Welcome to IDR Solution (the "Service"), a software-as-a-service platform designed to assist in the management of the US Federal Independent Dispute Resolution (IDR) process. By registering for an account or using the Service, you agree to be bound by these Terms of Service ("Terms").
1. Description of Service
IDR Solution provides tools for tracking, managing, and preparing documentation for the Federal IDR process. We provide the software platform but do not provide legal, financial, or professional healthcare advice. We make no guarantees regarding the outcome of any IDR disputes managed through our platform.
2. User Accounts
You must provide accurate and complete information when creating an account. You are solely responsible for maintaining the confidentiality of your login credentials and for all activities that occur under your account.
Authorized External Users: Organization administrators may authorize other registered users of the Service who are outside of their own organization ("External Users" or "Authorized Agents") to access their workspace. The organization administrator is entirely responsible for the conduct of any External User while that user is operating within the organization's workspace. The organization must ensure these users comply with these Terms, and any violation by an External User within this context will be treated as a violation by the organization itself.
3. Acceptable Use
You agree not to:
- Use the Service for any unlawful purpose or in violation of any local, state, or federal laws (including healthcare privacy laws).
- Attempt to reverse engineer, decompile, or hack the Service.
- Upload malicious code, viruses, or disruptive software to the platform.
- Scrape, export, or mass-download data from the Comps Library for external database creation.
- Use any IDR Package generated by the Service for any commercial, legal, or analytical purpose other than in direct connection with the preparation, initiation, or management of a US Federal or State Independent Dispute Resolution (IDR) proceeding.
4. Payments, Billing, and Refunds
By purchasing tokens or subscribing to a paid plan on IDR Solution, you agree to our billing policies:
- Payment Method Requirement: Organization administrators are required to maintain a valid credit card on file to access and use paid features of the Service. The organization administrator is solely responsible for managing user-level spending permissions. The organization administrator assumes full financial responsibility for all activity, fees, subscriptions, or purchases made by any member of the organization, any of its subsidiaries, or any authorized External User operating within the organization's account, and authorizes us to charge the stored credit card for such fees.
- Auto-Renewing Plans: If you select an auto-renewing unlimited plan (or any recurring subscription), you authorize us to automatically charge your stored credit card at the beginning of each billing cycle according to the terms of your chosen plan.
- Strict No-Refund Policy: All purchases and subscription charges are final. No refunds will be provided for any payments, whether in full or in part, including for unused time on a subscription, account termination, or dissatisfaction with the Service.
5. Platform-Assigned Email Addresses and Communication Access
To facilitate the management of your disputes, the Service will automatically generate and assign a unique email address to your account for the purpose of receiving IDR-related correspondence. By utilizing this platform-assigned email address, you explicitly grant IDR Solution the right and permission to receive, access, read, process, and store all incoming emails and attachments sent to that address. We will monitor and process these communications to provide the core functionalities of the Service, such as automatically tracking dispute statuses, extracting relevant deadlines, and managing case files. You acknowledge that this email address is provided solely for use within the IDR process, and you are solely responsible for ensuring that your use of this assigned address and any information transmitted to it by third parties complies with all applicable data protection and healthcare privacy laws.
6. Comps Library and Data Sharing
The Service includes a "Comps Library" feature designed to aggregate and share payment data to assist users in their IDR disputes. By using this feature, you agree to the following strict conditions:
- Redaction Requirement: When uploading proof of insurance payments ("Comps"), you, or any authorized External User operating in your workspace, must fully redact all personal information, including Protected Health Information (PHI) and Personally Identifiable Information (PII), prior to upload. If we determine that a file contains unredacted personal information, the file will be immediately rejected and deleted, and the organization's account may be subject to suspension or termination.
- Universal Sharing: The purpose of the Comps Library is to leverage collective data to maximize the effectiveness of the Service for everyone. Therefore, you acknowledge and agree that any Comps you or your External Users successfully upload will become part of the platform's shared database and will be accessible to all users of the Service, granting each user access to a broader range of payment data to assist in their own IDR proceedings.
- Restricted Use of Platform Comps: The Comps provided to you by IDR Solution, whether as individual downloads or as part of a generated IDR package, are licensed to you strictly for the purpose of supporting your own active IDR disputes. You expressly agree not to use, sell, distribute, or repurpose the Comps for any other commercial, legal, or analytical purpose outside of the Federal IDR process.
7. Intellectual Property
IDR Solution retains all rights, title, and interest in and to the Service, including its original code, design, and aggregated datasets (excluding the original ownership of user-uploaded files).
8. Artificial Intelligence (AI) Generated Content and User Responsibility
Acknowledgment of AI Utilization: IDR Solution (the "Service") utilizes artificial intelligence (AI) models to assist users in generating Patient Acuity & Valuation Statements and supporting documentation for the US Federal Independent Dispute Resolution (IDR) process. By using these features, you acknowledge and agree to the inherent limitations and risks associated with AI-generated content.
Input Limitations and External Data: The Service’s AI is specifically instructed to use the documentation you provide (such as patient chart notes and provider Curriculum Vitae) as its exclusive source of truth for the clinical and medical facts of any given case. Additionally, the AI may attempt to perform automated web searches to calculate regional market data and provider density. IDR Solution does not independently verify the accuracy, authenticity, or completeness of the documentation you upload, nor do we guarantee the reliability of third-party market data retrieved from search engines.
No Guarantee of Accuracy: You expressly acknowledge that AI-generated text is prone to errors. The generated documents may contain clinical inaccuracies, hallucinations of medical facts, mathematical miscalculations, flawed economic logic, or incorrect market share estimations. The Service provides these AI-generated documents strictly on an "as-is" basis and does not constitute legal, financial, or professional healthcare advice.
Mandatory Independent Verification: The output provided by the Service is intended solely as a preliminary draft or template. You agree that it is your strict obligation to independently, comprehensively, and manually review, verify, and correct all AI-generated content prior to its use. This mandatory verification applies to all aspects of the generated document, including but not limited to clinical narratives, diagnostic claims, procedural descriptions, economic arguments, and mathematical calculations.
Assumption of Full Liability: You assume full, sole, and ultimate legal, regulatory, and financial responsibility for the accuracy, completeness, and compliance of any content, document, or package you submit to the Centers for Medicare & Medicaid Services (CMS) portal, an authorized IDR entity, or any other third party. To the maximum extent permitted by law, IDR Solution, its creators, and affiliates shall not be liable for any denied claims, audits, legal penalties, loss of revenues, or any other direct or indirect damages resulting from your reliance on, or submission of, AI-generated content.
9. Limitation of Liability
To the maximum extent permitted by law, IDR Solution and its creators shall not be liable for any indirect, incidental, special, consequential, or punitive damages, or any loss of profits, revenues, or data resulting from your use of the Service or the outcome of any IDR proceedings. The Service is provided on an "as-is" and "as-available" basis.
10. Termination
We reserve the right to suspend or terminate your account at any time, without notice, if you violate these Terms, specifically including misuse of the platform's data.
11. Governing Law
These Terms shall be governed by and construed in accordance with the laws of the State of New York, without regard to its conflict of law provisions.