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I could pretty easily see how such a bug could happen if the description in the article is accurate.
The right way to do it is to have the entire transaction in some pending state, and nothing is permanently saved anywhere until the transaction is completed. (This is called an atomic operation. It usually applies to distributed databases, but the same concept applies here, where the transaction takes a long time to succeed or fail.)
If, instead, you add it to the "reimbursement list" while putting the actual "make the pill" and billing part in the pending state, then forget to remove it when the transaction isn't completed, you get the outcome described in the article.
This would make sense on a smaller operation without a huge dedicated accounting team, fact that whistleblowers had to testify to fix it makes me doubt that's the case.
They get a cash payout as a whistleblower. I could easily see not reporting it directly and reporting it through the channels that pay them instead. Also, if they contracted out, they may not have anyone with the basic understanding of tech to identify the issue even if "these requests shouldn't have been filed" was reported up the chain.
It's still negligence, but it doesn't have to be deliberate fraud.
I mean, it's possible that the software bug happened organically, but certainly at some point in the last decade management must have heard about it.
This is what I am saying. It stops being an accident and instead a cover-up the moment anyone in management knows about it.