Terms and Conditions

1. Acceptance of Terms

By accessing or using the services of One Care MBS LLC ("Company," "we," "us," or "our"), you agree to be bound by these Terms and Conditions. These terms constitute a legally binding agreement between you and One Care MBS LLC.

If you do not agree to these terms, please do not use our services. Your continued use of our services signifies your acceptance of these terms and any future modifications.

2. Services

One Care MBS LLC provides comprehensive medical billing, revenue cycle management, and related administrative services to healthcare providers. Our services include but are not limited to:

• Medical billing and coding services
• Claims processing and submission
• Patient eligibility verification
• Revenue cycle analytics and reporting
• Denial management and appeals
• Payment posting and reconciliation
• Emergency room medical billing
• Out-of-network billing services

We reserve the right to modify, suspend, or discontinue any aspect of our services at any time with reasonable notice to our clients.

3. HIPAA Compliance

As a Business Associate, we maintain strict protocols for:

• Secure handling and storage of PHI
• Employee training on HIPAA compliance
• Regular security audits and assessments
• Breach notification procedures
• Access controls and authentication measures

4. Client Responsibilities

Clients engaging our services are responsible for:

• Providing accurate, complete, and timely information necessary for billing services
• Maintaining their own HIPAA compliance and security measures
• Ensuring proper authorization for release of patient information
• Timely communication of any changes in practice operations or billing requirements
• Cooperation in the resolution of billing disputes or denials
• Maintaining valid credentials and provider enrollment status

5. Confidentiality

Both parties agree to maintain the confidentiality of all non-public, proprietary, and patient information. This includes:

• Protected Health Information (PHI) of patients
• Financial and business information
• Trade secrets and proprietary methodologies
• System access credentials and security measures

Confidential information may only be disclosed as required by law or with explicit written consent from the disclosing party.

6. Payment Terms

Fees for services shall be agreed upon in writing through a separate service agreement. Payment terms include:

• Transparent pricing with no hidden fees
• Invoice generation according to agreed schedule
• Payment due within terms specified in service agreement
• Late payment fees may apply to overdue balances
• Suspension of services for significantly overdue accounts

7. Limitation of Liability

One Care MBS LLC shall not be liable for indirect, incidental, consequential, or punitive damages arising from the use of our services. Our liability is limited to:

• Direct damages resulting from proven negligence or breach of contract
• Maximum liability not to exceed fees paid for services in the twelve months preceding the claim
• Exclusion of damages resulting from client-provided inaccurate information

We maintain professional liability insurance and implement industry best practices to minimize risk to our clients.

8. Indemnification

Clients agree to indemnify and hold harmless One Care MBS LLC, its officers, employees, and agents from claims, damages, or expenses arising from:

• Inaccurate data or information provided by the client
• Non-compliance with applicable laws and regulations by the client
• Unauthorized access to systems due to client security failures
• Third-party claims resulting from client's actions or omissions

9. Termination

Either party may terminate services in accordance with the written service agreement. Termination provisions typically include:

• Written notice period as specified in service agreement
• Transition assistance during notice period
• Return of client property and confidential information
• Settlement of outstanding fees and obligations
• Immediate termination for material breach after cure period

10. Governing Law

These Terms shall be governed by and construed in accordance with the laws of the applicable state where services are provided, without regard to conflict of law principles.

Any disputes arising from these terms or our services shall be resolved through:

• Good faith negotiations between parties
• Mediation if negotiations are unsuccessful
• Binding arbitration or court proceedings as specified in service agreement

11. Changes to Terms

We reserve the right to update these Terms and Conditions at any time. When we make material changes:

• Clients will be notified via email or through our website
• Reasonable notice period will be provided before changes take effect
• Continued use of services after changes constitutes acceptance
• Clients may terminate services if they disagree with material changes

12. Contact Information

For questions regarding these Terms and Conditions, please contact: