1. Acceptance of Terms
By accessing the website or utilizing the services provided by Exp Credentialing Services (“Company,” “we,” “us,” or “our”), you (“Client,” “Provider,” or “User”) agree to be bound by these Terms of Service (“Agreement”). If you do not agree to these terms, you are prohibited from using our website or services. This Agreement governs all aspects of the provider credentialing, enrollment, revenue cycle management (RCM), and related administrative services provided by the Company.
2. Description of Services
Exp Credentialing Services provides business-to-business healthcare administrative services, including but not limited to primary source verification, commercial and government payer enrollment (e.g., Medicare, Medicaid), CAQH profile management, hospital privileging, and revenue cycle management. We act as an administrative agent on your behalf. We do not guarantee credentialing approval, specific reimbursement rates, or network inclusion, as final determinations rest solely with the respective insurance payers, hospitals, or regulatory bodies.
3. Client Obligations and Accuracy of Information
3.1. Document Submission: Client agrees to provide all requested documentation promptly.
3.2. Representation of Accuracy: Client warrants that all information provided is true, accurate, current, and complete. The Company shall not be held liable for any delays, application rejections, or financial losses resulting from omitted, falsified, or expired information provided by the Client.
3.3. Duty to Update: Client must immediately notify the Company of any changes to their professional standing, including disciplinary actions, malpractice claims, or license expirations.
4. Fees, Billing, and Non-Refundability
4.1. Payment Terms: Fees for services will be outlined in a separate Service Agreement or invoice.
4.2. Non-Refundable Services: Due to the administrative nature of credentialing, all fees paid are strictly
non-refundable once the Company has initiated the application or verification process, regardless of the final credentialing decision made by the payer or facility.
4.3. Late Payments: Failure to remit payment within fifteen (15) days of the invoice date may result in the immediate suspension of all services. Unpaid balances are subject to a late fee of 1.5% per month or the maximum amount permitted by law.
5. Limitation of Liability
TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL EXP CREDENTIALING SERVICES, ITS AFFILIATES, DIRECTORS, EMPLOYEES, OR AGENTS BE LIABLE FOR ANY INDIRECT, PUNITIVE, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES. The Company is not responsible for processing delays caused by third parties, including CMS, state medical boards, or commercial insurance networks. In no event shall the Company’s cumulative liability to the Client exceed the total amount paid by the Client to the Company for the specific service in dispute during the three (3) months immediately preceding the claim.
6. Indemnification
Client agrees to defend, indemnify, and hold harmless Exp Credentialing Services and its personnel from and against any and all claims, damages, obligations, losses, liabilities, costs, or debt, and expenses (including but not limited to attorney’s fees) arising from Client’s use of and access to the services, Client’s violation of any term of this Agreement, or Client’s violation of any third-party right.
7. Confidentiality and Data Security (HIPAA)
Both parties agree to maintain the confidentiality of all proprietary business information. The handling of any Protected Health Information (PHI) in the scope of Revenue Cycle Management or related services shall be governed strictly by a separate
Business Associate Agreement (BAA) executed between the parties.
8. Term and Termination
The Company reserves the right to terminate or suspend access to our services immediately, without prior notice or liability, for any reason whatsoever, including a breach of the Terms. Sections regarding Limitation of Liability, Indemnification, and Fees shall survive termination.
9. Force Majeure
Exp Credentialing Services shall not be held liable for any failure to perform its obligations if such failure results from circumstances beyond our reasonable control, including acts of God, governmental actions, cyber-attacks, global pandemics, or systemic failures of third-party payer portals.
10. Governing Law and Jurisdiction
This Agreement shall be governed by and construed in accordance with the laws of the State of
New York. Any legal action or proceeding arising under this Agreement will be brought exclusively in the federal or state courts located in
New York County, New York.
11. Amendments
We reserve the right, at our sole discretion, to modify or replace these Terms at any time. Continued use of the services after any such changes constitutes your acceptance of the new Terms of Service.
12. Contact Information
Exp Credentialing Services — 383 Madison Ave, New York, NY 10179
Email:
info@expcredentialingservices.com