Doyle has also filed civil rights complaints against the health care plans with HHS-Dallas.( not against you)
The letter about Doyle's bill is tied to the issues on my case. Workers comp is not involved with Doyle's claims. Ill Blues has gotten very retaliatory over recent actions by US attys' and state Ag's over their tactics. The legal answer is very simple. Ill Blues is the primary due to my legal status with federal workers compensation who has yet to process numerous doctors who filed for permanent disability since 1996. Then the family members on my Fed Blues would have Medicare as primary. Patient EOB's simply say they want you to get a letter from Medicare. You got that. Then , refile with Blues. If Blues still refuses then the "safety net" in Medicare is to be utilized. A paper claim can't be refused as a conditional payment and filed with Trailblazers, then only Ill Blues has overpayment liability. Any govt porgram can't refuse paper when computers aren't programmed correctly. This has been law for decades. Medicare recovers from Blues. and pays you any extra due. Widespread overpayment have been created since suspension of enforcement in the Clinton Adm + Call center contractors have routinely given wrong info increasingly since then as laws were ' forgotten' and the insurance industry allowed to get by with illegal tactics as doctors struggled for pay.
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In spite of Medicare changingg govt claims processing contracting 'partner.' and passage of law HR 1063 which resurrects the original 1981 conditional payment law suspended by Sec of HHS Donna Shalala in 1994 which proceeded to collapse the health care system; signed by President Obama on 1/11/13; nothing has changed and Medicare is still biig ripped off by the govt 'partners' and govt contractors and the enforcement of the law which puts the onerous back fully on the authority of the Federal Govt for the frist time since 1994 means nothing has changed. Appellate Medicare judge's order on case:M09-1406 upholding and affirming the lower ones decision who ordered and obtained the real internal documents from US Dept of Labor, whose jurisdiction I am under which has made the formal determination fo Federal workers compensation and Fed Blues as two primaries for me and Federal Blues the primary for family on my policy is blatantly ignored, yet. Lawlessness and thefts of the public monies continues and the 'safty net' is trashed which allows Medicare to pay when the primary payers do not and the govt take the full responsibility to enforce the laws against the primaries with fines now in the law for not doing so. Tha law; which is an underpining law with a 'ripple effect' throughout the entire health care system of promoting fairness and justice for all that 'makes' everyone follow the 'rules' has not been implemented, yet no enforcments of the law to stop the bigger theft of the Medicare trust fund which is on going "RICCO" case per US Attorney's office through being facilitated by Medicare Coordination of Benefits, a subsidiary of Embliem Health International.(formerly Group Health) US Constitution says the President is to implement the laws; it needs to be done for almost a year now. Abd its one of those things needing 'fixed'' before next year and so many will have their health care regulated by the Federal govt. Linda Joy Adams 12/23/13
WE NOW KNOW SSA SYSTEM HAS BEEN HACKED SSA SEVERAL TIMES ON MY RECORDS AND ITEMS DELETED TO PREVENT ANY DECISIONS OR RIGHTS TO BE HAD. DEPUTY COMMISSIONER OF IT FOR SSA HAS BEEN UNABLE TO GET THE OIG FOR SSA TO ACTRE THE UNSECURE SYSTEM AND OF COURSE ITS A GOVT CONTRACT. ACS ET AL HAS NOW TAKEN CONTROL OF SSA AND ALL SHOULD BE VERY CONCERNED AS THIS DOES AFFECT ALL OF US.
CURRENTLY 8/09 HEARING STILL PENDING IN MCALESTER HEARING OFFICE OF SSA BUT IT'S NOT PHYSICALLY THERE NOR IN THE SYSTEM. NOW JUST RECENTLY A NEW HEARING WENT THERE AND WAS ON THE SYSTEM AND LAST WEEK DISCOVERED BY CALING TSC THAT IT'S GONE SO AND THE ISSUE MAY EXPOSE ANOTHER BILLION DOLLAR RIP OFF OF TAXPAYERS MONIES SINCE THE LATE 80'S TOO. SO WHERE IS THAT HEARING THAT SHOULD NEVER HAVE BEEN NEEDED AS NONE ARE TO OWRK A CASE UNLESS THE JUDGE OKAYS IT AS IT MAY BE SOMETHING THE JUDGES IS TO RULE ON PROCESSES AND PROCEDURES GET FORGOTTEN AND SO DO ALL OF OUR RIGHTS. ACS ET AL IS CONTROLLING ACCESS TO THE FIRST JUDGE IN MULTIPLE AGENCIES AND THIS IS THE REAL FIRST STEP TO CORRECT MISINTERPRETATIONS OF AWS OR UNCONSTITUTIONAL POLICIES IN AGENCIES AND ITS HOW GOVERNMENT USED TO WORK FOR THE PEOPLE AS GOVERNMENT WORKED. ALL OF THIS IS NOW GONE AND WHERE A NEW OVERWHELMING LAW FOR HEALTH CARE THERE IS NO WAY FOR THE AVERAGE PARTY TO MAKE THINGS RIGHT WITH OUT AN ACT OF CONGRESS. AND CONGRESS NEEDS THESE CASES FROM THE FIRST JUDGES , AT LEAST TO KNOW HOW A PORTION OR PROCESS IS UNFAIR AND DENIES RIGHTS. Linda JOy Adams 5/14/15
UPDATE: 8/7/16 NO CHANGE one is not able to get a civil rights complaint filed against a government contractor responded to as the real government is not over their own government contractor. Even though the US JUSTICE DEPARTMENT OFFICIALS AND EVEN MEDICARE'S OWN GENERAL COUNSEL HAD THOUGHT THIS IS ONE WAY THE REAL GOVERNMENT COULD GET INSIDE THEIR CONTRACTORS. We have all found out that CONGRESS has taken away any funding for this afterwards. All three of my health plans were and now were government contracts and all managed by one of the nearly 200 companies under Lynn Blodgett the current hired head on international cabal that congress let take over in COUP OF 2002. (no funding to stop it) HIPAA law is not over government contractors so they are of no use unless one is complaining about a medical source. We do not have the authority to act when the government does not either and they have to be micromanaged by this cabal also now. More bad laws passed due to the real government not able to know what is really going on and we have health care cost soaring as this cabal scams more contracts from the medical sources as well as the government and the people pay and THE DOCTOR IS NOT IN CHARGE WHO KNOWS BEST AND USUALLY CAN FIGURE OUT THE CHEAPER AND OFTEN BETTER WAY TO GET IT DONE. HHS Civil Rights is to docket in and answer complaints. They have several pending and their contractor will not do this as the major offender is him and his cabal. Linda Joy adams
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