Complaints

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:06/13/2023

  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.

  The company Pediatrix sent me a letter for billing for no services provided. The is no information from my insurance company or information provided. The letter looks like a scam as there is no information to contact them.

  Business Response

  Date: 06/14/2023

  06/14/2023
  
  BBB of West ********
  ***************************************************************************
  
  ATTN:*************************
  
              RE: 20182165
  
  
  This is in response to a communication filed by ******************* regarding services rendered by Pediatrix Medical Group.  Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by ***************Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  Upon review of your account, our letter was initially sent to you due to an eligibility issue. Aetna has processed our claim and payment is now currently pending in our billing system. These were services rendered while in the **** at *********************** Childrens Hospital.
  
  If you feel confident that we have addressed your needs, please take a moment to close this complaint on the BBB site.
  
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  
  

• Initial Complaint

  Date:06/10/2023

  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.

  We received a bill for services rendered by Pediatrix during my son's birth (ID# *********. The bill totaled the services out to be $6,420.00 and advised that our insurer covered $5,121.37; therefore we would then be responsible for the remaining balance of $1,298.63. However, when we spoke with our insurer they confirmed that we had already hit our out-of-pocket maximum, so we should not be responsible for any additional costs. The insurer also advised that they did not have a claim filed from Pediatrix and they have no record of this charge. In an attempt to get the claim number from Pediatrix, I called the number provided on the bill, ************, but the number did not ring and the call was dropped. After going on the Pediatrix site, I confirmed this was the same number, but the call still would not go through. A second number was found, ************, but this number did not go through either. Both numbers were called using my phone and my husband's phone during several attempts at different times and different days, but we could not get the number to connect. We then found an email, **************************************** and sent a request on 6/2 for a claim number for the charge, but there has been no response (spam folder has been monitored as well). I feel I have exhausted all my options and do not know how else I can reach this company to get this charge settled.

  Business Response

  Date: 06/21/2023

  06/21/2023
  
  BBB of West ********
  ***************************************************************************
  
  ATTN: *************************
  
              RE: 20169034
  
  
  This is in response to a communication filed by ************************* regarding services rendered by Pediatrix Medical group.
  
  We would like to extend an apology for the frustration experienced by *************************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  Our supervisor spoke with you and your insurance carrier on 06/15/23 and has placed your account on an escalated hold for further review. Your insurance carrier advised that the charges were billed above the allowed amount and we are looking into this issue. Once we receive a resolution, our supervisor will follow up with you via phone call.
  
  If you feel confident that we have addressed your concerns, please take a moment to close this complaint on the BBB site.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************

  Customer Answer

  Date: 06/21/2023

   
  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:06/08/2023

  Type:Delivery 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.

  My son was born on 03/25/23. I received a notice dated 05/24/23 from Pediatrix stating that I have an account balance of $250.00, and that my insurance denied their claims because he wasn't "covered under the policy on the dates they provided services". My insurance shows that all the claims for the physicians that worked with my son have been successfully processed and paid since the day he was born. Also, the notice I received from Pediatrix does not provide a phone number to dispute this.

  Business Response

  Date: 06/08/2023

  06/08/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN: *************************
  
              RE: 20160463
  
  
  This is in response to a communication filed by ********************* regarding services rendered by Pediatrix Medical Group. We would like to extend an apology for the frustration experienced by *************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  After speaking with you today, we have updated the proper insurance information and are now billing. Thank you for your patience in this matter. If you feel confident we have addressed your needs, please take a moment to close this complaint on the BBB site.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************

  Business Response

  Date: 06/08/2023

  06/08/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN: *************************
  
              RE: 20160463
  
  
  This is in response to a communication filed by ********************* regarding services rendered by Pediatrix Medical Group. We would like to extend an apology for the frustration experienced by *************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  After speaking with you today, we have updated the proper insurance information and are now billing. Thank you for your patience in this matter. If you feel confident we have addressed your needs, please take a moment to close this complaint on the BBB site.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************

• Initial Complaint

  Date:06/06/2023

  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.

  We were called by pediatrix medical group today 6/6/2023 about a date of service of 7/28/2021 for our sons birth. They informed us we had a balance of ******* that was 2 days from being sent to collections. All of our EOBs show our insurance has paid their part and we paid ****** on 2/17/22. And now over a year later they say insurance retracted their payment and it is now our responsibility. They stated they have been sending us bills to an address we do not live at and have not lived at in over 4 years. All of the original bills were sent to the correct address that we still live at. But they are now saying that that address was never in their system. They also stated that we had made no payments. Until we were ready to provide proof on a bank statement. They then stated that was for a different date of service and that's where the confusion was. They never called to inform us of a balance. They never emailed a statement. They never sent statements in the mail. Nothing. How can they now say that we owe this high balance nearly 2 years AFTER the date of service. And OVER a year after we paid our balance to zero. And now after researching the company I find all of these complaints that sound exactly like mine. I need this resolved. As this is not fair. It makes no sense. And I feel as though I'm being scammed. We have all of our documentation and we are prepared to contact the attorney General of the *****************, Time *******, in order to resolve this if the company does not intervene.

  Business Response

  Date: 06/19/2023

  06/19/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN:*************************
  
              RE: 20153424
  
  
  This is in response to a communication filed by ************************* regarding services rendered by Pediatrix Medical Group. Elevate provides billing services on behalf of Pediatrix Medical group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by *************************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  Upon review of your account, your insurance carrier appears to have retracted payment 02/25/2022 in the amount of $643.21 for date of service 07/28/2021. The payment that you made on 02/17/22 in the amount of $846.44, was for dates of service 07/29/21, 07/30/21, 07/31/21, 08/01/21, 08/02/21, and 08/03/21. The balances are all zero.
  
  We mailed statements to your address on file dated 02/10/23, 03/11/23, 04/10/23,05/10/23, 06/06/23 and 06/07/23. These statements can also be viewed online through our payment portal at www.personapay.com/pediatrixmedicalgroup.
  
  Currently,we have your active balance placed on a hold. We will also have a Supervisor contact you via phone to address your concerns.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  

• Initial Complaint

  Date:06/01/2023

  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.

  My daughter was born 9/6/2021, since then I have been disputing a surprise ********** received for $1,311.00 for medical services that were never filed through my insurance. I have been in contact over the past 1 1/2 with my insurance company who advised me not to pay the bill because Pediatrix never filed a claim with them. In researching this company, there are hundreds of complaints regarding erroneous billing, a class action lawsuit filed against them and even news articles written about their shady billing practices. Now I have been sent to collections for this bill!!!! To say I am beyond upset and frustrated is an understatement. I have since filed a complaint through Virginia's Balance Billing law/the federal No Surprises Act and an hopeful that I can find resolution through them.

  Business Response

  Date: 06/06/2023

  06/06/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN:*************************
  
              RE: 20129385
  
  
  This is in response to a communication filed by *************************** regarding services rendered by Pediatrix Medical Group. Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by ******************Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  Upon review of your account, the insurance should have been billed under your Optima policy as auto coverage and was not. Due to being past timely filing, we have closed the account with the collection agency and have submitted an adjustment to zero out this balance.
  
  If you feel confident that we have addressed your needs, please take a moment to close this complaint on the BBB site.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  
  

  Customer Answer

  Date: 06/07/2023

   
  Complaint: 20129385
  
  I am rejecting this response because:

  This response does not make sense. I have never heard of "Elevate" before. The debt collector that sent me a letter was from "********************************." Furthermore, the response states that the insurance should have been billed under my Optima policy as "auto coverage." This bill is related to the birth of my daughter. Why would this be billed under auto coverage? 

  Since I have never received correspondence from "Elevate" before I don't feel confident that my account with the collection agency, "********************************" has been closed and adjusted to a zero balance. 

  
  Sincerely,
  
  ***************************

  Business Response

  Date: 06/07/2023

  06/07/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN: *************************
  
              RE:20129385
  
  Newborns are automatically added to insurance and are covered for the first 30 days of their lives- this is what auto coverage pertains to on this Optima policy. During this time, the baby is included in their ***************** coverage.
  
  Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing. All billing statements issued will come from Pediatrix Medical Group but Elevate is the handler.
  
  ******************************** is the correct collection agency these services were sent to. Due to our error, we have removed the charges from collections and adjusted the balance to zero.
  
  If you feel confident that we have addressed your needs,please take a moment to close this complaint on the BBB site.
  
  
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  
  

  Customer Answer

  Date: 06/07/2023

   
  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,
  
  ***************************

• Initial Complaint

  Date:05/30/2023

  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.

  My son was born 5/4/2022 and he received care in the **** on 5/4,5/5,5/6, and 5/7. I received a bill months later for his **** stay and have been going back and forth with this company since. They have billed me for the same thing multiple times, removed my insurance from their records, added it back, and removed it again. Now over a year later, I am still receiving letters and statements telling me I owe outrageous amounts because of lack of insurance. My son was covered at the time of his birth and I have confirmed with *********** BCBS has told me Pediatrix is not filing their claims properly. Every time I call them they tell me a different reasoning for the issues. I called on 5/24/23 and was told my account was on hold because they re-submitted the claim to my insurance. I got a voicemail from them the very next day saying my account is over due and shows no insurance. I have received threatening letters telling me that my insurance company has delayed this process and that if they do not pay in 30 days I will be held responsible for the full balance. I continue to get told different billable amounts. I am absolutely okay with paying my portion of these services, but I need this to be settled. I need a confirmation that all services rendered have been properly filed with my insurance company. Once the insurance company has processed and I have confirmation of that, I will address payment on my end. I tried calling this company today to speak with them again and now their phone number is out of service.

  Business Response

  Date: 05/30/2023

  05/30/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN:*************************
  
              RE: 20119517
  
  
  This is in response to a communication filed by ************************* regarding services rendered by Pediatrix Medical Group.  Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by ********************. Our primary objective is to resolve concerns directly with patients.We apologize we were unable to assist in this matter without the assistance of your office.
  
  Our Supervisor has reached out via phone to ********************* and has explained the account detail. Currently, your account balances are all on hold billing out to your BCBS insurance carrier. If there is an active balance, after insurance processes, we will send a new billing statement. Please feel free to reach out to ** Monday-Friday from 8AM-8PM EST, at ************ or at the direct phone number of the supervisor at ************.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  
  

• Initial Complaint

  Date:05/23/2023

  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.

  Statement date 05/13/2023, amount $477.37, ID #******************** of service provided: ***** attendance at delivery 08/07/2021 at ********** Memorial Medical Center Provider: *************************. I was not informed of and did not authorize any service, before or during the event, from this provider, especially considering they are outside of my insurance. No details provided to the exact service provided for this billing to me nor my insurance provider. Reached out to my insurance provider and did not get full resolution to this claim from Pediatrix Medical Group. I request a billing adjustment in the full amount due to unauthorized and undocumented services purportedly rendered, as well as any appropriate adjustments to my credit report.

  Business Response

  Date: 06/07/2023

  06/07/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN:*************************
  
              RE: 20095934
  
  
  This is in response to a communication filed by ************* regarding services rendered by Pediatrix Medical Group. Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by *************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  For this charge in question, Attendance at Delivery, this provider is at the delivery, physically present in the delivery room, waiting for the baby. This health care professional was called in as a specialist/neonatologist to ensure the birth went well and there were no complications, due to some concern during the birth.
  
  Our Pediatrix practitioners do not attend any delivery unless specifically directed to do so by either the obstetrician or the hospital bylaws. Consent to treat was obtained for this service. The service rendered by this provider was not done so through the facility but through Pediatrix. For supporting documentation we would advise you to review your medical records. These must be obtained from the facility as we are not authorized to obtain them on your behalf.
  
  This CPT code was billed to your insurance carrier and processed to patient responsibility.
  
  If you feel confident that we have addressed your concerns, please take a moment to close this complaint on the BBB site.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  

  Business Response

  Date: 06/07/2023

  06/07/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN:*************************
  
              RE: 20095934
  
  
  This is in response to a communication filed by ************* regarding services rendered by Pediatrix Medical Group. Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by *************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  For this charge in question, Attendance at Delivery, this provider is at the delivery, physically present in the delivery room, waiting for the baby. This health care professional was called in as a specialist/neonatologist to ensure the birth went well and there were no complications, due to some concern during the birth.
  
  Our Pediatrix practitioners do not attend any delivery unless specifically directed to do so by either the obstetrician or the hospital bylaws. Consent to treat was obtained for this service. The service rendered by this provider was not done so through the facility but through Pediatrix. For supporting documentation we would advise you to review your medical records. These must be obtained from the facility as we are not authorized to obtain them on your behalf.
  
  This CPT code was billed to your insurance carrier and processed to patient responsibility.
  
  If you feel confident that we have addressed your concerns, please take a moment to close this complaint on the BBB site.
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************
  

• Initial Complaint

  Date:05/23/2023

  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.

  Our daughter received a short routine heart screening procedure at an in-network provider referred to by her pediatrician. We received a bill for over $2900 for a short routine scan most of which was not covered by insurance. We never received a quote for this service nor did we ever approve these charges, and we were never made aware of the service costing the amount it does or given any opportunity to approve it. The affiliation with pediatrix and the facility is still unclear, the first time we heard of Pediatrix was when the invoice arrived. Our pediatrician is joining ** in disputing this invoice, we have engaged with a social worker and a lawyer, and will be fighting this unlawful invoice until the notices stop arriving. When we called and challenged the bill Pediatrix stated they simply charged ** the full amount of our out of pocket *** and not an amount related to the service provided. Pediatrix is obviously a predatory and criminal organization. They operate and profit at the extremes of healthcare capitalism with surprise drive-by billing. They are not an ethical company, and we will fight them alongside our doctor and supporters.

  Business Response

  Date: 05/23/2023

  
  
  5/23/23
  
  BBB
  ***********************************
  ************, ** 49546
  
  ATTN: *************************
  
              RE: Complaint ID ********
  
  
  This is in response to a complaint filed by *********************** regarding services rendered by Pediatrix Medical Group. Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by ***********************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist *********************** without the assistance of your office.
  
  Unfortunately we are unable to locate an account with this information Please provide the Guarantor ID or Account Number from the statement or identifying information for the patient or guarantor.
  
  
  Thank you,
  
  ***************************
  Escalation Manager|ElevatePFS
  ************
  

  Customer Answer

  Date: 05/23/2023

   
  Complaint: 20092967
  
  The ID # on the invoice you asked for is: ********. Last name ******, my wife.
  
  Sincerely,
  
  ***********************

  Business Response

  Date: 06/07/2023

  6/7/23
  
  BBB
  ***************************************************************************
  
  ATTN: *************************
  
              RE: Complaint ID ********
  
  
  To whom it may concern,
  
  In response to the complaint made regarding ID ********.
  
  The patient was referred to ** by ******************** for an evaluation of Ventricular septal defect (VSD), a hole in the heart.   She had been diagnosed en utero with a small muscular VSD and presented to our office for follow up.  At her first cardiac evaluation, she was also noted to have a tiny Patent ductus arteriosus (***), a persistent opening between the two major blood vessels leading from the heart. A *** is present from birth which makes it a congenital heart defect.  
  
  The pediatric cardiologist did an examination of the patient, and *** and an echocardiogram were done and after review of the data and the physical exam from the visit, the physician determined she is doing well from a cardiac standpoint.  The *** and echocardiogram were all normal and both the *** and VSD have resolved.   
  
  The physician orders an echocardiogram when a patient presents with heart conditions such as VSD and *** so it can provide the cardiologist with a complete picture of the patients condition and the next course of treatment,if applicable.
  
  The cost of the visit and adjudication of the claim are as follows:
  
  Total charges                              $4,070.00
  Allowed by insurance                 $1,939.29
  Contractual Write off                  $2,130.71
  Balance                                        $1,939.29
  
  The patients Mom stated in her complaint that she received a bill for $2,900 for a short routine scan and most of which was not covered  This is not a true statement as her insurance company approved all charges submitted associated with this visit.  The reason the patient got a bill for this visit in the amount of $1,929.29 is because they had not met the deductible at the time of the visit and her health insurance applied the full allowed amount to the deductible, making this patient responsibility.  When a patient has insurance with a deductible, all allowed charges that the insurance normally would pay becomes the responsibility of the patient or guarantor until the deductible is met. 
  
  This was the standard of care provided the patient based on her heart condition.
  
  
  Thank you,
  ***************************
  Escalation Manager|ElevatePFS
  ************
  

• Initial Complaint

  Date:05/16/2023

  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.

  My 10 year old son was having chest pains and instead of taking him to the emergency room we went to his pediatrician and they referred ** to an in network pediatric cardiologist. Due to his involvement in sports they wanted to make sure he was clear to play. The cardiologist ran an EKG and ultrasound, this should have been a specialist appointment which under our insurance is a $60 copay. The bill sent to ** was for $569.08, I immediately called my insurance carrier and they confirmed the doctor was in network and it should have been coded as a specialist visit. I attempted to rectify the situation with Pediatrix Medical Group, and the doctor. ********************** has not returned any calls to our insurance carrier or patient advocate to discuss this concern. I have filed a dispute with the collection agency as well.

  Business Response

  Date: 05/16/2023

  5/16/23
  
  BBB
  ***************************************************************************
  
  ATTN: *************************
  
              RE: Complaint ID ********
  
  
  Dear *********************************,
  
  We at Pediatrix would like to extend an apology for the frustration you have experienced. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist you over the phone prior to this complaint and thank you for bringing this to our attention.
  
  We have escalated this account and will have it reviewed for proper coding and claim submission.
  
  As soon as we have more information we will have a supervisor call you for follow up and ensure that this issue is resolved in a way that you feel confident we have taken care of and addressed your needs as well as concerns.
  
  
  Thank you,
  ***************************
  Escalation Manager|ElevatePFS
  ************
  

• Initial Complaint

  Date:05/11/2023

  Type:Sales and Advertising 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 a bill from having my child over a year ago and it doesnt even explain what its for. And also I called the hospital I had her at and they said I owe zero!! So why am I getting billed. This should not be happening. Medical fraud

  Business Response

  Date: 05/15/2023

  05/15/2023
  
  BBB of West ********
  ***********************************
  ************, ** 49546
  
  ATTN:*************************
  
              RE: 20049696
  
  
  This is in response to a communication filed by ******************* regarding services rendered by Pediatrix Medical Group.  Elevate provides billing services on behalf of Pediatrix Medical Group. As a result, Elevate handles invoicing and customer service calls related to *********************** billing.
  
  We would like to extend an apology for the frustration experienced by *******************. Our primary objective is to resolve concerns directly with patients. We apologize we were unable to assist in this matter without the assistance of your office.
  
  We are attempting to contact ******************* to further discuss and provide answers to her complaint but have been unable to reach her via phone. We will attempt to address the concerns in this written response.
  
  The services were rendered by ************************* MD, *************************** MD, and ********************* DO. Our Pediatrix practitioners do not attend any delivery unless specifically directed to do so by either the obstetrician or the hospital bylaws. This charge can also include in-hospital nursery care to healthy newborns or subsequent care of infants in the **** as directed by, in coordination with,the attending physician/neonatologist.
  
  The services rendered by these providers were not done so through the facility but through Pediatrix. For supporting documentation we would advise you to review your medical records. These must be obtained from the facility as we are not authorized to obtain them on your behalf.
  
  
  
  Sincerely,
  
  *************************
  Escalation Manager|ElevatePFS
  ************