Complaints

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:04/15/2024

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I had my son at Baylor Scott&White, ******** on August 6th, 2023. I never received a bill from Pathologists Bio-Medical (PBM) Laboratories, but then 2 months ago I received a notice from a collection agency ********************* Services for "failing to pay" for a tissue exam from my son's birth. I tried to call PBM to have them bill my primary insurance, but am repeatedly unable to get a hold of their billing department. I am told that their "billing is down" or their "billing was hacked." Reviews online show the same thing happening to tens of others dating up to 8 years back. I believe Pathologists Bio-Medical Laboratories are fraudulently selling their debt to a collections agency and I have no way to resolve it without being able to get a hold of them.

• Initial Complaint

  Date:01/17/2024

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am caught in between my insurance company and a pathology lab.My insurance company states ***************** is submitting invoices as if I personally requested their services, therefore the work is considered as out of network and not covered by insurance. Actually the tissue was obtained during a procedure at an in-network facility and should be covered by my insurance under the No Surprises Act even the pathologist is out of network.The procedures took place in July 13 of 2022, Jan 12 of 2023 and Jan 27 of 2023. In each calendar year of 2022 and 2023 I have met my out of pocket maximum so I should have no responsibility for any of the invoices. Interestingly, 1 of the 6 invoices was paid by insurance.The other 5 are outstanding and are headed to collections. I have reached out numerous times to insurance and PBM ************** without resolution. My insurer assigned a billing specialist to work with me and PBM to resolve any issues. I have spoken with billing group (# on invoices) several times. They put me in contact with a manager, *****************************. ******* worked with insurance company a couple of times, but then ghosted both insurance and me. I contacted hospital where procedure took place as PBM is the main pathology lab they use. ****** gave me the number for ***********************. I spoke with ***** on Nov 30, 2023 and she promised to audit all my accounts and provide feedback. I have left numerous messages for ***** but she has not returned my calls or given any status update. One of the accounts was sent to collections and speaking with customer billing that was pulled back and all 5 invoices (totaling almost 6k) were placed on 90 day hold. I am concerned the invoices will be sent to collections. It is not correct to do this when company will not work with insurance and myself.My insurance advised me to report to ** AG as there is seemingly nothing else they can do if company will not respond.

• Initial Complaint

  Date:09/06/2023

  Type:Customer Service Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I have cancer. This procedure from PBR helps with identifying future cancers with my siblings. PBR sent me a bill for $251 for no reason according to my insurance carrier. The claim said it was for other which is not covered and the patient must pay. She explained me to me this happens all the time and they continue to get away with it without any reprimand-classic shakedown. My awesome insurance agent put the hammer down and got the claim canceled.

• Initial Complaint

  Date:05/31/2023

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I had a medically necessary diagnostic procedure done on January 19th 2023, and during this procedure 2 biopsy samples were obtained. These samples were sent to PBM labs. I receive a statement from PBM dated 3/20/23 saying that the procedure total was $494, and $398 was covered via insurance payments and adjustments, leaving me with a balance of $96. I make a credit card payment for $96 via their online portal. I then receive a second statement from them dated 4/24/23. They are now charging me $308 with zero insurance payments or adjustments listed, still citing the procedure on January 19th as the reason for the statement. I call PBM'S customer service line and speak with a representative. They say that my insurance retroactively denied the previously cited payments and adjustments, and they're currently appealing with my insurance, so I can go ahead and ignore this second statement. No payment was made from me at this time. I then receive a third statement dated 5/24/23, again for $308, again for the same procedure. This statement contained a blurb that I must pay immediately to avoid further collection activity. I call my insurance company and they said they had already covered the $398 that was reflected in the first statement in full. Therefore, PBM is fraudulently charging me an insane sum of money for something that both I and my insurance have already paid for in full.

• Initial Complaint

  Date:01/19/2023

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  i receive bills from this organization every week or so which say the amount is due "upon receipt." Every time i receive a bill I call them since they show no response from my insurance company. Today i received another bill in the mail so I called again (I was sent to collections because of a bill they messed up on previously so i call EVERY SINGLE TIME i receive a bill). Today I was told I needed to send the *** from my insurance company saying they had processed the claims for dates of service 9/13/22 and 10/11/22. The invoices were processed in a timely manner by my insurance company. PBM has no records. I'm not going to solve their problems. I loathe this company. Every phone call ends in a request to have a supervisor call me back. I have never received a call. The date of service that was sent to collections was from February. I sent all of my documentation to the collections company and never heard another word from them. This company is truly the worst. I've asked my oncology office to figure out a way not to use them.I have cancer. I get bills from everyone and their dog. The only problems i've had over the years is w/ PBM.

• Initial Complaint

  Date:11/14/2022

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  PBM has consistently not processed my lab work claims for the past two year. Every time I have the blood work done (every 3 to 5 months) they bill me direct. I have called, emailed and faxed them the info on how to correctly file with my insurance carrier******************. They do not update their system apparently. They have also sent me to collections when I did not owe this money. Also their automated phone system is terrible. It kept telling my I had the incorrect birth date for myself which I did not. It took over 15 minutes and trying various extensions until I could speak with an actual person. PBM needs to take responsibility for processing the submitted claims accurately. They need to have files that accurately reflect the insurance info and person's personal info. Lastly, after speaking with numerous employees there, PBM needs to hire customer service minded people that will handle the claims professionally and accurately and have updated file information in their system.

• Initial Complaint

  Date:10/02/2022

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am responsible for my 85 year old father who is a veteran. (benefits with the VA through Community Care. Some of testing through oncologist has been sent to Path. Bio Medical. BILLING NIGHTMARE. There's a total of 4 EOB's received - two different dates. They were not billing any correctly. (Must go to ******** and included the VA authorization #, and I have told them this MANY TIMES). Last phone call was a 3 way call between them and the VA on 8-29-22, and things are still not resolved. Incompetent is the only word that comes to mind and/or fraud. On 9-24-22 he received his SIXTH Bill for $328 (Date of Service 2-1-22). On 8-29-22, the VA employee informed PBM that this was already paid. PBM doesn't show it's paid. Left convo with VA and PBM to figure/work it out. (PBM staff didn't appear to know what "VA" was at beginning of conversation). Not only did he receive another bill, PBM resubmitted (incorrectly) another one of the amounts that has already been paid by the VA. (Patient:Edgar M*****, and PBM has several different account numbers set up for the 2 dates. Account number this bill is *****************) They have said at some point that this is a diff. amount. The only other $328 amount appears within an EOB - that has ALSO been paid by the VA. On the last phone call, VA told PBM to resubmit one that they were not billing correctly, and I knew then, that this was going to cause problems. In Mid Sept. Received the $4k and $2K EOB's AGAIN dated 9-8-22. Neither one done correctly. BUT the $2417 one was ALREADY PAID BY VA back in May of 2022. (There have been a total of 4 EOB's received from ******** /two dates of service. (2-1-22 and 2-11-22) From 2-1-22, one amount for $328 and one for $62. From 2-11-22, one for $4,552 and one for $2,417. (Although, when you talk to PBM, they will say they show one amount for that day - $6k+. believe this is where part of the confusion is coming from). Address on bill is from OH to be mailed to AL.

• Initial Complaint

  Date:07/22/2022

  Type:Product Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I had blood work done on 6/10/20 and received a bill from PBM (Pathologists Bio-Medical Laboratories, L.L.P.) on 7/25/20 in the amount of $328.00. The bill was paid on 8/3/20 by check. After receiving another bill from PBM, I noticed my insurance wasn't being taken into account. I called the provided number and updated the information because the insurance they had for me wasn't mine. I had to call twice to get this updated because, according to the third party call center they use for billing, they only updated my information on a portion of my profile. After this issue was resolved, I could see that my insurance started covering the bills I was receiving as well as the bill for $328.00. I requested a refund for the wrongfully written check and have yet to receive anything from the company. The "first" refund they "sent" was sent to the wrong address. I called and had this corrected. Since this correction, I have been told that 2 separate checks have been processed and sent to me, but have received nothing in 2 years. I have been calling this company for 2 years and have received the same feedback, that they would email the refund department and have it expedited. I called again today (7/22/22) and got the same answer and still no check. In my opinion, thia company has stolen the money wrongfully paid to them,, since my insurance already covered this bill. Any help I can get in regards to receiving a refund would be much appreciated.

• Initial Complaint

  Date:05/22/2022

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Pathologists Bio-Medical Laboratories, LLP (PBM) is an in-network provider with my health insurance provider, *****. For 3/2/22 services, PBM billed ***** $3420, for which ***** paid $1016.75. PBM and ***** agreed to a plan discount of $2290.27. The math in the attached ***** claim summary shows that I owe $112.93 ($3420 - $2290.27 - $1016.75 = $112.93). As the attached documents illustrate, I have made two payments to PBM in the amounts of $79.91 and $33.07, totaling $112.93. Despite their contractual agreement with *****, PBM is attempting to obtain additional payment from me. Their second bill states that I owe $993 and threatens sending the account to collections. PBM needs to abide by their contractual agreement with *****, discontinue overbilling the patient, and discontinue threats or attempts to send the account to collections. My payment of $112.93 brings my account balance with PBM to $0.