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FREEDOM OF INFORMATION REQUEST OR
DOCUMENT REQUEST
Several of you have misinformation you are using to process or pay or not pay correctly various payments and benefits.
All those involved with Medicare as well as others; be advised there has been no change in the official info nor in my actual situation since the Medicare appellate judge affirmed the lower judges on case M09-1406 that Medicare is secondary to two primary payers. for me: FECA and Federal Blue Cross Blue Shield. Since the liquid oxygen is FECA's that permanent coverage there for the last 21 years makes all my bills theirs. But my family policy with Blues is also a primary and as such makes it the primary payer for the two others on that policy who have Medicare cards, now.
This posting will not change that comes from the US Department of Labor bi weekly to the government contractor privately owned billing system called the Common Working File : until one thing occurs That is President Lynn Blodgett of Xerox Management Services company Affiliated Computer Services, posting my reconstructed claims file , from my records as several sets he has been sent seem to be 'gone.' So that my clams examiner at the Dallas Federal Employee's Compensation Act office has access to my records and pending request for schedule award and permanent disability. They have no access to the official US Department of Labor records on me and why is a mystery as they are the every ones who should have and no legal reason why they should not. Again the software contractors have programmed things very wrong for every one's rights.
All those so eager to make Medicare primary surely do not wish to give up your own rights as injured workers should the unforeseen happen to each of you. Something our forbears worked and struggled hard for us all to have job safety and have rights to health care and income should one be injured while working.
Date of Injury is 1/10/89 while working for Health and Human Services at the Jersey City Teleservice Center for Social Security 9th floor, 2 Journal Square, Jersey City m N.J 07306 And third part law suit has been stymied in the court house waiting for FECA to figure up the damages and that is not going to occur with Pres Lynn Blodgett not permitting my files to be worked. This is a law suit I was required to file on behalf of the taxpayer who is being asked to pay my bills. And could not have FECA unless I did it.
The Common Working Files software is programmed to show only the first date of entitlement to Part A Medicare so rarely is the injury date accurate and many medical billers and claims payers will miss any bills Medicare pays being referred to the recovery Units as a conditional payments.
If the payment is not labeled a conditional pay, then the patients and medical provider and / or supplier or pharmacy is held liable for over payments. Its crucial this be done legally. It protects every ones rights.
The enforcement of that law was suspended in 1994, but the law remains . HR 1063 was signed in to law more recently that again puts the onerous back on the government to enforce the law and has yet to do so for us Pres Blodgett was reported to have 'disappeared the recovery letters he has been sent over the years and ordered no recovery to be made. and all obeyed his verbal words. and not the law or judges., etc.. And instead of my paid Medicare claims immediately being recovered from FECA and my family's From Blues for the difference in amount paid, plus all medical sources receive the additional amount due as a result, has yet to be done. Government Contractors are not exempt under that new law. that resurrected the enforcement of the original law.
The contractor, Medicare Coordination of Benefits said that one of Pres. Blodgett's? management team over at Federal Blues had called them and had them enter (hack) on the software system they run bi weekly to delete every ones primary employer group health plan or alter info from the posting. to just delete the Blues from all three of our postings . Some times it has been listed as if it were a Medigap policy and sending claims there results in nothing getting paid and more delays etc.
and Part D claims payers , ACS have no process on any one to recover money for they have yet to do so on ours
I get blamed because I CANNOT STRAIGHTEN OUT THE WHOLE GOVT AND CONGRESS ETC. not realizing that when Pres Blodgetts provider call center tells them no to treat as a conditional payment, they are blocking any attempt by me or any one else to follow the process for getting anything resolved on this .T
For GROUP HEALTH WHICH HAS OWNED ALL OUR MEDICAL RECORDS AND THE MEDICARE DATA ON US SINCE 1999, to alter the postings from employers.,violates the terms of their government contract as they are NOT TO ALTER FOR ANY ONE WHEN THEY GET THE POSTING FROM EMPLOYERS EITHER PRIVATE OR PUBLIC. If they think its wrong , etc. then they too can report to OIG, etc and it will be changed from the employer end. In my case, maybe some real investigation could occur as to why ACS has been allowed to violate our rights so blatantly and disregard the judges. etc , law and our constitutional rights to be notified bi weekly of change of what monies are to be paid or not paid for us and why the change. etc. with appeal rights Especially when the judges say the patients and our good medical sources are getting over paid due to it. while being underpaid on the other end of this. They are now the enforcers of HR 1063......
I have not gotten any due process notice with appeals rights bi weekly on this and that is required by the US Constitution. if such were legally changed, which is not. since Govt contractors are not under any civil or criminal oversight there is nothing that I can do but file papers and plead for cooperation from all affected.
Some who need accurate info and do not get it for a variety of very legal reasons, such as paying claims, will find no Federal Blue Cross Blue Shield on the system. unless they access it every other Tuesday AM and before Emblem Health International ( Group Health) comes to work and runs the illegal software package that no one in the government is aware of and proves the system is not secure as this is hacking into official records. And the security protocols should have been put in place to block any one altering the info when its posted from ones employer. US Department of Labor has employer jurisdiction of me since 10/11/1994 and my request should have been processed years ago without question once the oxygen got approved for life. It should have been a domino affect and some sort of impetus to reimburse the taxpayer for all, also..
As the judges said in 2009 "rumor and gossip has run amok" and all are to ask me for the facts and no one else seems to have any idea what the facts are anymore. without access to the entire file, even rulings or remand have no context for understanding. Why do the top officials in agencies have access to the real records and every one else, have none, and the contractors have a different set of records that do not agree with the official ones?. Some systems software is really done wrong.
But in the middle of all this is another over riding entity. Office of Personnel Management who is supposed to have all official records on me. Those at the very top, did have them a few ears ago and affirmed what the Medicare judges affirmed as the posting is accurate.
But Pres Blodgett's over 100 companies are the Information givers to the contractors who do most of the work for all of us feds and most every one else in the USA now at state and local levels. And they have made up various retirement dates over the years, saying a change of address was one, and another one in 2005 that we have no idea where it came from and then the most recent was either 3/31/2010 or some say 2/2010. with nothing to say why. The later two night have been some change in cost of Blues premiums etc. done of which the taxpayers pay 3/4th of. for us. And you are not getting your money;s worth at all. None of these dates are any retirement date as there has been no schedule award made for loss of body part use nor permanent disability even able to be looked at for approval, yet.
A reminder was sent to me by my former claims examiner at FECA before she retired asking me to get my medical records in to her. HOWEVER NEITHER SHE NOT ANY ONE AT FECA IS PERMITTED TO BE GIVEN ANY RECORDS DIRECTLY by mail, fax or by hand.
All must go to ACS and they decide what gets posted and they have refused to post my file since they took over in 2002 and would not even with the letter sent to me. For those feds, ven at US Dept of labor, who do not know this, and they seem to be many? PO BOX London Ky, US Dept of Labor is not a govt office . is where the real decisions are made on claims as its where all the posting goes on or not. and skews any outcome. They are ACS. impersonating they are govt officials which is still not legal. All are to state their corporate name and say they are the contractor of the agency.
most govt phone numbers are not answered by any govt official. The difference is that govt officials are still under the laws of the land and work is reviewed and if crimes committed can be arrested.
Worse for all is that contractors can not make any real decisions to solve issues.as govt employees are. And how much is usually based on money amounts involved. the higher the values the higher the maters winds its way up the hierarchy of the agency. since most low level appeals are handled by the contractors, now, there is no way to avoid a long wait to get up to a judge who can actually work the case as we used to do at the lowest levels. Investigate and gather info ,etc and apply he law with judgement based on agency policies and interpretations of laws. etc. many in the agencies do not even realize that part of their work is already being 'outsourced,' Chaos and confusion is rampant and its gotten worse over the last couple of decades. Government is not working as the government does not doing the 'work' and no one else does either. And people get more unhappy with the way things are over it. Congress is rightly getting the blame on this.
Pres Blodgett and ACS et al is In defiance of 38 federal agency judges now in multiple agencies and two hearings officers also. of many things needed to be processed and paid. etc.
Repeated requests by various means, including certified mail directly to the corporate offices to him have yet to be answered and systematic process set up to get all of this done. There are many things to be paid yet that have been approved . already. A few have been legally pending never processed as far back as 1989.
Destroyed or disappeared records does not make them legally go away. They are legally there , even if not physically or digitally there.
We live in poverty, when we should not be. Even though modestly, over all of this. And we should not have to have the expense of pleading for the rights we have been officially awarded.
DOCUMENTATION REQUESTED
We need a copy signed as coming from you of why you think Medicare is primary payer. A print out or a signed statement if the info was given verbally and from whom and the corporate name they work for. Plus why there was no notification given when the Common Working File was changed as we are aware it is biweekly, etc. Or if you have differing info, what is the info you are given.
And a statement of why you did not label the claims as either a conditional payment or send to medical subrogation for those who are not ACS. for FECA.
SPECIAL ADDITIONAL REQUEST TO FECA, AND ACS ET AL FOR
ACS is asked to submit your source of info that some
third party is to pay my bills. and who that is. I have been asking for this in writing and verbally for years and no one seems to know or will answer me. SO WHY DO YOU PUT THIS ON THE DUMMY PRINT OUT SENT TO ME WHEN BILLS ARE NOT PAID AS THE REASON?
One cannot just make something up when ones life is on the line and ones health care is jeopardized over it which has occurred with each of us. And for me the liquid oxygen has been officially FECA;s bills for over 21 years, now. yet due to the obstruction, I can't even get a supplier. thus my family hauls 200 lb tanks to a gas company for me to stay live. This is a no different than some kind of 'mob' contract hit on ones life for no one to think they have any moral or at least legal responsibility to answer us so we can get it corrected. What does or did your posting, say about my being given a million dollars or some such huge sum for my medical care at the point ACS took over FECA back in 2002? And the info get given out to medical providers and my oxygen supplier Lincare stopped service when I did not have it and believed ACS 'S VERBAL WORD AS GOSPEL
This sent me on a desperate mission to find out what was going on and all I can find out is OPM is not allowed to investigate and given no money for a 'suspected embezzlement ring" As if I must do what the government cannot,_ find the missing money in order to have the right to live? and its been reported to be a huge sum. on many. And this posting on those dummy returns form ACS on non bills not paid as there is some third party, are the referring to some huge sum gone missing inside of ACS whose system seems to be the only one that showed the info. and still does? and no one knows what is means and does not care that life sustaining medical care is on the line until someone answers the question what is it and where is it? Or did some one hack in and put something down for many of us to cause us intentional trouble and end out lives. over it? Some have said they were told that we older cases, were not to have been transferred to ACS at al, but that the money put in a fund and our Employer group health plans would be paid a fee to pay the bills at 100% and that would be a good solution. but the money went missing and ACS et al does manage our health plans, etc. so what may have occurred is affecting me right now and a crime of the past is still going on. And Why is OPM or contractor, etc paying 50% of what Blues does pay when they pay secondary having done the illegal dump on to medicare for the primary paying. and its another amount the taxpayer is having to be taxed for. many know something in side and yet there is no one they can report to that will protect them from the same smear campaign that i have faced. and if you received it on me, you know how bad its been.
Its why, based on a good legal opinion, I began blogging. I can not get any help from victim's assistance because contractors have 'virtual' criminal immunity as well as civil" under the system given us by congress past and present..
REQUEST From ALL:
Government systems are not secure and tat affects every one as all have official records of one kind or another. SO helping me, helps each and every one to try to get some basic security [protocols on systems that have been available to use for decades now. And why have they not been used???
APPEALS PROCESSORS.
If you are not permitted to address some of the legal issues raised in the submissions, Please state so and why. It then can be passed on to Congress to beg them to please address a horrific unconstitutional horror that prior Congresses created and none have corrected. With huge sums of our public monies gone missing as well in what has been called the biggest organized crime ring in USA history. I would say the world. as this is an international cabal of companies that seem to be subject to no Nation's laws now. with control of the people's money and data on us
Please help by at least coping down what is seen on the Common Working File. Give date and time and a print out is better As you are witnessing a crime in progress that none in the govt is allowed to even see. its my records, and I am to have a copy. though.
If some government official is involved , they can be investigated and prosecuted yet.. But evidence is needed and that is why those hard copy print outs are very crucial even if you do not have all the info.
We are aware that in after the judges ruled in 2009 that , Pres. Lynn Blodgett did speak to many high level officials and those at several government contractors in his own com[anise and those they have partnership deals with. And gave verbal misinformation that I had gotten a workers comp settlement and retired. And there was nothing to do on my records, or files. Thus on his verbal word, causing more destruction and records going missing with judges saying do this or that going missing along with the records? When the Judges were saying just the opposite. at US Department of Labor and Medicare. if anything what he withheld was 4 of them remanding and ruling on matters that could well led to loss of some lucrative contracts for violations of them by him and his companies.
ACS's contract with FECA is up for renewal this year, and I have not heard or read much about it but nothing has changed for me. and our struggle for life and livelihood with him in control of our data and rights.
How could all be so 'gullible?' Or hack into systems and destroy records with no regard for laws, , rights, or that some ones very life could be lost from it? On his verbal word, and not notify us when they do it.? I leaned of this spewing of gossip afterwards, but no one ever sent me anything official on that. US CONSTITUTIONAL RIGHTS BEING TRASHED. AND VERBAL WORDS ALL REPEATED LIKE A MANTRA WAS A BIG LIE AND STILL IS.. Whether President Blodgett's made up lie or someone else's as he is part of a larger international entity. Ask him the source of his info at least. And why you must obey him?
In the name of Yahusha whom we Christians call Christ Jesus, I pray that all will be restored back to when my files were illegally rifled and this struggle for life became worse and worse. For all other faiths or no faiths,, I ask for your prayers and or good thoughts as we are in an over thrown government for id one can be denied rights, them any one can. and reports are that many have not survived what has and is going on. I pray for President Lynn Blodgett for why he has and is doing this. My faith says there is an eternal judge for each of us and all of us will one day meet that one , and our eternal souls will be at stake. Much more at stake than any material wealth one may have in this lifetime. on planet Earth.
TO THOSE WHO HAD CLAIMS PAID BY SOUTH CAROLINA BLUE CROSS , BLUE SHIELD subsidiaries such as Trailblazers and Palmetta GBA from 1/1/2006 through 11/30.2012, I still need your sighed statements that you only got one pay from Medicare, not 17 as the systems shows. and the money went somewhere according to the 500 named witnesses. who helped document. What claim number were you told to bill under and what number did you get paid under? And if you are told not to give it, Who is telling you not to?
Linda Joy Adams 9/21/15
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