Medical Doctor
Guidewell Emergency Medicine Doctors, LLCHeadquarters
Complaints
This profile includes complaints for Guidewell Emergency Medicine Doctors, LLC's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 9 total complaints in the last 3 years.
- 1 complaint closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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:07/16/2024
Type:Sales and Advertising IssuesStatus:AnsweredMore 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.
Went to Guidwell on January 22nd 2024 for a allergic reaction. Was told my bill would X thousand dollars, and when asking for a breakdown - told me it was not possible.
After being given a simple saline and some benadryl, i received my bill noticing that i was charged for x2 the amount of items (overcharged). I requested to have this reviewed, telling me - there was issues with the billing department and it would take a couple months. Fast forward to March where i went in person to talk to ****** at the office is confirmed there was an issue with the bill - and she would take matters back to corporate accounting.
I call **** ***** **** ****** who confirm there are 'odd' charge codes being put and multiple different ones were being 'tried' with mistakes in them.
Fast forward to July - still no answer - and everytime i go into the office no one is available to speak.
I have enlisted the help of a health advocate who has been calling every week since March asking for updates - and each time its 'billing deparetment is having issues'.
Its been close to 7 months with no corrective action - not a single response from anyone in billing.Customer Answer
Date: 07/16/2024
***** form signed.Business Response
Date: 07/19/2024
Thank you for reaching out and providing us
an opportunity to review your feedback, ****. In February, Change Healthcare,
the third-party vendor we use for coding and billing, experienced a cyber
security breach which is continuing to cause widespread impacts to their
operations. In order to protect our patients’ information, we made the decision
to cease communications with Change Healthcare’s systems which did create
impacts to our ability to provide patient statements and confirm past claims
that had been submitted to payers. We know that accuracy and timely billing
processes are important to our patients and understand your frustration with
the billing interruptions we are currently experiencing with our Coding and
Billing vendor.
To ensure your concern is addressed, our
******** ******** has coordinated with our Director of ******* ***** to confirm
your benefits and the claims filed as well as the accuracy of all charges as
they applied to your deductible, and she will be reaching out to you to review.
If you do not hear from her or have any further questions, please reach out to
us directly at ***************************.
We apologize for any inconvenience experienced and thank you for your patience
and understanding.Initial Complaint
Date:05/28/2024
Type:Billing IssuesStatus:ResolvedMore 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.
see Attached documentCustomer Answer
Date: 05/29/2024
Gentlemen and Ladies:
The business involved in this complaint, Guidewell Emergency Services, settled my issue regarding my spouse's treatment at their *****, ** facility this past December. Guidewell, by phone, fully refunded the co-pay that was charged for this treatment as a credit on my ****** **** in the amount of $959.00.
Therefore, this complaint can now be closed. If needed, I will contact my local Better Business Bureau in the future. Thank you very much!
Sincerely,
****** ** ********
*** ****** **** *** *****
*****, ** *****
***** ***-**** - cell
e-mail:
Initial Complaint
Date:04/23/2024
Type:Product IssuesStatus:AnsweredMore 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.
My daughter, who is covered under my insurance, visited Guidewell Medical Clinic for an urgent care visit on 1/29/24 in Tampa, Florida. She presented her insurance card and she was charged a total of $560 dollars in two charges ($130 and $430) the day of her visit. When I received the EOB from my insurance company, it says we were only responsible to pay $163.84. The clinic says we need to contact their billing department, gave us the number and said "Good Luck". Come to find out their billing is handled by Change Health and the phone number states that they are closed due to the obvious data breach. There needs to be a better response and a process for getting help with billing issues. How do I get my refund of nearly $400, as Change Health will likely never come back?Business Response
Date: 04/26/2024
Thank you for reaching out
regarding your daughter’s visit. We know that accuracy and transparency with
billing processes are important to our patients and understand your frustration
with the billing interruptions we are currently experiencing with our Coding
and Billing vendor. While we cannot access Change Healthcare’s systems at this
time, we will be initiating an internal investigation and will reach out to
your daughter directly to discuss any findings and arrange a refund if
indicated. If she has any further questions, please have her contact us
directly at [email protected] so that we can quickly assist. Thank you for providing us an
opportunity to resolve this issue.Initial Complaint
Date:04/17/2024
Type:Billing IssuesStatus:AnsweredMore 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 went to Guidewell in October 2023. My first complaint is that they charged $1200 for 5 min with a doctor which seems excessive. With that said, when I was referred to Guidewell, I thought it was a walk-in clinic, but have learned since that it’s more like a replacement for going to the emergency room. Even so, I ended up in the hospital ER after and the charge for a doctor there was less expensive.
But the issue now is…I’ve been unable to pay my bill because their website is down each time I go to pay my bill. I called the phone number instead to pay via phone and it’s disconnected. I’m concerned about this going on my credit report. How is anyone supposed to pay their bill??Business Response
Date: 04/30/2024
Thank you
for reaching out and providing this feedback, ******. In February, Change
Healthcare, the third-party vendor we use for coding and billing, experienced a
cyber security breach which is continuing to cause widespread impacts to their
operations. In order to protect our patients’ information, we made the decision
to cease communication with Change Healthcare’s systems until the threat has
been fully addressed. We do not currently have an estimate on when normal
billing operations will resume but can assure you our leadership team is
actively monitoring the situation and looking for ways to minimize negative
impacts to our patients. At this time we are unable to view balances or accept
payments for past visits, but we can confirm that all billing and collections
activity for current and past-due accounts has been temporarily paused. No
current accounts will be reported as past due or forwarded for collections
until after normal operations resume and patients have had an opportunity to
make a payment on their account. We apologize for any inconvenience experienced
and thank you for your patience and understanding. If you have any further
questions you can reach us directly at **********.Initial Complaint
Date:03/20/2024
Type:Service or Repair IssuesStatus:AnsweredMore 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 visited their office on ******** *** in ***** ** on ********. I paid $*** upfront which is their standard to be seen. I was seen for my ailment and told I would need to pay an additional **** to which I agreed. So I paid them (with bank statements to prove it) $*** total. They only sent the first charge through my insurance, they never sent the 2nd charge which would be coded as a “procedure” charge (meaning I don’t get any credit toward paying the **** for my deductible) I realized when my health insurance statement came. I called Guidewell, was connected to someone in Jacksonville who told me their billing department is down and has been for weeks. I asked when it would be back up and he said he hoped this last week. I asked him for my invoice at least so I could manually send it to my health insurance provider for credit and he said he would “try to put the request through” that was a week ago from today and I’ve received nothing.Business Response
Date: 03/22/2024
Thank
you for your feedback, ********. In February **** ****** **********, the
third-party vendor we use for all of our coding and billing, experienced a
cyber security breach which caused widespread impacts to their operations.
Guidewell Emergency Doctors was informed that our patient information does not
appear to be included in or affected by the breach. However, in an abundance of
caution and to protect our patient’s information, we made the decision to cease
communication with ****** **********’s systems. There is not currently an
estimate on when normal billing operations will resume, but our leadership team
is actively monitoring the situation and looking for ways to minimize negative
impacts to our patients.
In
the meantime, we have contacted your insurance carrier directly to ensure the
claims for your visit have been processed and confirm any patient
responsibility is accurately reflected. Based on the completed claims, your
patient responsibility is $*** which was paid at the time of service. We will
be issuing a refund for the additional **** that was collected during your
visit. Our Facility Director will be contacting you directly to arrange the
refund. If you do not hear from our office within 2 business days or have any
further questions, please reach out to us at ************ or by email at [email protected].
We
apologize for any inconvenience experienced and thank you for your patience and
understanding.Initial Complaint
Date:03/19/2024
Type:Sales and Advertising IssuesStatus:AnsweredMore 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.
The nature of this dispute is they aren't filing any insurance claims and cannot provide the patient with a detailed receipt with services rendered. I've called Guide * ** * times this week asking when they are submitting the claim, and the answer is the same: they cannot bill any insurance right now because the billing department is down. I was offered the billing department's phone number, which I called, and the number was disconnected. This is now occurred for over * weeks. I had to pay the bill because there was a deductible. Guidewell caused me to pay more than my deductible due to them not billing the insurance. The doctors were great. It's the billing department with the issues.Business Response
Date: 03/22/2024
Thank you for your feedback, ******* In
February **** Change Healthcare, the third-party vendor we use for all of our
coding and billing, experienced a cyber security breach which caused widespread
impacts to their operations. Guidewell Emergency Doctors was informed that our
patient information does not appear to be included in or affected by the
breach. However, in an abundance of caution and to protect our patient’s
information, we made the decision to cease communication with Change
Healthcare’s systems. There is not currently an estimate on when normal billing
operations will resume, but our leadership team is actively monitoring the
situation and looking for ways to minimize negative impacts to our patients.
We understand that this billing interruption
is frustrating and are committed to finding alternative solutions to continue
servicing our patients. Because we require access to Change Healthcare’s
systems to provide itemized receipts, we cannot offer a detailed bill for your
visit. However, we were able to confirm that your most recent visit’s claims
were submitted and payment was issued on November ** ***** You should be able
to obtain an explanation of benefits from your insurance carrier that will
include the details of your claims and any payments for your records. If you
have any further questions or need assistance with obtaining the claim number
for your visit, please contact us directly at *******i********************
We apologize for any inconvenience experienced
and thank you for your patience and understanding.Customer Answer
Date: 03/26/2024
This complaint is for my son ****** ******* who was seen on March **, ****. The insurance has still not been billed.Customer Answer
Date: 03/27/2024
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
Complaint: ********
I am rejecting this response because:This complaint is for my son ****** ******* who was seen on March **, ****. The insurance has still not been billed.
Regards,
****** *******
Business Response
Date: 04/01/2024
Thank
you for the additional feedback, ******* We were able to review ********
records and confirmed that his visit occurred around the time that billing
operations were paused, which did cause a delay in filing the claims for his
recent visit. We understand that the delayed filing of claims impacts our
patients and are committed to resuming billing functions as quickly as
possible. While we cannot submit the claims to your insurance until billing
operations resume, our Facility Director has confirmed benefits and will be
reaching out to you directly to review the account and determine if any
overpayment occurred so that you can be issued a refund as appropriate. If you
have any further questions or do not hear from our Facility Director, please
email us at *******i****************com so that we can
assist.Customer Answer
Date: 04/08/2024
I was contacted by Guidewell and they are still unable to bill my insurance or print an invoice. Guidewell states this is all due to a cyberattack that occured weeks ago.
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