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Business Profile

Pediatrician

Preferred Pediatrics

Complaints

This profile includes complaints for Preferred Pediatrics's headquarters and its corporate-owned locations. To view all corporate locations, see

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Preferred Pediatrics has 3 locations, listed below.

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    Customer Complaints Summary

    • 1 complaint in the last 3 years.
    • 0 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    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.

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    Complaint type

    • Initial Complaint

      Date:01/17/2023

      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 took my newborn twins for a well baby check on 2/21/2020 (their first visit out of the hospital). I hit my out of pocket maximum with my insurance company prior to this bill being processed and it was a well baby checkup, which is covered 100% by insurance plan. I got a bill from the provider in June/July 2022 saying I owe $193.00. I called them several times a month for several months trying to get it sorted out. I was told at the end of August it was taken care of and to disregard the bills. In September, I got a letter from a collection company trying to collect on the bill. I've been fighting with the provider, Quantum Health (the liaison between myself and Anthem), and the collections company trying to get this bill sorted out. I've been told by countless employees at Quantum that it's a coding error. The provider coded my son's visit as both a new patient and physical and claim it was the same way they filed his sister's visit (looking at the invoice, they're different codes and Quantum can't even find a claim for that date of service for her in their system). The provider filed the exact same claim the exact same way 5 times, hoping for a different outcome. ******* has told me it's a coding error, but it would be insurance fraud to tell the provider which codes they need to use. The provider has washed their hands of it and refuses to work any further to get it sorted out. Upon reviewing the invoices they sent me today, they wrote it off to collections the same day my last bill was generated (which I didn't get in the mail until over a week later). I had no way of knowing it was going to collections prior to them actually writing it off to collections. With all my calls to the office, I was trying to work with them to get it worked out so it's even more upsetting they sent it to collections after all I was trying to do to get it sorted.

      Business Response

      Date: 02/13/2023

      Good afternoon,

      My response to the complaint filed by ***************************** is attached.  Please let me know if any additional documentation is needed to assist with the decision regarding the complaint.  

       

      Thank you,

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

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

       

      Customer Answer

      Date: 02/13/2023

      Better Business Bureau:

      I have reviewed the offer and/or response made by the business in reference to complaint ID ********, and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

      The document from the provider indicated that a claim was filed, processed, and paid for the twin (Baby S). However, in speaking with the insurance company, they informed me on several occasions that they have no record of a claim being filed or paid for the other twin (Baby S). I called the provider every single time I received a new bill from late June 2022 through late July 2022 (and at least once in between bills) to see what was going on with the bill and if any progress had been made. In my last call with the provider in July 2022, I was told to disregard the bills, that the claim has been settled. Then I get a bill from the collections company after I was told to disregard the bill. If I had known this was going to escalate the way it has, I would have taken down names and dates every time I spoke to the office so they could be held accountable. The provider claimed they reached out to me on 3/25 and 5/13 to inquire about the "payment made to patient" portion of the **** but the provider never contacted me on either of these dates. I even verified my phone records to ensure I wasn't remembering incorrectly. I didn't have any interaction with the provider on this bill until I received my first copy of the bill late June. I first called on 6/28 to discuss it. Their notes indicated they sent out an invoice in May, but I never received that. I didn't  "strongly advocate" with the insurance company prior to collections because I had been calling the provider regularly and checking in on the status and was lastly assured it was taken care of and to disregard in late July. The provider's notes mentioned they didn't tell me it was resolved. However, when I spoke to ***, the office manager, in recent weeks she informed me I was probably told that it was resolved during that last phone call in July because it was refiled and was expected to be paid.

      Regards,

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




      Business Response

      Date: 02/23/2023

      Good afternoon,

      Attached is the second response to ******************** complaint.

      Thank you,

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

      Customer Answer

      Date: 02/23/2023

      Better Business Bureau:

      I have reviewed the offer and/or response made by the business in reference to complaint ID ********, and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

      The provider claimed they attached the *** from Carefirst in the latest response, but there was no attachment for the ***. I contacted Quantum who, again, informed me there is no *** for ********'s date of service so they're unable to provide one to me. This still doesn't address the fact the provider lied about contacting me several times 6 months prior to sending to collections when in fact I was the first to reach out to them or the fact that they told me to disregard the bill right before sending to collections. The provider gave no indication on any phone call prior to August ******************************************************************************* to check on the status.

      Regards,

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




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