Please read these terms carefully before using the Pre Auth Health platform.
These Terms of Service ("Agreement") govern your access to and use of the Pre Auth Health platform ("Platform") provided by Pre Auth Health, Inc., a Delaware corporation ("Company," "we," "us," or "our"). By creating an account or using the Platform, you agree to be bound by this Agreement.
Plain English Summary: This Agreement covers how you can use our platform, what we do with your data, how billing works, and what happens if you cancel. The most important thing to know: your clinic data belongs to you. We never sell it. We do collect anonymized, aggregated trend data across the platform -- with no PHI and no clinic identifiers -- which we own and may use to improve the platform and support healthcare system research.
By registering for an account, clicking "I Agree," or accessing the Platform, you represent that you have read, understood, and agree to be bound by this Agreement and our Privacy Policy. If you are accepting on behalf of an organization, you represent that you have authority to bind that organization.
Pre Auth Health provides a cloud-based prior authorization workflow platform designed to assist skilled nursing facilities (SNFs), independent clinics, and revenue cycle management (RCM) companies in managing Medicare prior authorization submissions, denial tracking, and appeal workflows. The Platform uses artificial intelligence to assist with documentation -- all AI components operate under human supervision and without access to protected health information (PHI).
You must be at least 18 years of age and authorized to conduct business on behalf of your organization to use the Platform. You agree to provide accurate, current, and complete information during registration and to update it as necessary. You are responsible for maintaining the confidentiality of your login credentials and for all activity that occurs under your account.
The Platform is offered under the following subscription plans:
Optional add-ons are available at additional cost, including additional providers, additional users, PA overages, and appeal overages. Current add-on pricing is available on our pricing page.
Subscriptions are billed monthly in advance via Stripe. Your subscription renews automatically unless cancelled before the renewal date. By providing payment information, you authorize us to charge your payment method for all applicable fees.
Customers who subscribe during the founding period are eligible for price lock protection. Annual price increases for founding customers are capped at 10% per year.
If you do not enter payment information before your 14-day trial expires, your account will transition to an inactive state. No charge will be applied. Your data will be retained for 30 days following trial expiration before permanent deletion.
You may cancel your subscription at any time through the billing portal. Cancellation takes effect at the end of the current billing period. Accounts that are cancelled or unpaid will be suspended and permanently deleted 30 days after the cancellation or payment failure date. You are responsible for exporting any data you wish to retain before deletion.
You agree to use the Platform only for lawful purposes and in accordance with this Agreement. You agree not to:
Pre Auth Health operates under a zero-PHI AI architecture. PHI submitted by your organization is stored tenant-side in your designated encrypted Azure Blob Storage environment and is never transmitted to or processed by the Company's AI components. AI components receive only structured, de-identified data such as denial codes, CPT codes, and payer identifiers.
You are responsible for ensuring your use of the Platform complies with your obligations under the Health Insurance Portability and Accountability Act (HIPAA) and any applicable Business Associate Agreement (BAA) with the Company. Please contact us at contact@preauthhealth.com for BAA inquiries.
The Platform, including all software, algorithms, designs, and documentation, is the exclusive property of Pre Auth Health, Inc. and is protected by United States patent law, copyright law, and other applicable intellectual property laws. Your subscription grants you a limited, non-exclusive, non-transferable license to access and use the Platform during the term of your subscription.
You retain all ownership rights to content and data you submit to the Platform ("Tenant Data"). The Company claims no ownership interest in Tenant Data.
The Platform uses AI to assist with prior authorization documentation and appeal letter generation. All AI outputs are intended to support -- not replace -- human clinical and administrative judgment. You are responsible for reviewing all AI-generated content before submission to any payer. The Company does not guarantee that AI-generated content will result in prior authorization approval.
Plain English Summary: Your clinic's data is yours. We never sell it. We do observe anonymized trends across the platform -- things like which payers deny which CPT codes most often -- and we own those trends. We may use them to improve the platform and support industry research into prior authorization patterns. No PHI, no clinic names, no identifying information is ever included.
All data submitted by Subscriber to the Platform, including prior authorization requests, clinical documentation references, and account information ("Tenant Data"), remains the sole and exclusive property of Subscriber. Company claims no ownership interest in Tenant Data and will not sell, license, or disclose Tenant Data to any third party in individually identifiable form without Subscriber's express written consent, except as required by applicable law.
Subscriber acknowledges and agrees that Company may collect, process, and retain de-identified, aggregated data derived from Subscriber's use of the Platform ("Aggregated Data"). Aggregated Data contains no protected health information (PHI) as defined under HIPAA, no personally identifiable information (PII), no clinic-specific identifiers, and no information that could reasonably be used to identify Subscriber or any individual patient. Aggregated Data may include, without limitation, payer denial and approval trend data, CPT code authorization patterns, pend rates, and platform usage statistics.
All Aggregated Data is and shall remain the sole and exclusive property of Company. Company reserves the right to use Aggregated Data for any lawful purpose, including but not limited to platform improvement, research, analytics, and advancing industry understanding of prior authorization patterns. No such use of Aggregated Data shall constitute a breach of this Agreement or any obligation of confidentiality owed to Subscriber.
Company's platform is architected such that no PHI is transmitted to or processed by Company's artificial intelligence components. Subscriber retains full responsibility for PHI stored within Subscriber's designated encrypted storage environment in accordance with applicable HIPAA obligations.
The rights granted to Company under Sections 10.2 and 10.3 shall survive termination or expiration of this Agreement with respect to Aggregated Data collected prior to termination.
Each party agrees to keep confidential any non-public information disclosed by the other party in connection with this Agreement and to use such information only as necessary to perform obligations under this Agreement. This obligation does not apply to information that is publicly available, independently developed, or required to be disclosed by law.
THE PLATFORM IS PROVIDED "AS IS" AND "AS AVAILABLE" WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT. THE COMPANY DOES NOT WARRANT THAT THE PLATFORM WILL BE UNINTERRUPTED, ERROR-FREE, OR FREE OF HARMFUL COMPONENTS.
TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THE COMPANY BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, INCLUDING LOST PROFITS, LOSS OF DATA, OR LOSS OF GOODWILL, ARISING OUT OF OR IN CONNECTION WITH YOUR USE OF THE PLATFORM, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. THE COMPANY'S TOTAL CUMULATIVE LIABILITY ARISING OUT OF OR RELATED TO THIS AGREEMENT SHALL NOT EXCEED THE FEES PAID BY YOU IN THE THREE MONTHS PRECEDING THE CLAIM.
You agree to indemnify, defend, and hold harmless Pre Auth Health, Inc. and its officers, directors, employees, and agents from and against any claims, liabilities, damages, losses, and expenses, including reasonable attorneys' fees, arising out of or in any way connected with your access to or use of the Platform, your violation of this Agreement, or your violation of any applicable law or regulation.
This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware, without regard to its conflict of law provisions. Any dispute arising under this Agreement shall be resolved through binding arbitration in accordance with the rules of the American Arbitration Association, except that either party may seek injunctive relief in a court of competent jurisdiction to protect intellectual property rights.
We reserve the right to modify this Agreement at any time. We will provide at least 30 days' notice of material changes via email to the address associated with your account. Your continued use of the Platform after the effective date of any modification constitutes your acceptance of the modified Agreement.
Either party may terminate this Agreement at any time. The Company reserves the right to suspend or terminate your account immediately and without notice if you violate this Agreement, fail to pay applicable fees, or engage in conduct that the Company determines, in its sole discretion, to be harmful to the Platform, other users, or the Company.
This Agreement, together with the Privacy Policy and any executed Business Associate Agreement, constitutes the entire agreement between you and Pre Auth Health, Inc. with respect to the Platform and supersedes all prior agreements and understandings, whether written or oral.
For questions about these Terms of Service, please contact us: