Services Agreement & Business Associate Agreement
This Services Agreement and BAA sets forth the provisions under which Customer will use the Services provided by BreezyBilling, as defined in the applicable Order Form(s) executed by the Parties.
Last Updated: March 2024
Recitals
WHEREAS, BreezyBilling provides services to the healthcare industry, including claims processing, medical review, medical billing and other services; and
WHEREAS, Customer wishes to engage BreezyBilling to provide certain practice management, claims and billing services as set forth in the applicable Order Form whereby BreezyBilling will file insurance claims with government and commercial companies by electronic and paper means on behalf of Customer; with such services to be provided by BreezyBilling upon the terms provided for in this Agreement.
NOW, THEREFORE, in consideration of the mutual agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties, intending to be legally bound, hereby agree as follows.
Definitions
Provision of Services
1.1Medical Billing Services
BreezyBilling agrees to provide certain medical billing, RCM, Practice Management, and other related services to Customer that are agreed to by the parties on the terms set forth in an Order Form (the “Services”) and subject to the conditions set forth in this Agreement. Each Order Form will define: (i) the Services to be provided, (ii) BreezyBilling’s compensation and payment deadlines, (iii) any additional terms and conditions applicable to the Services, if any, and (iv) such other details as the parties may deem appropriate. Unless otherwise provided therein, each Order Form will become effective upon execution by the parties and shall be incorporated by reference into, and governed by, this Agreement. Any changes to any Order Form shall be permitted only upon written agreement of the parties.
1.2Software Service
Unless expressly stated otherwise within an Order Form, the Services shall include access for Customer to the Software Service.
1.3Relationship of the Parties
BreezyBilling’s relationship to Customer will be that of an independent contractor, and BreezyBilling is not an agent or employee of, and has no authority to bind, Customer. BreezyBilling will perform the Services under the general direction of Customer, but BreezyBilling will determine the manner and means by which the Services are accomplished.
Payment for Services
2.1Charges for Services
Customer shall pay all fees set forth in the Pricing Addendum to the applicable Order Form, per the terms of the Pricing Addendum, unless otherwise specified.
2.2Payments
Unless otherwise specified in an Order Form, invoices for Services rendered hereunder shall be submitted monthly on the 10th of each month for the prior month’s fees and payment shall be due by Customer within thirty (30) days after receipt of such invoice. BreezyBilling will add a 5% penalty to any balance that is overdue 30 days, accrued monthly. All fees paid are non-refundable except as expressly set forth in this Agreement.
2.3Billing Disputes
Customer will notify BreezyBilling in writing of any disputed charges on any invoice within fifteen (15) days from the date of the applicable invoice with sufficient detail to allow the parties to resolve the dispute in good faith. Otherwise, such invoice shall be deemed approved for all purposes. Overdue fees shall bear interest at the lesser of one and one half percent (1.5%) per month or the maximum rate allowed by applicable law. In the event that any fees become more than thirty (30) days overdue, BreezyBilling may suspend performance of the Services upon written notice to Customer.
Term and Termination
3.1Term
This Agreement shall commence upon the Effective Date and shall continue thereafter until terminated pursuant to the terms of this Agreement (the “Term”).
3.2Services Term
The provision of Services term of an Order Form shall commence as of the “Start Date” specified in the applicable Order Form and shall continue as specified in the Order Form. Thereafter, unless otherwise specified, the Services Term shall automatically renew for successive periods of one (1) year, unless either party provides written notice of nonrenewal at least sixty (60) days before the end of that current Services Term.
3.3Termination
This Agreement may be terminated as follows:
3.4Effect of Termination
Customer shall pay for all fees incurred and/or accrued up to and including the effective date of termination or expiration of this Agreement and any Order Forms. Upon termination: (i) Customer’s rights under this Agreement shall immediately terminate; (ii) each party shall return or destroy the other party’s Confidential Information and certify such return and/or destruction; and (iii) Customer shall give BreezyBilling access to their billing software for a period of 30 days after termination to finalize work on any claims submitted prior to termination.
Representations and Warranties
4.1Existence and Authority
BreezyBilling and Customer represent and warrant that they are: (i) duly formed and validly existing entities in the jurisdiction of their incorporation; (ii) free and able to enter into this Agreement and to perform its obligations; (iii) shall comply with all applicable laws, rules, and regulations; and (iv) shall render all services in a professional and workmanlike manner.
4.2Customer Warranties
Customer represents and warrants to BreezyBilling that (i) this Agreement constitutes the legal, valid and binding obligations of Customer; and (ii) Customer has all rights and/or authorization required by law for BreezyBilling to communicate with all healthcare Payers and use all Customer Content, including all personal and other claims information provided by Customer to BreezyBilling in performance of the Services.
4.3Disclaimer; Exclusion of Warranties
Confidentiality and Data Security
5.1Protection of Confidential Information
The Receiving Party shall keep all Confidential Information confidential and shall not use or disclose Confidential Information except as permitted under this Agreement or as otherwise necessary to fulfill its obligations under this Agreement. The Receiving Party shall use the same degree of care it uses to protect its own proprietary information (but in no event less than a reasonable degree of care) to prevent the unauthorized use or disclosure of Confidential Information. The Receiving Party shall immediately notify the Disclosing Party of any use or disclosure of Confidential Information not permitted by this Agreement.
5.2Exceptions
The Receiving Party shall have no obligation to preserve the confidentiality of any information which (i) was previously known to the Receiving Party free of any confidentiality obligation; (ii) becomes publicly available by any means other than unauthorized disclosure; or (iii) is independently developed by the Receiving Party without reliance on any of the Disclosing Party’s Confidential Information.
5.3Use of PHI Entered into the Software Service
Subject to the terms of Exhibit A, Customer authorizes BreezyBilling to receive, store, transmit and maintain PHI as necessary to provide the Services to Customer.
5.4Heightened Protection for Certain Information
Federal and state laws may impose restrictions on the use and disclosure of certain kinds of health information, including mental health records or such information pertaining to certain classes of individuals. Customer agrees that it is solely responsible for ensuring that information may be properly disclosed for the purposes set forth in this Agreement, subject to the restrictions of applicable law.
5.5Data Security
BreezyBilling will use commercially reasonable efforts to protect and prevent unauthorized disclosure of Customer Data while it is in BreezyBilling’s possession and control. Specifically, BreezyBilling agrees to take commercially reasonable steps to protect against: (a) reasonably anticipated threats or hazards to the privacy, security, integrity and/or confidentiality of Customer Data; and (b) unauthorized, accidental or unlawful destruction, loss, alteration or disclosure of or access to Customer Data.
Indemnification and Liability
6.1Indemnification by BreezyBilling
BreezyBilling hereby agrees to defend, indemnify and hold harmless Customer, its officers, directors, employees and agents from and against any and all claims, losses, damages, liabilities, suits or proceedings including reasonable attorneys’ fees arising out of or relating to any third party’s claim that the Services infringe its valid United States patent, copyright, trade secret, trademark or other intellectual property rights; provided that Customer (i) promptly notifies BreezyBilling in writing of any such claim(s), (ii) permits BreezyBilling sole control to defend, compromise or settle such claim(s), and (iii) provides reasonable information, assistance and authority to enable BreezyBilling to defend such claim(s).
6.2Indemnification by Customer
Customer hereby agrees to defend, indemnify and hold harmless BreezyBilling, its officers, directors, governors, members, managers, employees and agents from and against any and all claims, losses, damages, liabilities, suits or proceedings including reasonable attorneys’ fees arising out of or relating to the Services, including Customer’s breach of this Agreement, Customer’s violation of applicable law, a modification of the Software Services, or the combination of the Software Services with any product, software or technology not provided by BreezyBilling.
6.3Limitation of Liability
Unauthorized Access; Lost or Corrupt Data.
Damages Caused by Other Users.
6.4Acknowledgement
Intellectual Property
7.1Ownership
Customer acknowledges and agrees that as between Customer and BreezyBilling, BreezyBilling is and shall remain the exclusive owner of the Services, including the Software Services (other than Customer’s PHI and any third party’s intellectual property included therein), BreezyBilling’s Confidential Information and all BreezyBilling IP. Except as expressly set forth herein, Customer shall have no rights or interest in BreezyBilling IP.
7.2Customer Intellectual Property
All Customer Confidential Information and Customer’s data and information provided and/or made available to BreezyBilling under this Agreement (“Customer Content”) is, shall be and shall remain the exclusive property of Customer or its licensors. Customer owns and retains all rights to the PHI that Customer inputs or provides while using the Software Service.
7.3De-Identified Data
In consideration for the provision of the Software Service, Customer agrees that BreezyBilling owns all rights, title, and interest in any de-identified information created from Customer’s use of the Software Service. Customer agrees that BreezyBilling may sell, license, or otherwise disclose this de-identified information for any purpose without restriction.
7.4Work Product
Customer Work Product created using the Software Service is and will remain Customer’s sole and exclusive property. Customer also will own the contents of any reports Customer generates when accessing or using the Software Service, provided that the BreezyBilling IP shall remain the property of BreezyBilling.
Clinician Responsibility
8.1Claims
Customer acknowledges that the Services include BreezyBilling’s submission of claims on behalf of Customer and its providers to third party Payers for services performed or supplies provided by Customer and its providers. Customer hereby authorizes BreezyBilling to submit claims on Customer’s behalf.
8.2Liability
Customer acknowledges and agrees that Customer is solely responsible for any claim submitted on Customer’s behalf by BreezyBilling and that Customer shall remain solely responsible and liable for any later adjustment of that payment for any reason. Customer acknowledges and agrees that the misrepresentation or falsification of any record or other information relevant to any claim submitted under the terms of this Agreement may be a crime and, upon conviction, may subject Customer or its providers to imprisonment and fine under applicable laws.
8.3Audit
Customer acknowledges and agrees that the Secretary of the U.S. Dept. of Health and Human Services and any Carrier has the right to audit and confirm any information supplied by Customer and has access to any and all claims documentation in Customer’s possession to verify the accuracy of any information provided by Customer relevant to any claim submitted under this Agreement. Customer further agrees that it shall not submit any claims which conflict with any applicable laws and that it is Customer’s responsibility to maintain all original source documents required by law.
Miscellaneous
9.1Successors; Assigns
Neither party may assign this Agreement without the prior written consent of the other party, except that either party may, without consent, assign the Agreement to a controlled subsidiary or a purchaser of all or substantially all of that party’s assets used in connection with performing this Agreement.
9.2Insurance
During the Term, Customer shall obtain and maintain: (a) commercial general liability in an amount not less than $1,000,000 per occurrence; (b) professional liability (errors and omissions) insurance in an amount not less than $1,000,000 per occurrence; and (c) privacy and network security (“cyber”) insurance covering loss arising out of or in connection with loss or disclosure of confidential information or PHI, in a minimum amount of $1 million per loss.
9.3Injunctive Relief
It is possible that remedies at law in the event of a breach of this Agreement may be inadequate and, therefore, the parties shall be entitled to equitable relief including, without limitation, injunctive relief, specific performance and other equitable remedies in addition to all other remedies provided herein or available at law or in equity.
9.4Notices
Any notices or other communications required or permitted hereunder shall be in writing and shall be considered to have been duly given when received, if delivered by hand, overnight courier, fax, confirmed e-mail with pdf attachment, or when deposited in the mails for delivery by air mail, postage prepaid. Notices to BreezyBilling should be sent to:
Eden Prairie, MN 55344
Fax: (952) 934-5580
paulj@breezynotes.com
9.5Entire Agreement
This Agreement, together with the Exhibits and Schedules attached hereto and all Order Forms, agreements, documents, and instruments executed in connection with this Agreement, contains all of the terms agreed upon by the parties with respect to the subject matter hereof, and supersedes all prior agreements and understandings among the parties and may not be changed or terminated orally.
9.6Paragraph Headings
Paragraph headings herein have been inserted for reference only and shall not be deemed to limit or otherwise affect, in any matter, or be deemed to interpret in whole or part, any of the terms or provisions of this Agreement.
9.7Third Parties
Nothing in this Agreement, whether express or implied, is intended to confer any rights or remedies on any persons other than the parties hereto and their respective successors and permitted assigns, nor is anything in this Agreement intended to relieve or discharge the obligation or liability of any third persons to any party to this Agreement.
9.8Subcontracting
BreezyBilling shall have the right to use subcontractors to perform any of its obligations hereunder.
9.9Severability
In the event that any one or more of the provisions contained in this Agreement shall be invalid, illegal or unenforceable in any respect for any reason, the validity, legality and enforceability of any provision in every other respect and of the remaining provisions of this Agreement shall not be in any way impaired.
9.10Counterparts
This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.
9.11Jurisdiction and Venue
This Agreement shall be subject to the exclusive jurisdiction of the courts of Hennepin County, Minnesota. The parties irrevocably waive, to the fullest extent permitted by law, any objection which they may now or hereafter have to the laying of venue of any suit, action or proceeding arising out of or relating to this Agreement brought in Hennepin County, Minnesota.
9.12Force Majeure
Neither party shall be responsible for delays or failures of performance resulting from acts beyond the reasonable control of such party, except for payment obligations. Such acts shall include, but are not limited to, acts of God, strikes, public internet and private internet connection failures, lockouts, riots, acts of war, acts of terror, epidemics, government regulations superimposed after the Effective Date, fire, communication line failures, power failures, earthquakes and other disasters.
9.13Survival
Any sections (or portions thereof) that either expressly by their terms, or in order to give full effect to their provisions must, survive the expiration or termination of this Agreement or any Order Form, shall so survive.
9.14Construction
This Agreement shall be construed and enforced in accordance with the laws of the State of Minnesota without regard to its principles of conflicts of laws. Should any provision of this Agreement require judicial interpretation, it is agreed that the court interpreting or construing the same shall not construe this Agreement against one party more strictly by reason of any rule of interpretation which relates to preparation of a document.
HIPAA Business Associate Agreement (BAA) & GLBA Compliance
This Exhibit shall apply in the event BreezyBilling provides Services to Customer whereby BreezyBilling shall receive from or create or receive on behalf of Customer Protected Health Information, or BreezyBilling creates, receives, maintains or transmits on behalf of Customer Electronic Protected Health Information (as defined under HIPAA), and/or nonpublic personal information as defined under the Gramm-Leach-Bliley Act (“GLB”), during the performance of its obligations under the Agreement.