ClainetRCM - Professional Revenue Cycle Management
Welcome to ClainetRCM. These Terms of Service ("Terms") constitute a legally binding agreement between you (the "Client," "you," or "your") and ClainetRCM ("we," "us," or "our") governing your use of our revenue cycle management services and platform.
Acceptance of Terms: By accessing or using ClainetRCM's services, you acknowledge that you have read, understood, and agree to be bound by these Terms and our Privacy Policy. If you do not agree to these Terms, you must not use our services.
These Terms apply to healthcare organizations, clinics, solo practices, and healthcare providers who engage ClainetRCM for revenue cycle management and provider enrollment services.
ClainetRCM provides comprehensive revenue cycle management services directly to healthcare providers, including but not limited to:
ClainetRCM operates as an independent organization and provides services directly without third-party vendor involvement. We communicate directly with insurance companies and healthcare providers on your behalf to fulfill our revenue cycle management obligations.
To enable ClainetRCM to provide effective services, you agree to:
ClainetRCM's fees are based on the service agreement executed between the parties and may include:
Important: All fees and payment terms are specified in your individual service agreement. This section provides general guidelines only.
The initial term of service begins on the effective date specified in your service agreement and continues for the period outlined therein. Services typically auto-renew for successive terms unless terminated as provided below.
We may terminate services under the following circumstances:
Upon termination, ClainetRCM will:
You retain all ownership rights to your patient data, clinical information, and business records. ClainetRCM acts as a business associate under HIPAA and processes your data solely to provide our services.
We use your data exclusively for:
ClainetRCM maintains comprehensive security measures to protect your data. Please refer to our Privacy Policy for detailed information about our data handling practices, security measures, and compliance with HIPAA regulations.
Both parties agree to maintain the confidentiality of all proprietary and confidential information disclosed during the course of our relationship, including:
Confidential information may only be disclosed as required by law or with prior written consent from the disclosing party.
ClainetRCM acts as your Business Associate under the Health Insurance Portability and Accountability Act (HIPAA). A separate Business Associate Agreement (BAA) is executed alongside these Terms, establishing our obligations regarding Protected Health Information (PHI).
You represent and warrant that:
ClainetRCM represents and warrants that:
You represent and warrant that:
Important Disclaimer: EXCEPT AS EXPRESSLY PROVIDED IN THESE TERMS, CLAINETRCM MAKES NO WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. WE DO NOT GUARANTEE SPECIFIC COLLECTION AMOUNTS OR REIMBURSEMENT RATES, AS THESE ARE DETERMINED BY INSURANCE COMPANIES AND PAYERS.
To the maximum extent permitted by law, ClainetRCM's total liability for any claims arising from or related to our services shall not exceed the fees paid by you to ClainetRCM during the twelve (12) months preceding the claim.
IN NO EVENT SHALL CLAINETRCM BE LIABLE FOR:
The limitations above do not apply to:
You agree to indemnify, defend, and hold harmless ClainetRCM from any claims, damages, or expenses arising from:
ClainetRCM agrees to indemnify, defend, and hold you harmless from claims arising from:
ClainetRCM retains all ownership rights to our proprietary software, systems, processes, methodologies, and materials. You are granted a limited, non-exclusive, non-transferable license to use our platform solely for the purpose of receiving our services.
You retain all ownership rights to your data, patient information, clinical documentation, and business records. ClainetRCM claims no ownership over your intellectual property.
If you provide feedback, suggestions, or ideas for improving our services, ClainetRCM may use such feedback without any obligation to compensate you or maintain confidentiality.
ClainetRCM reserves the right to modify these Terms at any time. We will provide notice of material changes by:
Continued use of our services after the effective date of changes constitutes acceptance of the modified Terms. If you do not agree to the changes, you may terminate services as provided in the Termination section.
Neither party shall be liable for failure to perform obligations due to circumstances beyond their reasonable control, including:
The affected party must provide prompt notice and make reasonable efforts to resume performance as soon as possible.
In the event of any dispute arising from these Terms, the parties agree to first attempt resolution through good faith negotiation between senior representatives of each party.
If negotiation does not resolve the dispute within 30 days, the parties agree to participate in mediation before a mutually agreed-upon mediator. Each party shall bear its own costs of mediation, with mediator fees split equally.
If mediation is unsuccessful, disputes shall be resolved through binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association. The arbitration shall take place in Boston, Massachusetts.
Either party may seek injunctive relief in court to prevent irreparable harm or to protect intellectual property rights without first pursuing the dispute resolution procedures outlined above.
These Terms shall be governed by and construed in accordance with the laws of the Commonwealth of Massachusetts, without regard to its conflict of law provisions.
Any legal action or proceeding not subject to arbitration shall be brought exclusively in the state or federal courts located in Boston, Massachusetts, and both parties consent to the jurisdiction of such courts.
These Terms, together with your service agreement, Business Associate Agreement, and Privacy Policy, constitute the entire agreement between you and ClainetRCM regarding our services and supersede all prior agreements and understandings.
If any provision of these Terms is found to be unenforceable or invalid, that provision shall be modified to the minimum extent necessary to make it enforceable, or if that is not possible, it shall be severed from these Terms. The remaining provisions shall continue in full force and effect.
No waiver of any provision of these Terms shall be deemed a further or continuing waiver of that provision or any other provision. ClainetRCM's failure to assert any right or provision under these Terms shall not constitute a waiver of such right or provision.
You may not assign or transfer these Terms or your rights and obligations hereunder without ClainetRCM's prior written consent. ClainetRCM may assign these Terms in connection with a merger, acquisition, or sale of all or substantially all of our assets.
All notices under these Terms shall be in writing and sent to the addresses specified in your service agreement. Notices may be delivered by email, certified mail, or courier service and shall be deemed received when actually received or three business days after sending, whichever is earlier.
Section headings in these Terms are for convenience only and shall not affect the interpretation of these Terms.
If you have questions about these Terms of Service or need clarification on any provisions, please contact us. We are committed to transparency and will be happy to discuss any concerns you may have.
At ClainetRCM, we believe in building long-term relationships based on trust, transparency, and mutual success. These Terms are designed to protect both parties while enabling us to deliver exceptional revenue cycle management services to your organization.