These Terms of Service ("Terms") govern your access to and use of the website located at dentalclaimprofessionals.com (the "Website") and the dental insurance billing, oral surgery billing, insurance verification, credentialing, and accounts receivable recovery services (collectively, the "Services") provided by Dental Claim Professionals ("DCP," "we," "us," or "our"). By visiting the Website, submitting an inquiry, booking a consultation, or engaging DCP to perform Services, you agree to these Terms. If you are entering into these Terms on behalf of a dental practice or other organization, you represent that you have authority to bind that organization, and "you" refers to that organization.
If you do not agree to these Terms, do not use the Website and do not engage DCP for Services.
1. The Services
DCP provides remote, human-performed dental revenue cycle management services, which may include daily claim submission, EOB and EFT payment posting, denial management and appeals, oral surgery and medical cross-coding, insurance eligibility verification and benefit breakdowns, provider credentialing and CAQH maintenance, and aging accounts receivable recovery projects. Our staff perform these Services by working directly inside your practice's existing practice management software using access credentials you provide or authorize — we do not require you to migrate data to a separate platform.
The specific scope of Services, pricing, and any service-level commitments for your practice are set out in a separate engagement or services agreement (including any statement of work, order form, or written proposal) between you and DCP (an "Engagement Agreement"). If there is a conflict between these Terms and an Engagement Agreement you have signed with DCP, the Engagement Agreement controls with respect to that conflict.
2. Website Use & Content
The Website and its content — including text, graphics, logos, and educational articles — are provided for general informational purposes about DCP and our Services. Nothing on the Website constitutes legal, financial, coding, or clinical advice, and it should not be relied on as a substitute for your own professional judgment or for guidance from your insurance carriers, clearinghouse, or practice management software vendor.
You may not use the Website to transmit unlawful, infringing, or harmful content; to attempt to gain unauthorized access to our systems or those of our service providers; to scrape or harvest data from the Website in an automated manner without our written consent; or to interfere with the Website's normal operation.
3. Client Access, Credentials & Responsibilities
If you engage DCP for Services, you will provide our team with the access, credentials, and permissions necessary to work inside your practice management software, clearinghouse, and payer portals. You agree to:
- Provide accurate, current, and complete information about your practice, providers, and patients as reasonably needed to perform the Services;
- Maintain your own compliance obligations as a healthcare provider, including the accuracy of clinical documentation supporting the claims we submit on your behalf;
- Promptly notify DCP of any change in your practice management software, clearinghouse, payer relationships, or authorized point of contact; and
- Revoke or reassign credentials appropriately if your relationship with a specific staff member or vendor changes.
DCP will use the access you provide solely to perform the Services on your behalf and in accordance with your instructions and any applicable Engagement Agreement and Business Associate Agreement.
4. Fees & Payment
Fees for Services are set out in your Engagement Agreement and are generally billed monthly. DCP does not require long-term contracts; Services are provided on a month-to-month basis unless your Engagement Agreement states otherwise. Invoices are due upon receipt unless otherwise specified. If a payment is past due, we may suspend Services after providing reasonable notice, without limiting any other rights or remedies available to us.
5. Term, Cancellation & Termination
Either party may cancel Services for convenience with 30 days' written notice, unless a different notice period is specified in your Engagement Agreement. Either party may also terminate immediately if the other party materially breaches these Terms or an Engagement Agreement and fails to cure that breach within 15 days of written notice. Upon termination, DCP will cease work and, at your request, reasonably assist in transitioning outstanding claims and access back to your practice or a successor vendor. Fees for Services already performed remain due.
6. Confidentiality & Protected Health Information
In the course of providing Services, DCP may access confidential practice information and Protected Health Information ("PHI") as that term is defined under HIPAA. Before DCP accesses or processes any PHI on your behalf, we will enter into a Business Associate Agreement ("BAA") with your practice, and our handling of PHI will be governed by that BAA and applicable law. We do not sell, rent, or use PHI for any purpose outside of performing the Services you have contracted us to provide. See our Privacy Policy for more on how we handle information generally, including information collected through the Website.
7. Acceptable Use
You agree not to use the Services to submit claims you know to be false or fraudulent, to violate any applicable healthcare, insurance, or billing law or regulation, or to direct DCP to take any action you know to be unlawful. DCP reserves the right to decline to submit, or to pause work on, any claim or task we reasonably believe to be inaccurate, fraudulent, or unlawful, and to suspend Services for a client that directs or permits such conduct.
8. Intellectual Property
DCP retains all right, title, and interest in the Website, our internal processes, training materials, and any tools or templates we use to perform the Services. You retain all right, title, and interest in your practice's own data, including patient and claims data. Nothing in these Terms transfers ownership of your data to DCP; we access and process it solely to perform the Services.
9. Disclaimers
The Website and Services are provided "as is" and "as available." While DCP works diligently and carefully on every claim, we do not guarantee that any specific claim will be paid, that any specific insurer will accept or approve a submission, or that the Website will be uninterrupted or error-free. You remain responsible for the accuracy of the clinical and coding information you provide to us and for your practice's overall compliance obligations.
10. Limitation of Liability
To the maximum extent permitted by law, DCP will not be liable for any indirect, incidental, special, consequential, or punitive damages, or for any loss of revenue, profits, or data, arising out of or relating to the Website or the Services. To the maximum extent permitted by law, DCP's total cumulative liability arising out of or relating to the Services will not exceed the fees you paid to DCP in the three (3) months immediately preceding the event giving rise to the claim.
11. Indemnification
You agree to indemnify and hold DCP harmless from any third-party claims, losses, or expenses (including reasonable attorneys' fees) arising from your breach of these Terms, your violation of applicable law, or inaccurate or fraudulent information you provided to us in connection with the Services.
12. Governing Law & Disputes
These Terms are governed by the laws of the State of Missouri, without regard to its conflict-of-laws principles. Any dispute arising out of or relating to these Terms or the Services will be brought exclusively in the state or federal courts located in Missouri, and you consent to the personal jurisdiction of those courts.
13. Changes to These Terms
We may update these Terms from time to time. If we make a material change, we will post the updated Terms on this page with a new effective date and, where you are an active client, provide reasonable advance notice by email. Continued use of the Website or the Services after a change takes effect constitutes acceptance of the updated Terms.
14. Miscellaneous
These Terms, together with any Engagement Agreement and Business Associate Agreement you have signed with DCP, constitute the entire agreement between you and DCP regarding the Website and Services. If any provision of these Terms is found unenforceable, the remaining provisions remain in full effect. Our failure to enforce any provision is not a waiver of that provision. You may not assign these Terms without our written consent; we may assign these Terms in connection with a merger, acquisition, or sale of assets.
15. Contact Us
Questions about these Terms can be sent to support@dentalclaimprofessionals.com.