ComplaintsforCareNow
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Complaint Details
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Initial Complaint
04/25/2024
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Answered
04/18 I called the clinic to see what the office visit would cost for a doctor's ************ after vomiting for almost 4 days which was turning into blood and was told it would be $180. I logged on to the website to set the appointment. Received a text a few minutes later saying to come on in. Upon arrival, I filled out the required paperwork and asked if I could go ahead and pay now as it was getting late and I would likely have to go to the pharmacy which was closing in a little over an hour. The girl at the desk said she would collect when I got called to the doctor. Shortly thereafter, she said they were ready to see me and she would collect the payment. She then said that I had a past due balance. I told her that there was a payment arrangement in place and I had just made a payment yesterday which I showed on my phone. She had never heard of these people and demanded an additional $50. I protested given that I was in horrible pain and only had $265 in the bank. After attempting to get the payment confirmed with the billing department, I finally gave in and paid it. To be clear, I had visited twice while the arrangement was in place without issues. Thankfully, her delaying treatment over $50 did not cause further harm, but I worry about someone else coming in and being "extorted" could be serious. I confirmed the following morning that she was untrained and not qualified to be working as a health care provider. I wrote a very unfavorable ****** review hoping to get someone's attention but it never occurred.Customer response
04/25/2024
Attached HIPPA ReleaseBusiness response
06/06/2024
Opening an *************** case for Patient to be reviewed by leadership. The average days for Leadership to conduct a thorough investigation for the Patient is 21 business day. Depending on findings the case could be concluded in less time or more time but the average is 21 business days.Customer response
06/06/2024
I am rejecting this response because:
No one has contacted me. I have reached out to the corporate office attempting to resolve this.
Business response
06/13/2024
Thank you for allowing us the opportunity to review the consumer's concerns. As we previously responded, we have escalated the concerns and are in the process of investigating the information provided by the consumer. We will follow-up and complete our review and respond as soon as the review is completed. Thank you
CareNow **************** Team/
Corporate Office
*********
Customer response
06/14/2024
I am rejecting this response because:
I am expecting a full refund of the $230
Customer response
08/02/2024
I have not been able to see what clarification you are requesting? I am authorizing you to send requested clarification even if it contains any HIPPA related information to my work email address if possible **************************** ********************** or to this address which I do not check on a daily basis.
I can tell you that I have not received any communication from CareNow or any affilates that I am aware of - to confirm my cell phone number is and has been for 20 years, I use it for my job and I am required to answer and/or return any missed calls, my voicemail was full between June 13th and June 24th while in the hospital, but the phone was in the hands of my girlfriend/"wife" of 40 years and she gave me many messages which I followed up on the phone while in the hospital. I was in the Hospital being treated for 5 ulcers, Esophagitis Grade #3 and also a gall bladder that will have to be removed soon. I have been getting a great deal of calls regarding ********************************* most of which are barely understandable due to overseas labor. I can also say that due to poor, overpriced service and having to buy a replacement phone for one that was stolen, I switched carriers on July 25th, but the number remains the same. As I stated above, I have not received any communication from the business, by phone, email, or US mail. So if they are claiming they tried to call, they are lying. Please provide the required clarification by phone ************ or at *****-********************* in order to resolve what I believe is malpractice, denying treatment which turned out to be a serious stomach issue that was not treated properly. I have had to visit 2 other UrgentCare centers since the incident. I did walk in once while at the nearby *** store and the girl was still there, insuring I will make the further more painful drive to other places,, but I am quite sure they don't need my money, given their multiple delayed replies to the BBB requests.
Customer response
08/02/2024
No the business has never contacted me regarding this case. I answer all phone calls since I work as a contractor for the federal government and am required to answer all phone calls. They have nor contacted by ******* or Email. IF I am on an important call, I always call the number back and also respond to all emails. If they are telling you otherwise, they are lyingBusiness response
08/12/2024
Good Afternoon: We have responded to the Patient via written correspondence and provided a refund July 9, 2024. Thank you for allowing us the opportunity to address these concerns. Thank you: Customer Service Team, ******************** Care Corporate Office **********, *******;Customer response
08/13/2024
I am rejecting this response because:
I received a $48 refund- not even close to the $230 I paid and given I have since found out that I seriously dangerous stomach problems which were not checked I will be be forwarding the $1541 billInitial Complaint
04/23/2024
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Unanswered
I had an injury at work. Work denied it as being a work injury - though I certainly disagreed. That morning our HR had given me the denial letter after all of the orthopedic appt efforts were denied b/c they, too, said it was a work injury. I went to CareNow the next day when the pain was not improving. Before I could see a clinician, the tech took my ** (though not the other vitals he reported) and then the clinic admin/manager arrived to tell me that my injury was a work injury and I must leave. She would not consider my denial letter. She told me to pay ~$350 or leave. I left. They wrote a note that I had just left the appointment - "abandonment." Then they just made up a note about my injury that included various previous injury assessments, though written as if this was the current injury/complaint...which it was not.I have asked REPEATEDLY - at various departments/levels - that this be corrected to reflect what actually occurred, and yet nothing has been done.Customer response
04/25/2024
I did send to them a clarification and someone did finally call me. They added an addendum to note, though it is not quite accurate. I sent this as clarification and thought this might also clarify my report to you.
As we discussed - and apparently not clearly reported to my email - I went to the appointment planning to use my insurance because - while it was certainly a work injury - my work denied it being a work injury from the moment I reported it while leaving work on 7/2. They provided me with the denial letter 7/3 - that I took with me and no one would view - so that I might finally be able to get an assessment of my foot injury, because all medical providers were insisting that I had to go through worker's comp - yet my work adamantly insisted that was not an option.
Customer response
05/01/2024
I have again requested that the highly erroneous clinical note that they manufactured on the date of my 7/3/23 visit be removed or solely reflect what was actually done and said. She notes that she would be unable to do that since it's a clinical note and somebody else would have to do that, but she did say she would contact the person that would be able to do that and add an addendum to reflect what I had reported. she did add an addendum, but it wasn't accurate and this is the email that I sent trying to get that corrected.
ty
Initial Complaint
04/02/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
I visited a CareNow clinic for a standard service (UTI testing), and was told upon arrival that I would pay a $180 upfront fee for my visit, which I did (as shown in my debit account statement document included below). This seemed relatively standard. Three months later, I have received a second bill for $70 (included below) which says that the initial amount I had to pay was $791, but that I had payed $721, which is flat out incorrect. This additional $70 not only contradicts the reality of my visit, but also the Self-pay service pricing that CareNow advertises on their website, and what I was told during my visit. I'd like the bill to be resolved immediately.Business response
06/11/2024
ETT ******: PER PAYMENT NOTIFICATION FORM: ACTIONS BY STAFF WERE APPROPRIATE FOR DOS 10-24-23 W NO AUTH FOR ADJ TO THE ACCOUNT. I WILL CORRESPOND W THE PT AND CLOSE THE ***** ************
Self Pay Patients
Payment is due at the time of service. Our office visits range from $180 to $350, but may be
higher depending on the exam and any additional labs, x-rays, injections, supplies and/or
procedures. You will be responsible to pay in full for all services provided today.Initial Complaint
03/27/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
On January 23, 2024, I went to CareNow on 635 & Midway to be access for bronchitis. I saw the attending physician and I explained to her that I have bronchitis. She listened to my lungs and brought out an nebulizer for a breathing treatment. I explained again that I have bronchitis and I get it every year. She listen to my lungs and said, "you sound a little bit better!" She sent me home wheezing and sick. On January 26, 2024, I went to CareNow on ****************** to be access for bronchitis. The attending doctor immediately sent me seen by a radiologist. X-Rays confirm what I had been saying all along. Except my bronchitis was on the verge of pneumonia. If the attending doctor at the first CareNow had listen to me and just to the time to go an extra time, I could have avoid be further sick. On January 29, 2024, I submitted an online compliant via CareNow's website and I receive a response stating, "someone one from PMT will respond to be directly in 21 days. I have heard from anyone. Therefore, I reached out to customer complaint informing them that I hadn't heard from anyone and I received radio silence. I put my complaint on the CareNow locations website; however, I notice it was taken down. So, somebody knows about my situation.Customer response
04/04/2024
Authorization to Release Health Information.
Thank you,
*****************************
************
Business response
06/28/2024
Thank you for the opportunity to respond to the consumer regarding her visit. Please note that our ********************** Team has reviewed the concerns and issued a refund to the patient which is being processed. Please have the patent reach out to us directly if we may be of further assistance. Thank you: CareNow **************** team, *************** ******* *******, *******; *******************************************************Customer response
06/28/2024
I am rejecting this response because: I am owed an explanation regarding the doctor's lack of care for a patient who had asthma, which almost turned in to pneumonia. She allowed me to leave the facility still wheezing. I told her I had bronchitis and she ignored me. This is a prime example of how black people don't receive the proper health care by a doctor. At least say, "although we can't go into specifics, we do care about our patients health and well being. Our doctors sign a Hippocratic Oath to "First, Do No Harm" to our patients..." This is how you right the wrong of your insensitive doctor.Initial Complaint
03/16/2024
- Complaint Type:
- Billing Issues
- Status:
- Resolved
I visited CareNow on ***************** on Dec. 23, 2023 for a physical exam for the health insurance reward program through ************* see att. Im insured through my husbands work, as well as my own see att. There I was informed they could not put my insurance on file; I had to pay $65.00 and could request reimbursement with the insurance afterwards. I paid $65.00 using my credit card.I was called in by a Nurse, asked preliminary questions. I was then informed they couldnt help, because they didnt have my patient history on file. I was directed back to the front desk, where I was informed that my visit was free of charge, since they couldnt help. The credit card transaction was voided and I was provided with two receipts the earlier charge, and the voided transaction.On Jan. 12, they suddenly charged my credit card and I found a Request for Payment in the mail, dated Jan. 8 see att. I called the location on Jan. 13, and was told that they couldnt help with this, I had to call the billing ***** in *****. When I said that that would be my word against theirs (I thought I had tossed the receipts at that time), the lady looked into the system and said that I wasnt seen by a Dr. that day. She then told me that she would send a note to the billing ***** I should just call them after MLK Day, just be sure. I called on Jan. 17, but the billing ***** was not aware of anything. They would look into it and verify the information with the location. I would then receive a refund in the mail the following week if the information that I gave turns out to be accurate. I was told I could dispute the charge with US Bank, which I did. This is still pending.My husband called the billing ***** again on Jan. 24. The representative could only confirm that the invoice had status disputed and she did not know when this would be resolved. There was no interest in the receipts.To date, I have received no communications from CareNow or a refund.Customer response
03/19/2024
*************************Business response
03/20/2024
Thank you for the opportunity to review the consumer's concerns. We take all comments seriously and appreciate the opportunity to address the patient's notes. We have reviewed the the account in detail and the charges incurred. Our Accounts Receivable team has processed a refund and will mail the check directly to the patient. Our apologies for the delay and inconvenience. Please contact us directly if there is anything else we can assist with. Thank you for your time and patience.
Respectfully,
CareNow **************** Team
********************************************************************************************
Customer response
03/20/2024
I have reviewed the business response and accept this resolution.Business response
03/25/2024
Thank you for the opportunity to review and correct the account for this consumer. Please note that we have authorized and initiated a refund to the patient and corrected the concern so the card will not be billed again in error for this visit. Please have the consumer reach out to us at ******************************************************* with any additional questions. Thank youCustomer response
05/30/2024
To Whom it May ***************** am writing to request reopening of my complaint filed in March, 2024, #********.
Background:
On 3/16/2024 I filed a complaint against CareNow, which was resolved on 3/20/2024 by sending me a refund check of $65.00 for erroneous billing (for services not rendered). However, several weeks later I received a Request for Payment in the mail, generated on 3/22/2024, for the same services.
I reached out to CareNow multiple times to correct this. Since this hasn't resolved the issue to date, I filed a new complaint with Better Business Bureau on 5/28/2024. This was qualified as a duplicate complaint, and closed for that reason.
I would like to reopen the original complaint, if possible. Due to new developments - CareNow putting the charge back on my account after refunding the charge - the matter hasn't been resolved.
Thank you in advance. If there is a different route I should take, or additional information is needed, please let me know.
Best regards,
*******************
**************************************************************************************Customer response
06/09/2024
Unfortunately, right after CareNow cut me a refund check for $65.00, they added this charge back to the account, as I learned weeks later through a new Request for Payment in the mail. This request was generated a couple of days after they cut me the refund check. I called several times,explaining this matter had already been resolved, but there was no record of this or the check that was cut. It went into the standard ***** days wait period to investigate, despite of me sending a link to my BBB-complaint and the check I received per email. At the very end of the 45-day period they finally cleared the balance, as I learned after another phone call with CareNow on June 6, 2024.Customer response
06/09/2024
Unfortunately, right after CareNow cut me a refund check for $65.00, they added this charge back to the account, as I learned weeks later through a new Request for Payment in the mail. This request was generated a couple of days after they cut me the refund check. I called several times,explaining this matter had already been resolved, but there was no record of this or the check that was cut. It went into the standard ***** days wait period to investigate, despite of me sending a link to my BBB-complaint and the check I received per email. At the very end of the 45-day period they finally cleared the balance, as I learned after another phone call with CareNow on June 6, 2024.Customer response
06/09/2024
Unfortunately, right after CareNow cut me a refund check for $65.00, they added this charge back to the account, as I learned weeks later through a new Request for Payment in the mail. This request was generated a couple of days after they cut me the refund check. I called several times,explaining this matter had already been resolved, but there was no record of this or the check that was cut. It went into the standard ***** days wait period to investigate, despite of me sending a link to my BBB-complaint and the check I received per email. At the very end of the 45-day period they finally cleared the balance, as I learned after another phone call with CareNow on June 6, 2024.Initial Complaint
03/12/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Resolved
I took my daughter in to carenow urgent care for an xray, we thought she might of fractured her arm. We signed up on the mobile app around 9am and they called us around 3:30pm telling us to come in our appointment was ready. So we showed up in the waiting room was taken in the back and we sat another hour. I finally told them we had another appointment and asked how much longer and they said another 30min to an hour. I told them that this was unacceptable and we were leaving, they said they were to busy with other patients. They told the receptionist at the front to cancel our appointment. Now for the past few months im getting a bill for a copay when they didn't even treat her. This is erroneous billing, charging for a medical service that they didnt perform. I have called numerous times and they are not correcting the issue and admitted that the notes say the patient wasnt seen. they billed our *********************** and wants a copay.Customer response
03/13/2024
please see the medical releaseBusiness response
03/19/2024
Good Morning:
Thank you for giving us the opportunity to review the consumer's concerns. We take all comments seriously and appreciate this issue being brought to our **************** Team's attention.
**Please note that we have completed a detailed review of the records and account. Recommendations have been made to staff, and authorization to clear the balance on the account has been completed. We will corresponded directly with the consumer regarding this resolution.
Please have the consumer reply back to ******************************************************* if she has any additional questions regarding her daughter's account.
Thank you
Customer response
03/19/2024
I have reviewed the business response and accept this resolution.Initial Complaint
02/27/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
Remainder of balance was paid through my SmartChoice HSA (health savings account) I called my HSA to confirm and they confirmed CareNow cashed the payment on jan 31st ******************************************* the bill for same amount and asking for payment. I called carenow and they havent been responding to my request and not confirming where did the check cashed amount went. Attached are the details of transaction.Business response
03/12/2024
Good Afternoon: Thank you for the opportunity to respond to the patient concerns. Please note we have escalated this issue to the Leadership or our billing department to review the payment posting to her account. We will reach out to the Patient directly when the account has been further reviewed by the appropriate team. The consumer may contact us directly at ******************************************************** Thank you: **************** TeamBusiness response
03/12/2024
Please note prior response. BBB System is not updating to indicate our initial response. TYBusiness response
03/13/2024
Thank you for allowing us the opportunity to respond to this patients concern.
We have reviewed and discussed PT payment issues he expressed with our **********************.
Please note we have also corresponded directly with the patient, and shared the outcome of the authorized financial adjustments with the patient.Thank you, CareNow **************** Team
Corporate Office
*******, **
Customer response
03/18/2024
I am rejecting this response because: The amount of stress and extra time I had to put in this issue is not my fault they should reimburse me for the time they have wasted also never provided me with itemized statement for services performed even though I visited in person multiple times and called many times. I am due a disbursementBusiness response
03/19/2024
Thank you for the opportunity to respond to the consumer's concerns. We have corresponded again with the consumer indicating that his HSA payment was applied to his balance, and that he is due a refund. We have also provided him with the Account ****** per his request. We have also requested our Accounting Team expedite the refund to him as quickly as possible. Please reach out to us if we may be of further assistance.
Thank ************************** team
********************************************************************************************
Initial Complaint
01/31/2024
- Complaint Type:
- Product Issues
- Status:
- Resolved
I received a TB injection/screen on 11/30/23 at 9:30 A.M. at the CareNow facility in **********, ***** and was to return ***** hours later for the read. I confirmed the hours of operation on the website to be 8 AM - 7 PM for Saturday to return for the reading. The hours of operation is also BOLDLY written on their door as 8AM-7PM for Saturday as well. When I arrived at 5:32 PM to get my reading completed on that Saturday, the facility was closed. I needed to get the reading completed that day, because it was after the 48 hours and before the 72 hours. I could not return in the morning before 9:30am (when the 72 hour time is up) due to my son having an early morning baseball game out of town. I had planned for this specifically and had I known they would close at 5PM, I would have come earlier. But again, everywhere I was able to check listed a 7PM close time. An employee came out shortly after, leaving for the day. I asked him if there was any way I could get my TB reading completed, he refused. He also told me that they closed at 5PM. I pointed out to him that the bold stickers on the door, that he just walked out of, stated closing time as 7PM and that when checking online, it also says 7PM as the closing time. He informed me that they have been closing at 5PM since Covid. How would I possibly know that? Especially since the door and internet list closing time as 7 PM. These errors cost me a lot of time, frustration, and now also money. I had to re-do this TB screening because of the incompetence with the listed times. I am asking for a complete refund of the $75 dollars I paid, because I was unable to complete this test at their facility. **************** initially responded saying I would hear by mail in 21 business days and I heard nothing. I emailed 3 times - 1/8, 1/21, and 1/30 with no response from customer service. It is incredibly frustrating and disappointing.Customer response
02/06/2024
Attached it my authorization to release health information. Thank you.
Katy *****************Customer response
02/09/2024
Today, I received a letter from CareNow saying that they have authorized a refund for the $75.00 and that it would be mailed directly to me. Case should probably remain open until I receive the check. Thank you for your help resolving this matter.
Customer response
02/21/2024
I received a refund check for $75.00 in the mail today from CareNow. This completes my request for a refund from the business and this case can be closed. Thank you so much for your help in resolving this.Initial Complaint
01/23/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
I went to the Care Now Walk-in Clinic on May 5, 2023, because I was having problems with my eye.I was diagnosed with an eye infection, which I was prescribed medication for. I paid the $30.00 co-pay, and several months later I received a call from a collection agency informing me that I owed $273, for payment to Care Now, the walk-in clinic. The case number is *********. I have insurance with ********** Blue Shield and. contacted them concerning the charges. I was informed by BCBS, that the doctor's visit had been miscoded. For the past months, I have been contacting the people From ********** Blue Shield, who have been reaching out to the doctor's ****** or a representative of Care Now to get the issue resolved. As of this date, nothing has been done to resolve this issue, and I am still receiving calls from the collection agency. I have reached out to the representative for Care Now who I was referred to by BCBS and the collection agency, explaining the situation. I am concerned it might have already affected my credit scores. I have reached out to Care Now's representative, the insurance company, at least five different times, and have been contacted by **************** the collection agency, at least 11 times, despite the fact that I have been told by the representative for Care Now, that the collection agency would discontinue the calls, until the issue has been resolved. I feel that I have given them able time to resolve the issue, therefore I felt that I needed to get your help for assistance.Business response
02/13/2024
Thank you for allowing us the opportunity to respond to the consumers concerns. We take all comments seriously and are in the process of investigating. We will attempt to complete our review and respond within (21) twenty-one business days. The patient can also contact us directly at ******************************************************* during this process. Thank youBusiness response
02/14/2024
Thank you again for the opportunity to review the patient account. We have reviewed the patient account: this is to confirm the balance reflects $0.00 amount owed. Please also note, there was also no additional reporting of the consumer's invoice. Please have the consumer contact us directly is she has any additional questions. Thank YouInitial Complaint
01/23/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
On 01/22/23 I, ******* ********, went to urgent care on the advice of my girlfriend due to an extended bout of insomnia lasting longer than a week. I arrived and was asked to pay for services up front. When the doctor arrived, he simply stated that he could not do anything for me and advised me to go to the *** No services were provided and no refund has been issued. Typically, a prescription antihistamine is prescribed for insomnia. This is not a habit forming drug or a prescription that requires monitoring and urgent care clinics usually provide it to do those suffering from insomnia. This doctor did nothing. I want my money back.Business response
02/02/2024
Thank you for allowing us the opportunity to respond to the consumers concerns. We take all comments seriously and are in the process of investigating. We will attempt to complete our review and respond within (21) twenty-one business days. The patient can also contact us directly at ******************************************************* during this process. Thank youCustomer response
02/02/2024
Dear BBB,
Why does this business think that they should be allowed 21 days to research this when I only have 10 days to respond? The bottom line is that they pre-charged me for services before services were rendered and never provided said services. The doctor told me that I should have gone to the ** and that there was nothing he could do for me. This company has a poor rating on the BBB, which I am assuming is due to them ripping off other consumers. Please help me resolve this - I already contacted the office manager and she did absolutely nothing for me. This is not right.
Thanks.
Customer response
02/13/2024
I am rejecting this response because: 21 day review is too long and I don't feel anything is being done about this. No service was rendered to me whatsoever-- they required prepayment of $180, and I was out the door with no assistance, within minutes. This response from the business is totally insufficient.Customer response
04/17/2024
The company has done nothing to address my complaint. They have not even said anything to me about it, or tried to justify why they are keeping my money.
Customer response
04/17/2024
Hello, I just wanted to let you know that I changed my phone number. All previous correspondence from BBB has been through e-mail, so this might be unnecessary, but just in the event you want my phone number, it has been changed to:
************.
Thanks!
-Will
Business response
05/29/2024
Thank you for the opportunity to review the consumer's concerns. Feedback from our patients regarding their experience helps us provide quality care to the community we serve. Please note that we will escalate this concern to the ********************** Team for review. Our goal is to respond back to the patient directly within 21-business days. Please have the consumer reach out to our ********************************* team directly for any questions during this process. Thank you.Customer response
05/29/2024
I am rejecting this response because: this is just another generic pre written / auto generated reply. I havent been helped at all; they merely want to stall for more time, again and again.
Business response
06/06/2024
Thank you for the opportunity to respond again the the consumer regarding his concerns. Please note that we previously corresponded in writing directly with the patient on March 11, 2024 with our findings and outcome. Please have the consumer correspond with us directly to ******************************************************* if we may assist further.
Thank you,
CareNow **************** Team
corporate Office
******, **
Business response
06/10/2024
Thank you for the opportunity to respond again the the consumer regarding his concerns. Please note that we previously corresponded in writing directly with the patient on March 11, 2024 with our findings and outcome. Please have the consumer correspond with us directly to ******************************************************* if we may assist further.
Thank you,
CareNow **************** Team
corporate Office
******, **Customer response
06/24/2024
I am rejecting this response because: Once again I feel like nothing has been done to address my initial complaint. I do not recall being reached out to in writing on March 11 Im not sure what is being referenced there is it possible they sent it to an old address? In the course of the 6 months this has taken to resolve, I have relocated to *******. But in March I would have still been in ****** and never received any mail, so I dont know what they are referring to by a written response at that time.Customer response
07/24/2024
I never did receive the mail correspondence. My current address is: ***************************************.Business response
08/01/2024
Thank you for the update regarding the current address of the consumer. We will correspond again to the new address provided. Thank you
Customer Service Team
HCA ******************** Care Corporate Office
**********, *******;
Customer response
08/02/2024
I am rejecting this response because: I am still awaiting whether or not I feel satisfied that my concerns have been addressed, still awaiting the mail correspondence so I will need more than 10 days to see the mail and decide from there whether or not to continue pursuing this complaint.
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Contact Information
Customer Complaints Summary
115 total complaints in the last 3 years.
28 complaints closed in the last 12 months.