Terms of Use

1. Acceptance of Terms

By accessing or using ProGini Claim Guard AI ("the Service"), you agree to be bound by these Terms of Use. If you do not agree to all the terms and conditions, you may not access or use the Service. These terms apply to all visitors, users, and others who access or use the Service.

2. Description of Service

ProGini Claim Guard AI is a software-as-a-service platform that uses artificial intelligence to analyze medical claims, detect billing anomalies, and assist healthcare payers in identifying potential fraud, waste, and abuse. The Service provides risk scoring, benchmark comparisons, and alert generation based on claim data submitted by users.

3. Account Registration

To use certain features of the Service, you must register for an account. You agree to provide accurate, current, and complete information during registration and to update such information to keep it accurate, current, and complete. You are responsible for safeguarding your password and for all activities that occur under your account.

4. Acceptable Use

You agree not to use the Service to:

• Violate any applicable laws or regulations, including HIPAA and other healthcare privacy laws.
• Upload or transmit any viruses, malware, or other harmful code.
• Attempt to gain unauthorized access to the Service or its related systems.
• Use the Service in any manner that could damage, disable, overburden, or impair the platform.
• Reverse engineer, decompile, or disassemble any portion of the Service.

5. Data and Privacy

Your use of the Service is also governed by our Privacy Policy. By using the Service, you consent to the collection, processing, and storage of your data as described therein. You represent and warrant that you have obtained all necessary consents and authorizations to submit claim data for analysis.

6. Intellectual Property

The Service and its original content, features, and functionality are and will remain the exclusive property of ProGini Claim Guard AI and its licensors. The Service is protected by copyright, trademark, and other laws. Our trademarks and trade dress may not be used in connection with any product or service without prior written consent.

7. Disclaimer of Warranties

The Service is provided on an "AS IS" and "AS AVAILABLE" basis. ProGini Claim Guard AI makes no warranties, expressed or implied, regarding the accuracy, reliability, or completeness of any analysis, risk score, or alert generated by the Service. The Service is intended to assist human review and should not be relied upon as the sole basis for claim denial or legal action.

8. Limitation of Liability

In no event shall ProGini Claim Guard AI, its directors, employees, partners, agents, suppliers, or affiliates be liable for any indirect, incidental, special, consequential, or punitive damages, including without limitation, loss of profits, data, use, goodwill, or other intangible losses, resulting from your access to or use of or inability to access or use the Service.

9. Termination

We may terminate or suspend your account immediately, without prior notice or liability, for any reason whatsoever, including without limitation if you breach the Terms. Upon termination, your right to use the Service will immediately cease.

10. Governing Law

These Terms shall be governed and construed in accordance with the laws of the State of Delaware, United States, without regard to its conflict of law provisions. Our failure to enforce any right or provision of these Terms will not be considered a waiver of those rights.

11. Contact Us

If you have any questions about these Terms, please contact us at legal@progini.ai.