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  1. #1
    Join Date
    Jun 2019
    Posts
    3

    Default Wording to Find Percentage Success of State Contractor

    I am filing a freedom of information act request under the Illinois State
    Freedom of Information Act to a State Agency. I simply want to find
    out whether the contractor they use for their Medical Care Assistance
    Plan has a history of dropping incoming claims (by fax and United States
    Post Office mail) on the floor and not entering them . Did they did any
    audit or investigation that would shed light on whether whether their
    contractor was doing this part of their job correctly.
    What would be the best wording for this--see below.

    I am state employee.
    I am a member of the Medical Care Assistance Plan for many years.
    I would send in my claims. I got no responses (neither denials or
    payments). This happened several times over seveal years. I got
    sick and tired of this and filed an Illinois Court of Claims
    action for one year that they failed to reimburse me.
    (For the year in question, I sent in claims three times by physical
    mail and one time by facsimile.
    They are claiming that they got none of them.)

    For those not familiar
    with these, one arranges to have money deducted from one's paycheck
    pretax. Then, when one has medical care expenses, one sends in their
    receipts. They check two things. That you have not sent in more than
    the total amount taken out for the year. That the expense is a valid
    one under Internal Revenue Service rules and the plan rules. (For example,
    a general health expense like Vitamin D pills is not valid, but if one
    has a prescription from a doctor for a specific condition for these,
    even though they are over-the-counter, one can get reimbursed for the
    price of the pills.)

    My first request asked for the percentage of incoming claims by
    fax that actually got into their computer system. Ditto for those
    coming in by United States mail. Also, asked if their department
    that manages this got other complaints from others or from myself
    in prior years.

    they sent back that one can't get requests for statistics. (So I guess
    one can't ask them to calculate how taxes affect different income
    brackets but one can ask for a report that gives this information if they
    had already prepared same, unrelated to one's request.)

    So I simply am going to ask for ayh reports or the complaints.
    Is this the best wording:

    Reports on whether incoming facsimiles to the facsimile number
    provided to the participants were actually entered into the system?

  2. #2
    Join Date
    Oct 2016
    Posts
    3,306

    Default Re: Wording to Find Percentage Success of State Contractor

    Quote Quoting doctorleff
    View Post
    I simply want to find
    out whether the contractor they use for their Medical Care Assistance
    Plan has a history of dropping incoming claims (by fax and United States
    Post Office mail) on the floor and not entering them .


    Reports on whether incoming facsimiles to the facsimile number
    provided to the participants were actually entered into the system?
    I simply can't imagine that any agency would keep any sort of records of how many faxes or pieces of mail were dropped on the floor.

    You might be better served to ask if there is any relevant data to how many time those that have said that claims were reported that didn't appear in the system.

  3. #3
    Join Date
    Jun 2006
    Location
    Massachusetts
    Posts
    24,107

    Default Re: Wording to Find Percentage Success of State Contractor

    A quick caution on faxes.

    I don't know how many times we have sent out faxes to state agencies (one in particular) were not received. I would be suspicious of the agency if it were not for the fact that we have likewise never received any number of faxes, where the sender was able to provide us with a confirmation of a successful send and which never got to us.

    The plain fact is, faxes are unreliable. I would never send something by fax if I had another option.

  4. #4
    Join Date
    Oct 2016
    Posts
    3,306

    Default Re: Wording to Find Percentage Success of State Contractor

    Quote Quoting cbg
    View Post
    A quick caution on faxes.

    I don't know how many times we have sent out faxes to state agencies (one in particular) were not received. I would be suspicious of the agency if it were not for the fact that we have likewise never received any number of faxes, where the sender was able to provide us with a confirmation of a successful send and which never got to us.

    The plain fact is, faxes are unreliable. I would never send something by fax if I had another option.

    Very true.

  5. #5
    Join Date
    Jan 2006
    Posts
    38,734

    Default Re: Wording to Find Percentage Success of State Contractor

    As you have alluded to, you can request specific information if they have records of that information and you can ask for specific documents. I can’t imagine any business that would keep records of how many times a piece of mail is dropped. I would imagine most simply pick it up and keep on working.

    They are not required to “work” to create what you are looking for. They need to have whatever info or document already in existence and basically create a copy for you and send it to you.

    I doubt they they have some assembled report such as you appear to be looking for.

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