Pediatrician
Pediatrix Medical Group, Inc.Headquarters
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Complaint Details
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Initial Complaint
01/27/2025
- Complaint Type:
- Product Issues
- Status:
- Resolved
I received a letter from Pediatrix Medical Group telling me to confirm my daughter's insurance information so they can bill the insurance correctly. I used the online form but didn't get any confirmation that the information was received. I tried to call the number on the letter but couldn't reach anyone and the automated voice eventually hang up. I also tried the callback option during the wait but never got a call back and I've been calling almost daily since last week. I called a different number on their website and the representative said the letter is from "Central Billing" which is a different department. She offered to call the number for me to see if she could reach anyone but no one picked up as well. I asked if there's an email or other ways for me to contact "Central Billing" but she said calling the phone number is the only way. The way Central Billing handles communications is unacceptable.Business response
02/06/2025
I have received the guarantors inquiry filed with the Better Business Bureau. On February 6, 2025, I was able to speak with the guarantor using the number provided on the inquiry. We are currently working collaboratively to fully resolve the account. My direct contact details have been provided as well.
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
02/07/2025
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,
****-**** TaInitial Complaint
12/03/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
The newborn hearing screening performed at **************** in ********* is predatory. I have received fraudulent appearing bills that are in fact real. The group does not bill insurance, they do not ask for it at the hospital and therefore do not inform patients if their services will be in network prior to providing their services. We did not realize this was a third party in the hospital, they just came in, did the test, then left. I received a letter in the mail, Im assuming its for the hearing test, with an amount owed for my newborn. The letter informs us we have 30 days to file the claim to insurance, they give a phone number to a line that they do not answer, and the letter is missing critical information such has the service provided (we are guessing its the hearing screening from googling the group) and the date of service. Both important pieces of information needed to file a claim. I did my best to research the company online, this is where I found out it was not fraudulent but by leaving out critical information, it leaves the consumer to believe the letter is spam. Others with the letter discarded it as such and tell tales of the company then reporting them to debt collection. Ive attempted to contact the business with no success. I did contact my insurance and they did not bill them and my insurance also tried contacting them with no success. Trying to be proactive, but also dont want other new parents at **************** to fall victim to this group. Attached is the letter.Business response
12/13/2024
We have received the guarantors inquiry filed via the Better Business Bureaus online portal. On December 13, 2024, we were able to call the guarantor using the number on the inquiry. The account will be monitored until insurance processes the claim and we will keep the guarantor updated on progress.
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
12/13/2024
Complaint: 22632790
I am rejecting this response because:I do not yet have proof that the insurance claim was filed. My insurance company say on hold for hours trying to get this issue resolved only to be given a voicemail. My insurance was going to call me when they returned the voicemail left over a week ago. Id like to keep this claim open until the issue is fully resolved.
Id also like see action that the business be reachable by the phone number provided by them on the letter and key details such as service provided and date of service to be provided on all future communications of this same nature to safeguard other new parents in my same situation who might disregard their fraudulent appearing letter.
Sincerely,
******* ******Business response
12/20/2024
We received the guarantors rebuttal and will be monitoring the account closely until resolution. If the guarantor would like to reach out directly, please contact me at ************.Initial Complaint
11/19/2024
- Complaint Type:
- Customer Service Issues
- Status:
- Answered
Pediatrix refused to **** UHC for my bill from the hospital on 5/13 for my newborn child. When they finally billed they did not bill correctly and did not send the claim with the coordination of benefits for ****. Pediatrix has threatened to send me to collections due to their poor billing practices. I have provided them with my insurance card and my coverage letter. They need to bill UHC with the coordination of benefits.Business response
11/27/2024
We are in receipt of the guarantors inquiry filed with the Better Business Bureau. On November 26, 2024, I attempted to call the guarantor using the number provided on the inquiry. A voice mail message was left; please contact me directly so I may 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
11/11/2024
- Complaint Type:
- Product Issues
- Status:
- Answered
Provider continues to send collection letters and text but is unavailable to update my insurance when I call back. This is a predatory provider who provided services to my wife during her most volunarable time and is now trying send us to collections. I would like this resolved as soon as possible. I spent over 30 min on the phone trying to get this cleared. As of 11/11 we received another letter stating they did not have our insurance. I had tried to update on their site but it doesn't seem to takBusiness response
11/20/2024
I have received the guarantors inquiry filed via the Better Business Bureaus online portal. On November 15, 2024, I attempted to call the guarantor using the number on the inquiry. A voice mail message was left; please contact me directly so I may 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.
Customer response
11/27/2024
Complaint: 22539463
I am rejecting this response because: ************ still has not been added to the account. I attempted to call back and left a voice message for a return call. I just want the insurance updated.
Sincerely,
******** ******Business response
12/11/2024
We are in receipt of the guarantors rebuttal. A voice mail message was left on Monday, December 9, 2024; please call me directly to discuss resolution: ************. Insurance has been billed.Initial Complaint
10/28/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Resolved
This stems from a hearing test my newborn daughter received in the hospital. We werent told the provider was not a part of the hospital or that we could decline. I had insurance at the time of my daughters birth through ********** of ***** ( ************) but my employer changed to Regence Blue Shield on ************. All birth related medical bills were properly billed to **********, except this one. They submitted a bill after July 1st to Regence. Im not sure how they obtained that insurance information. And that claim was denied because I did not have Regence on May 21, 2024. After two separate phone calls, Pediatrix agreed to submit the bill through **********. They were given all the insurance information. Approximately a month later (now October) they call again asking for a copy of the insurance card and a coverage letter from **********. I call **********, who says that Pediatrix just needs to call and they will verify coverage, and that there has not been a claim submitted yet. Looking at other new parent accounts of dealing with Pediatrix, this is a common occurrence. They send vague bills and offer little to no assistance in submitting them to insurance before sending the bill to collections.Business response
11/04/2024
I am in receipt of the guarantors inquiry filed via the Better Business Bureaus online portal. On November 4, 2024, we spoke via phone.We will be working collaboratively toward account finalization and will be keeping her updated until the account is complete. 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. ********************** 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
11/13/2024
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
10/21/2024
- Complaint Type:
- Order Issues
- Status:
- Resolved
I have received 2 text messages (nothing formal via mail) saying that I owe $1,415.00 to Pediatrix Medical Group for ***************** or Birth" and "Hospital Discharge Day." I had my daughter on 7/8/2024 and nowhere on his bill does it say her name. Both of us were covered under insurance and the out of pocket max had been met. I have no idea why I am getting this bill. I also think it's pretty unprofessional to send a text message for payment versus a detailed bill. I do not agree that I owe $1415.00.Business response
10/30/2024
I have received the guarantors inquiry filed via the Better Business Bureau. On October 30, 2024, we connected briefly via phone and have scheduled time to speak in detail. The guarantor has my direct contact details,and I will be working collaboratively with her as well as keeping her 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
11/12/2024
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********. We are in the process of resolution.
Sincerely,
******* ******Initial Complaint
10/16/2024
- Complaint Type:
- Billing Issues
- Status:
- Resolved
Like many others I received a surprise **** from Pediatrix Medical Group months after my daughter was born. The bill was for $3,518.06 and I have absolutely no idea who they are, what services they provided or what the Doctors name was even associated with this practice. I did not agree to any services from them and I have paid my hospital bill already. I called September 23, 2024 to get information. I spoke to someone on the phone and we negotiated the bill down to $1,759.03 for self pay as I do not have insurance. That is ironically half the price of the originally billed amount. I logged in to the portal the day after the phone call and the balance now stated $0 and no payment was due. I have logged in everyday trying to see if there is the new updated balance of $1,759.03 so I can pay this bill and get this unethical disgusting company out of my life. October 16, 2024 I received a message from Pediatrix about a past due bill, I again called explaining that we negotiated the price down and I am waiting for it to update in the portal so I can pay. The lady told me I owe the balance of $3,518.06. I argued with her and she magically found the notes about the reduced bill. She also tried to tell me the bill is past due however I have photo proof that the bill is due October 20, 2024. Nothing but lies and cons with this company! She then sent me a link to make a payment in the amount of $1,758.03 it does not state anything about paying a balance in full it only indicates this is a payment. The Pediatrix website now says my balance is $3,518.06. I feel as if they are trying to con me to pay $1,758.03 through the text link and then they will come after me saying I will still owe the rest of the balance of the bill and there was never a negotiation that happened. I have no record in writing that the bill has been reduced and I don't know why the portal does not show the new agreed upon balance of $1,758.03. The portal needs to reflect the proper new balance agreed upon.Business response
10/25/2024
I have received the guarantors inquiry filed via the Better Business Bureaus online portal. On October 25, 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.
Customer response
10/30/2024
Better Business Bureau:
This issue has been successfully resolved thank you.
Sincerely,
**** *********Initial Complaint
09/29/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
I am writing to file a complaint against Pediatrix Medical Group concerning the improper handling of a medical bill. This bill originated from a visit to EvergreenHealth *** in ******** during my pregnancy on March 19, which was referred by my obstetrician due to health *********** complaint involves the following:1.Bill Sent to ***************** Without Notice Pediatrix Medical Group sold the bill to a debt collection agency without attempting to contact me first. I received no prior communicationneither by phone, mail, nor emailregarding the bill before it was sent to collections.2.Incorrect Billing Address The billing address on the statement was completely incorrect and did not match the address I provided. This likely contributed to the lack of communication. It is worth noting that the bills from my obstetrician and EvergreenHealth were sent to me without any issues and arrived promptly at the correct address.3.Failure to **************** Claim Pediatrix Medical Group did not submit the claim to my insurance provider. Upon contacting my insurance, they confirmed they had no record of any claim submitted by Pediatrix. Despite this, the company insisted the claim was denied and refused to resubmit it through the proper channels, instead pressuring me to pay out of pocket.This visit was a legitimate medical necessity, as confirmed by my physician, who later prescribed medication that I took until week 37 of my pregnancy. There is no valid reason for insurance to deny the claim. The sudden involvement of a debt collection agency without proper billing procedures has caused unnecessary stress.I respectfully request the BBB to intervene and help ensure Pediatrix Medical Group submits the claim correctly and halts any debt collection efforts until this issue is resolved.Thank you for your assistance.Sincerely, YinungBusiness response
10/08/2024
We are in receipt of the guarantors inquiry filed with the Better Business Bureau. On October 8, 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.
Customer response
10/21/2024
Complaint: 22355423
I am rejecting this response because:I have not received any notification or alert about voicemail messages related to the billing issue. If there is anything further that the hospital can do regarding this matter, or if any steps are currently being taken, I kindly request that you provide a formal written response to me at the following email address: ******************************.
This issue began when I contacted the hospital previously. During that call, the phone representative was quite impatient and repeatedly instructed us to deal with the debt collection agency, which was not a helpful response. Unfortunately, the recent response provided to the Better Business Bureau (BBB) was essentially the same and did not address our concerns.
Additionally, I will be calling the hospital on October 22nd to discuss the matter further and hear what steps the hospital intends to take.
Sincerely,
Yinung HoBusiness response
10/30/2024
We are in receipt of the guarantors response and have again attempted to contact the guarantor by phone and email, as requested. We have received no response at this time. The account has been resolved and I would like to provide the details. Please contact me directly: ************.Initial Complaint
09/26/2024
- Complaint Type:
- Order Issues
- Status:
- Resolved
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 OrogvanyCustomer 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
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 Little407-256-5068 (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.
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Customer Complaints Summary
129 total complaints in the last 3 years.
27 complaints closed in the last 12 months.
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