Now if someone mails or faxes you that spreadsheet? You're screwed.
Spreadsheets are not the biggest problem though, as they have a reliable 2-dimensional grid - at worst some cells will be combined. The form layouts and n-dimensional table structures you can find on medical and insurance documents are truly unhinged. I've seen documents that I struggled to interpret.
To be fair, this is problematic for humans too. My old insurer outright rejected things like that stating it's not legible.
(I imagine it also had the benefit of reducing fraud/errors).
In this day and age, it's probably easier/better to change the process around that as there's little excuse for such shit quality input. I understand this isn't always possible though.
Spreadsheets are not the biggest problem though, as they have a reliable 2-dimensional grid - at worst some cells will be combined. The form layouts and n-dimensional table structures you can find on medical and insurance documents are truly unhinged. I've seen documents that I struggled to interpret.