Terms of Service

1. Acceptance

By accessing or using Archpoint Claims ("the Platform"), the entity or individual accepting these Terms ("Customer") agrees to be bound by them. If Customer is accepting on behalf of a company or other legal entity, Customer represents that it has the authority to bind that entity.

These Terms constitute the entire agreement between Archpoint Labs and Customer with respect to the Platform, unless the parties have executed a separate written agreement, in which case that agreement governs. Customer's use of the Platform is also subject to the Automation Authorization and, where applicable, the Business Associate Agreement, each of which is incorporated herein by reference.

2. Description of Service

Archpoint Claims is a software automation platform designed to support claim-related workflows for healthcare billing and related administrative functions. The Platform may connect to Customer's designated EHR, practice management, and billing systems and perform configured actions on Customer's behalf, including but not limited to: claim submission, status checks, ERA retrieval, and denial flagging.

Platform capabilities are determined by Customer's configured settings, provided credentials, billing rules, and user approvals. No action is taken beyond the scope of Customer's configuration.

3. Customer Responsibilities

Customer is solely responsible for:

• The accuracy, completeness, and legality of all claim data, patient information, and billing records submitted to or processed by the Platform;
• Configuration of payer rules, modifier logic, billing codes, and fee schedules;
• The security and proper use of all credentials, API keys, and login information provided to the Platform;
• Managing user access, permissions, and role assignments within the Platform;
• Review and approval of any claim actions before or after automated processing, as configured; and
• Compliance with all applicable federal, state, and payer-specific regulations governing medical billing and claims submission.

Archpoint Labs is not responsible for errors, rejections, or adverse outcomes resulting from inaccurate configuration, incorrect data, or Customer's failure to review automated outputs.

4. Automation and System Access

Customer grants Archpoint Labs permission to access connected systems and perform automated actions strictly as configured by Customer and as further described in the Automation Authorization. Customer represents that it has the authority to grant such access and that doing so does not violate any agreements with third-party system providers or applicable law.

Archpoint Labs will use commercially reasonable efforts to perform automations accurately and reliably, but does not guarantee uninterrupted operation. Access to third-party systems, such as clearinghouses, payer portals, and EHR APIs, is subject to the availability and policies of those systems, which are outside Archpoint Labs' control.

5. No Reimbursement Guarantee

Archpoint Claims does not guarantee claim acceptance, payer adjudication, reimbursement, payment timing, or the absence of denials, rejections, or audits. Payer decisions are made independently by payers and are outside Archpoint Labs' control. Submission of a claim through the Platform does not constitute a representation that the claim is payable or compliant.

6. Not Professional Advice

The Platform and any outputs it produces do not constitute medical, legal, coding, compliance, reimbursement, or financial advice. Archpoint Labs is not a billing agency, clearinghouse, or compliance consultant. Customer remains solely responsible for all professional judgments, coding decisions, and legal obligations arising from its billing practices.

7. Data and Confidentiality

Customer retains ownership of all claim data and patient information processed through the Platform. Archpoint Labs will not sell, rent, or share Customer data with third parties except as necessary to provide the Platform or as required by law.

To the extent Customer processes Protected Health Information ("PHI") as defined under HIPAA, the parties must execute a Business Associate Agreement ("BAA") prior to processing such data. Use of the Platform to process PHI without an executed BAA is not authorized.

8. Limitation of Liability

To the maximum extent permitted by applicable law, Archpoint Labs' total liability to Customer for any claims arising out of or related to the Platform shall be limited as set forth in the parties' written agreement. In the absence of such an agreement, Archpoint Labs' aggregate liability shall not exceed the fees paid by Customer in the three (3) months preceding the claim.

In no event shall Archpoint Labs be liable for indirect, incidental, special, consequential, or punitive damages, including lost revenue, lost reimbursement, or claims arising from payer behavior, even if advised of the possibility of such damages.

9. Modifications

Archpoint Labs reserves the right to update these Terms at any time. Material changes will be communicated to Customer via email or in-platform notice at least 14 days before taking effect. Continued use of the Platform after the effective date of any update constitutes acceptance of the revised Terms.

10. Governing Law

These Terms shall be governed by and construed in accordance with the laws of the State of Texas, without regard to its conflict of law provisions. Any disputes arising under these Terms shall be subject to the exclusive jurisdiction of the state and federal courts located in Dallas County, Texas.