Pediatrician
Pediatrix Medical Group, Inc.This business is NOT BBB Accredited.
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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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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:07/26/2023
Type:Service or Repair 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.
January 2023, I received a bill from Pediatrix for my son's birth in Dec 2021, with no insurance on file. I had never been contacted about this before. I ignored and thought it was a scam. After a voicemail and another bill, I called Pediatrix. In March, I spoke with ***** at Pediatrix who said the claim had been denied by **** because the baby was not covered at the time and they needed written proof of insurance. I called **** and was told that's not true, the claim was denied because it was coded improperly and unable to be processed. I called Pediatrix and informed them of the **** response, and I was told they needed something in writing from the insurance company telling them how to code it properly - insurance fraud! April 18, I spoke with ****** at **** and she got Manny from Pediatrix on the line. She said they needed to resubmit the claim properly coded. He said they would put a hold on my account and I could throw the bill away while they resubmitted the claim to insurance, and I just waited for a new bill. That phone call was #******** in Pediatrix records. In June, I received the same bill with threat of collections. I called **** and found out from ***** on 6/30 that Pediatrix had not resubmitted the claim. She brought ***** (sp?) from Pediatrix on who confirmed Pediatrix had done nothing since the last call, saying they were waiting on ****. ***** decided after talking to her supervisor that the date of service was incorrect and needed to be changed to make the code correct. She said they would send the bill to disputes and I could throw the bill away. She said very clearly I would not be sent to collections and they would either dismiss it, or send me a new statement after submitting the claim with the correct date to ****. 7/25 I received a notice from collections for the same bill. I called **** and found Pediatrix had lied to me again, never resubmitting the claim. They have lied to me, attempted insurance fraud, and committed harassment.Business Response
Date: 08/10/2023
I have received ************** inquiry filed with the Better Business Bureau. The account was located, and research has been conducted into the history of the account. I called the phone number provided on the inquiry but was unable to leave a voice mail due to the ****** screening service; Please contact me directly so that 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 ********************. 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: 08/11/2023
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.
Sincerely,
*****************************Initial Complaint
Date:07/20/2023
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 am writing to inform you about a distressing problem I encountered with Pediatrix, the healthcare provider, in relation to the birth of my child on April 13, 2022. After the birth, my baby was attended to by a pediatrician from Pediatrix on both April 13th and 14th. To my dismay, I later discovered that this pediatrician was considered out of network with my insurance provider. The most concerning part of this situation is that I was not informed beforehand about the doctor's out-of-network status, which has resulted in an unexpected and burdensome bill. Given that my insurance typically covers in-network medical care, I would never have agreed to seeing an out-of-network doctor had I been made aware of the situation.The issue has escalated further as attempts to resolve it have been ongoing for an extended period, stretching over several years. Despite numerous calls and emails to Pediatrix seeking clarification and a resolution, the matter remains unresolved, and I find myself grappling with this unjust bill. The extended delay and lack of response from Pediatrix have added undue stress to an already challenging situation for my family.I am appealing to BBB for assistance in resolving this matter promptly and fairly. I believe that this bill should be thrown out due to the lack of transparency and disclosure regarding the doctor's out-of-network status. It is only fair that Pediatrix takes responsibility for not informing me about this crucial detail, which would have allowed me to make an informed decision about my child's medical care.I request that BBB intervenes on my behalf to expedite the resolution process with Pediatrix, ensuring that this bill is waived and that the matter is brought to a satisfactory conclusion. I appreciate your attention to this matter and trust that BBB will play a vital role in achieving a fair and just outcome.Thank you for your assistance.Business Response
Date: 08/04/2023
I have received ************** inquiry filed with the Better Business Bureau. The account was located and thoroughly researched. I attempted to contact the guarantor using the phone number provided on July 28,2023. A voice mail message was left with my direct contact details; Please contact me directly so that 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 ********************. 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:07/17/2023
Type:Service or Repair 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.
My twins were born in Dec of 2021 and had a 6 week NICU stay. During their time at the hospital, they were seen by neonatologists contracted with Pediatrix medical group. I am writing this complaint as I have had a nightmare trying to get their claims processed properly by this group. I have spent hours on the phone with them trying to get things resolved. I had two points of contact in the audit department who were helping me resolve these claims, but they stopped responding to my emails and calls. Every time I call their billing number I am on hold for upwards of 2 hours and if I do get connected, no one can help me. I have requested call backs or email responses, and no one has ever followed up with me. Without writing a book detailing my issues with this group, my insurance (Aetna) did an Audit of my boys' account and resolved on their end the issues they were having. I have a third party administrator, a secondary payor by the name of Redwood Health Services (RHS) that is contracted with my employer to pay the balance after my primary insurance. Pediatrix group has not been able to send claims properly to RHS. Long story short, I was able to finally get one of my boys' accounts semi-processed through RHS when RHS reached out to them directly, and the patient balance for that twin is $214.22, but they are trying to balance bill me, based on the latest correspondence that I had with them (amount of $3,578.32). My boys were seen at an in-network hospital and Pediatrix group is out-of-network. However, we live in ** and the law states that I can not be balance billed by a provider when I was seen at an in-network hospital. I explained this to the provider, but it has fallen on deaf ears.I have not been able to get my other twins claims processed as Pediatrix won't send them over to RHS in a timely manner. There is an outstanding balance of roughly $11,023.47 that needs to be paid by my secondary payor. My balance should be roughly $500 after the fact.Business Response
Date: 07/26/2023
I have received ************** inquiry filed via the Better Business Bureau web portal. The accounts have been researched and I contacted the guarantor by phone on July 26, 2023. We have spoken at length regarding her concerns, and I have ensured I will personally monitor the accounts. Additionally,I have provided the guarantor with my direct contact details and will keep her informed until the accounts are fully resolved.
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: 07/27/2023
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.
Sincerely,
*******************************Initial Complaint
Date:07/16/2023
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.
This company has been harassing me for the last six months. I'm not sure if it is a real company or a scam artist. They have repeatedly sent me letters in the mail claiming I owe them $1,700 for anesthesiology services, for a surgery I had in November of 2022. I am in the military, and I have Tricare health insurance. I checked my claims way back when they first started sending me mail to see if they had billed my insurance. They hadn't. I called their office and got some guy that sounded shady. I told him that my insurance had not been billed and provided my insurance information. The guy told me it would be taken care of. *** they are sending me mail again from a collection agency saying my insurance was billed and I still owe $1700. I checked again and still no record of a claim from this company. I know this is not a legitimate claim because I have never been billed anywhere near that amount. I have had surgery and had a child. This place is absolutely terrible and is harassing people. Please help.Business Response
Date: 07/25/2023
BBB CASE#: ******* (********)
AMERICAN ANESTHESIOLOGY OF *********, PC received an inquiry regarding a patient that we provided anesthesia services to on November 4, 2022 at ************ Medical Center. Our office conducted a full review of the billing for the services for this patient and below is a summary of our findings.
At the time of service the patient demographics received from the facility did not include the patients insurance.
The patient has since provide, Tricare health Insurance which we are billing. We have closed the claim at our collections agency.
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 (NAPA)
***************** Services, Supervisor
****************************
************Customer Answer
Date: 07/29/2023
I called in January to clear this up with them, after numerous previous attempts to contact them. Insurance information was provided on the date of the surgery. They have created a wall of protection for themselves between patients and their representatives. I was assured that it would be taken care of by their representative. Then they have the audacity to send this to collections. I'm deployed to *************** and my wife is getting letters saying we have a collections account. This whole ordeal has caused undue stress for my family. We should not have to incur stress, due to this companies' incompetence. There should be consequences for this type of unabashed harassment.Customer Answer
Date: 07/31/2023
Complaint: 20328715
I am rejecting this response because:
Sincerely,
*****************************
I called in January to clear this up with them, after numerous previous attempts to contact them. Insurance information was provided on the date of the surgery. They have created a wall of protection for themselves between patients and their representatives. I was assured that it would be taken care of by their representative. Then they have the audacity to send this to collections. I'm deployed to *************** and my wife is getting letters saying we have a collections account. This whole ordeal has caused undue stress for my family. We should not have to incur stress, due to this companies' incompetence. There should be consequences for this type of unabashed harassment.Business Response
Date: 08/04/2023
As previously advised, we have closed the account at our collections agency and are billing the insurance provided. There is no additional actions for us to take at this time.
Regards
Initial Complaint
Date:07/13/2023
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 have been receiving bills from American Anesthesiology of ** for ***** for months.Account#******** for ****** charges.I sent proof of payment with front and back copies of cleared checks with bank info to ********************************** on 2.3.23 $25.00 paid 9.26.22 ck#***** $25.00 paid 10.19.22 ck#***** I have called multiple times. I have spoken to supervisors multiple times. The response is they havent gotten to it yet or they are working on it.**** is stating I will be sent to collections. I do not know what else to do.Business Response
Date: 07/14/2023
BBB CASE#: ******** (******)
AMERICAN ANESTHESIOLOGY OF *********, PC received an inquiry regarding a patient that we provided anesthesia services to on June 8, 2022, at North ********* Medical Center. 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 billed to the insurance that was provided to us Aetna. Aetna processed the claim with patient responsibility of $200.20. This amount was subsequently billed to the patient.
The patient made the following payments:
$150.20 via credit card
$25.00 via check 9/26/22
$25.00 via check 10/19/22
Due to an internal posting error, the two $25.00 check payments were not applied to the patients account resulting in additional statements being sent in error. We have not posted the two $25.00 payments and the account now reflects a $0.00 balance.
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 (NAPA)
***************** Services, Supervisor
****************************
************Initial Complaint
Date:07/10/2023
Type:Order 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.
Date of service 4/4/22, for my son. His account was paid in full on 7/22/22. I then requested they process the claim with my secondary insurance who paid them an additional $52.68 on 12/19/22. I have attempted to contact this company at least 3 times since December, have left voicemails on a questionable mail box, and still haven't heard back from a single person regarding this over payment. I am owed the additional amount paid by the secondary.Business Response
Date: 07/20/2023
I am in receipt of ************** inquiry filed with the Better Business Bureau. Unfortunately, I was unable to locate an account with the information given within the inquiry. Using the phone number provided, I called and left a voice mail message with my direct contact details on July 20,2023. Please contact me directly so that 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 ********************. 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:06/29/2023
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.
We received this bill from Napa Anesthesia for our sons adenoid removal surgery taken place on April 11th, 2023. It is SHOCKING that the company billed us TWICE for this 5-minute surgery and our insurance company only covered one of the anesthesia, making our balance to $538.13.We would like to dispute this bill since it makes NO sense to bill us twice on the anesthesia service performed on *****, or charged two anesthesiologists, either ways, it is just NOT RIGHT.Please let me know if there is anything need to be done from my side to adjust the bill.Business Response
Date: 06/30/2023
BBB CASE#: ******** (TIAN)
AMERICAN ANESTHESIOLOGY OF *********, PC received an inquiry regarding a patient that we provided anesthesia services to on April 11, 2023 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 billed to the insurance that was provided to us BCBS **. BCBS processed the claim with a patient responsibility of $538.13. The amount of $92.81 on the MD charge and $445.32 on the **** charge.
This is not a duplicate bill. This is a split bill where services for both the MD and the **** are charged. This is based on our contract with the insurance provider. The amount billed is equal to what would have been charged if a single anesthesiologist provided the services.
Spoke to the guarantor at the number on file and explained the billing. The guarantor agreed to pay the balance with a 40% discount. Payment of $322.88 was received today.
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 (NAPA)
***************** Services, Supervisor
****************************
************Initial Complaint
Date:06/29/2023
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.
We received a statement dated June 1st from the Pediatrix Medical Group concerning the delivery of our newborn. We received an invoice for medical services provided. Prior and upon delivery of our child, we provided the healthcare providers with insurance information. Once the invoice from Pediatrix was received, we contacted them to provide them with our insurance provider as they stated that they did not have any health insurance on record for our child. On June 29th, my wife received a voicemail from Pediatrix (*******) again concerning the bill that was received. She contacted Pediatrix representatives who again told her that no insurance information on our child was available which was incorrect. On June 29th I also contacted Pediatrix regarding my June 1st invoice was was informed by one of their representaives ******* that they attempted to contact my insurance provider Tricare to resolve the bill and were told by the insurance company that our child "had no coverage" which was incorrect. My insurance provider had informed me that there was no record of Pediatrix ever filing a claim or contacting them for medical services provided on March 1st and March 2nd for our child. I called my insurance provider to assist with remedying the problem and they offered to remain on the line as I attempted to contacted Pediatrix. After being placed on a long hold, I was received by the same agent (****), after an initial explanation of the situtation, the Pediatrix representative refrained from further engagement with me and my insurance representative. I believe this is a clear indication of surprise medical billing and fraud as Pediatrix has not attempted to contact my insurance provider concerning the services on the indicated date. I will be notifying insurance company's Fraud and Integrity program as I believe that Pediatrix will attempt to extort and send the invoice to collections to harm our credit profile and good standing. These are criminal practices.Business Response
Date: 07/07/2023
We are in the receipt of ************** inquiry filed via the Better Business Bureaus online portal. A thorough account has been performed, and I successfully contacted the guarantor using the phone on file as of July 7. We have spoken regarding the account in status, and we are working toward final resolution. My direct contact information has been provided, and I will keep the guarantor updated regarding account status.
********************** 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:06/29/2023
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.
My son had a surgery which required anesthesia. The provider is sending 2 separate claims to the insurance stating that one of the claims, is for the anesthesiologist and the other is for the CRNA/medical assistant. They are both the same amount and same CPT codes. This is a scam! They are scamming multiple people and I refuse to pay or go to collections for not paying the medical assistant.Business Response
Date: 06/30/2023
BBB CASE#: ******** (*******)
AMERICAN ANESTHESIOLOGY OF FLORIDA received an inquiry regarding a patient that we provided anesthesia services to on March 29, 2023 at West Boca Medical Center. 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 billed to the insurance that was provided to us BCBS **. BCBS processed the claim a patient responsibility of $3,649.50. The amount of $1,824.75 on the MD charge and $1,824.75 on the **** charge.
This is not a duplicate bill. This is a split bill where services for both the MD and the **** are charged. This is based on our contract with the insurance provider. The amount billed is equal to what would have been charged if a single anesthesiologist provided the services.
One of our representatives spoke with the guarantor on 6/29/23 and the billing was explained.
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 (NAPA)
***************** Services, Supervisor
****************************
************Initial Complaint
Date:06/27/2023
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.
Pediatrix Medical Group billed my insurance provider, Liberty Healthshare, on 6/11/2021 for services rendered for the birth of my daughter on 11/2/2020. Pediatrix billed $683.00 for Code *****, which was adjusted by Liberty to $124.36 and paid on 1/11/2022. Pediatrix also billed $571.00 for Code *****, which was adjusted by Liberty to $93.80 and paid on 1/11/2022. Following acceptance of payment from Liberty, Pediatrix began billing us for the difference of $1035.84. I emailed Pediatrix the insurance EOB showing a $0.00 member/patient balance on May 31, 2022. I was told by Pediatrix that they would put the account under review, and update their system to reflect the updated EOB sent it. When we continued to receive what appeared to be balance bills my mail, I submitted them to Liberty and their partner The Medical ************ Solutions to contact Pediatrix on our behalf. Pediatrix refused to negotiate with MCSS, and insisted on Liberty paying the full amount, despite billing far above the appropriate Physician Fee Schedule. Liberty re-processed the bill to reflect the $218.16 payment, $1,035.84 balance due, and still shows a $0.00 member/patient responsibility. The $1,035.84 bill has been processed and approved by Liberty, and has been waiting in queue for the check to be sent out. Despite keeping Pediatrix well-updated through countless phone calls, including a 3-way with a Liberty representative, they sent us to collections. When speaking with a representative on 6/12/2023, I was told that our account was placed "under review" June of 2021, sent off for adjustment, and was determined to be "out of network." This is impossible, as Liberty plainly states they have no network, and works with all providers. She then said it was "no network used" and they were not contracted as a provider and would not honor Liberty's adjustments to follow physician pay schedule despite accepting payment from them. Now we are dealing with collection agencies.Business Response
Date: 07/06/2023
I have received the inquiry filed via the Better Business Bureaus online portal. A review of the account has been completed, and I have successfully contacted the guarantor using the phone on file as of July 6. We have discussed the account in depth, and we are working toward satisfactory resolution. My direct contact information was provided, and I will keep the guarantor updated regarding account status.
********************** 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: 07/07/2023
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.
Sincerely,
*************************
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