"A lot of these issues arise because providers fail to review payer coverage rules before deciding on a treatment plan" A system wherein the trained profession

"A lot of these issues arise because providers fail to review payer coverage rules before deciding on a treatment plan" A system wherein the trained professional with direct access to the patient has to defer to a board of anonymous bureaucrats to determine the course of treatment is absurd. These issues don't arise because "providers fail" they arise because the system is built to fail and the burden falls on everyone except the people making the rules (and the profit).