ClearedBill.com is owned and operated by Digital Edge Media Group, LLC ("Company").
Electronic records and signatures
You consent to receive disclosures, agreements, and case communications electronically, and to sign documents electronically under the federal ESIGN Act and applicable state UETA laws. You may request paper copies or withdraw this consent at any time by contacting us, though doing so may delay or end our ability to work your case.
Authorization to access your billing records
You are authorizing your healthcare provider and insurer to share billing and related information with ClearedBill (Digital Edge Media Group, LLC) so we can:
- Review your itemized charges for errors or overcharges
- Check your eligibility for financial assistance programs
- Dispute claim denials or billing errors with your insurer
- Negotiate discounts and payment arrangements on your behalf
Providers and insurers may share with us: itemized bills and account statements; Explanation of Benefits (EOB) and claim details; financial assistance applications and decisions; billing notes and payment history; and clinical or coding records needed to verify charges (no psychotherapy notes). They may communicate with us by phone, email, fax, or secure transfer.
This authorization expires in one year. You can revoke it at any time by contacting us.
Service agreement: engagement and scope
Client engages ClearedBill.com, owned by Digital Edge Media Group, LLC ("Company"), to provide medical bill review and negotiation services for the bills identified in this submission. Services include:
- Reviewing bills for errors, overcharges, and duplicate charges
- Negotiating with relevant parties for reduced rates or corrected claims
- Applying for financial assistance and charity care programs
- Following up on claim processing with your insurer and provider
- Establishing settlement arrangements on Client's behalf
Company will use best efforts to reduce Client's bill but does not guarantee a specific outcome. Savings estimates are estimates only. If no savings are achieved, no fee is owed.
Compensation
Client agrees to pay Company a success fee as follows:
- Bills of $5,000 to $15,000: $250 deposit, then a success fee of 25% of savings.
- Bills of $15,000 to $200,000: $499 deposit, then a success fee of 10% of savings.
- Bills over $200,000: $499 deposit, then a success fee of 10% of savings or less, as agreed in writing.
- If no savings are achieved, no success fee is owed.
"Savings" means the difference between the verified patient responsibility for this account as of engagement and the verified patient responsibility after Company's work, including provider write-offs, refunds, charity adjustments, negotiated reductions, corrected claims, and insurance reprocessing or adjustments obtained through Company's efforts.
The fee is earned when the relevant party confirms an adjustment, approval, revised balance, or refund reflecting the reduction. The fee is due within 14 days of notification. The applicable rate above is determined by the savings at the time of payment collection.
Client responsibilities
Client agrees to:
- Provide accurate and complete information
- Not negotiate directly with any party regarding this bill during Company's engagement
- Forward all related communications to Company promptly
- Pay negotiated amounts directly to providers by their due dates
No legal or medical advice; regulatory disclosures
Company is not a law firm or healthcare provider and does not provide legal or medical advice. Company is not a debt adjuster, debt settlement company, credit counseling agency, or credit repair organization, and does not provide credit repair services. Company is a consumer-directed patient advocate and is generally not a HIPAA covered entity; information you provide is protected as described in our Privacy Policy.
Exclusivity and termination
Client agrees not to engage another bill-reduction service or negotiate directly with any party regarding this account while Company is engaged. Either party may terminate this agreement by notifying the other in writing. The success fee applies to any Savings resulting from Company's efforts while engaged, including reductions confirmed after termination.
Disputes and governing law
This agreement is governed by the laws of the State of North Carolina. Any dispute arising out of or relating to this agreement or the services is resolved through the informal resolution process, binding individual arbitration, and class action waiver described in Section 15 of the ClearedBill Terms of Service at clearedbill.com/terms, which are incorporated into this agreement by reference.