These Terms and Conditions (“Terms”) govern the use of medical billing services provided by AHA Processing (“we,” “us,” or “our”) to healthcare providers, medical practices, or other entities (“Client” or “you”). By using our services, you agree to these Terms. If you do not agree, please do not use our services.

1. Services Provided

We offer services including:

• Claim submission to insurance companies
• Billing and invoicing
• Payment posting and reconciliation
• Insurance coverage verification
• Follow-up on unpaid claims
• Resolving billing discrepancies
• Reporting and analytics

2. Client Responsibilities

You agree to:

• Provide accurate and complete information for claims processing.
• Ensure all claims comply with applicable laws and insurance guidelines.
• Notify us of any changes affecting billing.
• Pay applicable fees as outlined in your service agreement.

3. Fees and Payment

You agree to pay fees as per your agreement. Payment terms will be specified, and AHA Processing may modify pricing with prior notice.

4. Confidentiality and Data Security

We commit to safeguarding your information under HIPAA and other privacy regulations. However, we cannot guarantee internet data security. You are responsible for protecting your data and notifying us of any unauthorized access.

5. Use of Information

You authorize us to use patient and billing data to provide billing services, including communication with insurers and third parties.

6. Claims and Payment

We make best efforts to ensure accurate claim submissions but do not guarantee reimbursement. You are responsible for claim accuracy and handling denials, though we will assist with appeals.

7. Termination of Services

Either party may terminate with written notice. You must pay for services up to the termination date, and we may continue to process claims for a reasonable period after termination.

8. Limitation of Liability

AHA Processing is not liable for indirect or consequential damages, including payment delays or claim denials. Our liability is limited to the amount paid for the service in question.

9. Compliance with Laws and Regulations

You agree to comply with all relevant laws, including HIPAA and the Affordable Care Act. We follow industry standards but are not responsible for violations due to your actions.

10. Amendments to These Terms

We may modify these Terms at any time and will notify you of significant changes. Continued use of our services constitutes agreement to the updated Terms.

11. Governing Law

These Terms are governed by the laws of the state in which AHA Processing is incorporated. Disputes will be handled in that state’s courts.

AHA Processing Medical Billing

Phone: [Your Phone Number]
Email: [Your Email Address]
Address: [Your Business Address]

By using AHA Processing’s medical billing services, you acknowledge that you have read, understood, and agree to be bound by these Terms and Conditions.