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Because unfortunately, it doesn't cost or penalize anyone in that bureaucratic chain to work inefficiently or to simply say, "no". There's no incentive for them to improve the process or to expedite your case. Does your company, by chance, pay for AMAS? If not, is that a service you would be willing to pay for? Might be worth it. I know it must be frustrating for you to no end, and the idea of having to have to pay for a professional service to help you make the medical division do its job probably turns your stomach.