Terms and Conditions for Healthcare Revenue Cycle Management Services
Last updated: March 2025
Important Notice:
These Terms and Conditions govern your use of healthcare revenue cycle management services. Please read carefully before using our services, as they contain important information about your rights and obligations, including mandatory arbitration and limitation of liability provisions.
1. Definitions and Interpretation
1.1 Definitions
For purposes of these Terms and Conditions (“Terms”), the following definitions apply:
Affiliate means any entity that directly or indirectly controls, is controlled by, or is under common control with a party, where “control” means ownership of fifty percent (50%) or more of the outstanding voting securities.
Agreement means these Terms and Conditions, together with any Service Agreements, amendments, and addenda executed between the parties.
Authorized Users means Client’s employees, contractors, and agents who are authorized to access and use the Services on Client’s behalf.
Client or You means the healthcare provider, practice, or organization that has engaged Company for RCM Services.
Company, We, Us, or Our refers to Onehive Healthcare, a company organized under the laws of India.
Confidential Information means all non-public, proprietary, or confidential information disclosed by one party to the other.
HIPAA means the Health Insurance Portability and Accountability Act of 1996, as amended, and its implementing regulations.
PHI means Protected Health Information as defined under HIPAA.
RCM Services or Services means revenue cycle management services including but not limited to medical coding, billing, claims processing, payment posting, denial management, and related administrative services.
Service Agreement means the executed agreement between Client and Company for specific RCM Services.
System means Company’s proprietary software platforms, applications, and technology infrastructure used to provide Services.
2. Acceptance and Scope
2.1 Agreement to Terms
By engaging Company’s Services or accessing our System, Client agrees to be bound by these Terms. If Client does not agree, they must not use our Services.
2.2 Service Agreement Requirement
These Terms supplement and are incorporated into any Service Agreement between Client and Company. In case of conflict, the Service Agreement shall govern.
2.3 Authority to Bind
Client represents that the individual accepting these Terms has full authority to bind Client to this Agreement.
3. Healthcare Compliance and Regulatory Requirements
3.1 HIPAA Compliance
Company agrees to comply with HIPAA regulations and will execute a Business Associate Agreement (BAA) as required.
3.2 State and Federal Compliance
Company will comply with all applicable laws, including:
Medicare and Medicaid
False Claims Act
Anti-Kickback Statute
Stark Law
State licensing laws
3.3 Coding and Billing Standards
Services will follow ICD-10, CPT, HCPCS, and CMS guidelines.
4. Services and System Access
4.1 Service Provision
Company will deliver services as detailed in the Service Agreement, using appropriate technology and expertise.
4.2 System Access and Security
Client must:
Follow all access/security protocols
Use the system only for authorized purposes
Keep login credentials confidential
Report breaches promptly
4.3 Service Level Standards
Company will aim to maintain system availability and performance.
5. Client Responsibilities and Obligations
5.1 Information Provision
Client must provide accurate and timely information required to deliver Services.
5.2 Compliance Cooperation
Client will cooperate with compliance efforts, documentation, and access.
5.3 System Usage
Client agrees to use the system in accordance with the law and these Terms.
6. Confidentiality and Data Protection
6.1 Mutual Confidentiality
Both parties agree to keep Confidential Information protected.
6.2 Data Security
Company uses safeguards to protect PHI and other sensitive data.
6.3 Data Breach Notification
Company will notify Client promptly in the event of a data breach.
7. Intellectual Property
7.1 Company Property
All software and systems remain the property of the Company.
7.2 Client Data
Client retains ownership of all provided data and PHI.
7.3 Aggregated Data
Company may use de-identified, aggregated data for internal purposes.
8. Fees and Payment Terms
8.1 Fees
Outlined in the Service Agreement. Taxes are additional.
8.2 Payment Terms
Stated in the Service Agreement. Late fees and service suspensions may apply.
8.3 Fee Disputes
Must be reported within 60 days of invoice.
9. Term and Termination
9.1 Term
This Agreement begins upon acceptance and continues until terminated.
9.2 Termination for Cause
Either party may terminate if the other breaches and fails to cure within 30 days.
9.3 Termination Effects
After termination:
Obligations end except for surviving provisions
Company will return/destroy PHI
Client must pay all outstanding fees
10. Warranties and Disclaimers
10.1 Mutual Warranties
Both parties warrant that they are authorized to enter this Agreement.
10.2 Service Warranties
Company warrants professional performance of services.
10.3 Disclaimer
Except as stated, services are provided “as is” with no additional warranties.
11. Indemnification
11.1 Company Indemnification
Company will indemnify Client for claims related to breach, law violations, or PHI misuse.
11.2 Client Indemnification
Client will indemnify Company for claims due to breach, law violations, or incorrect information.
12. Limitation of Liability
12.1 Liability Cap
Liability is limited to the fees paid in the 12 months prior to the claim.
12.2 Consequential Damages
No party is liable for special, incidental, or indirect damages.
13. Dispute Resolution
13.1 Informal Resolution
Parties will attempt informal negotiation for 30 days before formal action.
13.2 Binding Arbitration
Unresolved disputes will be settled via arbitration under rules of [Arbitration Organization] in [Location].
13.3 Equitable Relief
Court relief is permitted for IP or confidentiality violations.
14. General Provisions
14.1 Governing Law
This Agreement follows the laws of [Jurisdiction].
14.2 Compliance with Laws
Both parties agree to comply with all relevant laws.
14.3 Force Majeure
Neither party is liable for delays due to uncontrollable events.
14.4 Amendment and Modification
Changes must be in writing and signed by both parties.
14.5 Severability
If one clause is unenforceable, others still apply.
14.6 Assignment
Assignment is allowed only with written consent, except to Affiliates or successors.
14.7 Notices
All notices must be written and sent to the addresses in the Service Agreement.
14.8 Entire Agreement
This is the entire agreement and overrides prior discussions.
15. Contact Information
For questions regarding these Terms and Conditions, please contact:
Onehive Healthcare.
Email: [compliance@onehivehealth.com]
Address: [HQ : 11767 169th Pl Ne Redmond, WA, 98052-1734, United States.]
Phone: [+1 9367207819]
By using our Services, you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions.
Terms and Conditions
Last updated: March 2025
Please read these terms and conditions carefully before using Our Service.
Interpretation and Definitions
Interpretation
The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural.
Definitions
For the purposes of these Terms and Conditions:
Affiliate means an entity that controls, is controlled by or is under common control with a party, where “control” means ownership of 50% or more of the shares, equity interest or other securities entitled to vote for election of directors or other managing authority.
Country refers to: Tamil Nadu, India
Company (referred to as either “the Company”, “We”, “Us” or “Our” in this Agreement) refers to Onehive Healthcare.
Device means any device that can access the Service such as a computer, a cellphone or a digital tablet.
Service refers to the Website.
Terms and Conditions (also referred as “Terms”) mean these Terms and Conditions that form the entire agreement between You and the Company regarding the use of the Service. This Terms and Conditions agreement has been created with the help of the Terms and Conditions Generator.
Third-party Social Media Service means any services or content (including data, information, products or services) provided by a third-party that may be displayed, included or made available by the Service.
Website refers to Onehive Healthcare, accessible from https://onehivehealth.com/
You means the individual accessing or using the Service, or the company, or other legal entity on behalf of which such individual is accessing or using the Service, as applicable.
Acknowledgment
These are the Terms and Conditions governing the use of this Service and the agreement that operates between You and the Company. These Terms and Conditions set out the rights and obligations of all users regarding the use of the Service.
Your access to and use of the Service is conditioned on Your acceptance of and compliance with these Terms and Conditions. These Terms and Conditions apply to all visitors, users and others who access or use the Service.
By accessing or using the Service You agree to be bound by these Terms and Conditions. If You disagree with any part of these Terms and Conditions then You may not access the Service.
You represent that you are over the age of 18. The Company does not permit those under 18 to use the Service.
Your access to and use of the Service is also conditioned on Your acceptance of and compliance with the Privacy Policy of the Company. Our Privacy Policy describes Our policies and procedures on the collection, use and disclosure of Your personal information when You use the Application or the Website and tells You about Your privacy rights and how the law protects You. Please read Our Privacy Policy carefully before using Our Service.
Links to Other Websites
Our Service may contain links to third-party web sites or services that are not owned or controlled by the Company.
The Company has no control over, and assumes no responsibility for, the content, privacy policies, or practices of any third party web sites or services. You further acknowledge and agree that the Company shall not be responsible or liable, directly or indirectly, for any damage or loss caused or alleged to be caused by or in connection with the use of or reliance on any such content, goods or services available on or through any such web sites or services.
We strongly advise You to read the terms and conditions and privacy policies of any third-party web sites or services that You visit.
Termination
We may terminate or suspend Your access immediately, without prior notice or liability, for any reason whatsoever, including without limitation if You breach these Terms and Conditions.
Upon termination, Your right to use the Service will cease immediately.
Limitation of Liability
Notwithstanding any damages that You might incur, the entire liability of the Company and any of its suppliers under any provision of this Terms and Your exclusive remedy for all of the foregoing shall be limited to the amount actually paid by You through the Service or 100 USD if You haven’t purchased anything through the Service.
To the maximum extent permitted by applicable law, in no event shall the Company or its suppliers be liable for any special, incidental, indirect, or consequential damages whatsoever (including, but not limited to, damages for loss of profits, loss of data or other information, for business interruption, for personal injury, loss of privacy arising out of or in any way related to the use of or inability to use the Service, third-party software and/or third-party hardware used with the Service, or otherwise in connection with any provision of this Terms), even if the Company or any supplier has been advised of the possibility of such damages and even if the remedy fails of its essential purpose.
Some states do not allow the exclusion of implied warranties or limitation of liability for incidental or consequential damages, which means that some of the above limitations may not apply. In these states, each party’s liability will be limited to the greatest extent permitted by law.
“AS IS” and “AS AVAILABLE” Disclaimer
The Service is provided to You “AS IS” and “AS AVAILABLE” and with all faults and defects without warranty of any kind. To the maximum extent permitted under applicable law, the Company, on its own behalf and on behalf of its Affiliates and its and their respective licensors and service providers, expressly disclaims all warranties, whether express, implied, statutory or otherwise, with respect to the Service, including all implied warranties of merchantability, fitness for a particular purpose, title and non-infringement, and warranties that may arise out of course of dealing, course of performance, usage or trade practice. Without limitation to the foregoing, the Company provides no warranty or undertaking, and makes no representation of any kind that the Service will meet Your requirements, achieve any intended results, be compatible or work with any other software, applications, systems or services, operate without interruption, meet any performance or reliability standards or be error free or that any errors or defects can or will be corrected.
Without limiting the foregoing, neither the Company nor any of the company’s provider makes any representation or warranty of any kind, express or implied: (i) as to the operation or availability of the Service, or the information, content, and materials or products included thereon; (ii) that the Service will be uninterrupted or error-free; (iii) as to the accuracy, reliability, or currency of any information or content provided through the Service; or (iv) that the Service, its servers, the content, or e-mails sent from or on behalf of the Company are free of viruses, scripts, trojan horses, worms, malware, timebombs or other harmful components.
Some jurisdictions do not allow the exclusion of certain types of warranties or limitations on applicable statutory rights of a consumer, so some or all of the above exclusions and limitations may not apply to You. But in such a case the exclusions and limitations set forth in this section shall be applied to the greatest extent enforceable under applicable law.
Governing Law
The laws of the Country, excluding its conflicts of law rules, shall govern this Terms and Your use of the Service. Your use of the Application may also be subject to other local, state, national, or international laws.
Disputes Resolution
If You have any concern or dispute about the Service, You agree to first try to resolve the dispute informally by contacting the Company.
For European Union (EU) Users
If You are a European Union consumer, you will benefit from any mandatory provisions of the law of the country in which You are resident.
United States Legal Compliance
You represent and warrant that (i) You are not located in a country that is subject to the United States government embargo, or that has been designated by the United States government as a “terrorist supporting” country, and (ii) You are not listed on any United States government list of prohibited or restricted parties.
Severability and Waiver
Severability
If any provision of these Terms is held to be unenforceable or invalid, such provision will be changed and interpreted to accomplish the objectives of such provision to the greatest extent possible under applicable law and the remaining provisions will continue in full force and effect.
Waiver
Except as provided herein, the failure to exercise a right or to require performance of an obligation under these Terms shall not affect a party’s ability to exercise such right or require such performance at any time thereafter nor shall the waiver of a breach constitute a waiver of any subsequent breach.
Translation Interpretation
These Terms and Conditions may have been translated if We have made them available to You on our Service.
You agree that the original English text shall prevail in the case of a dispute.
Changes to These Terms and Conditions
We reserve the right, at Our sole discretion, to modify or replace these Terms at any time. If a revision is material We will make reasonable efforts to provide at least 30 days’ notice prior to any new terms taking effect. What constitutes a material change will be determined at Our sole discretion.
By continuing to access or use Our Service after those revisions become effective, You agree to be bound by the revised terms. If You do not agree to the new terms, in whole or in part, please stop using the website and the Service.
Contact Us
If you have any questions about these Terms and Conditions, You can contact us:
- By email: compliance@onehivehealth.com