Terms of Service

Last updated: March 2, 2026

1. Service Overview

DenialFixer provides automated medical claim denial analysis, appeal generation, and submission services for behavioral health practices. By creating an account, you agree to these terms.

2. Eligibility

You must be an authorized representative of a licensed healthcare practice to use this service. You certify that you have the authority to upload patient claims data and submit appeals on behalf of your practice.

3. Pricing & Fees

DenialFixer operates on a performance-based pricing model. We charge 20% of successfully recovered revenue. No upfront fees. No monthly subscription. You only pay when we help you recover money that was previously denied.

Fees are invoiced monthly for recoveries confirmed in the previous billing period. Payment is due within 30 days of invoice date.

4. Data & Privacy

We handle Protected Health Information (PHI) in accordance with HIPAA regulations. A separate Business Associate Agreement (BAA) governs the handling of PHI. All data is encrypted at rest (AES-256) and in transit (TLS 1.3).

5. No Medical or Legal Advice

DenialFixer provides claim denial analysis and appeal drafting assistance. This is not medical advice, legal advice, or a guarantee of appeal outcomes. Appeal success depends on many factors including payer policies, documentation quality, and clinical circumstances.

6. AI-Generated Content

Appeal letters are generated using AI. While we strive for accuracy, you are responsible for reviewing all generated content before submission. You retain the right to edit, approve, or reject any AI-generated appeal letter.

7. Account Termination

Either party may terminate at any time. Upon termination, outstanding fees for recoveries already achieved remain due. We will securely delete your data within 30 days of account closure, unless required by law to retain it longer.

8. Limitation of Liability

DenialFixer's total liability shall not exceed the fees paid by you in the 12 months preceding the claim. We are not liable for lost revenue from unsuccessful appeals or payer decisions.

9. Contact

Questions about these terms? Contact us at legal@denialfixer.com