Business Profile

Pediatrician

Pediatrix Medical Group, Inc.

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Complaints

This profile includes complaints for Pediatrix Medical Group, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

119 total complaints in the last 3 years.
35 complaints closed in the last 12 months.

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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:11/27/2023
Type:Billing Issues
Status:
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.
My now 13 month old child was born in October of 2022. He was rushed to the **** at *************** in ******************* after post-delivery complications. Pediatrix Medical Group (formerly Mednax, per: *********************************************************************************************************************************************), employs the **** doctor that provided treatment to my son. I was sent a bill for the services provided:Account ID#: ********, Total Charges: $4,850.00 The bill stated that we did not have insurance, so we were billed for the entire amount. However, this is not true. I called them many times, most of which they simply did not answer. Several times I talked to a customer service representative over the phone. I was repeatedly lied to stating that my insurance does not cover the service despite the fact that my insurance confirmed that they never received a claim.I gave them my insurance information over the phone, in the mail, and on their website. One rep told me to have my insurance call to confirm coverage. I did this, and my insurance called them and my insurance gave them proof of coverage on January 26, 2023. I have saved voicemails to prove this from my insurance. Pediatrix stated they would file a claim which never happened.Then, I got the same bill in the mail again, stating that I have no insurance. Right back to square one. So I call them again. They say that they have no record of any past calls from me and all they can see is yet another bill that is being sent out again. Three bills, no claims to my insurance, and no record of any of our past interactions or any evidence of me submitting my insurance the many times I did. I am here because I am out of options. I submitted my insurance to them many times. I am not responsible for this amount of money. They will not listen to me no matter how many times I call them. I want a bill that has been run through my insurance or to have this charge dropped altogether. This has gone on for over a year now, far too long.
Business Response
Date: 12/08/2023
I am in receipt of ************** inquiry filed using the Better Business Bureaus online portal. After thorough review, I attempted to contact the guarantor using the phone number on the inquiry on December 8, 2023.A voice mail message has been left with my direct contact information. Please contact me directly so that I may assist with account 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 ********************. 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 Answer
Date: 12/13/2023

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.
I talked to ****** over the phone and through email. She sent me a zero-balance statement that I have attached for documentation purposes. ****** stated that since they failed to bill my insurance on time, that they are now cancelling any required payment.
I am happy to be done with this but still frustrated that it took all of this to finally resolve it. Thank you BBB for helping me. This has taken a lot of stress off of me and my family.

Sincerely,

*************************
Initial Complaint
Date:11/27/2023
Type:Product Issues
Status:
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.
On 9/1/23, I mistakenly sent $547.20 to ********************. The money was owed by me to a different vendor. I contacted ******************** to alert them of my error and was told (by ****) they would automatically refund it, since I had no balance with them. I called again 9/28/23 & was told it posted 9/20 & would be refunded in 6-8 wks. On a 11/15/23 call ********************* told me it was still under review & would send a request for expediting and also escalate it to her mgr. I still have not received my refund as of 11/27/23. They verbally acknowledge I have a credit balance of $547.20, but continue to hold my money. It needs to be refunded to me immediately.
Business Response
Date: 11/30/2023
Complaint ID: ******** (20921482/****/*********)
AA Southeast received a complaint regarding a patient that we provided anesthesia services to on 6/15/18 at Endo University. Our office conducted a full review of the billing for the services
for this patient and below is a summary of our findings.

The refund for $547.20 has been requested and will be sent as soon as possible. Our refunds department is working as hard as they can to process a backlog of work.

Our goal is to provide exceptional patient care and excellent customer service to all of our patients and their families and apologize for any inconvenience this may have caused.
Customer Answer
Date: 11/30/2023

Complaint: 20921482

I am rejecting this response because of its vagueness as to when my refund will be mailed to me. I have already been waiting more than 8 weeks!

Sincerely,

*************************************
Business Response
Date: 12/12/2023
The refund check was mailed 12/7/23
Customer Answer
Date: 12/12/2023
I received the refund check. Thank you for your assistance.
*********
Initial Complaint
Date:11/21/2023
Type:Product Issues
Status:
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 had back surgery at **************** Hospital under ********* comp on June 13, 2023. The hospital billed the appropriate entity. American Anesthesiology did not. They billed my private insurance even though I never provided them with my private insurance information. I'm pretty sure this is a violation of HIPPA. They fraudulently took thousands of dollars from my personal insurance and have billed me personally for the remaining $1300. They have repeatedly been told by me and my ********* comp adjustor what they have done and the refuse to fix it. In addition to the fact that this is theft (taking money from my private insurance) they have now sent this to collections. I am constantly being harassed with letters, calls and texts (I received a text at eight o'clock on a Sunday night this week among others). When you try to talk to someone they say there is nothing they can do. You can't even talk to a human in ******* if you try to call them yourself and the ones that call me refuse to help me get this resolved. I was starting the process of house hunting and now I can't because I have to worry about my credit. Looking at their reviews I can see this is not the first time they have done this. This company needs to be out of business with these kinds of practices. I want to be contacted by the company and get a letter clearing me of this bill from my credit and I want my personal insurance company reimbursed for the money stolen from them.
Business Response
Date: 12/08/2023
BBB CASE#: ******** (******** /PIE/Snow)
AA of ******* received an inquiry regarding a patient that we provided anesthesia services to on 6/13/23 at *****************. Our office conducted a full review of the billing for the services for this patient and below is a summary of our findings.

The claim was filed to workers compensation on 11/23/23. The bill to the patient can be disregarded; that invoice has been updated to reflect we are waiting for the response from the workers compensation carrier. **** workers compensation has processed and paid on our claim, the payments from the medical insurance will be refunded. No part of this account has gone to collections.

Our goal is to provide exceptional patient care and excellent customer service to all of our patients and their families and apologize for any inconvenience this may have caused.
Initial Complaint
Date:11/17/2023
Type:Service or Repair Issues
Status:
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 have called the billing/insurance department 6 different times now regarding my bill. Half of the representatives have told me they refused to file a claim to my insurance because my insurance is out of net work. The other half of the representatives tell me that that information is false, and that they will file a claim for me. But when I called back to follow up, there is no record of any claims ever being sent. I have requested an itemized statement and a claim form so I can send the insurance claim myself, and I have yet to receive that in the mail after calling twice and asking for this. I have contacted my insurance several times to confirm that they have not received any claims from American anesthesiology. My deductible is met, and my insurance will pay this bill, but they need to receive it in order to pay it. I have tried talking to supervisors, and been unsuccessful. I get contradicting information from every single representative I speak to. My bill is almost 4 months old and Im nervous its going to get sent to collections wrongfully, when my insurance will pay it all along. Im at a loss at what to do and when I call each time I feel the people I speak with are extremely incompetent at their job.
Business Response
Date: 12/29/2023
BBB CASE#: 20887519(20887519/AANC/Kinschuh)
AA of North Carolina received an inquiry regarding a patient that we provided anesthesia services to on 7/20/23 at ***************. Our office conducted a full review of the billing for the services for this patient and below is a summary of our findings.

We have been unable to verify an active insurance policy for this patient. We are working directly with the patient to get the insurance verified and filed.

Our goal is to provide exceptional patient care and excellent customer service to all of our patients and their families and apologize for any inconvenience this may have caused.
Initial Complaint
Date:11/17/2023
Type:Service or Repair Issues
Status:
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 was hospitalized from my pregnancy on 5/3/23. My son was born on 5/6/23. I have been dealing with this company since trying to get them to bill my insurance for 3 bills that are left over. One of the bills from 5/4/23 for a consultation for the **** doctor was $649. I gave this company my insurance information from GEHA multiples times over the phone and via email with a picture of my insurance card on 8/22/23 and I even submitted a verification letter from GEHA upon their request on 9/8/23. **** was only for my care not my son's as he has a different insurance than I did before he was born. I was very detailed in my explanation on 9/8/23 that the verification letter from GEHA was not meant for my son it was only for my coverage on the date of 5/4/23. On 9/12/23 I got a call from a representative on informing me that my son was not covered on GEHA that I provided. I informed them once again that he is not covered under GEHA and that is only for myself on 5/4/23. The representative let me know that she will fix that and have them submit the bill under GEHA for me. I confirmed with the representative at the end of the call on 9/12/23 if I needed to worry about being sent to collections and she confirmed with me that I did not need to worry. On 11/13/2023 I received a bill from a collection's agency without notice. I called on 11/14/23 and spoke to another representative asking why I was sent to collections when **** was never billed for this, she placed me on hold while she spoke to another department and came back to tell me that they never billed GEHA even though they had the information. I was told a supervisor would be reached out to me within ***** hours as I was prematurely sent to collections, but I have not heard back since 11/14/23. I have had a terrible experience with this company in trying to get them to just bill my insurance for the bills that I have coverage for.
Business Response
Date: 11/22/2023
We have received ************** inquiry filed using the Better Business Bureaus web portal. Research has been conducted, and we attempted to contact the guarantor using the number on the inquiry on November 22, 2023. A voice mail message has been left with my direct contact information.Please contact me directly so that I may assist with account 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 ********************. 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 Answer
Date: 11/27/2023

Complaint: 20885108

I am rejecting this response because: I did not receive a call or voicemail from the number provided. I attempted to call at the number provided but was sent to voicemail. I left a message clarifying my direct phone number. I do work from 8-5 to if I am unable to answer I will call back as soon as possible.

Sincerely,

***************************
Business Response
Date: 12/06/2023
I have successfully connected with the guarantor by phone.We are currently working collaboratively to bring full resolution to her accounts. I will keep her informed of status.
Initial Complaint
Date:11/15/2023
Type:Billing Issues
Status:
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 received an invoice from Pediatrix Medical Group with the *********** charging $259 USD for a limited ultrasound dated August 28th 202. I do not recall having an ultrasound done during this time. The provider listed on this invoice, MD *************************, is not my health care provider and I have no reference to this doctor.My healthcare provider is part of ********** MEDICAL GROUP and all my bills have been paid upfront and my balance with this medical group is clear.All medical services I received during 2022 were paid upfront with my credit card and I do not recognize this charge nor the provider.I am requesting that the error be corrected, that any finance or other charges related to this matter are clarified and dropped.
Business Response
Date: 11/22/2023
I am in receipt of ************** inquiry filed with the Better Business Bureau. After thorough review, I attempted to contact the guarantor using the number on the inquiry on November 22, 2023. A voice mail message has been left with my direct contact information. Please contact me directly so that I may assist with account 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 ********************. Pediatrix 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
Date:11/14/2023
Type:Billing Issues
Status:
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.
Back in September 2023, I received notification from Pediatrix Medical Group that I owed them $1297.84 from my sons birth on 12/19/2022. I honestly have no idea who these people are and they never provided care for my child. The only healthcare providers who provided care to my son were the nurses from St. Vincents Riverside in ************ and my OBGYN doctors with *********** Florida. My husband called a while back ago and when speaking with a representative, he requested an itemized bill with proof that services were rendered by Pediatrix. To this, the representative said he could not provide one and we had to call the hospital to get it. If they are going to bill me for services they claimed to have done, then I expect them to also have an itemized bill to prove that and the fact they cant is ridiculous. How could you possibly bill me for something you cant even provide proof of? I received all itemized bills from the hospital for myself and my son and Pediatrix is nowhere on them. This company is such a scam. My son was in the room with us the entire time other than when he had his circumcision (performed and billed by my OBGYN) so what could they have possibly done to charge us roughly $1300???
Business Response
Date: 11/22/2023
I have received ************** inquiry filed using the Better Business Bureaus online portal. I attempted to contact the guarantor using the number on the inquiry on November 22, 2023; a voice mail message has been left with my direct contact information. Please contact me directly so that I may assist with account 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 ********************. 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 Answer
Date: 11/26/2023
Company claims to have attempted to contact me on 11/22/23 and that they left a voice message. I have no missed calls from that date nor any messages. Please ensure company is calling me at the correct number of ************* or my husband, *********************, at ************* to effectively resolve this complaint.
Customer Answer
Date: 11/27/2023

Complaint: 20868143

I am rejecting this response because:
I never received a missed call nor a voice message on 11/22/2023 or any date before/after. I do not believe they called the correct number and therefore, this has not been resolved.

*****************************************************
Business Response
Date: 12/06/2023
I was able to return ************** voice mail and we have since spoken by phone. We are currently working to fully resolve the account and I will be keeping the guarantor apprised of the status.
Customer Answer
Date: 12/08/2023

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.

******************************************************
Initial Complaint
Date:10/16/2023
Type:Service or Repair Issues
Status:
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 had delivery scheduled at memorial ****** 12/19/2022.Pedicatrix group is third party used by hospital.I was not aware of their bill and I never recieved bill from them.I did have insurance throughout my hospital stay.They never claim on my insurance.Now sent it to collection and refuse to provide me any proof about trying to submit my insurance.
Business Response
Date: 10/26/2023
I have received ************** inquiry filed using the Better Business Bureaus web portal. Research has been conducted, I attempted to contact the guarantor using the phone on file on October 26, 2023. A voice mail message has been left with my direct contact information. Please contact me directly so that I may assist with account 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 ********************. Pediatrix 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
Date:10/09/2023
Type:Service or Repair Issues
Status:
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.
On July 10th, 2023 I had an emergency D&C at a local hospital that is IN NETWORK with my insurance carrier. Afterwards, I receive a hospital bill which included charges for anesthesia. Two months later, I get repeat phone calls from this company saying I have a bill and requesting payment. I finally look into it after assuming it was scam to find out that I was charged independently of the hospital for anesthesia care from my surgery. These services are not covered because they were billed independently. After being told by the hospital that my surgery did NOT require a prior authorization, this is extremely upsetting as it is a very large bill to pay. I filed a grievance with my insurance company and plan to continue fighting this ridiculous charge with the BBB as well. There was no disclosure from the business or the hospital indicating that there would be independent providers charging services on their own.
Business Response
Date: 10/10/2023
BBB Case # ******** (*********)

American Anesthesiology of North Carolina received an inquiry regarding a patient that we provided anesthesia services to on July 10,2023 at North *******. Our office conducted a full review of the billing for the services for this patient and below is a summary of our findings.

Anesthesia services are not part of the facility charges and are always billed separate from the facility.

We billed the insurance that was provided to us, Aetna, on behalf of the patient.
***** denied the claim advising this was not a covered service. (see attached)
Based on the patients records/operative notes, the *** is correct.

Patient will need to contact her insurance to discuss.

Our goal is to provide exceptional patient care and excellent customer service to all of our patients and
their families and apologize for any inconvenience this may have caused. Please feel free to contact me
should you need any further information.

kind regards,

***************************
North American Partners in Anesthesia
Pod ******** **** Patient
****************************
************
Business Response
Date: 10/10/2023
Called Aetna at ************ AND SPOKE WITH REPRESENTATIVE NAMED ****. EXPLAINED ERROR IN DENIAL.SHE REVIEWED CLAIM DENIAL AND DID SEE ERROR IN DENIAL. SHE IS EXPEDITING CLAIM AND WE SHOULD ALLOW 3-5 BUSINESS DAYS. TICKET# **********. CALL REF# **********. TRANSFERRED BILLING BACK TO AETNA TO STOP STATEMENT TO PATIENT.
Allow time for CLAIM TO BE REPROCESSED. Patient does not have a balance at this time.

Thank you
kind regards,

***************************
North American Partners in Anesthesia
Pod ******** **** Patient
****************************
************
Customer Answer
Date: 10/10/2023

Better Business Bureau:

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

**************************************************************
Initial Complaint
Date:10/07/2023
Type:Billing Issues
Status:
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.
Previous case filed with BBB (Complaint ********) was closed incorrectly, before I received confirmation from my insurance provider (UHC) that I have no patient responsibility as the amount I am billed had been paid back in Nov 2022. Working with UHC Appeal and ********************* for months (submitted all document and is waiting for their response). I have received a letter from collection agency to pay Pediatrix Medical Group which is incorrect since my insurance provider had paid. Pediatrix should be seeking payment through my provider and not from both (provider and myself). Seeking to remove collection payment ($477.37) responsibility for myself, stop further contact from Pediatrix or collection company for this bill.
Customer Answer
Date: 10/10/2023
Received information dated 10/4/2023 from United Healthcare that Optum Monarch will be processing the claim to Pediatrix Medical Group. I have no responsibility to the bill from Pediatrix Medical Group.
See letter attached.
Business Response
Date: 10/17/2023
I am in receipt of ************** inquiry filed with the Better Business Bureaus web portal. After thorough research was conducted, I contacted the guarantor using the phone on file on October 17, 2023, and left a voice mail message. Please contact me directly so that I may assist with account 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 ********************. Pediatrix physicians are focused on our founding principle which governs our mission: take great care of the patient,every day and in every way.

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Pediatrix Medical Group, Inc. is NOT a BBB Accredited Business.