Electronic returns don't have to be entered into the system by hand, and the IRS's computers reject any returns with incorrect basic information such as Social Security numbers, birth dates (even of a child) and married names (they must match what is in Social Security records).
Alas, that re-creates one of the problems that the basic split between purchasers and providers of secondary care, which dates back to Tory reforms of the 1990s, was intended to address: hospital doctors will now be involved in purchasing the treatment that they provide.