It’s even worse than that: now they have a bunch of corrupt medical practitioners who they use to rubber stamp denials to make them more legally defensible. Most often, they’re literally just clicking “CONFIRM” on some machine-generated auto-denial.
Very much so. They'll get presented with several bullet points of reasons for denial based on their system, and be asked "do you see any need to disagree with this reasoning?" rather than any form of differential workup.