Legal Terms & Conditions

Terms of Service

Clear, fair terms that protect both your practice and our platform. We believe in transparency and building trust with healthcare providers.

Last updated: December 28, 2024

Acceptance of Terms

By accessing and using DenialFlip, you accept and agree to be bound by the terms and provision of this agreement. If you do not agree to abide by the above, please do not use this service.

Important Notice

These terms constitute a legally binding agreement between you and DenialFlip. Please read them carefully before using our services.

Our Services

What We Provide

  • AI-powered denial analysis and appeal generation
  • Comprehensive flip kits for major insurance payers
  • Success tracking and analytics dashboard
  • Customer support and training resources

Service Availability

  • Services are provided on a subscription basis
  • We strive for 99.9% uptime but cannot guarantee uninterrupted service
  • Features may be updated or modified to improve functionality

Service Limitations

Our services are designed to assist with denial management but do not guarantee specific outcomes. Success rates may vary based on individual circumstances.

Your Responsibilities

Account Management

  • 1

    Accurate Information

    Provide truthful and complete account information

  • 2

    Account Security

    Maintain secure passwords and protect account access

  • 3

    Compliance

    Follow all applicable healthcare regulations and laws

Data Usage

  • 4

    PHI Protection

    Never submit Protected Health Information

  • 5

    Appropriate Use

    Use services only for legitimate healthcare purposes

  • 6

    Prohibited Activities

    No reverse engineering, scraping, or unauthorized access

Critical PHI Warning

Never submit Protected Health Information (PHI) to our platform. This includes patient names, dates of birth, medical record numbers, or any other identifying information. All data must be completely redacted before submission.

Payment Terms

Billing & Payments

  • Monthly or annual subscription billing
  • Automatic renewal unless cancelled
  • Secure payment processing via Stripe
  • All prices in USD, exclusive of taxes

Refunds & Cancellations

  • 30-day money-back guarantee
  • Cancel anytime with 30 days notice
  • No refunds for partial months
  • Service continues until period end

Fair Pricing Promise

We believe in transparent, fair pricing. No hidden fees, no surprise charges. What you see is what you pay, and you can cancel anytime.

Intellectual Property

Our Rights

  • Platform Ownership

    DenialFlip owns all rights to the platform and technology

  • Content Rights

    We own flip kits, templates, and generated content

  • Trademarks

    DenialFlip name and logos are our trademarks

Your Rights

  • Generated Appeals

    You own the appeal letters generated for your practice

  • Your Data

    You retain ownership of your practice data

  • Usage Rights

    License to use our services for your practice

Respect for Innovation

We've invested significant resources in developing our AI technology and content. Please respect our intellectual property rights and don't attempt to reverse engineer or copy our methods.

Liability & Disclaimers

Service Disclaimers

  • No Guarantees

    We don't guarantee specific appeal outcomes or success rates

  • Professional Advice

    Our services supplement but don't replace professional medical billing advice

  • Regulatory Compliance

    You're responsible for ensuring compliance with all applicable regulations

Limitation of Liability

  • Maximum Liability

    Our total liability is limited to the amount you paid in the last 12 months

  • Consequential Damages

    We're not liable for indirect, incidental, or consequential damages

  • Force Majeure

    We're not liable for events beyond our reasonable control

Important Legal Notice

These limitations are important legal protections. While we strive to provide excellent service, healthcare billing involves many variables beyond our control. Please review this section carefully.

Termination

Termination by You

  • Cancel anytime through your account settings
  • 30-day notice period for annual subscriptions
  • Service continues until current period ends
  • Data export available for 30 days after termination

Termination by Us

  • Immediate termination for terms violations
  • 30-day notice for non-payment
  • 90-day notice for service discontinuation
  • Right to suspend for security concerns

Fair Termination Policy

We believe in fair treatment for all parties. Termination should be straightforward and respectful, with appropriate notice periods and data protection.

Governing Law

Legal Framework

  • Governing Law

    These terms are governed by Delaware state law

  • Jurisdiction

    Disputes resolved in Delaware state courts

  • Arbitration

    Optional arbitration for disputes under $10,000

Dispute Resolution

  • Good Faith

    We prefer resolving issues through direct communication

  • Mediation

    Optional mediation before formal legal action

  • Class Action

    Individual disputes only, no class actions

Fair Legal Process

We believe in fair and transparent legal processes. If disputes arise, we're committed to resolving them through good faith negotiation first.

Questions About These Terms?

We're committed to transparency and want you to understand these terms. If you have any questions or concerns, our legal team is here to help.

Contact Information

Legal Department

legal@denialflip.com

General Support

support@denialflip.com

Billing Questions

billing@denialflip.com

Response Times

General inquiries: 24 hours
Legal questions: 48 hours
Billing issues: 24 hours

Note: These terms may be updated from time to time to reflect changes in our services or legal requirements. We'll notify you of any material changes via email or through our platform. Your continued use of our services after such changes constitutes acceptance of the updated terms.