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Terms of Service

Last updated: December 28, 2024

1. Acceptance of Terms

By accessing and using ClaimRight's services, you accept and agree to be bound by these Terms of Service. If you do not agree to these terms, please do not use our service.

2. Description of Service

ClaimRight provides an AI-powered platform that helps users generate appeal letters for health insurance claim denials. Our service includes:

  • Upload and analysis of denial letters
  • Interactive questionnaire for claim details
  • AI-generated appeal letters with legal precedents
  • PDF generation and download capabilities

3. User Responsibilities

3.1 Account Usage

You agree to:

  • Provide accurate and complete information
  • Maintain the security of your account credentials
  • Notify us immediately of any unauthorized access
  • Accept responsibility for all activities under your account

3.2 Prohibited Activities

You may not:

  • Use the service for illegal purposes
  • Upload fraudulent or false documents
  • Attempt to reverse engineer or compromise our systems
  • Scrape or harvest data from the service
  • Impersonate others or provide false information
  • Violate any applicable laws or regulations

4. Intellectual Property

All content, features, and functionality of ClaimWin, including but not limited to text, graphics, logos, software, and AI models, are owned by ClaimWin and protected by copyright, trademark, and other intellectual property laws.

The appeal letters generated by our service are provided to you for your personal use. You retain ownership of the content you provide to us.

5. Disclaimer of Warranties

IMPORTANT LEGAL NOTICE

ClaimRight is NOT a law firm and does NOT provide legal advice. Our service generates appeal letters based on your input, but this does not constitute legal representation or advice.

The service is provided "AS IS" and "AS AVAILABLE" without warranties of any kind, including:

  • Accuracy, completeness, or reliability of generated content
  • Guarantee of claim approval or success
  • Uninterrupted or error-free service
  • Security of data transmission

6. Limitation of Liability

To the maximum extent permitted by law, ClaimWin and its affiliates shall not be liable for any indirect, incidental, special, consequential, or punitive damages, including but not limited to:

  • Loss of profits or revenue
  • Denial of insurance claims
  • Data loss or corruption
  • Service interruptions
  • Reliance on generated content

7. Medical and Legal Disclaimer

7.1 Not Medical Advice

Our service does not provide medical advice, diagnosis, or treatment. Always consult with qualified healthcare professionals regarding medical matters.

7.2 Not Legal Advice

The appeal letters we generate do not constitute legal advice. We recommend consulting with a qualified attorney for legal matters, especially complex cases.

8. User Content

By uploading documents or providing information, you grant ClaimRight a license to use, process, and store your content solely for the purpose of providing our services and improving our AI models.

You represent and warrant that you have the right to upload all content and that it does not violate any third-party rights or applicable laws.

9. Privacy

Your use of our service is also governed by our Privacy Policy. Please review our Privacy Policy to understand our data practices.

10. Service Modifications

We reserve the right to modify, suspend, or discontinue any part of our service at any time with or without notice. We will not be liable for any modification, suspension, or discontinuation.

11. Termination

We reserve the right to terminate or suspend your access to our service immediately, without prior notice, for any breach of these Terms of Service or for any other reason at our discretion.

12. Governing Law

These Terms of Service shall be governed by and construed in accordance with the laws of India. Any disputes arising from these terms shall be subject to the exclusive jurisdiction of courts in Mumbai, India.

13. Indemnification

You agree to indemnify and hold harmless ClaimRight and its affiliates from any claims, losses, damages, liabilities, and expenses arising from your use of the service or violation of these terms.

14. Changes to Terms

We reserve the right to update these Terms of Service at any time. We will notify users of significant changes by posting the new terms on this page and updating the "Last updated" date. Your continued use of the service constitutes acceptance of the updated terms.

15. Severability

If any provision of these Terms is found to be unenforceable or invalid, that provision shall be limited or eliminated to the minimum extent necessary, and the remaining provisions shall remain in full force and effect.

16. Contact Information

For questions about these Terms of Service, please contact us at:

ClaimRight

Email: legal@claimright.in

Website: www.claimright.in