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Initial Complaint
09/26/2024
Complaint Type:
Order Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
I started receiving bills from Pediatrix Medical Group in early 2023 for an October 2022 date of service. The bills showed no evidence of insurance adjustments. The patient was insured at the date of service. I called Pediatrix, completed online forms, and otherwise provided information to corroborate proof of insurance. I called Pediatrix to confirm receipt, and was assured it was being handled. Eventually, the bill came to final notice and I paid out of pocket in fear of collections. All the while, Pediatrix is assuring me they are working with my insurance company. I continued to push on Pediatrix to bill insurance. On January 2024, Pediatrix received payment for one claim from from the insurance company. This created overpayment on my account. In **********, the provider's office has 30 days to refund an overpayment - Pediatrix never issued refund. Nor did they disclose they received overpayment until August 2024. I no longer receive **** from the insurance company because my company changed insurance carriers in March 2023. In April 2024, Pediatrix maintained they had no proof of insurance for the patient (despite having been paid by the insurance company for the patient's first claim). I established a verbal connection between the insurance company and Pediatrix. Pediatrix acknowledged proof of insurance has been established. By the time Pediatrix sent the last claim to insurance four months later, it was denied because the claim is outside of the timely filing limits. I am requesting reimbursement for my bill for Pediatrix bad faith handling of my claim.
Business response
10/04/2024
I am in receipt of the guarantor’s inquiry filed via the Better Business Bureau’s online portal. I was able to speak with the guarantor by phone on October 3, 2024. We are working together to fully resolve all concerns, and I will keep the guarantor updated until finalization. My direct contact details have been provided.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. Pediatrix physicians are focused on our founding principle which governs our mission: take great care of the patient, every day and in every way.
Customer response
10/13/2024

Complaint: 22344461

I am rejecting this response because: Nicole from Pediatrix called me on Friday to notify me that a check had been mailed out. She could not provide a tracking number as a tracking number wasn't given in the notes. I intend to keep this complaint open until I have a check in my hand.

Sincerely,

Mesina Orogvany
Customer response
10/14/2024
I received the refund from the company and I am satisfied with Pediatrix's response to the complaint.
Initial Complaint
09/13/2024
Complaint Type:
Service or Repair Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
My wife, ***** ******, was inadvertently asked by her *** doctor to schedule a consultation with an OBGYN, ******************, part of a medical group whose billing is overseen by Pediatrix in January of 2024. My wife, *****, did not realize that she had ALREADY spoken with the same doctor for the same purpose in 2023. We paid the original 2023 bill of approximately $600 promptly, though Pediatrix says they have no record of that payment. My wife realized that it was the same doctor when they sort of worked out that she had already talked to him. They spoke for approximately 7-8 minutes. He offered no consultation or new information. He seemed more confused why she wanted to speak to him again. It was a nurse practitioner's mistake. This second appointment was an error. The bill came in May and was $884--more than 33% higher than ******* first consult a year earlier. $884 for a 7-minute phone call of no value! Dr. *** ***** also refused to respond to mail and voicemails at his office.I have mailed Pediatrix TWO separate letters with no response (only automated phone messages to collect invoice amount). I submitted a dispute. No one has responded, but I found out later it was rejected because "the patient made the appointment." That was not in dispute and made it clear no one read our dispute. I asked to speak to a case manager. The phone *** said they are "too busy" and would need to call me back. This was over a week ago now. No one has called.This is abysmal business. Even worse customer service--ignoring mailed inquires! Denying a dispute with no real explanation. Refusing to call me back with a detailed explanation. Unjustifiable pricing. No shame.I have offered to pay $200 to settle this. They told me the max amount off is 30% (I know this not to be true from research). This complaint will be the first step in an exhaustive series of complaints and bad reviews, if this is not rectified. Pediatrix and *** ***** will regret their greed and indifference.
Business response
09/20/2024
I have received the guarantor’s inquiry filed via the Better Business Bureau’s online portal. On September 20, 2024, I attempted to reach the guarantor using the phone number provided on the inquiry. A voice mail message was left with my direct contact details; please call me so I can assist with resolution: 804-253-0317.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. Pediatrix physicians are focused on our founding principle which governs our mission: take great care of the patient, every day and in every way.
Customer response
10/03/2024

Complaint: 22280157

I am rejecting this response because: I do not have any record of a phone call or voicemail left from Pediatrix, as per the message on BBB.org. I am happy to speak about this issue, but I would need a direct line and to set up a time and day to discuss.

Sincerely,

Ryan Little
407-256-5068 (cell preferred)
Business response
10/08/2024
We have received the guarantor’s rebuttal and contacted him by phone on October 7, 2024. We are currently working collaboratively to resolve the concerns.
Initial Complaint
09/06/2024
Complaint Type:
Product Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
The provider sent us a bill, which we paid on April 9th, 2024. We later received bills for $3k+, which we contacted our insurance company (***) that told us this was incorrect. On June 4th we called and spoke to a billing representative at Pedatrix who went back and then correctly notate that they had received payment and quickly zeroed the account (which was before threatening us with collections). They did see an overpayment, but required information to be submitted for the refund of $127.27. Later that day we sent the details (attached) and associated claim #s. We have been trying for months to get a resolution / refund. ***************** has tried calling on our behalf, but we are unable to get anywhere on this refund. I have exhausted options, and would like our refund as it has been over 90 days, per their T&Cs, and yet they can not figure out the refund (even though they mentioned previously on the phone they saw the over payment). Can you please help us get in touch with someone to resolve this? Thank you.
Business response
09/12/2024
I have received the guarantors inquiry filed via the Better Business Bureaus online portal. On September 11, 2024, I was able to reach the guarantor using the phone number provided on the inquiry. We have discussed his concerns and are working collaboratively toward resolution. The guarantor has my direct contact details, and I will be keeping him updated until the account is finalized.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Customer response
09/18/2024
I am still awaiting the refund check to be cut, which will not be until 9/19. Can we wait until I receive the check to close this out?
Customer response
09/24/2024

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me as they have sent me the refund check.

Sincerely,

**** *******
Initial Complaint
09/05/2024
Complaint Type:
Product Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
My son was born on ******. I just received a bill from pediatrix- obstetrix medical group that does not include his name, ** name, date of service, phone number to contact or physical ad**ess. The bill claims we owe $1512 because at the time of service our son was not covered under our insurance policy. He was in fact covered by *** and We hit our out of pocket max. Insurance covered all other costs. The only contact on the letter is a website to enter insurance information and *** said they received no claims from this company.
Business response
09/12/2024
We have received the guarantors inquiry filed via the Better Business Bureaus website. I have spoken to the guarantor using the phone number provided on the inquiry as of September 12, 2024. We are working toward full resolution of the account, and I have provided my direct contact details. I will keep the guarantor updated on all status updates.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Customer response
09/25/2024

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

Sincerely,

***** *****
Initial Complaint
09/01/2024
Complaint Type:
Product Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Received a bill in the mail for $1584.36 that said our medical insurance has delayed payment on a claim from the group and we need to pay them. However neither the insurance company stated on the bill ******************** nor our other medical insurance has any record of this group submitting a claim. Additionally the bill does not list what services the bill is for, and when we go to the Pediatrix website there is no record of the account number that is listed on the bill.
Business response
09/11/2024
I am in receipt of the guarantors inquiry filed with the Better Business Bureau. On September 10, 2024, I attempted to reach the guarantor using the phone number provided on the inquiry. A voice mail message was left with my direct contact details; please call me so I can assist with resolution: ************.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Initial Complaint
08/22/2024
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
********************* ****************************************************************************************** *********************** ************ August 21st, 2024 Dear Better Business Bureau,I am writing to seek your assistance in disputing a $350 charge from Pediatrix Medical Group for a hearing test that was never performed on my two-year-old autistic daughter. During our appointment, my daughter became overwhelmed, and ************** informed me that they could not conduct the test. I was advised to take her to a hospital to undergo the auditory test under sedation, which left me feeling discriminated against and in tears.Since January 2023, I have disputed this charge multiple times, speaking with numerous representatives who assured me that the debt would be cleared. However, I was recently contacted by a debt collector on behalf of Pediatrix Medical Group, which has caused me significant distress.I believe this situation is unjust and would greatly appreciate the BBB's guidance and support in resolving this matter. Thank you for your attention to my concerns. I look forward to your assistance in addressing this issue.Sincerely, ********************* Mother of ***************************
Customer response
08/27/2024
***Please See Attachment***
Business response
08/29/2024
We have received the guarantors inquiry filed via the Better Business Bureaus website. I attempted to reach the guarantor using the phone number provided on the inquiry on August 28, 2024. A voice mail message was left with my direct contact details; please call me so I can assist with resolution: ************.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Initial Complaint
08/20/2024
Complaint Type:
Order Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
I received a letter from this company almost 9 months after I had my daughter saying I owe money for services that are not listed. The letter tells me I need to submit insurance information through a third party website or send the information by mail within ******************************************************************************************************************************************************************** sending that information by mail. I do not want over $2,000 to be sent to collections. I do not understand how I am being billed for this when I had my daughter almost 9 months ago and am just now getting a bill? I do not know what services were performed by this group. How can a business give 15 days to respond then send it to collections? I have gone to their actual website and entered the account number and there is no record of this account to pay the bill. No phone number was listed on the letter, so I had to look it up and I called their pay ***************** and still no record of this account.
Business response
08/29/2024
I am in receipt of the guarantors inquiry filed with the Better Business Bureau. I was successfully able to speak with the guarantor by phone on August 28, 2024, and we are working collaboratively to resolve all outstanding concerns. My direct contact details have been provided and I will keep the guarantor updated of all progress on the account.
********************** is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Customer response
08/30/2024

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

Sincerely,

***************************
Initial Complaint
08/09/2024
Complaint Type:
Billing Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
******************************* ***** ************************************************************************ ******************************** ********** ************************************ ********************** Subject: Formal Complaint Regarding Incorrect Billing and Request for Resolution ........................Dear Pediatrix Medical Group,I am writing to formally file a complaint regarding an erroneous billing issue for services rendered to my daughter on January 10, 2024. The procedure included an Adenoidectomy and two Tympanostomies. The bill ID# ******** reflects a total amount of $1,425.46, which is being charged to me despite prior agreements and insurance coverage.Initially, I was quoted a total amount of $5,000.00, with my out-of-pocket responsibility being $736.43. This amount was billed, paid, and acknowledged by Pediatrix. The insurance claim #*******MY2049 was approved and covers the same services that are now being billed again.I have made numerous attempts to resolve this issue through phone calls over the past several months. Each time, I was assured that the bill would be reviewed and placed on hold until a resolution was found. However, despite these assurances, I continue to receive bills and recently received a final statement dated August 4, 2024.I request that Pediatrix Medical Group immediately cancel this bill, as it has already been settled as per the initial agreement and the insurance claim. Please find attached a copy of the insurance-approved claim for your reference.Additionally, I would like to express my dissatisfaction with the handling of this matter and the significant time I have spent trying to resolve it. For now, my primary request is to have this bill corrected. I will be considering my options regarding future interactions with Pediatrix Medical Group.Please confirm receipt of this letter and provide a written resolution at your earliest convenience. I appreciate your prompt attention to this matter.Sincerely,******************************* *****
Business response
08/19/2024
I have received the guarantors inquiry filed via the Better Business Bureaus web portal. I was successfully able to speak with the guarantor by phone on August 19, 2024, and we are working collaboratively to resolve all outstanding concerns. My direct contact details have been provided and I will keep the guarantor updated of all progress on the account.
********************** is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Customer response
08/20/2024

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me, considering they will honor to fix my first bill and cancelled the doubled one as agreed on the phone.

Sincerely,

******************************* *****
Initial Complaint
07/16/2024
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Dear BBB Representative,I am writing to formally lodge a complaint against Pediatrix Medical Group concerning a surprise bill I received related to the birth of my newborn child on 4/19/24.To my astonishment, I did not receive any traditional billing statement by mail or email. Instead, I was sent a text message indicating there was an outstanding balance for the services rendered during my stay. What services? I have no idea. This unexpected and unorthodox communication method has left me distressed and confused.The medical group did not provide any itemized bill or explanation of charges, making it impossible for me to understand or verify the amount owed. This lack of transparency and proper billing practice is unacceptable and has caused significant frustration.The medical group has also claimed to have processed this claim with my insurance. My insurance has no such claim. A quick ****** search of this medical group will show so many previous stories of unprofessionalism and surprise billing to unsuspecting new parents. I request the following actions:Provide a detailed and itemized bill explaining all charges associated with the birth of my newborn or have all charges dismissed due to the stress of dealing with this mess. Clarify the total amount owed and any payments that have been applied to my account.Cease using text messages as the primary method of billing communication and instead, send official bills via mail or email.I hope to resolve this matter promptly and amicably. I trust the BBB will assist in ensuring that Pediatrix adopts transparent and fair billing practices, preventing other patients from experiencing similar issues.Thank you for your attention to this matter.
Business response
07/25/2024
I am in receipt of the guarantors inquiry filed via the Better Business Bureaus web portal. I was able to speak with the guarantor by phone on July 25, 2024, and we are working collaboratively to resolve all outstanding concerns. My direct contact details have been provided and I will keep the guarantor updated of all progress on the account.
********************** is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Initial Complaint
07/12/2024
Complaint Type:
Order Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
We were sent by our OB to another business for our routine anatomy scan. They send all their patients here. It was womans obstetrics/pediatrix medical group. Because our in-network OB sent us here, we assumed it was in network. We were never told they were out of network prior to receiving services. All they did was an ROUTINE anatomy ultrasound. A month and a half later and I get a text message to a link saying we owe over $1,800 from the visit. No breakdown of why or what services were costing us this much. We were shocked to discover we are out of network. I called my insurance and they confirmed they were not in network but they were not able to do anything except send me a dispute form. We are extremely upset and this is a lot of money. Please help
Business response
07/22/2024
We have received the inquiry filed via the Better Business Bureaus web portal by the guarantor. An attempt to reach the guarantor using the phone number provided was made on July 22, 2024, and we have resolved the guarantors concerns. An updated statement will be sent to within two weeks.
Pediatrix Medical Group is committed to providing the best medical care available and we pride ourselves on our integrated, family approach to patient account services. ********************** physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.
Customer response
07/23/2024

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

Sincerely,

*************************

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