Illinois Blues ( our blues in TX, OK and NM) has just had to repay Illinois $25 million for similar tactics on claims there. This is an established case with approved treatments well established since 1/10/89. I have taken you letter and bill and filed them with Federal workers compensation. Two months ago, the new regional office manager called and said that wen she was contacted by Lynn Blodgett President and CEO of Affiliated Computer Services now a Xerox company he did not inform her that her office computer file had not been o=updated since 1998 and at that time actually documents were not scanned in but maintained in paper files. She wasn't even aware of numerous appellate judges' remand orders as ACS had never set the file up properly. In fact , in 2/09, the three judge appellate panels ruled: ask me for the facts of the case as they were well aware, no one at OWCP had a clue what was going on in my case due to routine ' disappearance of files. Theses ' disappearances in multiple agencies has been routine since 1/10/89 since I was injured.
Over 20 years ago, Medicare became the final authority on which health plan is the primary to Medicare. Ill Blues and Medicare's own contractors are in defiance of their own judges. Insiders say there over a trillion dollars owed back to Medicare by primary payers. The more rulings and documentation, the more my medical care gets obstructed by them. Trailblazers began turning your claims into 17 ,started 8/08 on every claim back to 1/06. ( documented by 500 witnesses at 1-800 Medicare) by creating 15 phony Medicare claim numbers and using an illegal offline computer system hidden from the contract auditors. Congress has passed laws giving contractor criminal immunity. The investigators form the Justice dept and Medicare's general counsel can do nothing without Congressional action. Internal audits are also prohibited. Civil rights and contract compliance are available and followed their advice and filed both. OPM has no contract compliance compliant process and they gave contract to Blues. Please don't stop this ' whistleblower's care.
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UPDATE; How could things go so wrong in health care.To let health care be lost for so many of us while secret deals and defince of rules and laws and well trained medical care providers struggle against a cabal let be in charge allowed to run amok for so many years as those whom we elected to watch out for us seem to have not done their jobs for us in so many ways. Linda Joy Adams 2/9/14
UPDATE; Nothing has changed. congress still has self imposed gag order so they can remain ignorant of what is going on and with no budget allowed to be spent to internally audit a contractor of the government (except DOD and VA now) no one in the real government officially knows anything either to know we , the people; are being robbed by this international cabal of contractors and if they did , no budget allowed to be spent to investigate and arrest the criminals and stop the thefts. So the false facts is they are turning back to congress for more money for health care programs to steal some more and raise health insurance premiums since the insurers now are in a position to be 'blackmailed' by this cabal they fired to ;manage things and get out of paying and illegally dump onto Medicare and a recent US Supreme court case seems to indicate that is no longer going to work etc. one who hires the contractor is liable. I have informed many Congressional officials and begged they get rid of the unconstitutional gag order of not mentioning this, contacting a contractor or asking one to testify as no laws, or budget can e passed unless they can TALK ABOUT IT and ones doctor has no idea which health plan rules to go by for treatment for payment. Linda Joy Adams
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