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Having worked in equally despised and bureaucratic industries, and with HIPAA, I can assure you that the chances of that are very slim. Purposeful blocking of claim submission would mean millions of dollars in fines for an insurance company. Nobody is actively trying to bring that upon their department.

Bureaucratic systems like health insurance are about preserving your position as having the most benefit with the least amount of responsibility. They are ecosystems of mediocrity.

A VP at an insurance company generally cares about two things, balance sheets that make him/her look like they're doing a good job and tomorrow's tee time.

Directors care about their line on the balance sheet pleasing the VP. That's how you get most insurance company software written by low-wage, visa workers, who could care less about code quality or maintainability, because they'll be at a new gig within a year or two.



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