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BBB Accreditation

A BBB Accredited Business since

BBB has determined that Pathology Associates Of San Antonio meets BBB accreditation standards, which include a commitment to make a good faith effort to resolve any consumer complaints. BBB Accredited Businesses pay a fee for accreditation review/monitoring and for support of BBB services to the public.

BBB accreditation does not mean that the business' products or services have been evaluated or endorsed by BBB, or that BBB has made a determination as to the business' product quality or competency in performing services.

Reason for Rating

BBB rating is based on 13 factors. Get the details about the factors considered.

Factors that raised the rating for Pathology Associates Of San Antonio include:

  • Length of time business has been operating
  • Complaint volume filed with BBB for business of this size
  • Response to 3 complaint(s) filed against business
  • Resolution of complaint(s) filed against business

Customer Complaints Summary Read complaint details

3 complaints closed with BBB in last 3 years | 2 closed in last 12 months
Complaint Type Total Closed Complaints
Advertising/Sales Issues 0
Billing/Collection Issues 2
Delivery Issues 1
Guarantee/Warranty Issues 0
Problems with Product/Service 0
Total Closed Complaints 3

Customer Reviews Summary Read customer reviews

0 Customer Reviews on Pathology Associates Of San Antonio
Customer Experience Total Customer Reviews
Positive Experience 0
Neutral Experience 0
Negative Experience 0
Total Customer Reviews 0

Additional Information

BBB file opened: January 01, 1974 Business started: 01/01/1974 Business started locally: 01/01/1974 Business incorporated 05/22/2000 in TX
Type of Entity

Limited Liability Company (LLC)

Business Management
Mauro Guerra, CEO Ms. Linda Gutierrez, Billing
Contact Information
Principal: Mauro Guerra, CEO
Business Category

Billing Service Laboratories - Medical

Alternate Business Names
Pathology Reference Laboratory, L.L.C.

Additional Locations

  • 9600 Datapoint Dr

    San Antonio, TX 78229 (210) 892-4775 (210) 249-2800


BBB Customer Review Rating plus BBB Rating Overview

BBB Customer Reviews Rating represents the customers opinions of the business. The Customer Review Rating is based on the number of positive, neutral and negative customer reviews posted that are calculated to produce a score.

Customer Review Experience Value
Positive Review 5 points per review
Neutral Review 3 points per review
Negative Review 1 point per review

BBB letter grades represent the BBB's opinion of the business. The BBB grade is based on BBB file information about the business. In some cases, a business' grade may be lowered if the BBB does not have sufficient information about the business despite BBB requests for that information from the business.

BBB Letter Grade Scale

BBB Rating Value
A+ 5
A 4.66
A- 4.33
B+ 4
B 3.66
B- 3.33
C+ 3
C 2.66
C- 2.33
D+ 2
D 1.66
D- 1.33
F 1
NR -----
Star Rating scale

  Average Score
5 stars 5.00
4.5 stars 4.50-4.99
4 stars 4.00-4.49
3.5 stars 3.50-3.99
3 stars 3.00-3.49
2.5 stars 2.50-2.99
2 stars 2.00-2.49
1.5 stars 1.50-1.99
1 star 0-1.49

BBB Customer Review Rating plus BBB Rating is not a guarantee of a business' reliability or performance, and BBB recommends that consumers consider a business' BBB Rating and Customer Review Rating in addition to all other available information about the business. If the BBB Rating is NR then only Customer Reviews are used for the Star Rating.

Complaint Detail(s)

2/26/2016 Billing/Collection Issues | Read Complaint Details

Additional Notes

Complaint: I have called their office several times to request documentation on the service that they provided. I asked for documentation for any reports, test results, lab test, etc. that they had performed. The only documentation I have ever received was an invoice that said I had a prior balance of $202.62. Every time I talked to their office I was told they would put the back-up in the mail that day. They never sent me anything until I sent them a Certified Letter requesting documentation on services provided. After I receive proper documentation on services provided I will promptly pay this invoice. I have requested this for months. They received my written request on December 23rd. They printed the back-up that I have been requesting on December 30th and I received it on January 4th. I paid the full balance on January 5th. The Check cleared my bank on January 8th, the same day they sent it to a collection agency.

Desired Settlement: Foundation Inc. sent this to BUSSINESS & PROFESSIONAL SERVICE for collection the day after receiving my paid in full check. I expect Foundation INC to notify BUSSINESS & PROFESSIONAL SERVICE that this account has been paid in full, and rectify any damage to my credit report. I have all the back-up for the certified mail, date check was cashed, and date notice of collection was issued. If you need copies let me know.

Business Response:

Sorry for the delay ******….been trying to get this emailed to me since I talked to ****** last month.


***** *****…DOS 7/30/2015

Account sent to Ins on 8/12/15…BC/BS applied to DED… total discounts given of $202.62 on 8/14/15 leaving a patient responsibility of $230.38.

Statements send to patient on 8/19, 9/23, 10/28 and 12/3…then to collections on 1/7/16.

Only note on his account is from 12/30/15…stating that Foundations billing send him a copy of the detailed account summary.

No other notes on this account…we do document each time patients call in for tracking.

Thank you,

*** ********

******* ******* ******* ********************* ****       ************************ ************

9/8/2015 Billing/Collection Issues | Read Complaint Details

Additional Notes

Complaint: I've paid this company for the fee of $51 in February 2015. At that time if I could recall the process was complete. Also I gave my phone number. Later in August 2015 I see it has been reported in collection. Since I do have a new address, I gave it to the company, and wanted to make sure it has been cleared. As per the collection company, I was told that they reported for collection in June. Calling to this company, they said the credit card is declined, but they can not provide me what credit card is used. So I had to call the collection company "Business and Professionals", and paid again to clear it out. Now I don't know if this really that the credit card used did not honor. But they should have given me a call and/or send a mail stating that it was not accepted. If I could recall, they have given me a confirmation number. I think they have something wrong. Lot of people are complaining about their business practice about Billing. Please look at this link to find out how many people are complaining. **************************************************************************************

Desired Settlement: I want to know what credit card they tried at that time. And why did not they call me to let me know that the credit card is not taking. This is a very bad practice. Lot of people complaining about it ... **************************************************************************************

Business Response:

This call was handled by a new employee who was still in training, unfortunately when the employee took the call this account was no longer active since it was at collections as of August 2014.  The patient should have been referred to B&P collection agency for payment but, since the payment was accepted by a PRL employee the client should have been notified at that time that the system was down and his credit card would be run through as soon as the system came back up. 

In this instance, the PRL new employee failed to reactivate the account which constituted failure to reprint a statement showing decline of the credit card.  The new employee has been counseled and we apologize for the inconvenience placed on Mr. *****.  

PRL strives to accommodate all patients as best as possible and will continue to work on achieving 100% satisfaction from all of our patients.  

Consumer Response: 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.


******* *****

4/8/2015 Delivery Issues | Read Complaint Details

Additional Notes

Complaint: A *** ***** was sent in by IFWH with clear instructions to perform ** * ** **** *** **********. This instruction was ignored and no additional testing was performed. When IFWH contacted PRLitt took hours to receive a response to confirm that the the testing was not performed when IFWH specifically requested the ** * ** ******* to avoid another procedure. My appointment was cancelled after it was confirmed that PRL ignored the requested instructions. PRL billed for the incomplete results. Contacted their office in *** ******* ** and one lady said that ***** would be contacting me. The lady did acknowledge that the ** ** ******* was automatic and there was a doctors request also. ***** never called. PRL should not bill for a test they decided not to conduct. This oversight is resulting in another PAP to conduct the previously omitted ** ** *****

Desired Settlement: Not bill $170 Medicare and / or BCBS for the date of service 11/20/2014 during which PRL did not conduct the requested testing ordered by Dr. * *****.

Business Response:

It was definitely a communication error on our part why the initial testing was not completed.  The criteria for doing this test is quite complex and not really as straight forward as the patient states.  In addition there is a specimen integrity issue.  Testing has to occur within 10 days of collection or the specimen is no longer viable.  By the time it was realized that the ***** ******* had been missed the specimen was too old to do the testing and the physician elected to have the specimen re-collected rather than proceed with the scheduled procedure.  The re-collection could not be done for about 3 months to ensure adequate cells.  Though the billing had already gone out for the *** **** and physicians interp for the abnormal reading (the $170 stated below), Medicare would not pay based on their collection criteria and the diagnosis codes provided by the physician.  PRL did not bill the patient, nor will we.  The specimen was successfully collected in March of 2015.  The ***** **** was run and we did not bill Medicare or the patients secondary insurance for this test.  We felt it was the right thing to do based on the previous issues.


When the issue was brought to my attention (it has been a couple of months ago), I did place a call to the physician office to find out the story from their perspective.  I was told that everything had been settled with the patient, everything had been explained adequately and there was no reason for me to contact the patient directly, so I did not.  In any case, where we (or I) am asked to return a call to the patient I always call the physician office first.  We never want to be in the position of giving the patient diagnostic information that should really only come from the physician offering treatment. 


Though the billing had already gone out for the *** **** and physicians interp for the abnormal reading (the $170 stated above), Medicare would not pay based on their collection criteria and the diagnosis codes provided by the physician.  PRL did not bill the patient for the outstanding balance, nor will we.  ?

Customer Review(s)

The customer review(s) below are un-filtered. These positive and negative reviews are not used in the calculation of the BBB Rating. If you wish to file a complaint and request a resolution to your issue please click here. This customer review section is not BBBs complaint resolution system. Customer Reviews are the subjective opinion of the individual who posted the review and not of Better Business Bureau. A customer review is not posted on a business if a BBB complaint on the same issue(s) is also filed. BBB cannot guarantee the accuracy of any customer review and is not responsible for the content of any customer review. Public comments are not customer reviews.

Customer Reviews Summary

0 Customer Reviews on Pathology Associates Of San Antonio
Positive Experience (0 reviews)
Neutral Experience (0 reviews)
Negative Experience (0 reviews)