Terms of Service

Last updated: March 2026 · Effective: March 2026 · These terms govern your use of the ClaimVise platform and all associated services.

1. The Parties

"ClaimVise" / "we" / "us" means Innodel Technologies Private Limited, the provider of the ClaimVise platform.
"Customer" / "you" means the healthcare provider, billing company, or organisation accessing the ClaimVise platform under a subscription or pilot agreement.

2. Services Provided

ClaimVise provides an AI-powered Software-as-a-Service (SaaS) platform for automating medical billing, claim coding, denial management, and revenue cycle operations. The services include:

• AI-assisted ICD-10 and CPT medical coding
• CMS-1500 claim form generation
• Denial risk scoring and prediction
• Prior authorisation letter generation
• Patient eligibility verification
• Automated appeal writing
• Revenue cycle analytics and reporting

3. Acceptable Use

You agree to use ClaimVise only for lawful purposes and in compliance with all applicable laws, including HIPAA and applicable US healthcare regulations. You must not:

• Submit fraudulent claims or use the platform to facilitate healthcare fraud or abuse
• Upload data you do not have authorisation to process
• Attempt to reverse-engineer, copy, or replicate the ClaimVise AI models or platform
• Share your account credentials with unauthorised users
• Use the platform in a manner that violates any patient's privacy rights under HIPAA or applicable law

4. Accuracy & Medical Disclaimer

While ClaimVise targets coding accuracy exceeding 95%, no automated system is perfect. You are responsible for reviewing AI-generated codes and claim forms before submission. ClaimVise is not liable for claim denials, payer rejections, or compliance issues arising from inaccurate input data or failure to review AI outputs.

5. Payment Terms

Pricing is per-claim as set out in your subscription or agreement. Fees are billed monthly in arrears based on actual claims processed. Payment is due within 30 days of invoice. Late payments may result in service suspension. All fees are in USD unless otherwise agreed. Taxes are your responsibility where applicable.

6. Data Ownership

You retain full ownership of all data you upload to ClaimVise, including patient records and clinical documents. ClaimVise does not claim ownership of your data. We process your data only to provide the services described in these terms and our Privacy Policy. Upon account termination, we will return or destroy your data as agreed in your Business Associate Agreement.

7. Intellectual Property

ClaimVise, its AI models, software, platform design, and all related intellectual property are owned by Innodel Technologies Private Limited. Nothing in these terms grants you any licence to copy, reproduce, distribute, or create derivative works from any ClaimVise intellectual property. The ClaimVise name and logo are trademarks of Innodel Technologies Private Limited (trademark registration pending).

8. Confidentiality

Both parties agree to keep confidential any proprietary information received from the other party in connection with the services. ClaimVise will not disclose your business data, patient data, or pricing arrangements to any third party except as described in our Privacy Policy or as required by law.

9. Warranties & Limitation of Liability

ClaimVise is provided "as is" and "as available". We do not warrant uninterrupted, error-free service. We are not liable for indirect, consequential, or incidental damages. Our total liability for any claim arising from your use of ClaimVise is limited to the fees you paid in the 3 months preceding the claim. Nothing in these terms limits liability for fraud, gross negligence, or matters that cannot be excluded by law.

10. Termination

Either party may terminate this agreement with 30 days written notice. ClaimVise may terminate immediately for material breach, non-payment, or use of the platform for illegal purposes. Upon termination, you lose access to the platform and your data will be returned or deleted as per our data retention policy and your BAA.

11. Governing Law

These terms are governed by the laws of India. For customers based in the United States, parties agree that disputes shall be resolved by binding arbitration in accordance with applicable rules, with proceedings conducted in English. Nothing in this clause prevents either party from seeking urgent injunctive relief in any court of competent jurisdiction.

12. Changes to Terms

We may update these terms from time to time. We will notify you by email at least 30 days before material changes take effect. Continued use of the platform after that date constitutes acceptance of the updated terms.