1. Acceptance of Terms

By engaging BillPayHealth's services or accessing our website at www.billpayhealth.help, you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions, as well as our Privacy Policy.

If you do not agree with any part of these terms, you may not use our services or access our website.

2. Services Provided

BillPayHealth provides comprehensive medical billing services to healthcare providers, including but not limited to:

• Medical claims submission and processing

• Insurance verification and eligibility checks

• Revenue cycle management

• Medical coding and compliance services

• Denial management and appeals

• Patient billing and payment processing

• Financial reporting and analytics

3. Service Agreement

Contract Terms: Our services are provided under a written service agreement between BillPayHealth and the healthcare provider. The specific terms, pricing, and scope of services are detailed in the individual service agreement.

Term and Termination: Service agreements typically have an initial term of one year, with automatic renewal unless either party provides written notice of termination at least 60 days prior to the end of the term.

Early Termination: Either party may terminate the agreement with 90 days written notice. Early termination may be subject to fees as outlined in the service agreement.

4. Client Responsibilities

Healthcare providers using our services agree to:

• Provide accurate and complete patient information, medical records, and documentation

• Maintain valid medical licenses and credentials

• Comply with all applicable healthcare laws and regulations

• Respond promptly to requests for additional information

• Notify us immediately of any changes in practice information or billing procedures

• Maintain appropriate malpractice insurance coverage

5. Fees and Payment

Service Fees: Fees for our services are specified in the individual service agreement and may be structured as a percentage of collections, flat monthly fees, or per-claim charges.

Payment Terms: Invoices are typically issued monthly and are due within 30 days of the invoice date unless otherwise specified in the service agreement.

Late Payment: Late payments may be subject to interest charges at the rate of 1.5% per month or the maximum rate permitted by law, whichever is lower.

Collection Costs: Clients are responsible for all costs associated with collecting overdue amounts, including reasonable attorney fees.

6. Confidentiality and Data Security

HIPAA Compliance: BillPayHealth is a HIPAA-compliant Business Associate and maintains strict confidentiality of all Protected Health Information (PHI) in accordance with federal and state laws.

Data Security: We implement industry-standard security measures including encryption, secure servers, access controls, and regular security audits to protect your data.

Business Associate Agreement: All clients are required to execute a Business Associate Agreement (BAA) as part of the service agreement, outlining responsibilities for handling PHI.

7. Intellectual Property

All content on the BillPayHealth website, including text, graphics, logos, images, software, and other materials, is the property of BillPayHealth or its licensors and is protected by copyright, trademark, and other intellectual property laws.

You may not reproduce, distribute, modify, or create derivative works from our content without express written permission.

8. Limitation of Liability

Service Performance: While we strive to provide accurate and timely billing services, BillPayHealth is not liable for:

• Denials or delays caused by insurance companies

• Errors resulting from inaccurate or incomplete information provided by the client

• Changes in insurance policies, billing requirements, or healthcare regulations

• Technical failures or interruptions beyond our reasonable control

Maximum Liability: Our total liability for any claim arising from our services shall not exceed the fees paid by the client for services during the six months preceding the claim.

No Consequential Damages: BillPayHealth shall not be liable for any indirect, incidental, consequential, or punitive damages, including lost profits or lost revenue.

9. Compliance with Laws

Both parties agree to comply with all applicable federal, state, and local laws, including but not limited to:

• Health Insurance Portability and Accountability Act (HIPAA)

• False Claims Act

• Anti-Kickback Statute

• Stark Law

• State medical billing and collection laws

• Medicare and Medicaid regulations

10. Dispute Resolution

Negotiation: In the event of any dispute, the parties agree to first attempt to resolve the matter through good faith negotiation.

Mediation: If negotiation fails, the parties agree to submit the dispute to mediation before pursuing other remedies.

Arbitration: Any disputes not resolved through negotiation or mediation shall be resolved through binding arbitration in accordance with the rules of the American Arbitration Association.

11. Warranties and Disclaimers

Professional Services: We warrant that our services will be performed in a professional and workmanlike manner consistent with industry standards.

No Guarantee of Results: We do not guarantee specific collection amounts, reimbursement rates, or claim approval rates, as these outcomes depend on multiple factors beyond our control.

Disclaimer: Except as expressly stated herein, all services are provided "as is" without warranties of any kind, either express or implied.

12. Force Majeure

Neither party shall be liable for any failure or delay in performance due to circumstances beyond their reasonable control, including natural disasters, acts of war, government actions, pandemics, power failures, or internet service interruptions.

13. Amendments

BillPayHealth reserves the right to modify these Terms and Conditions at any time. Material changes will be communicated to clients with at least 30 days notice. Continued use of our services after changes become effective constitutes acceptance of the modified terms.

14. Governing Law

These Terms and Conditions shall be governed by and construed in accordance with the laws of the State of New York, without regard to its conflict of law provisions. Any legal action arising from these terms shall be brought exclusively in the courts of New York County, New York.

15. Severability

If any provision of these Terms and Conditions is found to be invalid or unenforceable, the remaining provisions shall continue in full force and effect.

16. Entire Agreement

These Terms and Conditions, together with the individual service agreement and Privacy Policy, constitute the entire agreement between the parties and supersede all prior agreements, understandings, and communications regarding the subject matter herein.