Commercial Terms of Service

1. Acceptance of Terms & Scope of Agreement

These Terms of Service ("Terms") constitute a legally binding contract entered into by and between you—whether acting individually, as an authorized agent of a medical practice, hospital, surgery center, physician organization, or healthcare enterprise (collectively, "Client," "User," or "You")—and RMI BPO LLC d/b/a MediNexus Billing ("MediNexus," "Company," "we," "our," or "us").

By accessing, browsing, or utilizing the web domain located at www.medinexusbilling.com, submitting information through our practice audit calculators, requesting consultation, or utilizing any of our administrative revenue cycle platforms, you acknowledge that you have read, understood, and agree to be bound by these Terms and our incorporated Privacy Policy. If you do not agree to all provisions contained herein, you are expressly prohibited from using this website or engaging our services.

2. Hierarchy of Contractual Instruments (MSA & BAA Precedence)

These general website Terms govern the preliminary commercial relationship and website access. When a healthcare organization formally engages MediNexus to perform revenue cycle management, medical coding, accounts receivable recovery, or provider credentialing, the parties enter into separate, negotiated definitive contracts:

3. Commercial Eligibility & User Accounts

Access to www.medinexusbilling.com and our service offerings is restricted to licensed healthcare organizations, practicing physicians, authorized clinical administrators, and commercial healthcare vendors. By submitting any inquiry or audit form, you represent and warrant that:

• You have reached the legal age of majority in your jurisdiction and possess the corporate authority to bind your medical practice or entity to legal obligations.
• All information you submit regarding your clinical practice, provider count, specialty, and billing volume is true, accurate, current, and complete.
• You will maintain the strict confidentiality of any administrative portal credentials or secure file transfer protocol (SFTP) accounts issued to your practice.
• You will immediately notify MediNexus at info@medinexusbilling.com of any suspected compromise, unauthorized access, or credential exposure.

4. Scope of Revenue Cycle Services

MediNexus Billing provides specialized administrative and financial management services to healthcare providers. Depending upon the executed Statement of Work, our service portfolio includes:

5. Strict Non-Clinical Practice Disclaimer & Physician Autonomy

All clinical diagnoses, patient assessments, determinations of medical necessity, treatment recommendations, surgical interventions, prescription decisions, and clinical chart documentation remain the sole, absolute, and unassignable professional responsibility of the treating clinician, medical director, and licensed healthcare entity.

MediNexus relies entirely on the clinical truthfulness, contemporaneous documentation, and medical necessity established by the Client's healthcare professionals. Our coding suggestions and claim scrubbing algorithms represent administrative recommendations derived from published payer guidelines and do not replace clinical discretion.

6. Client Documentation Obligations & Healthcare Compliance

To enable MediNexus to perform compliant billing and coding operations, Client agrees to:

• Contemporaneous & Accurate Documentation: Provide complete, legible, contemporaneous clinical records, encounter forms, and superbills reflecting services actually performed.
• Anti-Fraud Compliance: Strictly refrain from requesting, directing, or permitting any coding manipulation, unbundling, upcoding, or billing for non-rendered services in violation of the federal False Claims Act (31 U.S.C. § 3729), the Anti-Kickback Statute (42 U.S.C. § 1320a-7b), or the Civil Monetary Penalties Law.
• Timely EHR Access: Grant authorized, credentialed MediNexus staff secure, read-only or administrative access to the practice EHR/PM systems necessary to extract charge batches and verify clinical notes within agreed service windows.
• Patient Fee Schedules & Payer Contracts: Supply active fee schedules, participating provider agreements, payer enrollment letters, and specialty copayment parameters.

7. Commercial Compensation & Performance Invoicing

Commercial fees for MediNexus billing solutions are governed by executed Statements of Work under our Master Services Agreement:

8. Proprietary Technology & Intellectual Property

All content, digital architectures, denial analytics engines, claim-scrubbing heuristics, proprietary algorithms, workflow playbooks, appeal letter templates, and branding elements across www.medinexusbilling.com and our operational platforms are the exclusive intellectual property of RMI BPO LLC d/b/a MediNexus Billing and are protected by United States and international copyright, trademark, and trade secret laws.

Client is granted a limited, non-exclusive, revocable, non-transferable license to access our reporting portals during the active term of an agreement solely for internal healthcare administrative management. Client shall not decompile, reverse-engineer, mirror, frame, extract, or commercially exploit any proprietary ruleset, software, or workflow developed by MediNexus.

9. Mutual Confidentiality & Trade Secrets

"Confidential Information" refers to all non-public commercial, financial, technical, or strategic information disclosed by one party ("Disclosing Party") to the other ("Receiving Party"). This encompasses practice fee schedules, operational volumes, client lists, commercial pricing terms, and proprietary software.

Each party covenants to: (a) safeguard the other party's Confidential Information with at least the same degree of care it accords its own sensitive trade secrets (and not less than reasonable care); (b) restrict disclosure strictly to employees and contractors with a need-to-know; and (c) refrain from using Confidential Information for any purpose outside the performance of billing operations.

10. Protected Health Information & HIPAA Demarcation

All electronic Protected Health Information (ePHI) transmitted, processed, stored, or received by MediNexus in connection with medical billing and coding services is governed exclusively by the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), the HITECH Act, and the parties' executed Business Associate Agreement (BAA).

Nothing in these general Terms of Service modifies, relaxes, or diminishes the rigorous administrative, technical, and physical safeguards set forth in our executed BAA or detailed in our formal HIPAA Compliance Statement.

11. Term, Termination & Run-Out Protocols

Initial client terms are specified in the Master Services Agreement (typically twelve months with automatic one-year renewals). Either party may terminate an engagement without cause by providing sixty (60) or ninety (90) days prior written notice as stipulated in the MSA.

12. Warranty Disclaimers & Service Availability

EXCEPT AS EXPRESSLY SET FORTH IN AN EXECUTED MASTER SERVICES AGREEMENT, MEDINEXUS BILLING PROVIDES THIS WEBSITE AND ITS DIGITAL AUDIT TOOLS ON AN "AS IS" AND "AS AVAILABLE" BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS, IMPLIED, STATUTORY, OR OTHERWISE.

TO THE FULLEST EXTENT PERMISSIBLE UNDER APPLICABLE LAW, MEDINEXUS DISCLAIMS ALL IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT. WE DO NOT WARRANT THAT WEBSITE ACCESSIBILITY WILL BE UNINTERRUPTED, SECURE, OR ERROR-FREE, OR THAT THIRD-PARTY CLEARINGHOUSES AND PAYER WEBSITES WILL OPERATE WITHOUT LATENCY OR SYSTEM DOWNTIME.

13. Limitation of Liability & Consequential Damages

TO THE MAXIMUM EXTENT PERMITTED UNDER APPLICABLE LAW:

• Exclusion of Consequential Damages: IN NO EVENT SHALL EITHER PARTY, ITS DIRECTORS, OFFICERS, EMPLOYEES, OR AGENTS BE LIABLE TO THE OTHER FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, PUNITIVE, OR EXEMPLARY DAMAGES, INCLUDING LOSS OF REVENUE, ANTICIPATED PROFITS, BUSINESS OPPORTUNITY, REPUTATION, OR CLINICAL GOODWILL, REGARDLESS OF THE THEORY OF LIABILITY (CONTRACT, TORT, NEGLIGENCE, OR OTHERWISE), EVEN IF ADVISED OF THE POSSIBILITY OF SUCH LOSS.
• Aggregate Monetary Cap: THE TOTAL AGGREGATE LIABILITY OF MEDINEXUS BILLING FOR ANY AND ALL CLAIMS ARISING OUT OF OR RELATING TO THESE TERMS, WEBSITE USAGE, OR SERVICES RENDERED SHALL BE LIMITED TO THE TOTAL FEES ACTUALLY RECEIVED BY MEDINEXUS FROM THE CLIENT DURING THE THREE (3) MONTH PERIOD IMMEDIATELY PRECEDING THE OCCURRENCE OF THE EVENT GIVING RISE TO LIABILITY.

14. Mutual Indemnification Framework

15. Binding Arbitration & Class Action Waiver

PLEASE READ THIS SECTION CAREFULLY. IT GOVERNS HOW LEGAL DISPUTES ARE RESOLVED AND MANDATES BINDING ARBITRATION INSTEAD OF COURT LITIGATION:

16. Governing Law, Severability & Legal Notices

These Terms, together with any executed Master Services Agreements, shall be governed by, interpreted, and enforced in accordance with the substantive laws of the State of Montana and applicable federal healthcare laws, without regard to conflict of law principles.

If any provision of these Terms is determined by an arbitrator or court of competent jurisdiction to be invalid, illegal, or unenforceable, such provision shall be severed or reformed to the minimum extent necessary to make it valid and enforceable, and all remaining provisions shall remain in full force and effect.