Electronic Prior Authorization HCP Terms of Use Checklist
Introduction: These terms of use govern your use of the Mercalis electronic prior authorization (“ePA”) service including all content, layouts, and functionality (“Service”), which is designed to support your submission of prior authorization information to your patients’ health insurance plans. An ePA is an electronic prior authorization. It’s a digital version of the .pdf or paper prior authorizations that insurance companies often require you to complete before the insurance company approves the claim for the service you order. You should have received a message with the link to this Service with instructions for accessing the ePA; you have elected to use this Service. Please see the Mercalis ePA FAQ for Prescribers’ offices for more information, including who to contact.
See the Mercalis Privacy Policy for details about how your personal data is used.
READ THESE TERMS OF USE CAREFULLY BEFORE YOU USE THIS SERVICE SITE. BY USING THIS SERVICE, YOU, ON BEHALF OF YOURSELF AND YOUR PRACTICE, AGREE (ON YOUR OWN BEHALF AND ON BEHALF OF YOUR PRACTICE) TO ACCEPT AND ABIDE BY THESE TERMS OF USE. MERCALIS MAY AT ANY TIME REVISE THESE TERMS OF USE AND YOU ARE BOUND BY ANY REVISIONS.
Your commitments to us You agree to the following:
- You are permitted by your health care entity (“Practice”) to submit information to secure a prior authorization for your Practice’s patients and you will comply with your Practice’s policies and procedures when submitting the information and using the Service, including for billing, privacy, and security.
- You will confirm the accuracy of all information presented to you in the Service and ensure that what you submit is accurate and complete.
- You understand that this Service is a support to you, and not a substitution for your obligations, including checking the status of your submission. MERCALIS IS NOT RESPONSIBLE FOR ENSURING THE SUBMISSION OR RESPONSE FOR THE PRIOR AUTHORIZATION OR OTHER OUTPUT.
- You will check the status of the ePA and you understand that some payers respond very quickly while others take more time.
- You may not use or attempt to use a patient identification number (“PIN”) or a health care provider’s NPI unless you are permitted by your Practice’s policies and procedures; you agree that all activity associated with the NPI is deemed the activity of the health care provider who is associated with that NPI.
- You may not use this Service for any other purpose
- You will notify Mercalis immediately of any suspicious activity associated with the PIN or the NPI.
Intellectual Property You may not disassemble, decompile, or reverse engineer any software that is a part of or made available as part of the Service. Mercalis does not grant You or Your Practice any ownership in the screenshots or software contained in or underlying the Services. You may not reproduce, duplicate, sell, resell, or make any commercial use of the Services, or making any derivative work of the Services. You will not remove, obscure, or alter any proprietary rights notices, including trademark, service mark, and copyright notices, that appear on the Service or the output of the Service.
DISCLAIMERS/ LIMITATION OF LIABILITY:
- MERCALIS ACCEPTS NO RESPONSIBILITY OR LIABILITY WHATSOEVER ARISING FROM OR IN ANY WAY CONNECTED WITH THE USE OF THIS SERVICE. MERCALIS MAKES NO WARRANTIES OR REPRESENTATIONS OF ANY KIND WITH RESPECT TO THE SERVICE INCLUDING THE OUTPUT, WHICH IS PROVIDED “AS IS.” TO THE FULLEST EXTENT PERMISSIBLE PURSUANT BY APPLICABLE LAW, MERCALIS DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, NON-INTERFERENCE, DATA ACCURACY, OR FREEDOM FROM COMPUTER VIRUS.
- IN NO EVENT SHALL MERCALIS (INCLUDING ITS AFFILIATES, AGENTS, AND VENDORS) NOR ANY OF THEIR RESPECTIVE OFFICERS, DIRECTORS, MEMBERS, PARTNERS, SHAREHOLDERS, EMPLOYEES, AGENTS, LICENSORS, OR SERVICE PROVIDERS (COLLECTIVELY, THE “PROTECTED ENTITIES”), BE LIABLE FOR ANY DIRECT OR INDIRECT DAMAGES (E.G., SPECIAL, INCIDENTAL) OR PUNITIVE DAMAGES EVEN IF THE PROTECTED ENTITIES HAVE BEEN PREVIOUSLY ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, WHETHER IN AN ACTION UNDER CONTRACT, NEGLIGENCE, OR ANY OTHER THEORY, ARISING OUT OF OR IN CONNECTION WITH THE USE, INABILITY TO USE, OR PERFORMANCE OF THE SERVICES. IN NO EVENT SHALL THE TOTAL AGGREGATE LIABILITY OF THE PROTECTED ENTITIES TO YOU OR YOUR PRACTICE FOR ALL DAMAGES, LOSSES, AND CAUSES OF ACTION (WHETHER IN CONTRACT OR TORT, INCLUDING, BUT NOT LIMITED TO, NEGLIGENCE OR OTHERWISE) IN THE AGGREGATE, ARISING FROM THESE TERMS OF USE OR YOU OR YOUR PRACTICE’S USE OF THE SITE OR THE PROGRAM, EXCEED $1000.00. IF A JURISDICTION WITH AUTHORITY OVER THIS RELATIONSHIP DOES NOT ALLOW ALL OR PART OF THE LIMITATIONS IN THESE TERMS OF USE, YOU AND YOUR PRACTICE STILL UNDERSTAND AND AGREE THAT IN NO EVENT SHALL THE PROTECTED ENTITIES BE LIABLE FOR SPECIAL DAMAGES.