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Providers can also access important information in the NEWS section.","permission":"","status":true},"InstaMed Member Payments":{"id":"InstaMed Member Payments","link":"https://online.instamed.com/providers/Form/Account/Login","isExternal":true,"isSSO":false,"tags":"","description":"UnitedHealthcare members can pay you via the myuhc.com® member portal as soon as claims are adjudicated. 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Providers use this to refer patients to other high quality providers.","permission":"","status":true},"UnitedHealthcare Claims Research Project":{"id":"UnitedHealthcare Claims Research Project","link":"/claims/research","isExternal":false,"isSSO":false,"tags":"claim submission","description":"This lets you search and submit a reconsideration request for multiple claims with the same reason for denial.","permission":"claims.read","status":true},"UHC Insights":{"id":"UHC Insights","link":"http://uhcinsights.uhc.com/","isExternal":true,"isSSO":false,"tags":"report","description":"UnitedHealthcare Insights delivers key performance metrics in a solution that is easy to navigate, understand and take action. 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Submit transactions directly to Optum by using data from your PMS or HIS or manually enter the data using direct data entry (DDE) online.","permission":"","status":true},"Optum VA Community Care Network":{"id":"Optum VA Community Care Network","link":"https://provider.vacommunitycare.com/tpa-ap-web/?navDeepDive=VACCN%20publicProviderHomeDefaultContent","isExternal":true,"isSSO":false,"tags":"","description":"Optum VA Community Care Network provider portal contains Training & Guides, News & Announcements and Documents & Links. Additional functionality is available from the Medical/Behavioral Provider icon after you sign in.","permission":"","status":true},"Patterns of Care":{"id":"Patterns of Care","link":"https://patternsofcare.optum.com/","isExternal":true,"isSSO":false,"tags":"","description":"This program provides insight around the dimensions of pharmacy cost and quality, as it leverages benchmarks to better understand utilization and prescribing patterns for Accountable Care Organizations (ACOs) and provider communities.","permission":"","status":true},"PreCheck MyScript":{"id":"PreCheck MyScript","link":"https://precheckmyscript.uhcprovider.com","isExternal":true,"isSSO":false,"tags":"pharmacy rx medication","description":"Price drugs and provide alternatives based on a plan. You can also submit an electronic Prior Authorization.","permission":"","status":true},"RC Claim Assist":{"id":"RC Claim Assist","link":"/api/identity/ohid/sso?id=uhc_to_rcca","isExternal":true,"isSSO":true,"tags":"claims jade","description":"RCCA Lite is a self-service website for physicians and providers to search for Medical Pharmaceuticals by Drug Name, HCPCS/CPT® Codes or NDC to determine the appropriate HCPCS/CPT® Drug Code to NDC relationship.","permission":"","status":true},"UnitedHealthcare Fee Schedule Lookup":{"id":"UnitedHealthcare Fee Schedule Lookup","link":"https://coreb2c.uhcprovider.com/coreb2c/linktocoreb2c.jsp?TxnType=FeeSchedule","isExternal":true,"isSSO":false,"tags":"payments","description":"Allows participating providers to look up contracted rates of Commercial plans for CPT and HCPC codes, for a specific physician/healthcare professional name and product.","permission":"fee-schedule-lookup.read","status":true},"NC Virtual Health":{"id":"NC Virtual Health","link":"/api/identity/ohid/sso?id=uhc_to_virtualhealth","isExternal":true,"isSSO":true,"tags":"","description":"Access care management documents (e.g. care plans, assessments) and send messages to UHC Care Management staff on member specific needs.","permission":"","status":true},"UNAS":{"id":"UNAS","link":"https://www.unitedhealthgroup.com","isExternal":true,"isSSO":false,"tags":"eligibility benefits","description":"UNAS","permission":"","status":true},"Prior Authorizations":{"id":"Prior Authorizations","link":"https://secure.uhcprovider.com/#/sso/eyJzc28iOiJwYWFuIn0=","isExternal":true,"isSSO":true,"tags":"PAAN prior authorizations","description":"Submit prior authorizations and notifications in the UnitedHealthcare Provider Portal. Find program-specific information, request forms and resources to help with your submissions.","permission":"prior-auth.read","status":true}},"error-messages":{"ds-get-providers[DSA:E:TIN:TER]":{"id":"ds-get-providers[DSA:E:TIN:TER]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"TIN API Something went wrong"},"ds-get-providers[PES:E:TIN:TER]":{"id":"ds-get-providers[PES:E:TIN:TER]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"PES TIN - Something went wrong"},"ds-get-organizations[DSA:E:EXT:TOKF]":{"id":"ds-get-organizations[DSA:E:EXT:TOKF]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"Token service issue - Something went wrong"},"ds-get-organizations[DSA:E:ORG:TER]":{"id":"ds-get-organizations[DSA:E:ORG:TER]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"Org API Something went wrong"},"ds-get-organizations[DSA:V:ORG:NO]":{"id":"ds-get-organizations[DSA:V:ORG:NO]","message":"You do not have access to this Corporate Tax ID Owner.|Please reach out to your primary administrator to review your access.","description":"User doesn't have access to the corp mpin"},"ds-get-organizations[DSA:V:ORG:NU]":{"id":"ds-get-organizations[DSA:V:ORG:NU]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"ORG No active user found"},"ds-get-organizations[PES:E:ORG:ND]":{"id":"ds-get-organizations[PES:E:ORG:ND]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"PES Something went wrong"},"ds-get-organizations[PES:E:ORG:TER]":{"id":"ds-get-organizations[PES:E:ORG:TER]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"PES Something went wrong"},"validate-user[DSA:E:USR:TER]":{"id":"validate-user[DSA:E:USR:TER]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"Something went wrong"},"validate-user[DSA:V:USR:IR]":{"id":"validate-user[DSA:V:USR:IR]","message":"Your profile has been deactivated by your primary administrator or due to 90 days of inactivity.|Please reach out to your primary administrator to review your access.","description":"User status in inactive"},"validate-user[DSA:V:USR:NU]":{"id":"validate-user[DSA:V:USR:NU]","message":"Your One Healthcare ID is not registered under a tax ID number (TIN).|You can access the tools you use via the menu or search bar. If you cannot use certain tools within the portal, TIN registration is required.|Register your TIN","description":"No User Found"},"validate-user[DSA:V:USR:PR]":{"id":"validate-user[DSA:V:USR:PR]","message":"We are awaiting your primary administrator to approve your access to the UnitedHealthcare Provider Portal.|Please follow-up with them to have your access approved.","description":"User status in pending"},"ds-get-corporates[DSA:E:USR:TER]":{"id":"ds-get-corporates[DSA:E:USR:TER]","message":"Something went wrong and the portal is unable to load your account information.|Please refresh or try again later.","description":"Something went wrong"},"ds-get-corporates[DSA:V:USR:IR]":{"id":"ds-get-corporates[DSA:V:USR:IR]","message":"Your profile has been deactivated by your primary administrator or due to 90 days of inactivity.|Please reach out to your primary administrator to review your access.","description":"User status in inactive"},"ds-get-corporates[DSA:V:USR:NU]":{"id":"ds-get-corporates[DSA:V:USR:NU]","message":"Your One Healthcare ID is not registered under a tax ID number (TIN).|You can access the tools you use via the menu or search bar. 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Please contact Web Support for assistance.","description":"No data found"},"ds-get-assigned-admin[DSA:V:USA:ND]":{"id":"ds-get-assigned-admin[DSA:V:USA:ND]","message":"We are awaiting your Assigned Administrator to approve your access to the UnitedHealthcare Provider Portal.|We were unable to identify your Assigned Administrator. Please contact Web Support for assistance.","description":"No data found"},"ds-get-assigned-admin[DSA:V:USA:TER]":{"id":"ds-get-assigned-admin[DSA:V:USA:TER]","message":"We are awaiting your Assigned Administrator to approve your access to the UnitedHealthcare Provider Portal.|We were unable to identify your Assigned Administrator. Please contact Web Support for assistance.","description":"Something went wrong. Please try again later"},"default-error":{"id":"default-error","message":"The system is unable to respond at the moment. Please try refreshing the page (click on REFRESH at the top of the page or press F5) or try again at a later time.","description":"Default error"}},"feature-flags":{},"ui-messages":{"privacy-policy-introduction":{"id":"privacy-policy-introduction","message":"We recognize that the privacy of your personal information is important. The purpose of this policy is to let you know how we handle the information collected through the use of this website. Portions of this website may describe privacy practices applicable to specific types of information or to information provided on specific web pages.
This policy does not apply to information collected through other means such as by telephone or in person, although that information may be protected by other privacy policies. As used in this policy, terms such as “we” or “our” and “Company” refer to UnitedHealthcare and its current and future affiliated entities, including our parent company UnitedHealth Group.
This website is intended for a United States audience. Any information you provide, including any personal information, will be transferred to and processed by a computer server located within the United States."},"privacy-policy-cookies-and-training":{"id":"privacy-policy-cookies-and-training","message":"The Company uses various technologies, which may include “cookie” technology, to gather information from our website visitors such as pages visited and how often they are visited, and to enable certain features on this website. “Cookies” are small text files that may be placed on your computer when you visit a website or click on a URL. Cookies may include “single-session cookies” which generally record information during only a single visit to a website and then are erased, and “persistent” cookies which are generally stored on a computer unless or until they are deleted or are set to expire.
You may disable cookies and similar items by adjusting your browser preferences at any time; however, this may limit your ability to take advantage of all the features on this website. You may also manage the use of “flash” technologies, with the Flash management tools<\/a> available at Adobe's website. Note that we do not currently respond to web browser “Do Not Track” signals that provide a method to opt out of the collection of information about online activities over time and across third-party websites or online services because, among other reasons, there is no common definition of such signals and no industry-accepted standards for how such signals should be interpreted.
We may also allow third party service providers to use cookies and other technologies to collect information and to track browsing activity over time and across third party websites such as web browsers used to read our websites, which websites are referring traffic or linking to our websites, and to deliver targeted advertisements to you. We do not control these third party technologies and their use is governed by the privacy policies of third parties using such technologies. For more information about third party advertising networks and similar entities that use these technologies, see www.aboutads.info/consumers<\/a>, and to opt-out of such ad networks' and services' advertising practices, go to www.aboutads.info/choices<\/a>. Once you click the link, you may choose to opt-out of such advertising from all participating advertising companies or only advertising provided by specific advertising companies.
We may use analytics companies to gather information and aggregate data from our website visitors such as which pages are visited and how often they are visited, and to enable certain features on our websites. Information is captured using various technologies and may include cookies. If such technology is used, you may opt out of it by clicking on the “Opt Out” link at the bottom of the home web page.
We may use and disclose your activity information unless restricted by this policy or by law. Some examples of the ways we use your activity information include:
• Customizing your experience on the website including managing and recording your preferences.
• Marketing, product development, and research purposes.
• Tracking resources and data accessed on the website.
• Developing reports regarding website usage, activity, and statistics.
• Assisting users experiencing website problems.
• Enabling certain functions and tools on this website.
• Tracking paths of visitors to this website and within this website."},"privacy-policy-your-personal-information":{"id":"privacy-policy-your-personal-information","message":"This website may include web pages that give you the opportunity to provide us with personal information about yourself. You do not have to provide us with personal information if you do not want to; however, that may limit your ability to use certain functions of this website or to request certain services or information.
We may use personal information for a number of purposes such as:
• To respond to an email or particular request from you.
• To personalize the website for you.
• To process an application as requested by you.
• To administer surveys and promotions.
• To provide you with information that we believe may be useful to you, such as information about health products or services provided by us or other businesses.
• To perform analytics and to improve our products, websites, and advertising.
•To comply with applicable laws, regulations, and legal process.
• To protect someone's health, safety, or welfare.
• To protect our rights, the rights of affiliates or related third parties, or take appropriate legal action, such as to enforce ourTerms of Use.
• To keep a record of our transactions and communications.
• As otherwise necessary or useful for us to conduct our business, so long as such use is permitted by law.
We may use personal information to contact you through any contact information you provide through this website, including any email address, telephone number, cell phone number, text message number, or fax number. Please see the section below titled \"Our Online Communications Practices\".
We may also share personal information within the Company, and we may combine personal information that you provide us through this website with other information we have received from you, whether online or offline, or from other sources such as from our vendors. For example, if you have purchased a product or service from us, we may combine personal information you provide through this website with information regarding your receipt of the product or service."},"privacy-policy-sharing-personal-information":{"id":"privacy-policy-sharing-personal-information","message":"We will only share your personal information with third parties as outlined in this policy and as otherwise permitted by law.
We may share personal information if all or part of the Company is sold, merged, dissolved, acquired, or in a similar transaction.
We may share personal information in response to a court order, subpoena, search warrant, law or regulation. We may cooperate with law enforcement authorities in investigating and prosecuting activities that are illegal, violate our rules, or may be harmful to other visitors.
If you submit information or a posting to a chat room, bulletin board, or similar “chat” related portion of this website, the information you submit along with your screen name will be visible to all visitors, and such visitors may share with others. Therefore, please be thoughtful in what you write and understand that this information may become public.
We may also share personal information with other third party companies that we collaborate with or hire to perform services on our behalf. For example, we may hire a company to help us send and manage email, and we might provide the company with your email address and certain other information in order for them to send you an email message on our behalf. Similarly, we may hire companies to host or operate some of our websites and related computers and software applications.
This website may permit you to view your visitor profile and related personal information and to request changes to such information. If this function is available, we will include a link on this website with a heading such as “My Profile” or similar words.Clicking on the link will take you to a page through which you may review your visitor profile and related personal information."},"privacy-policy-security":{"id":"privacy-policy-security","message":"We maintain reasonable administrative, technical and physical safeguards designed to protect the information that you provide on this website. However, no security system is impenetrable and we cannot guarantee the security of our website, nor can we guarantee that the information you supply will not be intercepted while being transmitted to us over the Internet, and we are not liable for the illegal acts of third parties such as criminal hackers."},"privacy-policy-online-communication-practices":{"id":"privacy-policy-online-communication-practices","message":"We may send electronic newsletters, notification of account status, and other communications, such as marketing communications, on a periodic basis to various individuals and organizations. We may also send email communications regarding topics such as general health benefits, website updates, health conditions, and general health topics. We offer you appropriate consent mechanisms, such as opt-out, for marketing and certain other communications. As examples, you may opt-out as provided for in a specific email communication or contact us as described below in the section \"Contact Us.\" Please be aware that opt-outs may not apply to certain types of communications, such as account status, website updates, or other communications."},"privacy-policy-children-under-13":{"id":"privacy-policy-children-under-13","message":"We will not intentionally collect any personal information from children under the age of 13 through this website wihtout receiving parental consent. If you think that we have collected personal information from a child under the age of 13 through this website, please contact us."},"privacy-policy-contact-us":{"id":"privacy-policy-contact-us","message":"To contact us regarding this policy and our related privacy practices, please contact us at:
UnitedHealthcare
Customer Service - Privacy Unit
PO Box 740815
Atlanta, GA 30374-0815
If you believe we or any company associated with us has misused any of your information please contact us immediately and report such misuse."},"privacy-policy-effective-date":{"id":"privacy-policy-effective-date","message":"The Effective Date of this Privacy Policy is June 1, 2016"},"privacy-policy-changes":{"id":"privacy-policy-changes","message":"We may change this policy. If we do so, such change will appear on this page of our website. We will also provide appropriate notice and choices to you, on this website and in other appropriate locations, based on the scope and extent of changes. You may always visit this policy to learn of any updates.
Social Security Number Protection Policy
Protecting personal information is important to UnitedHealthcare. It is our policy to protect the confidentiality of Social Security numbers (\"SSNs\") that we receive or collect in the course of business. We secure the confidentiality of SSNs through various means, including physical, technical, and administrative safeguards that are designed to protect against unauthorized access. It is our policy to limit access to SSNs to that which is lawful, and to prohibit unlawful disclosure of SSNs.
Social Media Disclaimer
Are you using social media? So are we! We encourage you to read, share, follow us and provide commentary on Facebook®, Twitter®, Pinterest®, Instagram® and other social media sites. Before you post, please make sure you read our social media disclaimer:
We are under no obligation to screen or monitor your posts or any other User Content, however, we do make a reasonable effort to monitor participation to ensure that you stay on topic, are courteous and avoid making offensive comments. Your posts and User Content must adhere to the following requirements and cannot:
• Contain any third-party material including logos, drawings, tattoos, photographs, pictures, sculptures, paintings and other images or works of art, phrases, trademarks, trade secrets or other items without explicit prior written permission to use such materials
• Contain sexually explicit, graphic, gratuitous or unnecessarily violent content or defamatory or derogatory content against any ethnic, racial, gender, religious, sexual orientation, professional or age group or contain any pornographic or nude material
• Contain any private information about yourself or any other individual, including without limitation, information related to the health of the individual, financial information about the individual or any identification or account numbers related to the individual, with or without their permission or consent
• Contain any software viruses or any other computer code, files or programs designed to interrupt, destroy or limit the functionality of any computer software, hardware or telecommunications equipment
• Contain any advertising, promotional materials, \"junk mail\", \"spam\", \"chain letters\", \"pyramid schemes\", or promote illegal activity and/or illegal contests, sweepstakes, gambling, including any online casino, sports books, bingo, poker or any other form of solicitation
We reserve the right to edit comments for content, remove off-topic contributions, delete offensive comments or remarks, block offensive contributors and delete actual or suspected spam content from any Social Media site. Please be aware that once you post something online, there is the potential for numerous individuals to read your words, even years from now. Therefore, we suggest that you exercise caution when posting on any social media sites and that you not disclose personally identifiable information like your location, medical record number, personal medical information, financial information, etc. We are not responsible for the content of any comments or responses posted by others to any website or social media site managed or monitored by UnitedHealthcare. We do not control the placement of any marketing or advertising displayed on our pages by social media or third party organizations. The inclusion of links to other websites does not imply any endorsement of the material on the websites.
Please remember that information posted on any of our social media platforms is for general informational purposes only and should not be considered medical advice and should not replace a consultation with your health care professional. Always consult an appropriate health care professional for your specific needs. If you are experiencing a medical emergency, call 9-1-1 or your local emergency number. Some treatments mentioned on social media formats may not be covered by your health plan. Please refer to your benefit plan documents for information about coverage.
We reserve the right to respond to any post or User Content and may occasionally privately request your contact information to assist offline with your consent by routing the matter to the appropriate persons or department for further handling. Any further questions about your account, claims or benefits or request for additional information can be addressed by visiting your member website or calling the toll-free member phone number on the back of your health plan ID card.
All trademarks are the property of their respective owners."},"opt-out-information":{"id":"opt-out-information","message":"We use third party service providers and advertising companies to use cookies and other technology to collect information and to track browsing activity over time and across third party websites such as web browsers used to read our websites, which websites are referring traffic or linking to our websites, and to deliver targeted advertisements to you. We do not control these third party technologies and their use is governed by the privacy policies of third parties using such technologies. For more information about third party advertising networks and similar entities that use these technologies, see http://www.aboutads.info/consumers<\/a>, and to opt-out of such ad networks' and services' advertising practices, go to www.aboutads.info/choices<\/a>. Once you click the link, you may choose to opt-out of such advertising from all participating advertising companies or only advertising provided by specific advertising companies.
We use Adobe to gather analytics information from our website visitors, such as which pages are visited and how often they are visited, and to enable certain features on this website. Information is captured using various technologies and may include cookies.You may opt-out of this data aggregation and analysis about your visit to this site by Adobe by clicking on this link http://www.d1.sc.omtrdc.net/optout.html<\/a>."},"contact-us-uhc-provider-support-desc":{"id":"contact-us-uhc-provider-support-desc","message":"If you are a UnitedHealthcare Provider and need assistance with the online tools listed below, please contact the UnitedHealthcare Web Support team for, but not limited to:
• Registration or sign-in support
• UHCprovider.com technical assistance
• Online tool help
• Claims tool
• Eligibility & Benefits tool
• Referrals tool
• Claim Submission tool
• My Practice Profile
• Prior Authorization and Notification
• Document Library
• TrackIt
• Onboard Pro
Email:<\/strong> ProviderTechSupport@uhc.com<\/a>
Telephone:<\/strong> 866-842-3278, Option 1;
Hours of operation:<\/strong> Monday – Friday 7:00 a.m. – 9:00 p.m. Central Time"},"contact-us-ohid-desc":{"id":"contact-us-ohid-desc","message":"For One Healthcare ID related login issues, please contact the One Health care ID Help Desk.
Email:<\/strong> OptumSupport@optum.com<\/a>
Telephone:<\/strong> 855-819-5909
Hours of operation:<\/strong> Monday - Friday 6:00 a.m. - 10:00 p.m. Central Time.
Note : Optum support is no longer available on Saturday and Sunday.<\/strong><\/i>"},"contact-us-accessibility-desc":{"id":"contact-us-accessibility-desc","message":"We are committed to ensuring that our website and mobile applications are accessible to individuals with disabilites. If you need assistance using our website or mobile applications, or assistance with a PDF, we can help you. Please call us toll-free at 1-844-386-7491, TTY 711.<\/strong>
If you need assistance using our website or mobile applications, or assistance with a document on the website or application, we can help you. Please call us toll-free at 1-866-842-3278.<\/strong>"},"terms-of-use-introduction":{"id":"terms-of-use-introduction","message":"THIS DOCUMENT CONTAINS AN ARBITRATION AGREEMENT AND CLASS ACTION WAIVER<\/a> WHICH AFFECT YOUR LEGAL RIGHTS. YOU SHOULD REVIEW THIS DOCUMENT IN ITS ENTIRETY BEFORE ACCESSING OR USING THE ONLINE SERVICES.
These Terms of Use (\"Terms\" or \"Agreement\") constitute a legally binding agreement between you, the person using our online and mobile websites, platforms, services, and applications, and us.Terms such as \"we\", \"our,\" \"us,\" and \"Company\" refer to UnitedHealthCare Services, Inc. and its affiliate entities, including UnitedHealth Networks, Inc. These Terms describe the rules for using our online and mobile websites, platforms, services, and applications we own and operate and that contain a link to these Terms (collectively, \"Online Services\"). Any references to \"you\" or \"your\" in these Terms will mean the person using the Online Services.
By using our Online Services, you agree to the most-recent Terms as well as the most-recent version of our Privacy Policies. We may change these Ter ms at any time, and such changes will be posted on this or a similar page of the Online Services. It is your responsibility to review these Terms each time you use our Online Services. By continuing to use the Online Services, you consent to any changes to our Terms.
If you, or the organization you belong to, has an existing agreement (\"Business Agreement\") with us, the Online Services you use through this site are also subject to the terms and conditions of that Business Agreement, incorporated herein, which, together with these Terms, and any applicable Exhibits,shall constitute the entire agreement between you and us pertaining to your use of our Online Services.
All information you access, view or otherwise use on the Online Service, including Medical Information (as defined below), shall be defined as \"Content\"."},"terms-of-use-agreement":{"id":"terms-of-use-agreement","message":"You agree to the terms of this Agreement by using our Online Services. If you do not agree to these terms, you may not use this site. We may modify this Agreement at any time with or without notice, by posting it on our Online Services, and such modification will become effective immediately. You agree to review this Agreement from time to time. You represent and warrant to us that: (a) you are who you portray yourself to be when you use the Online Services; (b) your use of the Online Services has been authorized; (c) you will use the Online Services only in connection with doing business with us, and in a way that does not disrupt the network connected to the Online Services; and (d) you have obtained the necessary and proper consents required for you to view, send and/or receive the Medical Information (defined below) through our Online Services. You further agree to notify us immediately if your authorization to review any Content available through the Online Services changes or is rescinded by a provider or other party which authorized your access to the Online Services or to the Content.
If you are a Provider and will use our Application Program Interface (“API”) services to access information as part of the Online Services, you are also subject to the “Provider API Terms of Use Agreement” set forth in Exhibit A.
If you are a Vendor or a Billing Entity and will use our API services to access information as part of Online Services, you are also subject to the “Vendor and Billing Entity API Terms of Use Agreement” set forth in Exhibit B. "},"terms-of-use-userid-password":{"id":"terms-of-use-userid-password","message":"You agree to treat your password and User ID as confidential, and to share them only with your personnel who have a need to use them for your legitimate business purposes with us. You agree that you are solely liable for all actions taken using your password and User ID. If you believe your password or User ID has been accessed by an unauthorized person, contact us immediately so we may deactivate them. You may not attempt to log in with a User ID and password other than your own, and you may only access portions of the Online Services you are authorized to access. In the event your organization only uses one password and User ID, you agree to keep current written records of who has been provided the password and User ID.<\/strong>"},"terms-of-use-data-hardware":{"id":"terms-of-use-data-hardware","message":"You agree to regularly back up your own data, and maintain adequate records to be able to replicate any data transmitted through our Online Services. We are not liable for the content of or any errors in the data transmitted through our Online Services or any lost data. You are responsible for obtaining and paying for any hardware, software and/or service necessary to use our Online Services."},"terms-of-use-medical-content-products-links":{"id":"terms-of-use-medical-content-products-links","message":"Any medical content (i.e., articles) made available through our Online Services is for educational and informational purposes only. Our mention of specific products or services at this site or inclusion of links to other sites does not constitute or imply a recommendation or endorsement by us, unless we explicitly state it."},"terms-of-use-confidentiality":{"id":"terms-of-use-confidentiality","message":"You acknowledge that through our Online Services you may be able to view, send and/or receive confidential medical information, including without limitation patient-related and claims information for your patients, or the patients of the Covered Entity for whom you are providing services on the Covered Entity’s behalf (\"Medical Information\"). In addition to your obligations in the Business Agreement, if applicable, you agree to maintain the security and privacy of Medical Information. You shall ensure that access to Medical Information shall be limited to your employees on a \"need to know\" basis and used solely for purposes relating to medical treatment, communications with us, and other healthcare operations. You also agree to promptly notify us in the event you become aware of any violations of this provision.
You agree not to use or disclose any of our business information or information regarding our Online Services (including without limitation information regarding its functionality, options, \"look and feel\") (\"Site Confidential Information\") without our prior written permission.
If you are a provider accessing an Individual Health Record (“IHR”) through this website, we will expose you to a broad view of your patient’s medical encounters and claims history. This view is only appropriate for you as a treating provider of health care. In doing so, we may be required to shield evidence of certain sensitive health conditions, either under state or federal law. At times, the IHR detail may display to suggest that your patient has one or more sensitive conditions for which we have records. In order to unmask that detail, you will be required to attest that you obtained all proper and necessary written authorizations from your patient. You agree that any information accessed through the IHR will only be used for treatment purposes."},"terms-of-use-ownership-license-restirctions-materials":{"id":"terms-of-use-ownership-license-restirctions-materials","message":"As between us and you, all right, title and interest (including all copyrights, trademarks, trade secrets and other intellectual property rights) in all portions of the Online Services belongs to us. Adobe, the Adobe logo, Acrobat and the Acrobat logo are either trademarks or registered trademarks of Adobe Systems incorporated into the United States and/or other countries. You are hereby granted a nonexclusive, nontransferable, limited license to view and use information retrieved from this site solely in connection with use of the Online Services; provided you do not remove or obscure the copyright notice or other notices that may appear on such materials. You may link to our home page only. We prohibit linking to other content within our site without our express written permission."},"terms-of-use-online-service-user-restrictions":{"id":"terms-of-use-online-service-user-restrictions","message":"You agree not to:
• use our Online Services or Content in any way not explicitly permitted by these Terms or the Business Agreement;
• copy, modify or create derivative works, or harvest data or materials from the Online Services, except you may print a reasonable number of copies for your professional use if you reproduce all proprietary copyright and trademark notices;
• remove, alter, bypass, avoid, interfere with, or circumvent any copyright, trademark, or other proprietary rights or notices on the njOnline Services;
• misrepresent your identity or provide any false information in any information-collection portion of our Online Service, such as a siregistration, enrollment, or application page;
• take any action intended to interfere with the operation of our Online Service;
• access or attempt to access any portion of our Online Services to which you have not been explicitly granted access;
• share any password assigned to or created by you with any third parties or use any password granted to or created by a third-party;
• engage in viral messaging, SPAMMING, SPIMMING, or sending of unsolicited advertisements, solicitations or bulk dicommunications, or distribute chain mail or harmful computer code, viruses, or malware;
• use the Online Services for commercial purposes or in any manner that would compete with any product or service of ours;
• use the Online Services in any way that could, in our sole judgment, interfere with any other party's use or enjoyment of the Online ffiServices, or in a manner that could overburden, impair, damage or disable our networks or servers, or expose us or our licensors, fifusers, customers or suppliers to any claims or liability whatsoever;
• use manual or automated software, devices, scripts, robots, backdoors or other means or processes to access, \"scrape,\" \"crawl\" or f \"spider\" any web pages or other services contained in the Online Services. If you are blocked from the Online Services (including ffby blocking your IP address), you agree not to implement any measures to circumvent such blocking (e.g., by masking your IP ffaddress or using a proxy IP address);
• directly or indirectly authorize anyone else to take actions prohibited in this section
• introduce viruses or any other computer code, files, or programs that interrupt, destroy, or limit the functionality of any computer ffsoftware or hardware or telecommunications equipment; and/or attempt to decipher, decompile, disassemble or reverse engineer ffany of the software used to provide the Online Services
You agree to comply with all applicable laws and regulations while using our Online Services or the Content.
You agree that we may take any measures we deem appropriate, in our sole discretion, to prevent the violation of, and to enforce, these Terms. You agree that we may take any actions permitted or required by law (including the suspension or termination of your account or your access to the Online Services) if we believe, in our sole discretion, that you are engaging in activities that (a) violate these provisions (or other terms in these Terms); (b) could expose us or our vendors or business partners to liability; or (c) could harm our business reputation."},"terms-of-use-copyright":{"id":"terms-of-use-copyright","message":"The Digital Millennium Copyright Act of 1998 (the \"DMCA\") provides recourse for copyright owners who believe that material appearing on the Internet infringes their rights under US copyright law. If you believe in good faith that content or material on our Online Services infringes a copyright owned by you, you (or your agent) may send the Company a notice requesting that the material be removed, or access to it blocked. This request should be sent to the applicable business via email or contact address below.
Contact Information:
UnitedHealth Group<\/strong>
Attn: DMCA Registered Agent
9900 Bren Road East Minnetonka, MN 55343
UnitedHealthcare<\/strong>
Attn: DMCA Registered Agent
9900 Bren Road East Minnetonka, MN 55343
DMCARegisteredAgent@uhc.com
Optum<\/strong>
Attn: DMCA Registered Agent
9900 Bren Road East Minnetonka, MN 55343
DMCARegisteredAgent2@optum.com
Rally Health<\/strong>
Attn: Legal Department
3000 K Street NW Suite 350 Washington, DC 20007
dmca@rallyhealth.com
The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive right that is allegedly infringed; (b) identification of the copyrighted work claimed to have been infringed; (c) identification of the material that is claimed to be infringing or the subject of infringing activity; (d) the name, address, telephone number, and email address of the complaining party; (e) a statement that the complaining party has a good faith belief that use of the material in the manner complained of is not authorized by the copyright owner, its agent or the law; and (f) a statement that the information in the notification is accurate and, under penalty of perjury, that the complaining party is authorized to act on behalf of the owner of an exclusive right that is allegedly infringed. If you believe in good faith that a notice of copyright infringement has been wrongly filed against you, the DMCA permits you to send us a counter-notice. Notices and counter-notices must meet the then-current statutory requirements imposed by the DMCA. Notices and counter-notices with respect to the Online Services should be sent to the address above."},"terms-of-use-unsolicited-idea-submission-policy":{"id":"terms-of-use-unsolicited-idea-submission-policy","message":"It is our policy not to accept or consider unsolicited ideas or offers to sell intellectual property. We ask that you please do not submit any such ideas or offers to us or our employees or contractors.
• This policy is intended to avoid potential misunderstandings if our technology, products, or services may seem similar to a ffsubmission made to the company. If you still choose to make any submission to us, you agree as follows, regardless of any statements made in your submission:
• We owe you no compensation;
• There is no duty of confidentiality between us and you;
• Your submission automatically becomes our property, and we may use or redistribute the contents of that submission in any way fffor any purpose;
• We are free to acquire, develop and sell services and products that may be competitive to those you offer or suggest; and
• It is your responsibility to protect your own intellectual property, you should not make a submission to us if you have concerns ffabout intellectual property.
If you are uncertain about the meaning of this policy or the legal ramifications of submitting materials to us you should consult with your attorney before making a submission."},"terms-of-use-links":{"id":"terms-of-use-links","message":"While visiting our Online Services you may click on a link to other online websites, mobile websites, platforms, services, and applications and leave our Online Services. For your convenience, we provide links to other online websites, mobile websites, platforms, services, and applications that may contain information that may be useful or interesting to you. We do not endorse, and are not responsible for, the content, accuracy or accessibility of the content of Weblinks operated by third parties. You are solely responsible for your dealings with such third parties and we encourage you to read the terms of use and privacy policies of such third-parties."},"terms-of-use-warrenties":{"id":"terms-of-use-warrenties","message":"The claims status, eligibility and coverage information accessible through the Online Services is for your convenience only, and is subject to change. Eligibility and coverage terms for individuals you provide health or medical services for are governed by the terms of the Business Agreement, if applicable, between you and us. Payment of claims is not guaranteed by your use of our Online Services and is governed by the Business Agreement, if applicable, between us.
WE TRY TO KEEP THE ONLINE SERVICES BUG FREE AND SAFE, BUT YOU USE THEM AT YOUR OWN RISK. OUR ONLINE SERVICES AND THEIR CONTENT ARE PROVIDED TO YOU ON AN \"AS IS\", \"AS AVAILABLE\" BASIS. THE COMPANY, ALL THIRD PARTIES, IF ANY, PROVIDING CONTENT FOR OUR ONLINE SERVICES, AND ALL THIRD PARTIES PROVIDING SUPPORT OR INFORMATION FOR OUR ONLINE SERVICES (COLLECTIVELY, \"ONLINE SERVICE-RELATED-PARTIES\") HEREBY DISCLAIM ALL WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, STATUTORY OR OTHERWISE INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NON-INFRINGEMENT.
THE ONLINE SERVICE-RELATED-PARTIES MAKE NO WARRANTY AS TO THE ACCURACY, COMPLETENESS, TIMELINESS, CORRECTNESS, CURRENCY, OR RELIABILITY OF ANY CONTENT AVAILABLE THROUGH OUR ONLINE SERVICES. WITHOUT LIMITING THE FOREGOING, THE ONLINE SERVICE-RELATED-PARTIES SPECIFICALLY DO NOT REPRESENT OR WARRANT THAT ANY INFORMATION REGARDING PARTICULAR PLAN BENEFITS OR SCOPE OF COVERAGE IS ACCURATE OR COMPLETE. THE ONLINE SERVICE-RELATED-PARTIES MAKE NO REPRESENTATIONS OR WARRANTIES THAT USE OF OUR ONLINE SERVICES WILL BE UNINTERRUPTED OR ERROR-FREE, THAT DEFECTS WILL BE CORRECTED, OR THAT THE ONLINE SERVICES OR THE TECHNOLOGY THAT MAKES IT AVAILABLE ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. YOU ARE RESPONSIBLE FOR TAKING ALL PRECAUTIONS NECESSARY TO ENSURE THAT ANY CONTENT YOU MAY OBTAIN FROM OUR ONLINE SERVICES IS FREE OF VIRUSES AND ANY OTHER POTENTIALLY DESTRUCTIVE COMPUTER CODE.
We are not obligated to provide maintenance, technical support or updates to you for any portion of our Online Services. We are not obligated to continue to provide our Online Services. The foregoing limitations and exclusions shall apply to the maximum extent permitted by applicable law, even if any remedy fails its essential purpose.
Some states do not allow limitations on implied warranties, so one or more of the above limitations may not apply to you.
Check your local laws for any restrictions or limitations regarding the exclusion of implied warranties."},"terms-of-use-liablities -limitations":{"id":"terms-of-use-liablities -limitations","message":"YOU AGREE THAT NONE OF THE RELEASED PARTIES SHALL BE LIABLE FOR ANY LOSS OR LIABILITY ARISING OUT OF OR RELATING IN ANY WAY TO (A) THESE ONLINE SERVICES; (B) ANY THIRD PARTY SITE OR PROGRAMS ACCESSED THROUGH THE ONLINE SERVICES; (C) ANY ACTS OR OMISSIONS OF THE RELEASED PARTIES; AND/OR (D) YOUR ACCESS OR USE OF THE ONLINE SERVICES (THE \"RELEASED CLAIMS\"). THE RELEASED CLAIMS COVER CLAIMS BASED ON WARRANTY, CONTRACT, TORT, STRICT LIABILITY, AND ANY OTHER LEGAL THEORY. THE RELEASED PARTIES INCLUDE THE ONLINE SERVICE-RELATED-PARTIES AND THEIR AFFILIATES, SUBSIDIARIES, EMPLOYEES, MEMBERS, SHAREHOLDERS, OFFICERS, DIRECTORS, AGENTS, PREDECESSORS IN INTEREST, SUCCESSORS IN INTEREST, PARTNERS, CLIENTS, CUSTOMERS, AND VENDORS (COLLECTIVELY, “RELEASED PARTIES”). THE RELEASED CLAIMS COVER ALL LOSSES INCLUDING, WITHOUT LIMITATION, DIRECT OR INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL, EXEMPLARY, AND/OR PUNITIVE DAMAGES, PERSONAL INJURY/WRONGFUL DEATH, LOST PROFITS, OR DAMAGES RESULTING FROM LOST DATA, LOSS OF GOODWILL, OR BUSINESS INTERRUPTION.
THE TOTAL, CUMULATIVE LIABILITY OF THE RELEASED PARTIES FOR LOSSES OR DAMAGES SHALL BE LIMITED TO THE AMOUNT OF YOUR ACTUAL DAMAGES, NOT TO EXCEED U.S. $100.00. THE LIMIT OF LIABILITY MAY NOT BE EFFECTIVE IN SOME STATES. IN NO EVENT SHALL THE RELEASED PARTIES BE LIABLE TO YOU FOR ANY LOSSES OR DAMAGES OTHER THAN THE AMOUNT DESCRIBED ABOVE. ALL OTHER DAMAGES (E.G., DIRECT OR INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL, EXEMPLARY, AND/OR PUNITIVE DAMAGES) ARE EXCLUDED EVEN IF THE RELEASED PARTIES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. YOU AGREE THAT YOU USE OUR ONLINE SERVICES AT YOUR OWN RISK. IF YOU ARE DISSATISFIED WITH OUR ONLINE SERVICES OR THE CONTENT, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE USING THE ONLINE SERVICES.
The foregoing limitation of liability is not applicable to residents of New Jersey. With respect to residents of New Jersey, the Released Parties are not liable for any damages unless such damages are the result of our negligent or reckless acts or omissions; and the Released Parties are not, in any case, liable for indirect, incidental, special, consequential or punitive damages.
You acknowledge and agree that Company's suppliers are third-party beneficiaries of these Terms, with the right to enforce the limitations of warranty and liability set forth herein with respect to the respective technology of such suppliers and Company."},"terms-of-use-indemnification":{"id":"terms-of-use-indemnification","message":"In addition to your obligations, if any, to indemnify us under the Business Agreement, you agree to defend, indemnify and hold us harmless against any claims, losses, damages, expenses or costs (including without limitation reasonable costs of litigation such as attorneys' fees and expert fees) arising from, incurred as a result of, or related to your breach of this Agreement, your unauthorized or illegal use of the Online Services or the information contained within or transmitted through them, whether you or any other person using your password or User ID."},"terms-of-use-resolving-disputes":{"id":"terms-of-use-resolving-disputes","message":"PLEASE READ THIS SECTION CAREFULLY – IT MAY SIGNIFICANTLY AFFECT YOUR LEGAL RIGHTS, INCLUDING YOUR RIGHT TO FILE A LAWSUIT IN COURT<\/strong>
Informal Resolution. Before filing a claim in connection with Terms or the Online Services, you agree to try to resolve the dispute informally. Contact legalmail@uhg.com<\/a> if the dispute is with UnitedHealth Group, UnitedHealthcare, or Optum; or legal@rallyhealth.com<\/a> if the dispute is with Rally Health. If the dispute is not resolved within 30 days of contact, you or we may bring a formal arbitration proceeding as described below.
Agreement to Arbitrate.<\/strong> You and we agree to resolve any claims relating to these Terms or the Online Services through final and binding arbitration, except as indicated below under “Exceptions to Agreement to Arbitrate” or where prohibited by law. The arbitration will be held in the state where you live. For residents outside the United States, arbitration will be initiated in Hennepin County, Minnesota, or a location agreed to by the parties. You and we agree to submit to the personal jurisdiction of any or state or federal court in the state of Minnesota to compel arbitration, stay proceedings pending arbitration, or to confirm, modify, vacate or enter judgment on the award entered by the arbitrator.
How to Opt-out of Agreement to Arbitrate.<\/strong> If you don’t agree to arbitrate, you may opt-out within 30 days of first agreeing to these terms by sending a letter to us. The letter must specify your first and last name, Username, mailing address, and state that you are opting out of this arbitration provision. Send the letter to UnitedHealth Group, Attention: Legal Intake (MN-008-T502), 9900 Bren Road East, Minnetonka, MN 55343.
Exceptions to Agreement to Arbitrate.<\/strong> Either you (or we) may assert claims in the small claims court in Hennepin County, Minnesota or any other U.S. county in which we have a principal business address, provided the informal dispute resolution described above was unsuccessful and the claim is eligible to be filed. Either party may bring a lawsuit solely for injunctive relief to stop unauthorized use or abuse of the Online Services or intellectual property infringement (for example, trademark, trade secret, copyright, or patent rights) without first engaging in arbitration or the informal resolution process described above. The agreement to arbitrate does not apply to (a) disputes about the existence or extent of your health benefits or coverage; or (b) to claims that may not be arbitrated as a matter of law. Arbitration does apply to all other claims relating to these Terms or the Online Services including: (a) the interpretation, formation, performance, or breach of the Terms; (b) whether any part of the Terms is void or voidable; (c) whether a claim is subject to arbitration; and/or (d) whether arbitration has been waived due to litigation conduct.
Arbitration Procedures.<\/strong> The arbitration will be conducted by a single arbitrator, governed by the Consumer Arbitration Rules of the American Arbitration Association (“AAA”), (https://www.adr.org/Rules<\/a>) unless otherwise agreed to by the parties. You may also obtain the Consumer Arbitration Rules by calling AAA at 1-800-778-7879, TTY 711.
Arbitration and Attorney's Fees.<\/strong> Payment of all filing, administration, and arbitrator costs and expenses imposed by AAA will be governed by the Consumer Arbitration Rules, provided that if you are initiating an arbitration against us and the value of the relief sought is $10,000 or less, then we will advance all filing, administrative and arbitration costs and expenses imposed by AAA (subject to reimbursement if the arbitrator finds the arbitration to be frivolous). You are responsible for all other additional costs that you may incur in the arbitration including attorney's fees and expert witness costs unless we are otherwise specifically required to pay such fees under applicable law. The decision of the arbitrator will be in writing and binding and conclusive on us and you, and judgment to enforce the decision may be entered by any court of competent jurisdiction. You agree that dispositive motions, including without limitation, motions to dismiss and motions for summary judgment, will be allowed in the arbitration. The arbitrator must follow these rules and can award the same damages and relief as a court, including injunctive or other equitable relief and attorneys’ fees. You and we agree not to seek any attorneys’ fees and expert witness costs unless the arbitrator finds that a claim or defense was frivolous or asserted for an improper purpose. Applicable law may allow the arbitrator to award attorneys’ fees and costs to the prevailing party.
Except as explicitly provided in these Terms, if any clause within these arbitration provisions is found to be illegal or unenforceable, that clause will be severed from these arbitration provisions, and the remainder of the arbitration provisions will be given full force and effect. The terms of these arbitration provisions will also apply to any claims asserted by you against any present or future parent or affiliated company of ours arising out of use of the Online Services.
No Class Actions. PLEASE READ THIS SECTION CAREFULLY – IT MAY SIGNIFICANTLY AFFECT YOUR LEGAL RIGHTS<\/strong>
BY AGREEING TO THIS ARBITRATION AGREEMENT, YOU ARE GIVING UP YOUR RIGHT TO GO TO COURT, INCLUDING YOUR RIGHT TO A JURY TRIAL AND TO PARTICIPATE IN A CLASS ACTION. YOU UNDERSTAND THAT BY AGREEING TO THIS ARBITRATION AGREEMENT AND CLASS ACTION WAIVER, YOU MAY ONLY BRING CLAIMS AGAINST US AND OUR RELATED PARTIES IN AN INDIVIDUAL CAPACITY AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS ACTION OR REPRESENTATIVE PROCEEDING. IF YOU DO NOT AGREE TO ARBITRATION, YOU SHOULD OPT OUT OF THIS ARBITRATION PROVISION PER THE TERMS. OTHERWISE, YOU ARE NOT AUTHORIZED TO USE THE ONLINE SERVICES IN ANY WAY.
If any court or arbitrator determines that this “No Class Actions” section is void or unenforceable for any reason or that an arbitration can proceed on a class basis, then the arbitration provisions set forth above will be deemed null and void in their entirety and the parties will be deemed to have not agreed to arbitrate disputes.
Changes to this Section<\/strong>
We will provide 30 days’ notice of any changes to this section. Amendments will become effective thirty days after we provide such notice. If a court or arbitrator decides that this subsection on \"Changes to this Section\" is not enforceable or valid, then this subsection will be severed from the section entitled “Resolving Disputes” and the court or arbitrator will apply the first “Resolving Disputes” section in existence after you began using the Online Services.
Survival<\/strong>This \"Resolving Disputes\" section will survive any termination of your account, enrollment in any program, eligibility for coverage, or the Online Services.
"},"terms-of-use-termination-law":{"id":"terms-of-use-termination-law","message":"You may terminate this Agreement by providing us written notice of such termination and discontinuing your access or use of our Online Services. We may terminate this Agreement and your right to access or use our Online Services, at any time, with or without cause. The laws of the State of Minnesota govern this Agreement, without regard to conflict of law principles. You submit to the exclusive jurisdiction of the courts in the State of Minnesota and waive any jurisdictional venue or inconvenient forum objections to such court. All provisions, which, by their nature survive, shall survive termination of this Agreement.
Copyright © 2020 UnitedHealth Group, Incorporated. All rights reserved. Last Revision: May, 2020"},"terms-of-use-exhibitA":{"id":"terms-of-use-exhibitA","message":"PROVIDER API TERMS OF USE AGREEMENT<\/strong>
These Terms of Use (these “TOUs”) constitute a legally binding agreement between (a) you, the person using the Application Program Interface (“API”), and (b) us. “We”, “our”, “us”, “United”, and related terms refer to United HealthCare Services, Inc. and its affiliated entities. “You” or “your” refer to the person using the API Services and the organization or entity on whose behalf you are using the API Services.
1. Purpose; Restrictions on Use.<\/strong> You desire to use the API services (the “API Services”) to access certain Confidential Information (as defined below) to efficiently perform eligibility checks, facilitate electronic transmission of claims, check on reconsiderations, and verify appeals status related to any one or more of the following: (a) your provision of covered services to patients whom we insure; (b) related communications with us; and (c) other permissible payment or health care operational functions under the Health Insurance Portability Act of 1996 (HIPAA) (collectively, the “Purpose”). You agree that we may take any measures we deem appropriate, in our sole discretion, to prevent the violation of, and to enforce, these TOUs.
2. General Agreement.<\/strong> You agree to these TOUs by using the API Services. It is your responsibility to review these TOUs each time you use our API Services. You agree to any changes to the TOUs by your continued use of the API Services.
3. Provider Agreement.<\/strong> If you have an existing agreement (the “Provider Agreement”) with us, the API Services you use and the Confidential Information (defined below) you access are subject to the terms and conditions of that Provider Agreement and these TOUs. If there is a conflict between these TOUs and the Provider Agreement, the terms most protective to us shall control.
4. License.<\/strong> The access to and use of Confidential Information is licensed to you and not sold. We grant you a non-exclusive, revocable, non-transferable, non-sublicensable, limited license to access and use the Confidential Information solely for the Purpose.
5. Representation and Warranties.<\/strong> You represent and warrant to us that: (a) you are a Covered Entity as defined under HIPAA, and have or had a treatment relationship with the individual whose medical information you will access (each, a “Patient”); (b) you are whom you portray yourself to be when you use the API Services; (c) we have authorized your use of the API Services; (d) you will use the API Services and Confidential Information only for the Purpose; (e) you have obtained the necessary and proper consents required from your Patients to view, send and/or receive medical information, as applicable, through our API Services; and (f) if you have a business associate agreement with a vendor to perform certain services for you which require your vendor to access the Confidential Information via the API Services on your behalf, you will require vendor to (A) enter into its own agreement accepting these TOUs; and (B) immediately notify us if the service agreement with the vendor terminates or expires so we can prohibit vendor’s further access and use of the API Services.
6. Confidentiality.<\/strong> In using our API Services, you may be able to view, send and/or receive confidential health information, including, but not limited to: (a) patient health plan, medical and claims information that contains Protected Health Information as defined under HIPAA; and (b) other confidential and proprietary information (collectively, the “Confidential Information”). In addition to your confidentiality obligations under the Provider Agreement, you agree to maintain the security and privacy of all Confidential Information as required under law and under this Agreement. You shall restrict access to Confidential Information for the Purpose only. You will promptly notify us in the event you become aware of any violations of this provision, including, but not limited to, any violations of any vendor with whom you have a service agreement to access or use the API Services on your behalf.
7. Restrictions on Use of API Services and Confidential Information.<\/strong> You shall not: (a) use our API Services in any way not explicitly permitted by these TOUs; (b) use the Confidential Information for any other reason except for the Purpose; (c) copy, modify or create derivative works, or harvest data or materials from the Confidential Information; (d) use the API Services or Confidential Information for commercial purposes or in any manner that would compete with any of our products or services; (e) directly or indirectly authorize anyone else to take actions prohibited in this section; and (h) attempt to decipher, decompile, disassemble or reverse engineer any of the software used to provide the API Services.
8. No Warranties.<\/strong> The claims status, eligibility, coverage, and any other information from the API Services is provided to you for your convenience only on an “as is” and “as available” basis and is subject to change. Eligibility, coverage and payment terms for Patients to whom you provide health or medical services are governed by your applicable Provider Agreement. We disclaim all warranties of any kind, either express or implied, statutory or otherwise, including, but not limited to, the implied warranties of merchantability, fitness for a particular purpose and non-infringement as it relates to our provision of the API Services.
9. Limitation of Liability.<\/strong> You release us from, and waive all liability against us arising from or attributable to, any and all claims, demands, causes of action, whether direct or indirect, or any other loss or liability arising from or related in any way to: (a) our provision and your access or use of the API Services; and (b) our release and/or your use of Confidential Information.
10. Indemnification.<\/strong> In addition to any obligations to indemnify us under an applicable Provider Agreement, you agree to indemnify and hold harmless, and defend, us, our directors, officers, employees, independent contractors, agents and suppliers (each, an “United Indemnified Party”) from any and all claims, losses, liabilities, damages, taxes, expenses and costs, including without limitation, attorneys’ fees and court costs (collectively, “Losses”), incurred by a United Indemnified Party arising from or related to any of the following: (a) your use of API Service; (b) your use of any Confidential Information, (c) your breach of these TOUs or an applicable law; or (d) any claims your use of the API Services violated or infringed any third party intellectual property or proprietary rights.
11. Termination; Governing Law; Survival.<\/strong> We may terminate this Agreement and your right to access or use our API Services, at any time, with or without cause. The laws of the State of Minnesota govern this TOU. The obligations under this TOU shall survive termination of this TOU.
12. This TOU Controls.<\/strong> If there is any conflict between this TOU and the Terms, as it regards to the use of the API Services, the terms and conditions in the TOU shall control."},"terms-of-use-exhibitB":{"id":"terms-of-use-exhibitB","message":"VENDOR AND BILLING ENTITY API TERMS OF USE AGREEMENT<\/strong>
This Terms of Use Agreement (this “TOUs”) constitute a legally binding agreement between (a) you, the person using the Application Program Interface (“API”), and (b) us. “We”, “our”, “us”, “United”, and related terms refer to United HealthCare Services, Inc. and its affiliated entities. “You” or “your” refer to the person using the API Services and the organization or entity on whose behalf you are using the API Services.
1. Purpose; Restrictions on Use.<\/strong> You desire to use the API services (the “API Services”) to access certain Confidential Information (as defined below) to efficiently perform eligibility checks, facilitate electronic transmission of claims, check on reconsiderations, and verify appeals status, or performing other permissible payment and/or health care operational purposes as defined under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) on behalf of a Covered Entity (as defined below) with whom you have a business associate agreement (the “Purpose”). You agree that we may take any measures we deem appropriate, in our sole discretion, to prevent the violation of, and to enforce, these TOUs.
2. General Agreement.<\/strong> You agree to these TOUs by using the API Services. It is your responsibility to review these TOUs each time you use our API Services. You agree to any changes to the TOUs by your continued use of the API Services.
3. Confidentiality.<\/strong> You acknowledge that through our API Services you may be able to view, send and/or receive confidential health information, including without limitation health plan, medical and claims information (\"Health Information\") on United Members. You also acknowledge that this Health Information contains protected health information (PHI) as defined under HIPAA, as well as our confidential and proprietary information (collectively, the “Confidential Information”). You agree to maintain the security and privacy of all Confidential Information, and Confidential Information shall be held in strictest confidence. You shall ensure that access to Confidential Information shall be limited to your employees on a \"need to know\" basis and that such Confidential Information will be used solely for the Purpose. You agree to comply with all applicable laws and regulations while using our API Services or the Confidential Information. You also agree to promptly notify us in the event you become aware of any violations of this provision.
4. The access to and use of Confidential Information is licensed to you and not sold. We grant you a non-exclusive, revocable, non-transferable, non-sublicensable, limited license to access and use the Confidential Information solely for the Purpose.
5. Representation and Warranties.<\/strong> You represent and warrant to us that: (a) you have a service agreement the meets the requirements of a business associate agreement under HIPAA under which you are obligated to perform certain services on behalf of a covered entity (the “Covered Entity”) which requires you to access the Confidential information (the “Service Agreement”); (b) under this Service Agreement, you have express authorization to access the Confidential Information on behalf of the Covered Entity; (c) the Service Agreement includes a business associate agreement and confidential information provisions that prohibit you from using the Confidential Information in a way that conflicts in any way with the confidentiality obligations under these TOUs; (d) you are who you portray yourself to be when you use the API Services; (e) you will use the API Services and the Confidential Information only for the Purpose; (f) you, or the Covered Entity on whose behalf you are accessing the AI Services, have obtained the necessary and proper consents required for you to view, send and/or receive the medical information, as applicable, through our API Services; and (g) you will immediately notify us if the Service Agreement terminates or expires, and you will immediately cease accessing and using the API Services.
6. Business Associate Agreement with Covered Entity.<\/strong> In addition to these TOUs, you are bound by the terms and conditions of the business associate agreement included in your Service Agreement.
7. Restrictions on Use of API Services and Confidential Information.<\/strong> You shall not: (a) use our API Services in any way not explicitly permitted by these TOUs; (b) use Confidential Information for any other reason except for the Purpose; (c) copy, modify or create derivative works, or harvest data or materials from the Confidential Information; (d) use the API Services or Confidential Information for commercial purposes or in any manner that would compete with any of our products or services; (e) directly or indirectly authorize anyone else to take actions prohibited in this section; and (f) attempt to decipher, decompile, disassemble or reverse engineer any of the software used in the API Services.
8. No Warranties.<\/strong> The claims status, eligibility and coverage information from the API Services is provided to you for your convenience only on an “as is” and “as available” basis and is subject to change. We disclaim all warranties of any kind, either express or implied, statutory or otherwise, including, but not limited to, the implied warranties of merchantability, fitness for a particular purpose and non-infringement as it relates to our provision of the API Services.
9. Limitation of Liability.<\/strong> You release us from, and waive all liability against us arising from or attributable to, any and all claims, demands, causes of action, whether direct or indirect, or any other loss or liability arising from or related in any way to: (a) our provision and your access or use of the API Services; and (b) our release and/or your use of Confidential Information.
10. Indemnification.<\/strong> You agree to indemnify and hold harmless, and defend, us, our directors, officers, employees, independent contractors, agents and suppliers (each, an “United Indemnified Party”) from any and all claims, losses, liabilities, damages, taxes, expenses and costs, including without limitation, attorneys’ fees and court costs (collectively, “Losses”), incurred by a United Indemnified Party arising from or related to any of the following: (a) your use of the API Services; (b) your use of any Confidential Information; (c) your breach of these TOUs or applicable laws; or (d) any claims your use of the API Services violated or infringed any third party intellectual property or proprietary rights.
11. Termination; Governing Law; Survival.<\/strong> We may terminate this Agreement and your right to access or use our API Services, at any time, with or without cause. The laws of the State of Minnesota govern this TOU. The obligations under this TOU shall survive termination of this TOU.
12. This TOU Controls.<\/strong> If there is any conflict between this TOU and the Terms, as it regards to the use of the API Services, the terms and conditions in the TOU shall control."},"terms-of-use-modal-title-subtext1":{"id":"terms-of-use-modal-title-subtext1","message":"Welcome! Thanks for using our site and applications."},"terms-of-use-modal-title-subtext2":{"id":"terms-of-use-modal-title-subtext2","message":"Please review our Terms of Use<\/a> and Privacy Policy<\/a>. You will then be routed to our site after selecting the check box below and clicking the Accept button."},"terms-of-use-modal-content-title":{"id":"terms-of-use-modal-content-title","message":"IMPORTANT NOTE REGARDING WEBSITE CONTENT"}}}