Well i guess we need digital Luigi that can DDOS or prompt injecting the hell out of them.

What I time to be alive

The only way to actually get decent coverage is to get it though an employer.

This is definitely the wrong "motive structure" for administrative decisions from agency supposed to provide healthcare. Proof of grift as a goal.

By all means, use AI assistance to determine claims validity. But the AI service should be paid per query, or to licence whole model for unlimited use with medicare paying for the computers/gpus. Medicare should be choosing a model that is accurate instead of one that is paid to deny everything, because Homer Simpson's birdy automation can do that ultra cheap.