What does this mean when my ltr says I am denied but surgeon say I am approved?

Friday, my initial letter to insurance went out, and only three days later, I got a call from the surgeon's office, saying I'd been approved by Aetna/USHC-HMO. Today I got a letter in the mail from Aetna, saying I was denied! Which one is it? It read that the bypass was questionable due to malabsorption issues. I know for a fact they've paid for others to have it before. My balloon of excitement has suddenly burst. I'm calling both surgeon and insurance tomorrow, but in the meantime, has this happened to anyone before? What next?

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