Denials
Management, Inc.
"The Company" publishes and
maintains FixMyClaim.com an educational resource, subject to the
following terms of membership and usage. Use of FixMyClaim.com
service constitutes acceptance and agreement to TOM (Terms of
Membership). All provisions of this contract are subject to the TOM
of FixMyClaim.com, Inc. This Agreement shall be construed in all
respects in accordance with the laws of the state of Utah, county of
Salt Lake applicable to contracts enforceable in that state. Venue
will be Salt Lake County, Utah.
Copyrights
You
agree that all documentation, articles, case studies, techniques,
appeal letters, and processes contained at FixMyClaim.com are the
exclusive property of Denials Management, Inc. and you agree these
items constitute copyrighted and/or patented material of Denials
Management, Inc. and will be safeguarded by you. You may not
reproduce any of these materials, except as provided herein, or with
the written permission of Denials Management, Inc. ( not its agents,
distributors, or resellers).
You may not transfer,
sub-license, lease, rent, time-share or lend this information, your
copies, or any related material without prior written consent from
Denials Management, Inc. itself. You may not reverse engineer,
decompile, or disassemble the software. You may not remove or obscure
Denials Management, Inc. copyright or trademark notices in either
hardcopy or machine readable portions of the website. Any
distribution of original or reproduced materials, whether for profit
or not, is copyright infringement and is protected and administered
by criminal and civil statutes.
You may print or modify the
appeal letters contained within FixMyClaim.com only if this usage is
solely for the personal use of the licensed user on behalf of the
purchasers own business claim appeal practice. Any unauthorized
reproduction, modification, distribution, derivative works from, or
in any way exploit of its contents in part or in whole is prohibited
and will be considered a violation of the user license.
Any
access to the appeal letter database contained within FixMyClaim.com
by any means other than than provided at FixMyClaim.com, for any
purpose, is strictly prohibited.
Copyright infringement is a
serious crime covered by Federal copyright laws, criminal and civil
statutes. This agreement is provided to protect both the rights of
The Company and the legitimate, licensed subscriber. Your registering
as a member indicates your acceptance to the terms and conditions of
this agreement.
Miscellaneous
Provisions
You must
provide us with, and keep current, good contact information for you.
E-mail, fax, and telephone contacts are used, in that order of
preference.
A waiver by the Company of any breach of any
provision of this Agreement by Subscriber shall not operate as or be
construed as a continuing or subsequent waiver thereof or as a waiver
of any breach of any other provision thereof.
Subscriber
shall not transfer or assign this Agreement without the prior written
consent of the Company. Company may assign Agreement at anytime
without consent from or notice to Subscriber. Company reserves right
to cancel customers rights under this contract at anytime without
further obligation.
The Company takes no responsibility for
any material input by others and not posted to the FixMyClaim.com
website by The Company. The Company is not responsible for the
content of any other websites linked to the FixMyClaim.com website;
links are provided as Internet navigation tools only. The Company
disclaims any responsibility for any such inappropriate use and any
liability to any person or party for any other person or party's
violation of this policy.
Limits
of Liability
The
Company is not responsible for any damages your business may suffer
from information obtained from FixMyClaim.com. The Company does not
make implied or written warranties for any of our services. The
Company denies any warranty or merchantability for a specific
purpose.
If you use FixMyClaim.com’s appeal letter database
or any other information at FixMyClaim.com, you are solely
responsible for your own communications, the consequences of posting
those communications, and your reliance on any communications found
in this areas. The Company is not responsible for the consequences of
any communications related to your submission.
In
consideration of being allowed to use the Appeal Letter Database, you
agree that the following actions shall constitute a material breach
of these Terms and Conditions:
1. Using the Appeal Letter
Database for any purpose in violation of local, state, national, or
international laws;
2. Posting material that infringes on the
intellectual property rights of others or on the privacy or publicity
rights of others;
3. Posting material that is unlawful, obscene,
defamatory, threatening, harassing, abusive, slanderous, hateful, or
embarrassing to any other person or entity as determined by The
Company in its sole discretion;
4. Posting advertisements or
solicitations of business;
5. After receiving a warning,
continuing to disrupt the normal flow of dialogue, or posting
comments that are not related to the topic being discussed (unless it
is clear the discussion is free-form);
6. Posting chain letters or
pyramid schemes;
7. Impersonating another person;
8.
Distributing viruses or other harmful computer code;
9. Harvesting
or otherwise collecting information about others, including email
addresses, without their identification for posting or viewing
comments; consent;
10. Allowing any other person or entity to use
your identification for posting or viewing comments;
11. Posting
the same note more than once or "spamming" or
12.
Engaging in any other conduct that restricts or inhibits any other
person from using or enjoying the Appeal Letter Database or the Site,
or which, in the judgment of The Company, exposes The Company or any
of its customers or suppliers to any liability or detriment of any
type.
The Company reserves the right (but is not obligated)
to do any or all of the following:
1. Investigate an
allegation that a communication(s) do(es) not conform to the terms of
this section and determine in its sole discretion to remove or
request the removal of the communication(s).
2. Remove
communications which are abusive, illegal, or disruptive, or that
otherwise fail to conform with these Terms and Conditions.
3.
Terminate a user's access to FixMyClaim.com upon any breach of these
Terms and Conditions.
4. Monitor, edit, or disclose any
communication in the Public Areas.
5. Edit or delete any
communication(s) posted on the FixMyClaim.com, regardless of whether
such communication(s) violate these standards.
The Company
reserves the right to take any action it deems necessary to protect
the personal safety of our guests or the public. The Company has no
liability or responsibility to users of FixMyClaim.com or any other
person or entity for performance or nonperformance of the
aforementioned activities.
Subscriber
Submissions
Subscribers may summit content or communications to
FixMyClaim.com for inclusion in the Appeal Letter database or as a
part of the member forums. The Company retains full editorial control
and may refuse to accept any submission for any reason. Every
submitted content or communication will be reviewed for compliance
with applicable state and federal law and editorial changes may be
made at our discretion. Once a content or communication is accepted,
it becomes the property of The Company and may be distributed by The
Company as desired. Subscribers who proceed with submission of a
content or communication must agree that you will not upload or
transmit any communications or content of any type that infringes or
violates any rights of any party. By submitting content or
communications, you agree that such submission is non-confidential
for all purposes and is your original work. Subscribers who make any
submission to any area of FixMyClaim.com automatically grants--or
warrants that the owner of such content or intellectual property has
expressly granted The Company a royalty-free, perpetual, irrevocable,
world-wide nonexclusive license to use, reproduce, create derivative
works from, modify, publish, edit, translate, distribute, perform,
and display the communication or content in any media or medium, or
any form, format, or forum now known or hereafter developed. The
Company may sublicense its rights through multiple tiers of
sublicenses. If you wish to keep any business information, ideas,
concepts or inventions private or proprietary, do not submit them to
FixMyClaim.com or to The Company.
Description
of
Information Collected & Usage
FixMyClaim.com understands
the importance of protecting personal privacy and is committed to
protecting its customers’ privacy. FixMyClaim.com provides
online
ordering to make our subscriber's experience more convenient.
FixMyClaim.com only uses the information from subscribers to
correctly process subscriptions and to improve our ability to
understand our customer’s needs.
FixMyClaim.com stores the
information that is provided by the subscriber when a subscription is
purchased from FixMyClaim.com. This information is stored in a secure
site with access limited to a small number of individuals within
Denials Management, Inc. This information is used for
internal
purposes only and will never be shared with any third-party.
Information
Collected for Internal Feedback
FixMyClaim.com reserves the right to aggregate the data collected
and use it for market research purposes in order to improve
FixMyClaim.com’s customer service and products. This
aggregated
data will not include information that would personally identify a
customer.
Subscription
Payment
Initial billing is
submitted upon the completion of the signup process, at which point
recurring billing is initiated based on the selected billing period
(single 180 day, monthly or annually). Service levels are as follows:
$149.00 - Select Plus (180 day access, online chat support, and 2 hours of live support. Each additional 2 hours of live support is $149.00.)
$59.00 - Select (180 day access plus online chat support)
$39.00 - Value (180 day access to member-only claim appeals resources)
$149.00 - Billing Services (Verification of Benefits, Insurance Billing and Follow Up)
$99.00 - Business (monthly access fee to all claim types)
$1100.00 - Business Annual (yearly access fee to all claim types).
All future billings will be submitted on the original signup date in all future months for
monthly billing or future years for annual billing. Prices are
subject to change; however, you will be notified with 30 days notice,
via your supplied contact email address, of any such changes before
they go into effect, and you will be given the opportunity to cancel
your subscription should you so wish.
Additional Support Payment
After initial billing has been completed on service levels including limited hours of support,
FixMyClaim.com may initiate recurring billing for additional support after the initial limited
hours of support have been exhausted. Billing for additional support will be billed in advance using 2 hour increments.
Additional support will be billed to subscriber at a cost of $149.00 for 2 hours.
Additional support will be billed using subscriber's previous payment method.
Subscription
Period
Your account will remain active from the date of signup to the
date at which your account is cancelled in accordance with the
following details: 90 day subscription accounts will terminate 90
days after sign up date. Monthly business accounts will be billed
monthly from the date of sign up until the user requests termination
in writing to Denials Management, Inc. 1459 E 3900 S Salt Lake City,
Utah 84124. Annual business accounts will terminate one year after
sign up date.
Policies
Regarding Third Parties
FixMyClaim.com's policy is to not sell, rent or trade personal
information to others.
FixMyClaim.com
Policy Changes
If FixMyClaim.com decides to change its privacy policy,
FixMyClaim.com will post these changes here. Please feel free to
contact us at admin@fixmyclaim.com if you have further questions
regarding our privacy practices.
General
FixMyClaim.com is designed to assist individuals and medical
providers with appealing wrongfully denied insurance claims. We are
not extending legal advice regarding any subject matter. If you are
unsure about your legal rights in any dispute, you should consult an
attorney.
