TERMS OF USE

InvisaClaim LLC

Effective Date: March 17, 2026
Last Updated: October 21, 2026

These Terms of Use (“Terms”) govern access to and use of the websites, software, applications, and related services provided by InvisaClaim LLC, a Florida limited liability company (“InvisaClaim,” “Company,” “we,” “us,” or “our”).

Company Address:

InvisaClaim LLC
433 Plaza Real, Suite 275
Boca Raton, FL 33432

Website: https://www.invisaclaim.com
Platform: https://app.invisaclaim.com

These Terms apply to our public website, proprietary artificial intelligence-powered healthcare revenue cycle management Platform, and related features, integrations, support services, and content (collectively, the “Services”).

IMPORTANT NOTICE

BY ACCESSING OR USING THE SERVICES, CREATING AN ACCOUNT, OR ELECTRONICALLY ACCEPTING THESE TERMS, YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTOOD THESE TERMS AND AGREE TO BE LEGALLY BOUND BY THEM.

IF YOU ARE ACTING ON BEHALF OF A HEALTHCARE ORGANIZATION, MEDICAL PRACTICE, BILLING COMPANY, OR OTHER ENTITY, YOU REPRESENT THAT YOU HAVE THE AUTHORITY TO BIND THAT ENTITY.

IF YOU DO NOT AGREE TO THESE TERMS, YOU MUST NOT ACCESS OR USE THE SERVICES.

1. ACCEPTANCE AND ELIGIBILITY

1.1 Acceptance.

These Terms constitute a binding agreement between InvisaClaim and the individual or entity accessing or using the Services (“User,” “Client,” or “you,” as applicable).

1.2 Authorized Business Use.

The Platform is intended for authorized healthcare organizations, medical practices, physicians, revenue cycle management companies, medical billing professionals, and other approved business users.

1.3 Age Requirement.

Individual account holders must be at least eighteen (18) years old and legally capable of entering into binding agreements.

1.4 Authority to Bind.

An individual registering an organization or accepting contractual terms on its behalf represents and warrants that the individual possesses sufficient legal authority to do so.

1.5 Related Agreements.

Paid subscriptions and commercial use of the Platform are governed by the applicable Master Services Agreement (“MSA”), Order Form, and Business Associate Agreement (“BAA”), where required.

These Terms supplement those agreements and do not replace them.

2. DESCRIPTION OF SERVICES

2.1 Platform Functionality.

InvisaClaim provides software and automation tools designed to support healthcare revenue cycle management, including:

  • Medical claims analysis;

  • Insurance denial identification;

  • AI-assisted insurance appeal preparation;

  • Reimbursement opportunity identification;

  • Claims workflow automation;

  • Revenue cycle analytics;

  • Claims tracking and reporting;

  • Electronic health record integrations;

  • Practice management system integrations;

  • Payer-related administrative workflows;

  • Related technical and administrative functionality.

2.2 Administrative Support Technology.

The Services are intended to assist healthcare organizations with administrative and reimbursement-related processes.

InvisaClaim does not independently provide medical treatment, legal representation, insurance underwriting, or final payer reimbursement determinations.

2.3 Service Availability.

Features may vary according to subscription category, account configuration, third-party integration availability, and Platform updates.

2.4 Modifications.

InvisaClaim may update, modify, enhance, or discontinue Platform features, subject to applicable contractual obligations under the MSA.

3. ACCOUNT REGISTRATION AND SECURITY

3.1 Accurate Information.

Users shall provide accurate, current, and complete registration and account information.

3.2 Account Credentials.

Users are responsible for protecting usernames, passwords, authentication credentials, and other account access information.

3.3 Authorized Users.

Client organizations are responsible for managing their authorized personnel and promptly revoking access when an individual is no longer authorized.

3.4 Account Activity.

Client organizations are responsible for activities performed by their authorized personnel within the scope of their authorization.

This provision does not excuse InvisaClaim from its own applicable security or legal obligations.

3.5 Security Notification.

Users must promptly notify InvisaClaim of suspected unauthorized access, compromised credentials, or other security concerns affecting their accounts.

3.6 Account Suspension.

InvisaClaim may suspend or restrict access when reasonably necessary to address security threats, unauthorized activity, nonpayment, fraud, or material violations of applicable agreements.

4. SUBSCRIPTIONS AND BILLING

4.1 Subscription-Based Services.

Paid Platform access is provided through subscriptions governed by the MSA and applicable Order Form or enrollment checkout.

4.2 Per-NPI Billing.

Unless otherwise specified in an applicable Order Form, subscriptions are assessed on a per-Provider, per-month basis, with each separately enrolled National Provider Identifier (“NPI”) constituting a billable Provider Subscription.

4.3 Subscription Categories.

Subscription options may include:

  • In-Network Claims;

  • Out-of-Network Claims;

  • Combined In-Network and Out-of-Network Claims.

Current pricing and included functionality are identified during enrollment or in the applicable Order Form.

4.4 Recurring Payments.

By activating a paid subscription and providing an authorized payment method, Client authorizes recurring charges in accordance with the MSA and applicable subscription terms.

4.5 Provider Additions.

An authorized Billing Administrator may add Provider Subscriptions, resulting in additional recurring charges.

4.6 Cancellation.

Cancellation rights, notice periods, effective dates, and applicable billing consequences are governed by the MSA and any controlling Order Form.

4.7 Refunds.

Fees are nonrefundable except where expressly provided in the MSA, applicable Order Form, or required by law.

4.8 Pricing Changes.

Subscription pricing changes shall be communicated in accordance with the MSA.

4.9 No Percentage-Based Recovery Fees.

Unless expressly agreed in a separately executed written agreement, InvisaClaim does not charge a percentage of insurance claim recoveries, appeal proceeds, or reimbursements obtained by Client.

5. ACCEPTABLE USE AND PROHIBITED ACTIVITIES

Users agree to access and use the Services only for lawful, authorized business purposes.

Users shall not:

5.1 Unlawful Conduct.

Use the Services in violation of applicable federal, state, or local law, including applicable healthcare billing, privacy, fraud, and abuse requirements.

5.2 Fraudulent Claims.

Knowingly submit or facilitate false, fraudulent, fabricated, or materially misleading claims, appeals, clinical documentation, or reimbursement requests.

5.3 Unauthorized PHI.

Upload, transmit, or process PHI where a legally required BAA is not in place or the disclosure is otherwise unauthorized.

5.4 Unauthorized Access.

Attempt to access accounts, systems, databases, or information without authorization.

5.5 Reverse Engineering.

Reverse engineer, decompile, disassemble, or attempt to discover proprietary source code, algorithms, or underlying Platform technology, except where expressly permitted by applicable law.

5.6 Intellectual Property Misuse.

Copy, reproduce, redistribute, sublicense, or commercially exploit proprietary Platform components without written authorization.

5.7 Competitive Misappropriation.

Use unauthorized copying, extraction, or reverse engineering of the Platform to develop or support a competing software product.

5.8 Automated Extraction.

Conduct unauthorized scraping, automated bulk extraction, or data mining.

5.9 Security Interference.

Introduce malicious code, bypass security controls, interfere with Platform availability, or disrupt other users.

5.10 Credential Sharing.

Share credentials with unauthorized individuals or circumvent subscription and access restrictions.

5.11 Misrepresentation.

Misrepresent professional credentials, organizational authority, provider identities, or billing authorizations.

Violations may result in suspension, termination, or other appropriate action, subject to applicable law and contractual obligations.

6. HEALTHCARE COMPLIANCE

6.1 Applicable Laws.

Users are responsible for complying with laws applicable to their activities, including, where relevant:

  • HIPAA and the HITECH Act;

  • The federal False Claims Act;

  • Federal and state healthcare fraud and abuse laws;

  • Medicare and Medicaid billing requirements;

  • Applicable payer contracts;

  • Medical records and retention requirements;

  • Professional licensing requirements;

  • Applicable privacy and information security laws.

6.2 Client Responsibility.

Healthcare organizations retain responsibility for clinical determinations, coding accuracy, documentation, claims submissions, appeal deadlines, and reimbursement representations.

6.3 No Independent Clinical Determinations.

InvisaClaim does not independently determine medical necessity, establish diagnoses, or make clinical treatment decisions.

6.4 Payer Requirements.

Users are responsible for verifying that submitted claims and appeals satisfy applicable payer rules and contractual requirements.

6.5 No Guaranteed Reimbursement.

InvisaClaim does not guarantee approval, payment, recovery, reversal of denial, or any specific financial outcome.

7. ARTIFICIAL INTELLIGENCE AND AUTOMATED OUTPUTS

7.1 AI-Assisted Functionality.

The Platform may utilize artificial intelligence, machine learning, and automated processing technologies.

7.2 Output Limitations.

AI-generated outputs may contain errors, omissions, inaccurate assumptions, incomplete analysis, or information that does not reflect current payer policies or regulatory requirements.

7.3 Human Review.

Users must ensure that appropriately qualified personnel review and approve material AI-generated content before it is relied upon for claims submission, insurance appeals, clinical decisions, or other consequential purposes.

7.4 Client Accountability.

Client remains responsible for its decisions to approve, submit, modify, or rely upon generated content, except to the extent a particular responsibility is expressly assigned to InvisaClaim under a controlling written agreement.

7.5 No Professional Relationship.

Use of the Services does not create a physician-patient, attorney-client, or other regulated professional advisory relationship between InvisaClaim and any patient or user.

7.6 Model Development.

Use of Client Data for AI processing, development, or model improvement shall be governed by the Privacy Policy, MSA, applicable BAA, and applicable law.

7.7 Identifiable PHI.

InvisaClaim shall not use identifiable PHI to train publicly available or general-purpose AI models without an appropriate legal basis and express written authorization from the applicable Client.

8. HIPAA AND PROTECTED HEALTH INFORMATION

8.1 PHI Processing.

The Services may involve PHI as defined under HIPAA.

8.2 Business Associate Agreement.

Where HIPAA requires a BAA, the appropriate agreement must be executed or otherwise validly accepted before PHI is processed through the Services.

8.3 Permitted Uses.

PHI shall be used and disclosed only as permitted by the applicable BAA and governing law.

8.4 Security Safeguards.

InvisaClaim shall implement administrative, physical, and technical safeguards required by applicable HIPAA provisions.

8.5 Incident Reporting.

Reporting of PHI-related security incidents and breaches shall be governed by the applicable BAA and legal requirements.

8.6 Client Authorization.

Clients represent that they have the legal authority to provide information to the Platform and to authorize the applicable processing activities.

8.7 Order of Precedence.

Where these Terms conflict with an applicable BAA concerning PHI privacy, security, permitted uses, or disclosures, the BAA shall control to the extent necessary to comply with HIPAA.

9. THIRD-PARTY INTEGRATIONS

9.1 Integration Availability.

The Services may connect with third-party electronic health record systems, practice management applications, clearinghouses, payer systems, and communication platforms.

9.2 Authorization.

Users are responsible for obtaining and maintaining appropriate authorizations, credentials, and permissions for third-party integrations.

9.3 Third-Party Changes.

InvisaClaim does not control independent third-party systems and cannot guarantee their continuous availability, compatibility, or functionality.

9.4 Integration Restrictions.

Users shall not access third-party systems through InvisaClaim in violation of applicable licenses, access permissions, or contractual restrictions.

9.5 Connected Email.

Optional Google Workspace and Microsoft 365 email integrations are governed by the applicable authorization permissions and InvisaClaim Privacy Policy.

9.6 Third-Party Trademarks.

References to third-party software, trademarks, or platforms do not independently establish endorsement, sponsorship, or affiliation.

10. INTELLECTUAL PROPERTY

10.1 InvisaClaim Ownership.

InvisaClaim and its licensors retain all right, title, and interest in the Platform, including:

  • Proprietary software;

  • Source code;

  • Artificial intelligence models;

  • Algorithms;

  • Claims analysis methodologies;

  • Automation workflows;

  • APIs;

  • Databases and architecture;

  • Documentation;

  • Trademarks and branding;

  • Related intellectual property.

10.2 Limited License.

During an active authorized subscription, Client receives a limited, non-exclusive, non-transferable, non-sublicensable right to use the Platform for its permitted business purposes, subject to the MSA.

10.3 Client Data.

As between InvisaClaim and Client, Client retains its rights in Client Data, subject to applicable patient rights and legal restrictions.

10.4 Data Processing License.

Client authorizes InvisaClaim to use and process Client Data as reasonably necessary to provide the Services, subject to applicable agreements and law.

10.5 De-Identified Information.

InvisaClaim may use properly de-identified information for lawful analytics, Platform improvement, and model development where permitted by the applicable BAA.

10.6 Feedback.

Users granting voluntary feedback authorize InvisaClaim to use that feedback for lawful product development without compensation, excluding PHI and protected Client Data unless separately authorized.

10.7 No Transfer of Ownership.

Access to the Services does not transfer ownership of InvisaClaim's intellectual property.

11. PRIVACY AND INFORMATION SECURITY

11.1 Privacy Policy.

InvisaClaim's collection and handling of information are described in its Privacy Policy.

11.2 Security Measures.

InvisaClaim maintains reasonable and appropriate administrative, technical, and physical safeguards consistent with applicable law.

11.3 Security Limitations.

No electronic platform can be guaranteed to be entirely free from security risks, interruptions, or unauthorized activity.

11.4 User Security Obligations.

Users must safeguard credentials, manage authorized access, and promptly report suspected security incidents.

11.5 Confidentiality.

Confidentiality obligations are governed by applicable agreements, including the MSA and BAA.

12. DATA RETENTION, EXPORT, AND DELETION

12.1 Active Accounts.

Client Data may be retained during an active subscription as necessary to provide the Services and satisfy applicable legal obligations.

12.2 Post-Termination Export.

Following termination or cancellation, Client generally has thirty (30) calendar days to export available Client Data, subject to the MSA and BAA.

12.3 Export Responsibility.

Client is responsible for obtaining copies of records that it is legally required to retain.

12.4 Production Data Deletion.

Following the applicable export period, InvisaClaim shall return, destroy, or otherwise dispose of Client Data in accordance with the MSA, BAA, applicable law, and established retention procedures.

12.5 Backup Systems.

Information in encrypted backups, disaster recovery systems, immutable logs, or archival storage may remain until deletion is feasible through established retention procedures.

Retained PHI remains subject to applicable HIPAA and BAA protections.

12.6 Legally Required Retention.

Nothing in these Terms requires deletion of information that must lawfully be retained.

12.7 No Guarantee of Recovery.

InvisaClaim does not guarantee restoration of information deleted in accordance with applicable contractual and legal requirements.

13. SUSPENSION AND TERMINATION

13.1 Suspension Grounds.

InvisaClaim may suspend affected Services for:

  • Nonpayment;

  • Material contractual violations;

  • Fraudulent or unlawful conduct;

  • Unauthorized access;

  • Material security threats;

  • Regulatory requirements;

  • Conduct threatening Platform integrity.

13.2 Notice.

Reasonable notice shall be provided where practicable, except where immediate suspension is necessary to prevent harm or comply with law.

13.3 Termination Rights.

Termination of paid Services shall be governed by the applicable MSA and Order Form.

13.4 Effect of Termination.

Termination ends the applicable right to use the Platform, subject to any authorized transition or data-export access.

13.5 Surviving Obligations.

Accrued payment obligations, intellectual property restrictions, confidentiality, indemnification, limitations of liability, dispute resolution, and legally required data protection obligations shall survive as applicable.

14. DISCLAIMERS OF WARRANTIES

14.1 Service Disclaimer.

EXCEPT AS EXPRESSLY PROVIDED IN A CONTROLLING WRITTEN AGREEMENT, THE SERVICES ARE PROVIDED “AS IS” AND “AS AVAILABLE,” TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW.

14.2 Implied Warranties.

TO THE EXTENT PERMITTED BY LAW, INVISACLAIM DISCLAIMS IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT.

14.3 No Outcome Warranty.

INVISACLAIM DOES NOT GUARANTEE THAT:

  • THE PLATFORM WILL OPERATE WITHOUT INTERRUPTION;

  • ALL OUTPUTS WILL BE ERROR-FREE;

  • INSURANCE CLAIMS WILL BE APPROVED;

  • DENIALS WILL BE REVERSED;

  • APPEALS WILL BE SUCCESSFUL;

  • ANY PARTICULAR REIMBURSEMENT WILL BE OBTAINED;

  • THIRD-PARTY SYSTEMS WILL REMAIN AVAILABLE OR COMPATIBLE.

14.4 Mandatory Obligations.

Nothing in these disclaimers eliminates obligations or warranties that cannot lawfully be disclaimed.

15. LIMITATION OF LIABILITY

15.1 Excluded Damages.

TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, NEITHER INVISACLAIM NOR CLIENT SHALL BE LIABLE TO THE OTHER FOR INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES, INCLUDING LOST PROFITS, LOST REVENUE, OR BUSINESS INTERRUPTION.

15.2 Contractual Liability Cap.

TO THE MAXIMUM EXTENT PERMITTED BY LAW, INVISACLAIM'S TOTAL AGGREGATE CONTRACTUAL LIABILITY ARISING FROM OR RELATING TO THE SERVICES SHALL NOT EXCEED THE FEES ACTUALLY PAID BY THE APPLICABLE CLIENT TO INVISACLAIM DURING THE THREE (3) MONTHS IMMEDIATELY PRECEDING THE EVENT GIVING RISE TO THE CLAIM.

15.3 Controlling Agreements.

Where a validly executed MSA establishes applicable liability limitations, those provisions shall govern contractual claims arising from paid Services.

15.4 Legal Exceptions.

Nothing in these Terms excludes liability that cannot legally be excluded, restricts governmental enforcement authority, or eliminates mandatory HIPAA obligations.

16. INDEMNIFICATION

16.1 User and Client Indemnification.

To the extent permitted by applicable law, Client shall defend, indemnify, and hold harmless InvisaClaim and its officers, managers, employees, and agents against third-party claims, losses, liabilities, and reasonable legal expenses arising from:

a. Client's unlawful use of the Services;

b. Knowingly fraudulent, fabricated, or materially misleading Client Data;

c. Client's material violation of these Terms;

d. Client's violation of applicable healthcare billing or privacy laws;

e. Unauthorized actions of Client's personnel;

f. Inaccurate claims or reimbursement representations attributable to Client.

16.2 Allocation of Responsibility.

Indemnification shall apply only to the extent claims are attributable to Client's conduct and shall not extend to InvisaClaim's own negligence, misconduct, or legal violations.

16.3 Controlling MSA.

Where an MSA applies, its indemnification provisions govern contractual indemnity obligations.

17. GOVERNING LAW AND DISPUTE RESOLUTION

17.1 Governing Law.

These Terms shall be governed by applicable federal law and the laws of the State of Florida, without regard to conflict-of-law principles.

17.2 Informal Resolution.

Before commencing arbitration, the Parties shall attempt in good faith to resolve contractual disputes through written notice and negotiations for thirty (30) days.

17.3 Binding Arbitration.

Unresolved contractual disputes shall be submitted to binding arbitration administered by the American Arbitration Association under its applicable Commercial Arbitration Rules.

17.4 Venue.

Unless otherwise agreed in writing, arbitration shall take place in Boca Raton, Palm Beach County, Florida.

17.5 Individual Proceedings.

To the extent permitted by applicable law, disputes subject to arbitration shall proceed individually rather than as class or representative proceedings.

17.6 Equitable Relief.

Either Party may seek temporary or preliminary injunctive relief from a court of competent jurisdiction where legally available to protect confidential information, intellectual property, or other rights.

17.7 Regulatory Authority.

Nothing in these Terms restricts governmental investigations, regulatory enforcement, or other rights that cannot lawfully be waived.

17.8 Controlling MSA.

Where the MSA contains applicable dispute resolution provisions, those provisions shall control.

18. CHANGES TO THESE TERMS

18.1 Updates.

InvisaClaim may update these Terms to reflect legal developments, operational changes, Platform enhancements, or changes in business practices.

18.2 Notice.

Material changes shall be communicated through appropriate electronic notice, which may include email, Platform notification, or website publication.

18.3 Existing Paid Subscriptions.

Changes affecting existing paid subscriptions shall be subject to applicable notice and amendment provisions of the MSA.

18.4 BAA Amendments.

Changes to HIPAA-related contractual obligations shall be governed by the applicable BAA and law.

18.5 Continued Use.

Continued use after properly notified changes become effective may constitute acceptance where permitted by applicable law and the governing contractual arrangements.

19. GENERAL PROVISIONS

19.1 Entire Agreement.

These Terms, together with the MSA, applicable Order Forms, Privacy Policy, and BAA where applicable, constitute the governing contractual framework for the Services.

19.2 Order of Precedence.

In the event of conflict:

  1. The BAA controls for PHI privacy, security, permitted uses, and HIPAA compliance.

  2. An applicable executed Order Form controls for expressly negotiated commercial terms.

  3. The MSA controls for paid Services, subscriptions, fees, liability allocation, and other commercial obligations.

  4. These Terms govern general access and use of the website and Platform.

  5. The Privacy Policy describes applicable information-handling practices and does not independently authorize conduct prohibited by law or the BAA.

19.3 Assignment.

Users and Clients may not assign their rights under these Terms except as permitted by the MSA or with InvisaClaim's written consent.

InvisaClaim may assign its rights in connection with a merger, acquisition, restructuring, or sale of relevant business assets, subject to applicable legal obligations.

19.4 Severability.

If a provision is determined to be invalid or unenforceable, the remaining provisions shall remain effective.

19.5 Waiver.

Failure to enforce a provision shall not constitute a waiver of future enforcement.

19.6 Force Majeure.

Neither Party shall be liable for failures caused by circumstances beyond its reasonable control, subject to applicable contractual and legal obligations.

19.7 Independent Contractors.

Nothing in these Terms creates a partnership, joint venture, employment relationship, or fiduciary relationship.

19.8 No Third-Party Beneficiaries.

These Terms do not create enforceable rights in favor of third parties except as required by applicable law.

19.9 Electronic Acceptance.

Electronic acceptance, electronic signatures, and electronically executed agreements shall be legally effective to the extent permitted by applicable law.

19.10 Survival.

Provisions intended by their nature to survive termination shall remain effective to the extent legally permissible.

20. CONTACT INFORMATION

For questions concerning these Terms, please contact:

InvisaClaim LLC

433 Plaza Real, Suite 275
Boca Raton, FL 33432

Legal: legal@invisaclaim.com
General Inquiries: hello@invisaclaim.com
Website: https://www.invisaclaim.com
Platform: https://app.invisaclaim.com

© 2026 InvisaClaim LLC. All rights reserved.