Violations of Civil Rights: page 41 Request to reopen; appeals, new claims

                                                                                                                Linda Joy Adams
                                                                                                                Doyle E. Adams
                                                                                                                M____  . Adams
                                                    





                                             This is intended to protect all filing dates for appeals, new claims.
It is also a request to reopen and revise all decisions based on new information obtained by Congress in the last few weeks that pertains directly to the decisions pending or have been made as to which health plan is to be paying first, second, third all all three of us.
1. Federal Blue Cross Blue Shield of Ill, OK, TX and NM
    1215 south Boulder, Tulsa, OK
Attached is a claims form for payment of Oxygen claims for 2010 and 2011. Due to your prior actions, Lincare, the only supplier in the area is refusing service. You also have not paid or processed claims for 8/2000 through 12/31/2009. All About mobility was ordered to send the claims to Medicare first due to faulty info you received from the party whose investors actually stole the million dollars that yo are to access to pay all my claims from. This is an on going embezzlement by the Federal reserve who never sent the million dollars on to OPM to set up in a fund for you to access. This has been on-going  since 1988. In my case the monies went through the US dept of Labor and got input on the secured system showing permanent medical benefits in 1995. But many affected parties did not know this had occurred. This embezzlement may be in the billions.I mentioned a possible embezzlement in prior appeals you have ending now and the source is OIG at OPM. Your wrong info comes form the their contractor an affiliate of Affiliated computer services that has hijacked federal workers comp. Recently, and OIG at SSA, HHS, and Us dept of Labor have copies. We ran a sting operation to prove the case of them not processing oxygen claims since they took over a decade ago. I mailed the yearly expenses to US dept of labor contractor's office in London, Ky ( copies included) they are to post all submissions. But a convicted criminal in the Jack Abramoff bribery scandal said I was ' old' and mine was not to be posted. i did not fax a separate copy to  ACS in Tallahassee, Fla where they process and pay claims and also have their call center for medical providers and federal workers, etc. They processed all but the oxygen claims. The ones they process refer to this ' million dollars' and did not pay and I filed a reconsideration which is never given to any OWCP official to answer as they are not allowed to have any paper or files unless ACS posts them. In 2009, three appellate judges ordered them to accept my records plus set aside any excuse for full reinstatement of all benefits. Due to theft of 4 years of records form my files, all but the medical had been suspended forcing me to file appeals because they thought I had not returned to work in 1990. This is documented by 240 eeoc complaints and grievances and arbitration case and Sanctions from EEOC for torture to the point of death against HHS and sec of HHS Donna Shalala. The govt's policy is not to investigate thefts from federal work sites and for 23 years there has been no security on any file of mine and as each co-worker dies of injuries retaliations against me and my files increase. Murder and attempted murders of federal employees aren't investigated either. See prior appeals for details. remember i am the only employee that got  any crucial tests run on 1/10/1989. as orders were to turn them all away and don't run tests, etc. and the wrong emplyer got put on my chart and only after it was corrected was I 'sent home to die.' I sent the oxygen claims back to you over and over and you wont process them either thus blocking my civil right of appeal to OPm and on. You took back money from Lincare when you were suppose to be paying at 100% and accessing the million.  There are other appeals pending and attached on husband and child as my whole family is caught in this morass of govt not doing what they are supposed to legally take care of. There are also complaints filed with US dept of labor and HHS over violations of their contracts with medicare coordination of benefits which is not permitted to alter the he biweekly posting of the legal line up they receive bi-weekly of who pays first, second... and even your company has had it altered. so Medicare can be stolen. This is theft and MCOB is not to facilitate it when conditional payment law mandates they collect the monies back and correct these on-going problems. To do so would have exposed the on-going embezzlement and stop the fight for survival of seriously injured federal workers with established workers comp claims.
2. Cigna Govt Services. You have oxygen claims pending since 8/2000 that must be paid as conditional. You paid some but not all have been processed since then. Due to past actions by Medicare, Lincare , who is now the monopoly supplier in my area is refusing service until I, an old, disabled woman from rural OK straighten out the whole govt in order to live. I have filed, papers and appeals, etc. and have the bleeding sinuses an exacerbation of my n medical problems in the attempt to save my own life. Attached ore the claims for 2010-2011 for our son who hauls tanks and we pay the manufacturer. You have a pending appeal that has not been answered that is stating that the 1/08  regulation that allows a monopoly supplier to deny service on claims that are approved for life as i am. we are told by employees of Lincare that over a 100 patients have been ' left to die' over  an unconstitutional regulation that forced smaller suppliers out of business who can't afford to hire respiratory technician for a few patients but are not required to have one for those who have concentrators which give off life threatening ozone for those with chemically induced and easily irritated tissues. Including chemically induced pneumonitis for me. There are also appeals that are to be considered as reopening of initial claims as the proper payer for family is federal Blues and Medicare needs to pay conditionally and collect the monies back. For me, Federal Blues gets the claims and they pay 100% form the missing million which is still at the federal reserve and stolen by the investors who also own the contractors involved in a major coup d'etat that began in 1983 in Dallas with the obtaining of all personal bank data first , then the rest of the state and federal govt's data and files and also getting laws passe that made them immune from criminal prosecutions including theft and murder which is what this would be called in the private sector. note: all three of us have signed this appeal.
3.Trailblazers: each claim was paid 17 times and all must be collected back  by Medicare. it the law. All claims back to 8/00 on Linda and back to entitlement on the family are to to be reopened refiled and processed as conditional pays. All but one pay each is at the federal reserve and the numbers and info on this are in  appeals. Recent federal audit shows 7.7 trillion and more is missing  from our govt. and those who were to have received monies. Your complicit authorization to create 17 claims out of each one ended up in a $ 4million theft on Linda's claims alone. There is also over $5000 missing of part B Medicare premiums and the hearing files are missing that subpoenas would have shown that ACS neglected to code my payment of the $250 stimulus check in 2009 as OWCP involved. There is also monies misisng on unknown number s of federal employees over this issue and all monies trails lead to the federal reserve. Several laws were passed in the late 80's that set up transfers of monies from agency to agency and few know that those go back through the federal reserve first.
4. Wisconsin Physicians you have appeals pending since 1007 to reopen and revise however you have never answered the reconsideration's as you have yet to have any contractor to do this for OK. so all civil rights of appeals are voided illegally
5, Miami Medicare hearing office. you have hearings pending for several years on us now and ACS is obstructing  these. You also have not issued decisions on each of the 17 payments on each number and subpoenas need to be let to the Federal reserve for monies sent there and kept on 16 pays each and collections done my medicare need to be enforced as required . not from OWCP, but federal blues through OPM must pay at 100% from the million dollars  that shows on the internal documents Judge carter received in hearing in 2008 and 2009. And other voluminous documents shows this, too and the 500 witness reports form the agents at Vangent need to be subpoenaed. You say do false claims but that requires some discovery and decisions on your judges' part that each of the 17 pays should not have been made. Otherwie this on- going trillion dollars plus theft of Medicare can't be stopped unless Congress changes laws retroactively. But the conditional payment law makes this Medicare's responsibility and not mine and the conflict between the two laws has to be addressed by judges. you have hearings pending on all three of us and new hearings needs to be reopened and heard on these issues and subpoenas sent.
6. Departmental Appeals Board medicare. same as in item 5. Appeals are pending and those heard need to be reopened and revised on each of the 17 numbers. only one pay was addressed and not all the payments were addressed. I have not had a response from the last follow- up and the pattern with you r contractor, ACS is to not let you have files as it would expose their internal corruption on behalf of the thieves and cause cancellation of their contracts with CMS.
CC: Alan Porwich ESq
cc: Sec of Labor
cc; Social Security Adm Commissioner
cc: Sec of HHS
cc; Director of OPM
cc: US dept of labor contract compliance and civil rights office
cc: US dept of HHS civil rights and contract compliance office

violations of civil rights page 25: Cigna govt services Redetermination and penidng cliams and reopen all

Cigna Govt services: The DAB case - M09-1406 affirmed that Linda's oxygen claims were OWCP's yet MSPRC has not listed them on the conditional list on mymedciare.gov that you paid and did send to them and they sent out a letter to ACS, the US dept of labor contractor, jsut as they had on the claims they could locate using the national health ins data base for claims paid by other intermediaries such as Trailblazers who have refused for over a decade to code as a conditional pay for recovery.  The DAB affirmed that you have claims back to 8/1/00 still pending with you to process and pay conditionally as ACS has still not set my computer file, nor input 11 years if oxygen claims because: they would be paid as they were previously for life. When ILL Blues, who had been paying and duplicating some still being paid to the company Lincare bought, took over  OK and TX, NM at the same time ACS did for US dept of labor they proceeded to post false info that there was no owcp and convinced, in collusion with trailblazers, to ignore owcp and have Medicare pay. Your people stated that when you took over for palmetto GBA  in our area they refused to forward all pending claims and appeals,etc to you . The initial start date for you should be 8/1/00 for oxygen, the date of my entitlement to Part B and Lincare needs to be paid conditionally from then through 5/06, when acs lied to them making them think I'd gotten some huge settlement monies  that included their back pay and they stopped service. Rhema came and Lincare refused to turn over the owcp contract which they found out they still had and then All about mobility took over until Lincare became the monopoly due to a discriminatory CMS regulation, etc. Since then my son hauls tanks, and pays out of pocket and I've asked you for reimbursement but the " death panel' rules say that isn't possible and I need an answer as to why patients are left to die who have years of life in them with medical care?
Other supplies that have been paid by Palmetto GBA and others since you took over are for secondary/tertiary issues to the original accepted conditions at OWCP. Due to ACS refusing to set up my computer file and bring on line with the official US dept of labor one, these have yet to have an initial decision even though 6 judges and a hearing office pointed out they were in  the paper file which has disappeared.
Until Linda's 1996 pending request for permanent disability at owcp is processed, Doyle's and our daughter's primary payer is Federal blue cross.blue shield as one in considered an active employee until owcp decides  place them on permanent disability. There are claims on Doyle that are bing appealed and need to be sent to MSPRC for recovery from Federal Blues. Any claims on our daughter should be treated as such, too.
We are asking for a letter of waiver of any overpayment liability against us and our estates as its against equity and good conscience for such violations of laws, judges and govt contracts.

violations of civil rights page 23: Trailblazers redt and reopen- refuses to acknoweldge owcp and muliptle thefts

Trailblazers, Medicare intermediary  for Doyle, Linda and Doyle for M appeals:
PO. Box: 650714; PO Box;660155; PO Bx: 660156 Dallas, TX. 75266
These are redetermination requests and to treat as anything else is a violation of our civil rights. This is also a request to reopen all claims back to 8/1/00 to pay as conditional and get them over to Medicare secondary payer recovery so they can list them for  recovery from Federal workers compensation on Linda  and Federal Blues for Doyle and Martha. based on the Dept Appeals Board decision of 9/29/2010 case: M09-1406 that makes OWCP primary for  Linda and upheld that Fed Blues is also a primary. not one claim  has ever been sent to MSPRC and that is considered A ricco theft of medicare. All but one appeal has ever been answered and  no hearing have yet been held on any of the issues. Q2 administrators after getting a hearing remand admitted that you had paid these claims 17 times on 17 claim number ( 15 you created) starting 8/08 and retro on all Linda's claims back to 1/1/06. My letters and phone call to your reg. CEO never stopped this. Linda's FEHB dependents status is determined by her OWCP status. And medicare is secondary for them. you have not forwarded one of their claims for recovery from Federal Blues ( Ill Blues of TX and OK) in violation of judges, contracts and the law. No final determination has been made by DAB as yet on your claims, but if you had coded these as conditional payments, no appeals would have been necessary except for the specific claims where the test run or the specific surgery or procedure was miscoded such as the cardiopulmonary  stress test on Linda in '05 and  the sinus  surgery and hospitalization on Linda to save her life and part was inoperable due to so much damage from her work injuries. This got coded like a simple office procedure to down play the severity of her injures which has become an all too common practice.  the office manager for the doctor got lied to by every contractor and then ' blamed' Linda for not being able to straighten out the whole health care violations that have been on-going for over a decade. Linda lost a good doctor and this is part of what real ' death panels' are: obstruction of life sustianing medical care. More recently  Doyle received a summary notice  for our daughter and the ricco situation  has ' dumped'  an office visit with her family doctor onto the State medicaid which the state of ill had to get stopped in the tune of $25 million. A medicaid fraud report has been filed and this needs to be paid as secondary and Fed Blues as primary. There is also a situation where even though MH is not a participating provider with Fed blues, they need to be paid under the equity provision and then medicare. There have been no medical service dates there were no medically necessary and all should be paid conditionally if Medicare ends up having to pay primary to stop the ' death panel decisions.' On Mymedciare .gov, Linda could not find any claims in the last 15 months  yet Part B cliams should have been sent in conditionally on all dates of service to protect the filing dates so when SSA ' finds' the missing part B premiums. Where all govt contractors ( partners) giving out so much false info continuously all medical providers should not be held to any filing dates. Your collusion with Medicare coordination of benefits to alter the official records in violation of their contract with the US dept of labor and CMS is death panel violations of our civil rights and the physical and financial hardships have been overwhelming. If you want to turn each claim in 17 and pay your self and bill for all, then send us each letters of waiver that we are not liable for any overpayments nor our estates. This is not a hardship waiver , this is one against equity and good conscience because of the violations by you. You should never listen to any corrupt or misguided federal official at CMS who tries to stop you from doing your job legally. This has occurred and been docmumented in 9/2010 when a letter was sent from Stephanie Gammon Head of fee for services in Dallas to Ms de-Coq head of the call center for the medical providers with the obvious intent to obstruct the DAB decision that affirmed you had engaged in violations by not treating all claims as conditional when medicare had to use the safety net provision in Medicare when the primary payers were and are still in violations. Then an attempt was done to block any final appeals from DAB on any subsequent appeal decisions. SO far no final ones have been done over it. More civil rights violations. Cigna Govt services has been the only intermediary that has cooperated in any way with the civil rights of allowing appeals and on their own sending the paid oxygen claims on over to MSPRC who sent out a letter to ACS as they had done on their own with claims you had paid since 8/1/00 with recovery letters to ACS in '05 and '07 with no response and their parent company group health, which is the parent company for Medicare coordination of benefits whom you have successfully gotten to facilitate bypassing owcp and fed Blues for years; ordered them not to collect. Now they show only muscular skeletal injuries, which are secondary/tertiary claims on the original accepted diagnoses- as my job injuries. This has intentionally mislead medical providers along with the date of injury being listed as 3/1/97 instead of 1/10/89. Even my pulmonoologist asked questions trying to figure out what was going on. yesterday was the first time I was able to access any pertinent info of of my Medicare .gov but no claims  for last 15 months are listed.  Now  I understand why he asked questions that seemed to not ' correlate' as he knows and seen documents on my original accepted conditions and pulomonolgists, cardiologists, ear,nose and throat; and any other doctor who  treats is under owcp. Plus there is a myriad of seocndary and tertiary claims filed and ACS won't let  have an initial review as they have not processed 11 years of oxygen invoices because they will be paid  as before and bring  the offline incorrect  file online with the official US Dept of Labor file. Claiming some long - gone federal OPM director official ' made them do it' in violaiton of any legal govt contract to uphold the laws of our soverign nation.
THIS IS A REDETERMINATION ON ALL CLAIMS BACK TO 8/1/00 on Linda and 11/1/08 on our daughter and 11/1/08  on Doyle as well as all processed ones be reopened based on the two ALJ decisions of 08 and 09 and the affirming DAB dicision of 9/29/10 ( only final one so far) which clarified that owcp gets Linda's claims first.  ALSO a WIAVER of liabiity against us of any overpayments for your actions and our futile attempts to get your compliance with laws and judges decisions. This is filed timely. Due to hardship other documents will be faxed separately. This filing goes to three different PO BOXES: - more finanical hardship.

Violations of Civil Rights Page 3

480-389-2729 / 4803892729: "- Sent using Google Toolbar"  By not setting up the computer file correctly and obstructing the remand orders of judges, this is the result. See the attached response to a collection phone call. because some medical billing agency was persuaded to ignore the law and orders and violate govt contracts by false info spewed around. My husband's medical bills are obstructed as my OWCP status determines who pays first on his bills which is legally my Federal Blue Cross/Blue Shield group health plan. The local office can't work the case properly until ACS set the computer file up properly which has never occurred. When judges rule; they have no idea what the judges are referring to nor the import of the ruling as the file doesn't reflect it as a response to prior decisions. Any other bills its claimed my husband owes could surely be paid from his portion of the back wage loss which the 2/09 remand from the highest appellate judges at US Dept of Labor  should have resulted in all back temporary wage loss paid and other expenses reimbursed currently plus negotiations under way if not completed on permanent disability and schedule award. Most important, the constant obstruction of life -sustaining medical treatment would have ceased.

Krugman Smears 'Death Panel' Critics/ Real since 1979

Krugman Smears 'Death Panel' Critics: "- Sent using Google Toolbar" Death panels have been a reality for federal employees and families since 1979 when OPM was created. That's who will be administering the new health care plans. Few realize this. I'm one that has a standing order form the prior director of opm said " Let me die to my Federal Blue cross Blues shield manager who called me and said don't worry. OPM asked us to murder you! Then Arkansas Blues lost the franchise to Ill blues and both of my primaries decided to illegally dump the bills onto Medicare whose contractor Palmetto GBA had already caused the deaths of patients by requiring the inducement of organ failure to justify the need for home oxygen rather than follow the guidelines that included medically specific diagnoses, etc. Federal workers comp is still throwing files and away and reusing to obey their own judges and wont input the claims because the computer will pay them as I'm pre approved for life. Linda Joy Adams