Terms of Service

1 Parties and Agreement

These Terms of Service ("Terms") constitute a legally binding agreement between Sirius Solutions Global, LLC ("Company," "we," "our," or "us"), a Texas limited liability company located at 18383 Preston Rd #202, Dallas, TX 75252, and you ("Client," "you," or "your"), the individual or entity accessing our website or engaging our services.

These Terms apply to all visitors of our website at billing.siriussolutionsglobal.com and to all clients who enter into a service agreement with Sirius Solutions Global. Where a separate written Service Agreement or Statement of Work exists between the parties, that agreement governs in the event of any conflict with these Terms.

We reserve the right to update these Terms at any time. Changes will be posted on this page with a revised effective date. Your continued use of our services after such changes constitutes acceptance of the updated Terms.

2 Services Provided

Sirius Solutions Global provides AI-assisted healthcare revenue cycle management services, including but not limited to:

• Medical billing and insurance claim submission
• Medical coding and charge entry
• Denial management and appeals
• Accounts receivable follow-up and collections
• Insurance eligibility verification and benefits verification
• Prior authorization management
• Provider credentialing and payer enrollment
• CAQH profile management and Medicare PECOS enrollment
• Revenue cycle reporting and analytics
• Virtual medical assistant services

The specific services, scope of work, deliverables, fees, and timelines applicable to your engagement are defined in a separate Service Agreement or Statement of Work executed between the parties. These Terms apply in addition to, and supplement, that agreement.

We reserve the right to modify, suspend, or discontinue any aspect of our services at any time with reasonable notice to active clients. We will not make changes that materially affect your service without providing at least 30 days written notice.

3 Client Responsibilities

To enable us to deliver services effectively and in compliance with applicable law, you agree to:

• Provide accurate, complete, and timely information required for billing, coding, and credentialing activities
• Ensure that clinical documentation submitted to us is complete, accurate, and properly supports the services billed
• Notify us promptly of any changes to your practice, providers, payer contracts, fee schedules, or credentialing status
• Maintain valid licenses, certifications, and payer enrollments for all providers whose billing we manage
• Review and approve all reports, fee schedules, and service agreements in a timely manner
• Comply with all applicable federal and state laws governing healthcare billing, coding, and documentation
• Not use our services to submit false, fraudulent, or misleading claims to any payer, government program, or insurance carrier
• Designate an authorized representative to communicate with our team and approve decisions on your behalf

You acknowledge that the accuracy and completeness of the information you provide directly affects the accuracy of claims we submit. We are not liable for claim denials, audits, or compliance issues that result from inaccurate or incomplete information provided by you or your team.

4 Fees and Payment

Our fees are structured as a percentage of collected revenue, a flat monthly fee, or a per-transaction fee as specified in your Service Agreement. Our standard starting rate is 2.99% of collected revenue.

• Billing Cycle: Fees are invoiced monthly based on collections received during the prior billing period unless otherwise specified in your Service Agreement
• Payment Terms: Invoices are due within 15 days of issuance unless otherwise agreed in writing
• Late Payments: Amounts not paid within 30 days of the due date may accrue interest at a rate of 1.5% per month or the maximum rate permitted by law, whichever is less
• Disputed Invoices: If you dispute any portion of an invoice, you must notify us in writing within 10 business days of receipt, specifying the disputed amount and the basis for the dispute
• Service Suspension: We reserve the right to suspend services for accounts with outstanding balances more than 45 days past due following written notice
• No Hidden Fees: There are no setup fees, cancellation fees, or long-term contract penalties unless expressly stated in your Service Agreement

All fees are exclusive of applicable taxes. You are responsible for any federal, state, or local taxes imposed on the services provided, excluding taxes based on our net income.

5 Term and Termination

Your service engagement begins on the date specified in your Service Agreement and continues on a month-to-month basis unless a specific term is agreed upon in writing.

Termination by Either Party

Either party may terminate the service relationship at any time by providing 30 days written notice to the other party. Notice must be delivered by email to the designated contact address confirmed in your Service Agreement.

Termination for Cause

Either party may terminate the agreement immediately and without notice if the other party materially breaches these Terms or the Service Agreement and fails to cure that breach within 10 business days of receiving written notice of the breach. Material breaches include non-payment, fraudulent billing activity, unauthorized use of services, or failure to comply with HIPAA obligations.

Effect of Termination

Upon termination for any reason, we will complete claims already in process at the time of termination and submit final invoices for all fees earned. We will return or securely destroy all client data in our possession within 60 days of termination, in accordance with our data retention policies and applicable law. Outstanding balances remain due and payable upon termination.

6 HIPAA Compliance and Data Handling

Both parties agree to comply fully with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and all regulations promulgated thereunder, including the Privacy Rule, Security Rule, and Breach Notification Rule.

You represent and warrant that you are a covered entity or business associate under HIPAA, that you have the legal authority to provide PHI to us for the purposes described in our agreement, and that you will not direct us to use or disclose PHI in any manner that would violate HIPAA or any applicable state privacy law.

We represent and warrant that we will implement and maintain appropriate administrative, physical, and technical safeguards to protect PHI; limit use and disclosure of PHI to what is permitted by the BAA and applicable law; and report any security incidents or breaches affecting PHI in accordance with the Breach Notification Rule.

7 Compliance with Healthcare Laws

Both parties agree to conduct all billing, coding, and administrative activities in compliance with applicable federal and state healthcare laws, including:

• The False Claims Act (31 U.S.C. 3729-3733) and state equivalents
• The Anti-Kickback Statute (42 U.S.C. 1320a-7b(b))
• The Stark Law (42 U.S.C. 1395nn) as applicable
• Medicare and Medicaid billing regulations and Local Coverage Determinations (LCDs)
• CMS Conditions of Participation and applicable payer-specific billing guidelines
• State medical practice acts and professional licensing requirements

You are solely responsible for the medical necessity, clinical accuracy, and legal compliance of the services billed. We will code and bill based on the clinical documentation you provide. We will flag potential compliance issues we identify during our review, but we are not responsible for clinical decisions, diagnosis accuracy, or treatment appropriateness.

Neither party will engage in any arrangement that constitutes a kickback, self-referral, or other prohibited financial relationship under applicable law.

8 Intellectual Property

All technology, software, tools, workflows, AI models, processes, templates, dashboards, and proprietary systems developed or used by Sirius Solutions Global in delivering our services remain our exclusive intellectual property. Nothing in these Terms or any Service Agreement transfers any ownership of our intellectual property to you.

You retain full ownership of all clinical records, patient data, practice management data, and business information you provide to us. Upon termination, we will return or destroy this information as described in Section 5.

You grant us a limited, non-exclusive license to use your data solely for the purpose of delivering the services described in your Service Agreement. This license terminates upon the conclusion of our engagement.

9 Confidentiality

Both parties agree to maintain the confidentiality of all non-public information received from the other party in connection with these Terms and the Service Agreement ("Confidential Information"). This includes business strategies, financial data, pricing, technical systems, patient information, and any information marked or reasonably understood to be confidential.

Neither party will disclose Confidential Information to third parties without prior written consent, except as required by law, court order, or regulatory requirement. Each party will protect the other's Confidential Information with at least the same degree of care it uses to protect its own confidential information, but in no event less than reasonable care.

Confidentiality obligations survive termination of our engagement for a period of 3 years, except for PHI which is governed by HIPAA and the BAA without limitation.

10 Limitation of Liability

To the fullest extent permitted by applicable law, our total liability to you for any claims arising out of or related to these Terms or our services shall not exceed the total fees paid by you to Sirius Solutions Global in the 3 months immediately preceding the event giving rise to the claim.

In no event shall either party be liable for any indirect, incidental, special, consequential, or punitive damages, including lost profits, lost revenue, or loss of business opportunity, arising out of or related to these Terms or the performance of services, even if advised of the possibility of such damages.

These limitations do not apply to: liability for gross negligence or willful misconduct; liability for breaches of HIPAA or the Business Associate Agreement; or any liability that cannot be excluded or limited under applicable law.

11 Indemnification

You agree to indemnify, defend, and hold harmless Sirius Solutions Global, its officers, directors, employees, and agents from and against any claims, damages, penalties, fines, costs, and expenses (including reasonable legal fees) arising out of or related to:

• Your breach of these Terms or the Service Agreement
• Inaccurate, incomplete, or fraudulent information you provide to us
• Your failure to comply with applicable healthcare billing, coding, or documentation laws
• Claims by third parties arising from your clinical decisions or treatment of patients
• Your violation of any payer contract, licensing requirement, or professional obligation

We agree to indemnify you from claims arising out of our gross negligence, willful misconduct, or material breach of our HIPAA obligations.

12 Representations and Warranties

Each party represents and warrants to the other that:

• It has full legal authority to enter into and perform its obligations under these Terms
• Its performance does not violate any law, regulation, court order, or agreement with any third party
• It will comply with all applicable laws and regulations in connection with these Terms

You additionally represent and warrant that all providers whose billing you engage us to manage are properly licensed, credentialed, and enrolled with the relevant payers; that all clinical documentation provided is accurate to the best of your knowledge; and that you have the legal authority to share PHI with us under the terms of the BAA.

13 Dispute Resolution

The parties will attempt to resolve any dispute informally by escalating the issue to senior management on both sides within 10 business days of the dispute arising. Most issues are resolved at this stage.

If informal resolution is unsuccessful, the parties agree to submit the dispute to non-binding mediation before a mutually agreed mediator in Dallas, Texas, before pursuing any other legal remedy.

If mediation does not resolve the dispute within 60 days, either party may pursue their legal remedies in the state or federal courts of Dallas County, Texas. Both parties irrevocably consent to the exclusive jurisdiction of those courts for any such proceeding.

Nothing in this section prevents either party from seeking emergency injunctive relief in any court of competent jurisdiction where necessary to prevent imminent and irreparable harm.

14 Governing Law

These Terms and any disputes arising from them are governed by and construed in accordance with the laws of the State of Texas, without regard to its conflict of law principles. Federal healthcare laws, including HIPAA and the False Claims Act, govern to the extent they conflict with or supplement state law.

15 General Provisions

Entire Agreement

These Terms, together with your Service Agreement and Business Associate Agreement, constitute the entire agreement between the parties regarding the subject matter herein and supersede all prior discussions, proposals, and agreements.

Severability

If any provision of these Terms is found to be invalid, illegal, or unenforceable, the remaining provisions continue in full force and effect.

Waiver

Failure by either party to enforce any provision of these Terms does not constitute a waiver of that provision or any other provision.

Force Majeure

Neither party will be liable for delays or failures in performance caused by events beyond its reasonable control, including natural disasters, government actions, power outages, or internet service disruptions, provided the affected party notifies the other promptly and takes reasonable steps to resume performance.

Assignment

You may not assign your rights or obligations under these Terms without our prior written consent. We may assign these Terms in connection with a merger, acquisition, or sale of substantially all of our assets, provided the successor entity agrees to be bound by these Terms.

Notices

All formal notices under these Terms must be in writing and delivered by email to the designated contact addresses specified in your Service Agreement, or by certified mail to the address stated below.

16 Contact Us

Questions about these Terms or requests for a copy of our Service Agreement or Business Associate Agreement may be directed to: