Appeal request for specialist?

Age: 19F, on Meridian-medicaid.

Ive been experiencing severe symptoms (severe weight loss, serious infections and chest issues, neurological symptoms, and a hard lump for 2 months) for a while and went to an internal medicine DR (also my GP). They ran blood tests and a lot of values came out abnormal. DR referred me to get a CT of my chest and neck.

they explained pre approval from insurance so I scheduled a month out. I called multiple times to confirm it was all set up, the day before I get a call saying that pre approval got denied. I called my Dr and they said that their pre approval was DENIED because I need to see a specialist to get referred to the CT.

Problem is, the symptoms are rather severe, as are the lab results, so a CT to rule out cancers is the reason why it was scheduled in the first place. I am now stuck with waiting for my DR to find a specialist (even more annoyingly, literally for WHAT? my problems span multiple body systems), getting an appointment, getting more tests there and a diagnosis potentially, getting a referral, waiting for an opening (which are now backed up a month at least) all while my health is worsening.

is there a way I can call insurance and explain to them whats going on and get around this frankly ridiculous reasoning they're pushing (my dr already explained the reasoning for referral for CT, being Lymphadenopathy, unintended weight loss, chest pain) or am I forced to potentially risk my health by waiting and going through this process?

submitted by /u/Amazing_Cantaloupe66
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