Terms of service

ClaimDoc is in early access. It is free during this period, features may change, and we may end or limit early access with notice. We will tell account holders before any paid plan applies to them.

Use synthetic or de-identified records only. ClaimDoc is not yet offered for protected health information, and we do not sign business associate agreements during this period. You agree not to upload real, identifiable patient records until we tell you in writing that you may. The current status is on the compliance page.

You are responsible for your sign-in details and for what is done under your account. Give each person their own account. Tell us promptly at hello@claimdoc.co if you think an account has been misused.

ClaimDoc reads the documents you upload, recommends a route for a denied claim and, for an appeal, produces a packet: the payer's form where it can fill one, a letter, exhibits and policy excerpts. Its automated verification is designed so that statements in the letter are supported by the records you supplied.

• ClaimDoc does not send anything to a payer. You decide whether and how to send a packet.
• ClaimDoc does not guarantee that a payer will reverse a denial or pay a claim.
• ClaimDoc does not give legal, medical, coding or billing advice, and it is not a substitute for professional judgment.
• Deadlines, addresses and payer rules shown by ClaimDoc come from your documents and from published sources. The denial notice controls. Confirm anything that matters against it.

• You have the right to upload the documents you upload and to use them to appeal the claim.
• The clinic details you enter (names, identifiers, addresses, network status) are accurate.
• You are responsible for what you send to a payer, including its accuracy and completeness, and for meeting the payer's deadline.
• You will not use ClaimDoc to submit a claim or statement you know to be false.

ClaimDoc has no per-appeal signing step. When you set up a signature for a clinic, you confirm that you are that signer or are authorized to act for them, and you authorize ClaimDoc to apply that signature automatically to that clinic's appeal letters and to payer forms that require one, including a Medicare Advantage waiver of liability. Each use is recorded. An owner or admin can replace the signature or withdraw this authorization in settings at any time; packets already created are not affected.

Your organization owns what it uploads and the packets ClaimDoc produces for it. You give us permission to store and process that content only to provide the service to you. We do not use it to train AI models. How we handle it is described in the privacy policy.

Do not try to access another organization's data, interfere with the service, probe it for weaknesses without our written permission, reverse engineer it, or use it to build a competing product. Do not upload malicious files.

Payer policies and government publications quoted in a packet belong to their publishers and are quoted with their source. Billing code sets may be owned by others; ClaimDoc shows the codes that appear in your own documents and does not provide code descriptions that require a license.

We work to keep ClaimDoc available but do not promise uninterrupted service during early access. We may change or remove features. If a change would materially reduce what you rely on, we will give notice where we reasonably can.

ClaimDoc is provided “as is” during early access. To the extent the law allows, we disclaim all implied warranties, including merchantability, fitness for a particular purpose and non-infringement.

To the extent the law allows, Genta AI Solutions LLC is not liable for indirect, incidental, special or consequential damages, or for lost revenue, including a claim a payer does not pay. Our total liability for any claim relating to the service is limited to the greater of the amount you paid us for the service in the twelve months before the claim, or one hundred US dollars.

You may stop using ClaimDoc and ask us to close your account at any time. We may suspend or close an account that breaks these terms or puts the service or other customers at risk. On closure we erase your content on request, as described in the privacy policy.

These terms are governed by the laws of the state in which Genta AI Solutions LLC is organized, without regard to conflict-of-law rules. If part of these terms is found unenforceable, the rest remains in effect. We may update these terms; if a change matters, we will tell account holders before it takes effect.

Genta AI Solutions LLC · hello@claimdoc.co