Terms and Conditions
These Terms and Conditions govern the services provided by Accurate Medical Billing, Inc. (“Company”) to any person, practice, provider, facility, or organization that submits information through Company’s website, intake form, onboarding form, portal, or other electronic process (collectively, “Client”). By clicking any button, checkbox, icon, or similar electronic acknowledgment that states words like “By clicking this button you agree to the Terms and Conditions,” Client accepts and agrees to be legally bound by these Terms and Conditions.
Electronic acceptance has the same force and effect as a manual signature for purposes of acknowledging and accepting these Terms and Conditions. If the individual accepting these Terms and Conditions is acting on behalf of a business, medical practice, group, or other entity, that individual represents and warrants that he or she has authority to bind that entity.
Scope of Services
Company may provide revenue cycle management, medical billing, coding support, charge entry, payment posting, claims submission, claim correction, denial follow-up, appeals support, accounts receivable follow-up, patient balance support, statement processing coordination, insurance eligibility or benefit-related administrative support, credentialing-related administrative support, reporting, document management, and other customary back-office or practice support services requested in the ordinary course of business.
Company may also provide administrative assistance related to intake workflows, insurance communications, payer correspondence, payment reconciliation, demographic review, document routing, office management support, and coordination with clearinghouses, software vendors, answering services, collection agencies, accountants, attorneys, consultants, or other third parties as reasonably necessary to perform services.
Company may add, modify, limit, or discontinue specific service workflows, tools, or support processes from time to time. Not all services are included for every Client, and the level of service may depend on the information submitted, the software environment, payer participation, responsiveness of the Client, and Company’s operational capacity.
Client Authorization and Responsibilities
Client authorizes Company to use the information, records, billing data, coding information, explanations of benefits, remittance data, payment information, demographic information, scheduling information, and related materials supplied by Client or available through Client-authorized systems for the purpose of performing services. Client is responsible for ensuring that all submitted information is timely, complete, accurate, and lawful.
Client represents and warrants that all services billed were actually rendered, that documentation supports the services submitted, that all coding and claim-related information supplied to Company is truthful and accurate to the best of Client’s knowledge, and that Client remains solely responsible for clinical care, documentation content, supervision, licensure, provider enrollment, compliance with payer requirements, and compliance with all applicable federal and state laws.
Client agrees to respond promptly to requests for records, signatures, clarifications, refunds, overpayment responses, audit materials, payer correspondence, or any other information required to process, correct, defend, or resolve claims, payment issues, or administrative matters. Delays or failures by Client may delay billing, collections, appeals, credentialing activity, reporting, or other services.
Client remains responsible for reviewing reports, claims activity, patient balances, payer notices, and other deliverables made available by Company. Client is also responsible for timely notifying Company of changes to providers, tax identification numbers, NPIs, addresses, contracts, fee schedules, payer participation, office closures, service locations, or other operational changes that may affect billing or reimbursement.
Compliance and HIPAA
Company will use reasonable measures to maintain confidentiality of Client information and will limit use or disclosure of information to what is reasonably necessary to perform services, comply with legal obligations, enforce rights, protect operations, or respond to authorized requests. Company will also take reasonable steps to require its workforce and subcontractors to comply with applicable privacy and security obligations, including HIPAA-related requirements when applicable.
Client acknowledges that Company is a billing and administrative service provider and does not provide legal advice, tax advice, medical advice, compliance opinions, or guarantees of regulatory outcomes. Any coding edits, workflow suggestions, billing guidance, or reimbursement feedback provided by Company are administrative support tools only and do not replace Client’s independent compliance, legal, clinical, or accounting judgment.
Where required by law, the parties may separately enter into a Business Associate Agreement or other privacy-related documentation; however, Client’s acceptance of these Terms and Conditions authorizes Company to begin ordinary onboarding, administrative review, and non-clinical setup activities pending completion of any additional compliance documents if needed.
Fees and Payment
Client agrees to pay Company for services, rates, minimum fees, claim fees, back-billing fees, administrative fees, collection-related fees, software-related pass-through fees, postage or mailing charges, returned payment fees, and other charges disclosed through the intake form, pricing schedule, invoice, email communication, website posting, portal, or other Company communication. Company may update pricing prospectively upon notice posted or delivered electronically.
Invoices, statements, or payment requests are due according to the payment terms stated by Company. Overdue balances may accrue interest, late charges, collection costs, and reasonable attorneys’ fees to the extent permitted by law, and Company may suspend work, restrict account access, withhold deliverables, or terminate services if payment is not timely made.
Unless expressly stated otherwise by Company, Client remains responsible for fees earned on services performed or performed before suspension or termination, including work in process, rebilled claims, aging follow-up, cleanup work, reporting, and transition-related administrative activity.
No Guarantee of Reimbursement or Outcome
Company will use reasonable business efforts to perform services in a professional manner, but Company does not guarantee reimbursement, payment speed, payer acceptance, reduced denials, successful appeals, credentialing approval, network participation, patient collections, regulatory outcomes, or any minimum revenue result. Claims and collections depend on many factors outside Company’s control, including payer policy, medical necessity determinations, authorization status, documentation quality, coding selections, filing limits, audits, patient eligibility, patient cooperation, and government or commercial insurance rules.
Third-Party Systems and Vendors
Client authorizes Company to access or use practice management platforms, electronic health records, clearinghouses, payer portals, merchant services, phone systems, fax systems, document storage tools, scheduling tools, and other third-party systems designated by Client or needed to provide services. Company is not responsible for downtime, data errors, interruptions, cyber incidents, rule changes, rejected transmissions, or functionality limits caused by third-party vendors, carriers, software providers, payers, banks, or utility providers.
Company may use employees, independent contractors, affiliates, or subcontractors to perform some or all services. Company may also refer delinquent accounts to a collection agency or other outside resource when authorized by Client or otherwise permitted by applicable law or Company policy, and any related costs may be charged to Client if disclosed.
Records, Retention, and Access
Client is the owner of its patient records, clinical records, and underlying business records, but Company retains ownership of its internal workflows, templates, processes, analytics, training materials, and proprietary systems. Company may maintain copies of account records, communications, submissions, and work history for legal, operational, audit, compliance, backup, training, and business purposes subject to applicable law.
Client is responsible for maintaining its own primary records and backups. Company is not a permanent records custodian unless expressly stated, and Client should download, save, or preserve reports and materials it needs for ongoing operations, audits, or transitions.
Suspension and Termination
Company may suspend or terminate services immediately or on notice if Client fails to pay amounts due, provides inaccurate information, impedes operations, engages in abusive conduct, requests unlawful activity, creates unreasonable compliance risk, refuses to cooperate, or otherwise breaches these Terms and Conditions. Client may stop using services by giving reasonable written notice, but accrued fees and obligations will survive.
Following suspension or termination, Company may stop claim activity, stop follow-up work, disable platform access, pause communications with payers or patients, or decline new assignments until outstanding issues are resolved. Any transition assistance, data exports, historical reporting, or handoff support may be billed at Company’s then-current administrative rates.
Disclaimer of Warranties and Limitation of Liability
Services, website content, forms, and administrative support are provided on an “as is” and “as available” basis to the fullest extent permitted by law. Company disclaims all warranties not expressly stated, including implied warranties of merchantability, fitness for a particular purpose, noninfringement, uninterrupted availability, and error-free performance.
To the fullest extent permitted by law, Company will not be liable for indirect, incidental, special, exemplary, punitive, or consequential damages, lost profits, lost data, lost business opportunities, payer actions, claim denials, delayed payments, or interruptions arising out of or relating to the services, website, form submission, or Client-supplied information. Company’s aggregate liability for any claim will not exceed the total amount paid to Company by Client for the three months of services immediately preceding the event, giving rise to the claim.
Indemnification
Client agrees to defend, indemnify, and hold harmless Company and its owners, officers, employees, affiliates, contractors, and agents from and against any claim, investigation, audit, demand, penalty, loss, liability, damage, settlement, cost, or reasonable attorneys’ fee arising from or related to Client’s inaccurate data, unsupported claims, coding selected by Client, services not rendered as billed, overpayments, refunds, recoupments, patient disputes, privacy or security incidents originating from Client systems or personnel, Client’s breach of these Terms and Conditions, or Client’s negligence, misconduct, or legal noncompliance.
Dispute Resolution and Governing Law
These Terms and Conditions are governed by the laws of the State of Arizona, without regard to conflict-of-law rules. Any dispute arising out of or relating to these Terms and Conditions, the website, the form, or Company’s services will be brought in Maricopa County, Arizona, except that Company may elect binding arbitration for disputes within the scope of its arbitration procedures, and the prevailing party may recover reasonable attorneys’ fees and costs where permitted by law.
Electronic Communications
Client consents to receive notices, invoices, disclosures, updates, and other communications electronically by email, portal posting, text message, website posting, or other electronic means used by Company in the ordinary course of business. Electronic communications satisfy any legal requirement that a notice or communication be in writing to the extent permitted by law.
Changes to Terms
Company may revise these Terms and Conditions at any time by posting an updated version on its website, portal, or form, or by otherwise delivering electronic notice. Client’s continued use of Company services, continued submission of information, or continued clicking of acceptance acknowledgments after updated terms are made available constitutes acceptance of the revised Terms and Conditions.
Contact Information
Accurate Medical Billing, Inc.
21001 North Tatum Blvd., Suite #1630-190
Phoenix, Arizona 85050
Phone: 602.571.0233
Fax: 866.224.9707
Email: info@getamb.com
Website: getamb.com