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Sunday, March 6, 2011

Violations of Civil Rights page 8 ( dear Doctor)

You are not a named party in the civil rights and contract compliance complaints that are pending against my three govt contracted health plans who have misinformed you as to whom to bill in defiance of their contracts, the law and federal judges' rulings on my bills.
You written statement is helpful in that often i don;t get this in writing.  I've always been forthright in that i was being treated for work related injuries, however My all my medical provider's have been consistently MISINFORMED by the three health plan contractors for almost a decade since Illinois Blue Cross/Blue shield took over  in TX, NM and OK. Ark blues had been paying primary and them sending the claims onto OWCP for reimbursement from them. Ill Blues took over and immediately began a ' dumping' onto Medicare by refusing to acknowledge my established OWCP case. Trailblazers the Medicare contractor, with the collusion of Medicare Coordination of benefits altered the claims submitted and removed the conditional pay status so that Medicare secondary payer recovery , a subsidiary of Group health as is medicare coordination of benefits, never got the referral to ask for monies back from OWCP, either. ACS, the OWCP contractor has yet to set up my computer file and has 11 years of O2 claims unprocessed as they would be paid and bring them on line with the official US dept of labor computer that  posts bi-weekly to the Medicare computer. Cigna govt services paid the O2 claims conditionally and MSPRC sen ta recovery letter to ACS which was ignored. Cigna is the only Medicare contractor that has allowed appeals. In '08 and '09, after receiving official internal documents, two lower judges at Medicare ruled that OWCP and Fed Blues are primaries. 9/29/10 the appellate judge did not overturn that decision but ruled OWCP gets the bills first on case: M09-1406.

2 comments:

Linda Joy Adams said...

UPDATE; no change for the better. Just a law that has not helped yet; HR 1063 and more info to support alreday made ones and judges rulings and nothing processed at ACS on the 'hidden' oxygen claims. Linda Joy Adams 2/9/14

Linda Joy Adams said...

UPDATE: Everyone in the government and even members of Congress thought that HR 1063 had passed and signed into law that was to again allow enforcement of the basic laws in healthcare and Medicare. Later on we found out it was another bill that only set up a pilot project to study set asides for workers compensation with Medicare, which I have a type of? . I cannot go to court , even if I find an attorney under the false claims act as Lynn Blodgett et al will not permit all the claims be put together and the judges give a ruling as what we have so far is not high enough total amount. The medicare judges said they cannot overthrow laws of congress or executive order of the Clinton administration that forbids enforcement of the laws against the contractor. 1 million missing at US dept of labor contractor for my medical care in a suspected embezzlement ring, that could be over 200 million dollars gone missing in 2002 for as many injured federal workers with established cases and already with permanent medical benefits like me. And the $4 million stolen from medicare in my name that increases every time the system is hacked and a bill illegally paid by Medicare in violation of the judges' ruling and my employer who posts it's not primary . NO CHANGE AS NO BUDGET FROM CONGRESS FOR THE REAL GOVERNEMENT TO KNOW OR STOP CRIMES AND CONGRESS HAS AN UNCONSTITUTIONAL GAG ORDER TO NOT MENTION THEM , CONTACT THEM OR ASK ONE TO TESTIFY. Most DON'T EVEN UNDERSTAND IT WAS DONE BY SOME BACK IN THE coup of 2002 so they could not verify what is really going on Nor even when they have the signature of a constituent they have the full right to go find out where their files and data are and what is going on including judges orders being held hostage from the real government by the contractor. COUP OF 2002 WITH NO REAL GOVERNMENT IN CONTROL AND THAT MEANS OUR VOTES DO NOT COUNT AS THE ONES WE ELECTED GAVE UP THEIR CONSTITUTIONAL DUTY TO US BACK IN THE COUP OF 2002. Linda Joy Adams,