Alleged Questionable Actions by Electronic Data Systems Federal Corp. To Reduce Its Claims and Correspondence Backlogs Under Its Medicare Contract in Illinois

GAO was requested to report on several allegations of questionable actions by an Illinois Medicare carrier to reduce backlogs of pending claims and correspondence. One category of the allegations involved the actions taken by the carrier during the last quarter of 1979 to deal with the problem of a large backlog of pending claims. Another category of allegations involved the actions taken by the carrier during the first several months of 1980 to dispose of a significant backlog of unanswered correspondence.