Retroactive requirements for surgery?

I have already been approved and surgery set date from BC/BS. I would have had this surgery in September, however my scheduling issues caused a delay until November. Now, having ALREADY been approved by insurance in August--they have decided to also require cardiac clearance--even though my surgeon and PMD have nixed it. Can they do that retroactively? I was signed off on and ready to go!!! I do have the customer rep looking into it--but is this a battle I can win 2 weeks before surgery? Also, the surgeon's office said they received a list of 2 dozen people this applied to--some who already had the surgery!!!--and some who were scheduled the very next day. Any suggestions? Is this nuts?

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