOING ON TO OPM CONTRACTOR ANOTHER SUBSIDIARY THEN ON TO US DISTRICT COURT. EACH HAS TO LIST THE CLAIM NUMBER N EACH CLAIM AND WE HAVE SPENT H9URS OTTING ALL THIS TOGETHER OVER THE YEARS TO NO AVAIL AS PRIME THERAPEUTICS (acs) IS UNDER ORDERS TO BLOCK AND THEY EVEN THRU DEALS HAVE THE BLUES DELETED OFF THE COMMON WORKING FILE FOR MEDICARE. AS A PATRIOT ACT PARTNER AND ONE UNDER THE aca ALSO SINCE 2010 THEY ARE IMMUNE FROM ANY ACCOUNTABILITY AND ALL OF US ARE AT RISK AND DEATHS HAVE BEEN HEARD OF OVER THIS AND OTHER ATROCITIES. HEALTH CARE IS PAID FOR BUT ENDED FOR ANYONE THIS CABAL WISHES IT TO END FOR. WE 90 'BLACKLISTED' SOCIAL SECURITY WORKERS MUST BE AT THE TOP OF THE LIST?SINCE BEFORE WE GOT TO THE HOSPITALS ET AL ON 1/10/89 ETC.ALL WE DID IS GO TO WORK ONE DAY,ETC. LINDA JOY ADAMS
update: According to OPM officials, and not the contractor which is your inaccurate source of info , 50% of the co pays you pay on my claims is coining from the fund for Federal workers comp when its is to be 100% paid. Your management firm, is the same entity as all the other parties in involved in this but since there is no real government allowed to do internal audits of government contractors since the COUP OF 2002 NOTHING CAN BE DONE AND YOU VVET FALSE INFO AND I GET REAL INFO FROM THE us DEPT OF LABOR SYSTEM WHICH IS NOT ALLOWED TO BE KNOWNS BY THE LOCAL us DEPT OF LABOR OFFICE AS THEY GET ALL THEIR INFO FROM LYNN BLODGETT THE CONTRACTOR OVER ALL OF THE usa named in writing and verbally by many as the one doing this to us. NOW AS HIRED HEAD OF AN INTERNATIONAL CABAL SINCE THE COUP OF 2002 WHEN So he lies to you as information source for OPM contractors when I have not retired and he well knows it as he had 38 federal judge's orders from multiple agencies he is in defiance of and will not allow any rank and file federal official nor even the contractors you deal with to see them as he gets them first and is to post and share. You now have over 2 years of oxygen invoices from me not processed and it's a life threatening financial hardship. He , as Medicare controlling contractors, has not let Celerian group the intermediary process any oxygen invoices for the same period of time Unlike you and federal workers comp where he has not input a single oxygen invoice since he took total control in COUP OF 2002, they will not deny or there not being supplier, and the liquid oxygen supplier in my area is his contractor he controls also and has said ;LET HER DIE; ON ME ALTHOUGH APPROVED FOR LIFE BY ALL THREE OF YOUR PLANS And has also ordered systems hacked from my employers posting to make Medicare primary and everyone overpaid and Medicare is now owed over a couple of trillion dollars due to insiders three from this illegal scam. But since the Coup of 2002 when Congress defunded any internal audits as well as criminal investigations nothing can be done, not even the horrendous conflicts of interest going on with the SEC defunded also Congress can not help as they have a self imposed gag rule, not to mention , contact or have a contractor asked to testify before congress. WE ARE OVERTHROWN AND LIVES ARE BEING LOST AND AT RISK AND HUGE SUMS OF OUR PUBLIC MONES BLATANTLY STOLEN. You're to BE PAYING AT 100% BY your and OPM common contractor from the million per head for my medical care from FECA and then the ones on my policy will have Blues primary until my claims examine is allowed to obey the judges and have access to my files and process a request for permanent disability from them Since he has your workers comp now as contractors with carriers , this is crucial for any one now to help obey the laws as he is not and has not been.as he can do it to you too and you know. what you have been ordered by him and not OPM to do to me. You have unanswered appeals and new ones filed. .His control is all through the govt at all levels now . Linda Joy Adams
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