Terms of Service

 

 

 

The following Standard Terms of Service (the “TOS”) are made part of and incorporated into your Kipu Records Service Agreement with Kipu Systems LLC, a Florida limited liability company (together with its subsidiaries and affiliates, “Kipu,” “we” or “us”) and govern your and all users’ rights and responsibilities in connection with use and access the Service provided by Kipu thereunder.   THESE TOS ARE LEGALLY BINDING on Kipu and you as a “user” of the Service in any capacity for any reason whatsoever. EACH TIME YOU LOG IN AND/OR CLICK “I AGREE,” OR BY OTHERWISE ACCESSING OR USING THE SERVICE FOR ANY REASON, YOU ARE ENTERING INTO THESE TOS AND YOU AGREE TO BE BOUND BY THEM, BOTH ON YOUR OWN BEHALF AND AS AN AGENT OF YOUR EMPLOYER, ORGANIZATION, OR OTHER ENTITY ON BEHALF OF WHICH YOU ARE ACCESSING THE SERVICE. SUCH EMPLOYER, ORGANIZATION, OR OTHER ENTITY IS LIKEWISE BOUND TO ALL THESE TERMS TO WHICH YOU ARE ASSENTING. Please read these TOS carefully, and do not access or use the Service if you are unwilling or unable to be bound by these TOS. You and we are collectively referred to as the “Parties.”

1. Definitions

For the purposes of these TOS, certain terms used in these TOS (whether or not capitalized) shall have the meanings assigned to them in Section 1 below. Terms not defined below or in the body of these TOS (whether or not capitalized) have the definitions given to them in the Service Agreement or HIPAA, as applicable.

Administrative Rights” means the rights to administer and direct the use of a Client’s account, including the authority to provide, request, issue, administer and limit the access rights to other User accounts issued to such Client’s Authorized Workforce, as well as the rights to integrate, connect, or otherwise share Your Information with, or receive Protected Health Information from, third parties through the Service.

Authorized Workforce” means those natural persons who are members of your Workforce who you have identified (by their legal names, and the legal names of their employers) in your account as authorized to access the Service on your behalf.

BAA” means the Kipu Business Associate Agreement, available online at http://kipuemr.com/BAA.

Beta Features” means any component of the Service not generally available to all Clients and clearly designated as beta, pilot, limited release, developer preview, non-production or by a notification or  to you, whether contained in the Service or not, or description of similar import.

Client” means the legal organization that executed the Service Agreement.

Clinical Data Exchange” means the exchange, with your Consent, of Protected Health Information (and Your Personal Information as necessary) between You and covered entities (and their business associates) for any permitted purpose, including, to the extent applicable, care coordination, performance or quality measurement programs, and risk adjustment, and other treatment, payment or health care operations purposes.

Confidential Information” means any information relating to our business, financial affairs, current or future products or technology, trade secrets, workforce, customers, or any other information that is treated or designated by us as confidential or proprietary, or would reasonably be viewed as confidential or as having value to our competitors.  “Confidential Information” does not include information that we make publicly available or that becomes known to the general public other than as a result of a breach of an obligation by you. “Confidential Information” does not include individuals’ health information.

Consent” means consent or authorization by a user of the Service allowing us to take actions described under these TOS, which the user of the Service may give in an electronic communication to us or by use of the features of the Service (such as “share,” “transmit,” “refer,” “authorize,” “opt-in,” “agree” or toggling or selecting an action through a settings or activation page located within the Service, and the like).  Such Consent may apply to an individual case or situation, or may apply globally or programmatically based on variables that apply to an overall situation or circumstance (whether through a settings or preference page, a global “opt-in” or otherwise).

Credentials” means any unique identifier, password, token, credential, any combination thereof, or other means we may utilize from time to time for authorizing access to all, or any portion of, the Service.

De-Identified Health Information” means health information that has been de-identified in accordance with the provisions of the Privacy Rule.

De-Identified Information” means De-Identified Health Information and De-Identified Personal Information.

De-Identified Personal Information” means Personal Information from which all identifiers that could reasonably be anticipated to identify an individual by an anticipated recipient – such an individual’s name, contact information, or government identifiers – have been removed.

De-Identify,” means (i) with respect to Personal Information, to make such information into De-Identified Personal Information, and (ii) with respect to health information, means to make such health information into De-Identified Health Information.

HIPAA” means the administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996, and the regulations promulgated thereunder, including the Privacy Rule and the Security Rule, as amended.

HITECH Act” means the Health Information Technology for Economic and Clinical Health Act of 2009, and regulations promulgated thereunder.

Kipu Gold Certified Biller” means a billing company which is actively participating in, and in good standing under the Kipu Gold Certified Biller Program, for which Kipu has received an authorization letter from a Client to access the Service with separate login Credentials on such Client’s behalf as part of the Client’s Authorized Workforce.

Personal Information” means information that includes an individual’s name, contact information, government identifiers, or includes identifiers that could reasonably be anticipated to identify an individual personally by an anticipated recipient.

Policies and Procedures” means our rules, regulations, policies and procedures for access to and use of the Service, as changed from time to time.

Privacy Rule” means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR Part 160 and Part 164, Subparts A and E, as amended.

Protected Health Information” has the meaning given it in the Privacy Rule.

Security Rule” means the Security Standards for the Protection of electronic Protected Health Information at 45 CFR Part 160 and Part 164, Subparts A and C, as amended.

Service” means our electronic health record services, including our electronic medical record services, practice management services, other operations workflow solutions and other services provided by us to you.

Service Agreement” means these TOS together with (and as part of) your Kipu Records Service Agreement with all exhibits and any signed or initialed addendum including the following:

  • Exhibit A – Negotiated Terms
  • Exhibit B – Price List for the Services
  • Exhibit C – Labs Interface Selection and Request Form
  • Exhibit D – Termination Rider
  • Exhibit E – Auto Pay Authorization Form
  • SLA
  • BAA
  • TPTOS

SLA” means the Kipu Service Level Agreement available online at http://kipuemr.com/SLA.

Term” means the length of time the Service Agreement is in effect until otherwise terminated as provided in any exhibit or addendum to the Service Agreement.

TPTOS” the Kipu Third Party Terms of Service available online at https://kipuemr.com/tptos.

User” (capitalized) means a natural person who has been authorized, pursuant to these TOS, to access the Service on your behalf; a “user” (un-capitalized) shall mean any user of the Service. As a “user” you are bound by these TOS, along with any employer, organization, or other entity for which you are acting as an agent.

Workforce” means a Client’s employees, agents, principals, volunteers, trainees, contractors, and other persons whose conduct, in the performance of work for Client, is under the direct control of such Client, whether or not they are paid by the Client. This includes third-party companies with which you may contract for services, including but not limited to third-party billers, information technology professionals, and any other service provider that performs services on your behalf.

Your Health Information” means Protected Health Information that you or your Workforce input or upload onto the Service, or that we otherwise receive from you or on your behalf from your patients, authorized service providers, or our third-party partners pursuant to these TOS (including Section 4.1.10).

Your Information” means information that you or your Workforce input or upload onto the Service, including Your Personal Information and Your Health Information.

Your Personal Information” means Personal Information that you or your Workforce enter or upload onto the Service.

In addition, the words “include,” “includes” and “including” shall be deemed to be followed by the phrase “without limitation.” The word “will” shall be construed to have the same meaning and effect as the word “shall.” The word “or” shall be construed to have the same meaning and effect as “and/or.” The words “herein,” “hereof” and “hereunder,” and words of similar import, shall be construed to refer to these TOS. The headings used in these TOS are used for convenience only and are not to be considered in construing or interpreting these TOS.

2. Grant of Right to Use the Service

2.1 We grant to you and you accept a non-exclusive, personal, non-transferable (except as expressly permitted in Section 20.2), limited right to access and use the Service during the Term, subject to your full compliance with the terms and conditions set forth in these TOS and with our Policies and Procedures. You will not: (a) use the Service for time-sharing, rental or service bureau purposes; (b) make the Service, in whole or in part, available to any other person, entity or business; (c) copy, reverse engineer, decompile or disassemble the Service, in whole or in part, or otherwise attempt to discover the source code to the software used by the Service; or (d) modify, combine, integrate, render interoperable, or otherwise access for purposes of automating data conversion or transfer, the Service or associated software with any other software or services not provided or approved by us. You will obtain no rights to the Service except for the limited rights to use the Service expressly granted by the Service Agreement and these TOS. You are bound by these TOS, along with any employer, organization, or other entity for which you are acting as an agent or accessing Service.

2.2  The Service may include access to certain third-party software, services, data or applications that require that you enter into separate agreements with third parties.  Your access to such third-party software services shall be subject to the TPTOS at all times.  We may also make available optional services, either directly or through integrations with the Service, provided by third parties, such as billing, electronic prescribing, clinical laboratory interfaces, reporting services and verification of benefit services, among others as further contemplated in Section 11 below. You consent to the TPTOS and will comply with and, upon request, execute, any agreements or acknowledgments that may be required for the use of such software or services, and hereby agree to comply with the terms of any terms of use, license or other agreement relating to third-party products included in the Service or made accessible to you through the Service.  Additionally, your use of the Service or of such third-party products or services will constitute your agreement to be bound by the terms of all licensing, subscription and similar agreements relating to such use.

3. Access to the Service

3.1 Access Rights of Clients and their Authorized Workforce.

3.1.1  Client. We offer the Service to the Client and to natural persons who are members of the Client’s Authorized Workforce, as more fully described in this Section 3.1.  We treat the Client in whose name the Service Agreement was executed and Instance established as the owner of all User accounts associated with such Client. The Client is a party to these TOS for all purposes and shall be subject to all of the provisions that are applicable to the person addressed as “you” in these TOS.  Although a member of a Client’s Authorized Workforce may have logged into your Instance and accessed the Service and electronically consented to these TOS, or may continue to administer Administrative Rights on the Client’s behalf, only the Client is entitled to any of the rights, remedies or benefits under these TOS and control over the Administrative Rights. The Client is likewise subject to, and we may enforce against it, all of the covenants, obligations, restrictions, limitations, acknowledgements, Consents, representations, warranties, waivers and releases included in these TOS. The Client may delegate Administrative Rights to one or more members of the Client’s Authorized Workforce, but the Client remains responsible for all activity occurring thereunder.

3.1.2  Authorized Representatives. An authorized representative of a Client may have administrative privileges on a Client’s Instance. We call the person(s) authorized to act on behalf of a Client the “Authorized Representative(s)” of such Client. The Client and Authorized Representative may be the same person. If you are taking any action with respect to a Client’s Instance, you represent and warrant that (a) you have the authority to act on such Client’s behalf either as owner/principal or as a member of such Client’s Authorized Workforce, (b) the information you submit to us is complete and accurate, and (c) you have the authority to enter into these TOS on behalf of such Client and bind such Client to the covenants, obligations, restrictions, limitations, acknowledgements, Consents, representations, warranties, grants, waivers and releases contained in these TOS. If you are an Authorized Representative, you recognize that you have no personal rights with respect to such Client’s Instance, and that such Client may change the Authorized Representative at any time, for any or no reason, with or without notice. You are bound by these TOS, along with any employer, organization, or other entity for which you are acting as an agent.

3.1.3  Authorized Workforce. If you are a member of a Client’s Authorized Workforce, and such Client has authorized you to access the Service on its behalf by authorizing a Credential for you, then you are authorized under these TOS to access the Service solely on behalf and at the direction of such Client. As such, you may log in in and use the functionality of the Service solely on behalf and at the direction of such Client. You consent to and authorize the disclosure to such Client any content related to, or otherwise generated by your use of the Service, including secure messages. You hereby agree and acknowledge that you are subject to, and we may enforce against you, all of the covenants, obligations, restrictions, limitations, acknowledgements, Consents, representations and warranties set forth in these TOS that are applicable to the person addressed as “you” in these TOS, and you hereby grant and make all rights, waivers and releases set forth in these TOS that are granted and made by the person addressed as “you” in these TOS, but you are entitled to none of, and hereby waive and agree not to exercise or assert any of, the rights, remedies or benefits under these TOS other than the limited, non-exclusive, non-transferable, personal right under this Section 3.1.3 to sign in and use the functionality of the Service solely on behalf and at the direction of such Client. Notwithstanding the applicable provisions at Section 16, you acknowledge that your access to the Service may be terminated by the Client or us at any time, for any reason or no reason at all, with or without notice. By (i) accessing any of the Service under a Client’s account(s), or (ii) contacting us by any means and requesting or directing us to take any action with respect to any Client’s account(s) or data held by such account(s), or (iii) asserting any right or authority with respect to such account(s) or data, you represent and warrant that you have the authority to act on such Client’s behalf and that you are not using the Service, or otherwise engaging in the activities described in clauses (i) through (iii) above, for the benefit or at the direction of any person or entity other than such Client, including yourself.

3.1.4  All other “users”. If you are a “user” as defined herein, you hereby agree and acknowledge that you are subject to, and we may enforce against you, all of the covenants, obligations, restrictions, limitations, acknowledgements, Consents, representations and warranties set forth in these TOS that are applicable to the person addressed as “you” in these TOS, and you hereby grant and make all rights, waivers and releases set forth in these TOS that are granted and made by the person addressed as “you” in these TOS, but you are entitled to none of, and hereby waive and agree not to exercise or assert any of, the rights, remedies or benefits under these TOS. Nothing in this section authorizes or shall be deemed to authorize your use of the Service and if your use is not expressly permitted under these TOS, you may be held directly liable and required to pay damages to Kipu for improperly accessing the Service.

3.2 Beta Features; Updates.

3.2.1  Beta Features. If you are invited to access any Beta Features of the Service or you access any Beta Features of the Service, you acknowledge that: (a) such features have not been made commercially available by Kipu; (b) such features may not operate properly, be in final form or fully functional; (c) such features may contain errors, design flaws or other problems; (d) it may not be possible to make such features fully functional; (e) use of such features may result in unexpected results, corruption or loss of data, or other unpredictable damage or loss; (f) such features may change and may not become generally available; and (g) Kipu is not obligated in any way to continue to provide or maintain such features for any purpose in providing the ongoing Service. These Beta Features are provided “AS IS”, with all faults. You assume all risk arising from use of such features, including, without limitation, the risk of damage to your computer system or the corruption or loss of data. We may in our sole discretion discontinue Beta Services at any time, and may never make them generally available.

3.2.2  Updates. We will be updating the service from time to time to add new features and fix bugs. These updates usually take a few seconds, but sometimes require a longer suspension of the Service. In such cases, we will notify you at least 48 hours in advance, and we will strive to schedule it so that your business is minimally impacted. We also provide software to support special features for tablets and other devices. If you use this software, it will automatically check if your version is current. If it is not, you may be required to install a newer version before access to the Service is allowed.

3.3 Verification.

You agree that your use of the Service, or certain features or functionality of the Service, may be subject to verification by us of your identity and credentials as a health care provider or health care professional under applicable law, and to your ongoing qualification as such. You agree that we may use and disclose Your Personal Information for such purposes, including making inquiry of third parties concerning your identity and professional and practice credentials. You authorize such third parties to disclose to us such information as we may request for such purposes, and you agree to hold them and us harmless from any claim or liability arising from the request for or disclosure of such information. Notwithstanding the applicable provisions at Section 16, you agree that we may terminate your access to or use of the Service at any time if we are unable at any time to determine or verify your identity, qualifications or credentials.

3.4 Permitted Uses

3.4.1. Subject to the terms of these TOS, you may use Your Health Information for any purpose expressly permitted by applicable law, including treatment, payment and health care operations.

3.4.2 If you are granted access rights to another user of the Service’s Protected Health Information through the Service, you may use such information for treatment and for obtaining payment for treatment; provided that, except as expressly authorized in our Policies and Procedures, (i) you may access only information pertaining to individuals with whom you have a treatment relationship or for whom a Client who has a treatment relationship with the individual has requested a professional consultation from you, or from whom you have received authorization to use their health information; and (ii) to the extent applicable to you, you may use only the minimum necessary information for performing billing any services.

3.4.3 You will not use the Service for any purposes other than those described in Section 3.4.1 or Section 3.4.2. In particular, you will not:

(a)  reproduce, publish, or distribute content in connection with the Service that infringes any third party’s trademark, copyright, patent, trade secret, publicity, privacy, or other personal or proprietary right; nor

(b)  use the Service to transmit illegal, obscene, threatening, libelous, harassing, or offensive messages, or otherwise unlawful material.

(c)  duplicate, copy, sell, resell or exploit any portion of the Service, use of the Service, or allow any person that is not part of the Authorized Workforce to access the Service without the express written permission of Kipu’s Chief Executive Officer (“CEO”).

(d)  Except as expressly permitted in writing by Kipu ‘s CEO, you may not modify, port, adapt, make screen captures from or translate the Service.

In addition, to further safeguard the confidentiality, integrity and availability of the information and other elements housed in the Service, as well as the stability of the Service, you agree you will not, nor attempt to, or authorize anyone to, or attempt to:

(e) (i) abuse or misuse the Service, including gaining or attempting to gain unauthorized access to the Service, or altering or destroying information housed in the Service; (ii) use the Service in a manner that interferes with other users’ use of the Service; (iii) use the Service in any manner that violates our Policies and Procedures; or (iv) use any ad blocking mechanism, device, or tool to prevent the placement of advertisements in the Service;

(f)  Circumvent any technical measures we have put in place to safeguard the Service or the confidentiality, integrity or accessibility of any information housed thereon, or any technical measures we have put in place to restrict access to the Service solely to the class of persons expressly so authorized pursuant to Sections 3.1.1 through 3.1.3; and

(g)  Access any portion of the Service other than with a commercial browser (such as Internet Explorer, Mozilla Firefox, Chrome, Android or iOS) or through mobile applications developed and operated by us.

(h)  Use any macro, robot, spider, offline reader, site search/retrieval application, or other manual or automatic device, tool, or process to access, retrieve, index, data mine, or in any way reproduce or circumvent the navigational structure or presentation of the Service.

3.5 Clinical Support Information; Information Exchange.

We may provide information to assist you in clinical decision-making. This may include information and reminders concerning drug interactions, allergies, dosages, as well as general health-care related information and resources. We may also provide forums for our users to exchange information. You agree that the information and materials available through the Service are for informational and educational purposes only and are not intended to constitute professional advice, diagnosis or treatment, or to substitute for your professional judgment. Information may be placed in the Service by us and by third parties beyond our control. We are not responsible for the accuracy or completeness of information available from or through the Service. You assume full risk and responsibility for the use of information you obtain from or through the Service, and neither we nor any of our licensors or data providers are responsible or liable for any claim, loss, or liability arising from use of the information. We do not recommend or endorse any provider of health care or health-related products, items or services, and the appearance of materials in the Service relating to any such products, items or services is not an endorsement or recommendation of them. You will review the definitions, functionality, and limitations of the Service, and to make an independent determination of their suitability for your use. We and our suppliers, partners and licensors disclaim all warranties, whether expressed or implied, including any warranty as to the quality, accuracy, and suitability of the information provided by the Service for any purpose.

3.6 Safeguards.

3.6.1 You will implement and maintain appropriate administrative, physical and technical safeguards to protect information within the Service. Such safeguards shall comply with federal, state, and local requirements, including the Privacy Rule and the Security Rule, whether or not you are otherwise subject to HIPAA. You will maintain appropriate security with regard to all personnel, systems, and administrative processes used by you or members of your Workforce to transmit, store and process electronic health information through the use of the Service.

3.6.2 You will immediately notify us of any breach or suspected breach of the security of the Service of which you become aware, or any unauthorized use or disclosure of information within or obtained from the Service, and you will take such actions to mitigate the breach, suspected breach, or unauthorized use or disclosure of information within or obtained from the Service as we may direct, and will cooperate with us in investigating and mitigating the same. You have consented to the terms and conditions of the BAA for the purposes of compliance with HIPAA.

3.7 User Identification.

We authorize you and your Authorized Workforce to use the Credentials uniquely assigned to, or selected by, each such individual User. You acquire no ownership rights in any such Credentials, and such Credentials may be revoked, reset or changed at any time in the discretion of us or the Client. You will adopt and maintain reasonable and appropriate security precautions for your Credentials to prevent their disclosure to or use by unauthorized persons. Each member of your Authorized Workforce shall have and use a unique identifier. You will ensure that no member of your Workforce uses Credentials assigned to another Workforce member.

3.8 No Third-Party Access.

Except as required by law, you will not permit any third party (other than persons who satisfy the definition of Authorized Workforce, and in all cases meet the requirements of Section 3.1.3) to use or access the Service without the prior written consent of Kipu’s CEO. Nor will you authorize or assist any person or entity in accessing, or attempting to access, any portion of the Service via any means other than a commercial browser (such as Internet Explorer, Mozilla Firefox, Chrome, iOS or Android) or a mobile app that we have authored and provided to you. You will promptly notify us of any order or demand for compulsory disclosure of health information if the disclosure requires access to or use of the Service. You will cooperate fully with us in connection with any such demand. You will also notify us if any person or entity, whether or not a member of your Authorized Workforce, (a) attempts to access the Service by any means other than a commercial browser, (b) claims to offer a service or system that “integrates with” our Service or (c) requests to use your Credentials or requests that you obtain Credentials in order to access the Service in a manner that would violate these TOS if you engaged in such activity.

3.9 Your Workforce.

You may permit your Authorized Workforce to use the Service on your behalf, subject to the terms of these TOS. You will:

3.9.1  require each member of your Authorized Workforce to have unique Credentials, and will provide the legal name(s) of each such member for which you are seeking Credentials;

3.9.2 train all members of your Authorized Workforce in the requirements of these TOS and the Policies and Procedures relating to their access to and use of the Service, and ensure that they comply with such requirements;

3.9.3  take appropriate disciplinary action against any member of your Workforce who violates the terms of these TOS or the Policies and Procedures;

3.9.4 ensure that only the person to whom a specific set of Credentials have been assigned accesses the Service with such Credentials; and

3.9.5 be bound by these TOS, along with any employer, organization, or other entity for which you are acting as an agent.

3.10 Personal Health Record.

Kipu may at some point enable the Service to make available to your patients portions of their medical records through a web-based personal health record portal that we would operate on your behalf (a “Patient Portal”). If and when the Patient Portal becomes available, you would be responsible for granting Patient Portal access privileges to your patients, either on an individual basis or for your entire patient population. You would also be solely responsible for the information that you make available through a Patient Portal. Health information included in Patient Portals, if and when they become offered as part of the Service, will be held and administered by us on your behalf subject to the terms of these TOS and our business associate obligations stated in Section 9.

3.11 Forums.

We may offer forums for the exchange of information among our users. You will comply with all applicable forum rules. In particular, you understand that we do not assure the accuracy, reliability, confidentiality or security of information made available through the use of such forums. You acknowledge that any information you post in a forum is available to the public, and may result in your receiving communications from others outside of our site. You are responsible for safeguarding the privacy of your and your patients’ personal information when you participate in forums, discussion groups and the like. You agree not to disclose individually identifiable health information through such forums.

3.12 Compliance with Law.

You are solely responsible for ensuring that your use of the Service complies with applicable law, including laws relating to the maintenance of the privacy, security, and confidentiality of patient and other health information. You will not grant any user, including members of your Authorized Workforce, any rights to access or use our Service that they would not be allowed to have under applicable laws. We offer no assurance that your use of the Service under the terms of these TOS will not violate any law or regulation applicable to you. You acknowledge that we may share Your Information with third parties if we determine in good faith that disclosure of Your Information is necessary to (i) comply with a court order, warrant or other legal process, (ii) protect the rights, property or safety of Kipu or others, (iii) investigate or enforce suspected breaches of these TOS, or (iv) allow our third-party partners to comply with their obligations under federal or state law.

3.13 Professional Responsibility.

You will be solely responsible for the professional and technical services you provide. We make no representations concerning the completeness, accuracy or utility of any information in the Service, or concerning the qualifications or competence of persons who placed it there. We have no liability for the consequences to you or your patients of your use of the Service.

3.14 Cooperation.

You will cooperate with us in the administration of the Service, including providing reasonable assistance in evaluating the Service and collecting and reporting data requested by us for purposes of administering the Service.

3.15 Indemnification.

You hereby agree to indemnify, defend, and hold harmless us and other users, and our and their respective affiliates, officers, directors, employees and agents, from and against any claim, cost or liability, including reasonable attorneys’ fees, arising out of or relating to: (a) the use of the Service by you or your Workforce; (b) any breach by you or your Workforce of any representations, warranties or agreements contained in these TOS; (c) the actions of any person gaining access to the Service under Credentials assigned to you or a member of your Workforce; (d) the actions of anyone using Credentials assigned to you or any member of your Workforce that adversely affects the Service or any information accessed through the Service; and (e) your negligent or willful misconduct, or that of any member of your Workforce. Your indemnification obligations in these TOS (including this Section 3.15) are cumulative, and are not intended to, nor do they, limit your indemnification obligations elsewhere in these TOS or at law, even if such obligations arise or are occasioned or triggered by a single assertion, claim, circumstance, action, event or transaction.

4. Use of Information

4.1 Purpose of Service.

The purpose of the Service is to store Your Health Information and (i) to make it available to you and your Authorized Workforce for any legal purpose, including treatment, payment and health care operations; (ii) to facilitate the sharing of individuals’ health information among users and other parties with whom you or your Authorized Workforce members elect to share such information, and (iii) if and when a Patient Portal becomes available, to make health information available to your patients through the Patient Portal. You may make Your Health Information accessible to other users of the Service, other individuals and entities, or to your patients through the Service for these purposes. You authorize us, as your business associate under the BAA, to use and disclose Your Information as follows:

4.1.1  We will permit unrestricted access to Your Health Information to you and your Authorized Workforce. You are responsible for ensuring that your use of Your Health Information is consistent with the relevant legal restrictions.

4.1.2 We will permit access to Your Health Information to your patients to whom you have enabled to receive access through our Patient Portal (when made available) or any integrated third-party service, including PingMD®.

4.1.3 We will permit access to Your Information by health care providers, covered entities and their business associates to whom you have Consented to provide access to the Service and who have otherwise agreed to integrate with our systems. We will obtain your Consent before we make Your Health Information available to other providers, covered entities and their respective business associates. You acknowledge that once we have granted access rights to another provider or covered entity (or their respective business associates), we have no control over the uses and disclosures that such person or entity makes of Your Health Information, and the recipient may be subject to its own legal or regulatory obligations (including HIPAA) to retain such information and make such information available to patients, governmental authorities and others as required by applicable law or regulation.

4.1.4  We may disclose or permit access to Your Information to entities such as, but not limited to, health plans, health care clearinghouses, medical groups, independent practice associations, your authorized service providers and other parties responsible for payment and their business associates for the purpose of obtaining (or confirming eligibility or authorization for) payment for services you provide, unless you advise us in writing that, with respect to a specific service provided to a specified patient, such patient has paid out of pocket in full for the service to which the health information relates, and has requested that it not be disclosed to his or her health plan.

4.1.5  We may De-Identify Your Information, and use and disclose De-Identified Information for any purpose whatsoever, including as provided by Section 5 and Section 7.2.

4.1.6  We may create limited data sets from Your Health Information, and disclose them for any purpose for which you may disclose a limited data set; and you hereby authorize us to enter into data use agreements on your behalf for the use of limited data sets, in accordance with applicable law and regulation.

4.1.7 We may use Your Information in order to prepare analyses and reports, such as activity or quality-metrics reports, or any other reports the Service makes available. Preparation of such analyses and reports may include the use of data aggregation services relating to your treatment and health care operations, which we may perform using Your Health Information. Such reporting will be done in a manner that does not make any disclosure of Your Health Information that you would not be permitted to make.

4.1.8 We may use Your Information for the proper management and administration of the Service and our business, and to carry out our legal responsibilities, which may include us disclosing such information to one of our business associates that has entered into a business associate agreement in accordance with Section 9.4 below. We may also disclose Your Information for such purposes if the disclosure is required by law (as such term is defined in 45 CFR §164.103), or we obtain reasonable assurances (as such term is interpreted or applicable in connection with or under HIPAA) from the recipient that it will be held confidentially and used or further disclosed only (a) as required by law (as such term is defined in 45 CFR §164.103), or (b) for the purpose for which it was disclosed to the recipient, and the recipient notifies us of any instances of which it is aware in which the confidentiality of the information has been breached. Without limiting the foregoing, we may permit access to the system by our contracted system developers under appropriate confidentiality agreements.

4.1.9  We may use Your Health Information and Directory Information (defined below) to contact your patients on your behalf for any purpose for which you would be permitted to contact them, including:

(a)  For treatment and health care operations messages, including sending appointment notifications (such as appointment requests, confirmations, reminders, cancellations and the like) and messages about currently prescribed medications (including refill reminders), or post-visit treatment satisfaction surveys, invitations and administrative messages concerning Patient Portal access, and the like;

(b)  With your Consent, to request an authorization on your behalf from your patients to use or disclose their health information for any purpose for which use or disclosure may be made with an appropriate authorization, including research purposes. You agree that we may also use and disclose your patients’ health information as permitted by any such authorization; and

(c)  To provide information about health-related products or services that you provide, or that we provide on your behalf as your business associate.

4.1.10 From time to time we may incorporate information we receive from your authorized service providers (including Third-Party Applications as discussed in Section 11.2), our third-party partners, or covered entities (and their business associates) who are providing or paying for medical services for one or more of your patients, into the Service we provide to you. Such information may include, without limitation, clinical information such as lab results, imaging results, eligibility information, prior authorizations and prescription history; and shall, upon incorporation into the Service, be treated as “Your Health Information” for all purposes hereunder. You hereby authorize us to request and receive such information on your behalf from such authorized service providers or our third party partners.

4.1.11  We may use or disclose Your Health Information for other purposes, as from time to time described in our Policies and Procedures; provided that we will not make or permit any such use or disclosure that would violate applicable law or regulation if made by you or your business associate.

4.1.12  We may use Your Information to provide you with notifications regarding Your patients’ potential eligibility for certain programs, including savings programs, coupons, sampling, educational, safety, adherence or treatment support materials or other programs which you may choose to share with your patients (“Patient Support Programs”) as well as to administer the Support and Assessment Resources more fully described in Section 6 below. These notifications and materials are not a substitute for your professional medical judgment pertaining to the appropriateness of any such program for a given patient and you should discuss any such programs or materials with your patients directly. We may receive remuneration from the funding sources or sponsors for presenting you with Support and Assessment Resources or displaying their advertisements. In connection with offering or operating such Patient Support Programs or Support and Assessment Resources, we may share personally identifiable information about you for the purposes of program administration, and for assessing program eligibility, effectiveness or performance. We will only share such information with partners who are subject to confidentiality obligations. Additionally, we may disclose Personal Information about you to administrators of the Patient Support Programs or Support and Assessment Resources for recordkeeping, corporate integrity or regulatory reporting purposes.

4.2 Responsibility for Misuse by Other Users.

You acknowledge that in granting access to the Service for the purposes set forth in Section 4.1, we will rely on the assurances of the recipients of the information as to (i) their identity and credentials, (ii) the purposes for which they are accessing the system, and (iii) the nature and extent of the information to which they will have access. You acknowledge that, while the Service will contain certain technical safeguards against misuse of the Service, it will rely to a substantial extent on the representations and undertakings of users of the Service. You agree that we will not be responsible for any unlawful access to or use of Your Health Information by any user resulting from the user’s misrepresentation to us, or breach of the user’s user agreement or our Policies and Procedures.

4.3 Specially Protected Information.

We apply the standards of the Privacy Rule in permitting access to the Service. You acknowledge that other federal and state laws impose additional restrictions on the use and disclosure of certain types of health information, or health information pertaining to certain classes of individuals. You agree that you are solely responsible for ensuring that Your Health Information may properly be disclosed for the purposes set forth in Section 4.1, subject to the restrictions of the Privacy Rule and applicable law, including those laws that may be more restrictive than the Privacy Rule. In particular, you will:

4.3.1 not make available to other users through the Service any information in violation of any restriction on use or disclosure (whether arising from your agreement with such users or under law);

4.3.2 obtain all necessary consents, authorizations or releases from individuals required for making their health information available through the Service for the purposes set forth in Section 4.1;

4.3.3 include such statements (if any) in your notice of privacy practices as may be required in connection with your use of the Service; and

4.3.4 not place in the Service any information that you know or have reason to believe is false or materially inaccurate.

4.4 Health Record Sharing.

With your Consent, we may make parts of your online heath record for any patient you designate accessible to any other user of the Service or any third party whom you approve, but subject to the technical limitations of the Service generally. You may revoke your Consent with respect to any other user at any time. While your Consent is in effect, an approved user may only view any health record you have designated for his or her access. If you revoke your Consent, the approved user will continue to have the ability to view the health record in the form in which it existed at the time you revoked your Consent, but will not be able to view changes made to the record thereafter. The same rules apply to your use of another user’s record who approves access by you. You and your Workforce are fully responsible for the information in any chart that you share. You or your Workforce should not share patient information that violates any state or federal laws. In any event, but especially in cases of potential fraud, misuse or abuse of the Service, we reserve the right, in our sole judgment, to revoke, remove, cancel or deny any request to share online health records as part of the Service.

4.5 Client Directories.

We may include your Directory Information (defined below) in our (a) “Public Client Directories,” which are electronic directories for patients and the general public; and (b) “Professional Client Directories,” which are electronic directories for Clients and other members of the healthcare community ((a) and (b) collectively, “Client Directories”). Client Directories may be made available in various electronic formats, including searchable databases, Client landing pages, interactive reference tools, reference lists, ratings, and integrated look-up features, among others. They may also incorporate information designed to help users, such as integrated maps, and licensure confirmation tools, reviews, among other matters. Client Directories may include a “contact” feature that allows users to contact other users directly through the Service. Our Public Client Directory may be made available to public search engines to aid Client discovery. Listing in the Client Directories is subject to eligibility criteria, which may differ between the Public Client Directory and Professional Client Directory.  A Client’s “Directory Information” includes the Client’s name, name(s) of physicians or other healthcare professionals associated with a Client, associated specialties, Client’s business telephone number(s) and physical address(es), National Client Identifiers (or NPI), and the Client’s available appointment slots, as each is indicated from information a Client has inputted or imported into the Service. The Directory Information may include additional information you input or upload into profile tools we make available in the Service (such as a profile photograph, accepted insurance, available office hours, a front desk email address, and the like), as and when such tools are available.

4.6 Care Coordination and Clinical Data Exchange.

We will enable Clinical Data Exchange between You and your business associate(s) or those covered entities (and their respective business associates), including health systems, Accountable Care Organizations, payers, and laboratories who desire to transmit such data to you with respect to patients they have a treatment or payment relationship or with whom you have Consented to provide such data (all third parties collectively referred herein as “Transmission Partner”). While such transmission integrations are in effect, such Transmission Partner may send and receive clinical data to and from your account on a routine and recurring basis. You may disable an integration with any Transmission Partner by contacting us through one of the methods described at www.kipuemr.com, but any clinical data already received by such Transmission Partner will remain in its possession, subject to the terms of your independent agreements with such Transmission Partner, if any. You are solely responsible for ensuring that You have all necessary consents from Your patients applicable to the sharing of any of Your Health Information under applicable law with respect to each Transmission Partner with whom you have Consented to share any information under this Section 4.6.

5. Providing Physician Data to Payers and Others

Without limiting the provisions of Section 7.2, you agree that we may provide De-Identified Health Information and other information (including Your Personal Information and information concerning your practice) to any medical group, independent practice association of physicians, health plan or other organization with which you have a contract to provide medical services, or to whose members or enrollees you provide medical services. Such information may identify you, but will not identify any individual to whom you provide services. Such information may include aggregated data concerning your patients, diagnoses, procedures, orders and the like.

6. Support and Assessment Resources; Advertising

We may also present to you, through the Service or through the use of Your Information, the opportunity to utilize or engage in clinical decision support or assessment resources or informational programs (“Support and Assessment Resources,” which may also include, for the avoidance of doubt, Patient Support Programs (as previously described in Section 4.1.12)). We may also place advertisements concerning the products and services of third parties throughout the Service, so that you see them when you use the Service. Such Support or Assessment Resources or advertisements may be funded or sponsored by third parties, and may include branded or unbranded content about medical substance abuse related conditions, treatments and products, or safety and regulatory information resources. They may also include opportunities to participate in informational surveys or studies, or to discuss with your patients potential beta programs, trials or other research programs, which may be funded by government grants. We may receive remuneration from the funding sources or sponsors for presenting you with Support and Assessment Resources or displaying their advertisements. In connection with offering or operating such Support and Assessment Resources or delivering advertising, we may share personally identifiable information about you for the purposes of assessing program eligibility, effectiveness or performance with partners who are subject to confidentiality obligations. Additionally, if you choose to engage or utilize one of the Support and Assessment Resources, you may be asked to provide personal information that may be used to supplement Your Information as well as information gathered as part of the program itself (e.g., responses to surveys). This information will be used to provide the content or services described in the Support and Assessment Resources or provide you with any gift or honoraria associated with the program. If you receive remuneration for participating in a sponsored survey, for example, we may be required to provide the funding source or sponsor with information about you for its recordkeeping, regulatory reporting or measurement purposes. You acknowledge and agree that we or our authorized representatives may contact you via email, phone, or text message at any time for any reason.

7. Intellectual Property Rights

7.1 Individually Identifiable Health Information.

You retain all rights with regard to Your Health Information so long as you keep your account current and all balances due and owing are paid, and we will only use such information as expressly permitted in these TOS.

7.2 De-Identified Information.

In consideration of our provision of the Service, you hereby transfer and assign to us all right, title and interest in and to all De-Identified Information that we make from Your Information pursuant to Section 4.1.5. You agree that we may use, disclose, market, license and sell such De-Identified Information for any purpose without restriction, and that you have no interest in such information, or in the proceeds of any sale, license, or other commercialization thereof. You acknowledge that the rights conferred by this Section are a principal consideration for the provision of the Service, without which we would not enter into these TOS.

7.3 Other Works and Information.

You hereby grant to us a nonexclusive, royalty-free, fully paid-up, perpetual, irrevocable, worldwide and fully sub-licensable right to use, reproduce, modify, adapt, publish, translate, create derivative works from, distribute, and display any information, material or work product – other than Your Information that has not been De-Identified – you provide to this site or the Service. You agree that we may use, disclose, market, license, and sell such information and works, including derivative products, without restriction. This includes, for example, custom templates that you create using the Service, and information (other than Your Information that has not been De-Identified) that you contribute to forums, discussion groups and the like. You may provide content or material to this site by uploading such content into the Service, participating in forums, discussion groups and the like, or by using the site to create custom templates and the like. Furthermore, you agree that we may use, disclose, market, license and sell such material or content, and that you have no interest in the information, or in the proceeds of any sale, license, or other commercialization thereof. You warrant and agree that any material you provide will not infringe or otherwise violate the intellectual property or other rights of others, and will not be otherwise unlawful, infringing, threatening, libelous, defamatory, obscene, pornographic, or in violation of any law.

7.4 Trade Secrets.

In order to protect our trade secrets herein, you affirm that neither you nor any of your employers, officers, executives, shareholders, partners, Workforce, or other business associates of any kind are currently or will become for a period of three (3) years after termination or expiration of any license granted to access or use the Service, either directly or indirectly, an officer, executive, shareholder, partner, employee, independent contractor, advisor, consultant, or any other business associate of any kind of any business entity who does currently operate in or intends to enter into competition with us during the period of time you are licensed to use the Service. If we come to know or have reasonable cause to believe that you are in violation of this affirmation, we reserve the right to immediately, permanently, and without notice terminate your access rights and privileges.  Any such use shall subject you, as well as any of your officers, executives, shareholders, or partners, to legal action, which may include both civil and criminal penalties, as applicable. You acknowledge that any such civil action may include, but is not limited to, relief sought in the form of: injunctive relief; actual, punitive, statutory, or liquidated damages; any amount of unjust enrichment accrued as a result of such use; and attorney’s fees.

You will not reverse engineer, decompile, disassemble, or otherwise attempt to discover or reduce to human readable form the source code of the Service, except to the extent allowed under any applicable law. Any attempt to do so must utilize a clean room design. If applicable law permits such activities, any information so discovered must be promptly disclosed to us, and shall be deemed to be our confidential proprietary information.  You will not access the service for the purposes of copying the flow, process, or any other Intellectual Property belonging to us for the purposes of incorporating any such Intellectual Property into a competitive product. If you access the service on behalf of or for the benefit of a competitor or for any competitive purposes, you must immediately cease such access and report your unauthorized access to Kipu at support@kipusystems.com.

In the event that, at the conclusion of any resulting litigation, the Service is held to have been legitimately used in any manner to derive a new product, that derivative product may then only be used for noncommercial purposes and may not be marketed, distributed, or otherwise made available in any way. This provision shall not be read to authorize, explicitly or implicitly, use of the Service in such a manner.

7.5. Copyright and Ownership.

All content included in or made available through any Kipu product or service, such as input screens and forms, charts, text, graphics, logos, button icons, images, audio clips, digital downloads, and data compilations is the property of Kipu, or its content suppliers, and is protected by United States and international copyright laws. The compilation of all content included in or made available through the Service is the exclusive property of Kipu, and is protected by U.S. and international copyright laws. All content posted on the Service by you must comply with U.S. copyright law.

The Service is the intellectual property of and is owned by Kipu. The structure, organization, flows, processes, and source code of the Service (collectively, “Intellectual Property”) are the valuable trade secrets and confidential information of Kipu. The Service is protected by law, including but not limited to the copyright laws of the United States and the Florida Uniform Trade Secrets Act, and by international treaty provisions. Except as expressly stated herein, this agreement does not grant you any intellectual property rights in the Service. All rights not expressly granted are reserved by Kipu Systems LLC.

We shall have a royalty-free, worldwide, irrevocable, perpetual license to use and incorporate into the Service any suggestions, enhancement requests, recommendations, or other feedback provided by you relating to the operation of the Service.The look and feel of the Service, including the process and flows, are copyright ©2012-2017 Kipu Systems LLC. All rights reserved. You may not duplicate, copy, or reuse any portion of the HTML/CSS or visual design elements without the express written permission of Kipu’s CEO. Portions may be Patent Pending.

8. Individuals’ Rights

You are solely responsible for affording individuals their rights with respect to relevant portions of Your Health Information, such as the rights of access and amendment. You will not undertake to afford an individual any rights with respect to any information in the Service other than Your Health Information.

9. Business Associate Agreement

You agree to be bound by the terms and conditions of the BAA, which is incorporated herein by reference.

10. Computer Systems

You agree and acknowledge that you will be required to acquire, install, configure and maintain all hardware, software and communications systems necessary to access the Service and go through all necessary training (your “Implementation”). Your Implementation will comply with the specifications from time to time established by us. You will ensure that your Implementation is compatible with the Service. If we notify you that your Implementation is incompatible with the Service, you will eliminate the incompatibility, and we may suspend Service to you until you do so.

11. Third-Party Service

11.1 We may also present to you, through the Service (including via emails, displays or advertisements) or through the use of Your Information, the opportunity to learn about, access, integrate with, or otherwise use services operated by third parties (each a “Third-Party Service”), some of which may be our affiliates. If you choose to sign-up for or utilize a Third-Party Service, that Third-Party Service may be able to access Your Information. Additionally, we may allow you to access the Third-Party Service, or integrate the Service you receive from us with such Third-Party Service using your Credentials that allow you to receive services or information from such Third-Party Service. Although we may receive remuneration from the operators or sponsors of these Third-Party Service, we do not endorse any Third-Party Service and you are responsible for evaluating any Third-Party Service prior to signing-up for, accessing, or integrating them (including any information) with the Service you receive from us.

11.2 We are not responsible for the quality or efficacy of any Third-Party Service, or their information privacy or security practices, and we have no responsibility for the information, goods or services offered or provided by the operators of such Third-Party Service, or for the manner in which they conduct their operations. Your use of Third-Party Service and the materials, information, goods and services offered by them is entirely at your own risk, and is subject to the terms of use of the third parties operating or providing them, if any. You should assume that any Internet page or other material that does not bear the official Kipu logo is provided by a third party. You should review the applicable terms of any agreement, terms of use and privacy policies of any Third-Party Service, since they are subject only to the agreements you have with the operators of such Third-Party Service, and not covered by these TOS. Further, the Third-Party Service may use Your Information in a way that we would not. You further acknowledge that your use of any Third-Party Service is on an “as-is” basis and is further subject to the TPTOS to which you consent by entering into these TOS.

12. Fees and Charges

12.1 Service Fees.

You agree to pay all fees for the Service (the “Service Fees”), as set forth in the Exhibit A and the Cover Sheet to the Service Agreement, to which you have access during the Term of these TOS. In light of the fact that we incur the expense of hosting your Instance immediately after the Contract Date, Maintenance Fees commence on the earlier of the Service Start Date or 60 days after Contract Date, even if your implementation is not then yet complete. You also agree to pay, at our then current rates, for all goods, services, or features that you utilize, or otherwise request from us and that are not included in our standard services on Exhibit A to the Service Agreement (“Miscellaneous Charges”).  We will notify you of the applicable Miscellaneous Charges before performing services or enabling features to which a Miscellaneous Charge will apply. We reserve the right to change the Miscellaneous Charges at any time, or to add new fees or charges. Notwithstanding the terms of Exhibit D to the Service Agreement, the Early Termination Buyout Fee for all Service Agreements entered into on or before July 7, 2017, shall be the greater of (a) the total of all Patient Fees, Maintenance Fees, and Lab or API fees generated during the twelve (12) most recent full calendar months prior to termination; or (b) four (4) times all Patient Fees, Maintenance fees, and Lab or API fees generated during the three (3) most recent full calendar months prior to termination.

12.2 Payment.

The Service Fees and any Miscellaneous Charges shall be paid within fifteen (15) days of date of invoice at the address set forth in the invoice, or such other address as may be set forth in our Policies and Procedures. Payments are non-refundable.

12.3 Late Charges.

In the event payment is not made by the due date, we may discontinue your Service or charge the greater of $250 per month per invoice or a Five Percent (5%) late fee for each month each invoice remains unpaid, as allowed by law. A reconnection fee equal to one (1) month’s Service Fee shall be assessed to re-establish connection after termination due to non-payment, in addition to all unpaid Service Fees.

12.4 Taxes.

All charges and fees shall be exclusive of all federal, state, municipal, or other government excise, sales, use, occupational, or like taxes now in force or enacted in the future, and you agree to pay any tax (excluding taxes on our net income) that we may be required to collect or pay now or at any time in the future and that are imposed upon the sale or delivery of items and services purchased under these TOS. The amount we charge you for a Service may include certain taxes or charges applicable thereto your purchase. If any tax or charge applicable is not charged by us, you acknowledge that you are solely responsible for paying such tax or other charge.

12.5 Other Charges.

You are responsible for any charges you incur to use the Service, such as telephone and equipment charges, and fees charged by third-party vendors of products and services.

12.6 Payment Information; Method of Payment.

By providing payment information to us, you hereby represent and warrant that you are authorized to use the payment method you provide, that such information is accurate, and that we are authorized to charge you for the applicable Service using the established payment method and the information you provided. You are solely responsible for notifying us of any changes to your payment information.

13. Confidential Information

13.1  You may not disclose our Confidential Information to any other person, and you may not use any Confidential Information except for the purpose of these TOS. Except as otherwise provided in these TOS, you may not, without the prior written consent of Kipu’s CEO, at any time, during or after the Term of these TOS, directly or indirectly, divulge or disclose Confidential Information for any purpose. In addition, except for the purposes of using the Service, you will not use Confidential Information for any other purposes. You will hold all Confidential Information in strict confidence and take all measures necessary to prevent unauthorized copying, use, or disclosure of Confidential Information, and to keep the Confidential Information from falling into the public domain or into the possession of persons not bound to maintain its confidentiality. You will disclose Confidential Information only to members of your Authorized Workforce who have a need to use it for the purposes of these TOS. You will inform all such recipients of the confidential nature of Confidential Information and will instruct them to deal with Confidential Information in accordance with the terms of these TOS. You will promptly advise us in writing of any improper disclosure, misappropriation, or misuse of the Confidential Information by any person, which may come to your attention.

13.2  You agree that we will suffer irreparable harm if you fail to comply with your obligations set forth in Section 13.1, and you further agree that monetary damages will be inadequate to compensate us for any such breach. Accordingly, you agree that we will, in addition to any other remedies available to us at law or in equity, be entitled to the issuance of injunctive relief to enforce the provisions hereof, immediately and without the necessity of posting a bond.

14. Disclaimer, Exclusion of Warranties, and Limitation of Liability

14.1 Carrier Lines.

YOU ACKNOWLEDGE THAT ACCESS TO THE SERVICES WILL BE PROVIDED OVER VARIOUS FACILITIES AND COMMUNICATIONS LINES, AND INFORMATION WILL BE TRANSMITTED OVER LOCAL EXCHANGE AND INTERNET BACKBONE CARRIER LINES AND THROUGH ROUTERS, SWITCHES, AND OTHER DEVICES (COLLECTIVELY, “CARRIER LINES”) OWNED, MAINTAINED, AND SERVICED BY THIRD-PARTY CARRIERS, UTILITIES, AND INTERNET SERVICE PROVIDERS, ALL OF WHICH ARE BEYOND OUR CONTROL. WE ASSUME NO LIABILITY FOR, OR RELATING TO, THE INTEGRITY, PRIVACY, SECURITY, CONFIDENTIALITY, OR USE OF ANY INFORMATION WHILE IT IS TRANSMITTED ON THE CARRIER LINES, OR ANY DELAY, FAILURE, INTERRUPTION, INTERCEPTION, LOSS, TRANSMISSION, OR CORRUPTION OF ANY DATA OR OTHER INFORMATION ATTRIBUTABLE TO TRANSMISSION ON THE CARRIER LINES. USE OF THE CARRIER LINES IS SOLELY AT YOUR RISK AND IS SUBJECT TO ALL APPLICABLE LOCAL, STATE, NATIONAL, AND INTERNATIONAL LAWS.

14.2 No Warranties.

ACCESS TO THE SERVICES AND THE INFORMATION CONTAINED ON THE SERVICES IS PROVIDED “AS IS” AND “AS AVAILABLE” WITHOUT ANY WARRANTY OF ANY KIND, AND WE DISCLAIM ALL WARRANTIES, EXPRESSED OR IMPLIED, STATUTORY OR OTHERWISE, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NONINFRINGEMENT AND TITLE. YOU ARE SOLELY RESPONSIBLE FOR ANY AND ALL ACTS OR OMISSIONS TAKEN OR MADE IN RELIANCE ON THE SERVICES OR THE INFORMATION IN THE SERVICES, INCLUDING INACCURATE OR INCOMPLETE INFORMATION. IT IS EXPRESSLY AGREED THAT IN NO EVENT SHALL WE BE LIABLE FOR ANY SPECIAL, INDIRECT, CONSEQUENTIAL, OR EXEMPLARY DAMAGES, INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS OR REVENUES, LOSS OF USE, LOSS OF GOODWILL, OR LOSS OF INFORMATION OR DATA, WHETHER A CLAIM FOR ANY SUCH LIABILITY OR DAMAGES IS PREMISED UPON BREACH OF CONTRACT, BREACH OF WARRANTY, NEGLIGENCE, STRICT LIABILITY, OR ANY OTHER THEORY OF LIABILITY, EVEN IF WE HAVE BEEN APPRISED OF THE POSSIBILITY OR LIKELIHOOD OF SUCH DAMAGES. WE DISCLAIM ANY AND ALL LIABILITY FOR ERRONEOUS TRANSMISSIONS AND LOSS OF SERVICE RESULTING FROM COMMUNICATION FAILURES BY TELECOMMUNICATION SERVICE PROVIDERS OR THE SERVICES. NO KIPU EMPLOYEE OR AGENT IS AUTHORIZED TO MAKE ANY STATEMENT THAT ADDS TO OR AMENDS THE WARRANTIES, CONDITIONS, OR LIMITATIONS CONTAINED IN YOUR SERVICE AGREEMENT OR THESE TOS.

14.3 Conditions for Breach.

We will not be deemed to be in violation of these TOS unless you have first given us written notice specifying the nature of the default, and we have failed within thirty (30) days of receipt of the notice either to cure the default or, if cure within such period is not practicable, to be diligently proceeding to cure the default.

14.4 Other Users.

YOU ACKNOWLEDGE THAT OTHER USERS HAVE ACCESS TO AND ARE USING OUR SERVICES AND THE ACTIONS OF SUCH OTHER USERS ARE BEYOND OUR CONTROL. ACCORDINGLY, WE DO NOT ASSUME ANY LIABILITY FOR OR RELATING TO ANY IMPAIRMENT OF THE PRIVACY, SECURITY, CONFIDENTIALITY, INTEGRITY, AVAILABILITY, OR RESTRICTED USE OF ANY INFORMATION ON THE SERVICES RESULTING FROM ANY USER’S ACTIONS OR FAILURES TO ACT.

14.5 Unauthorized Access; Lost or Corrupt Data.

WE ARE NOT RESPONSIBLE FOR UNAUTHORIZED ACCESS TO YOUR DATA, FACILITIES OR EQUIPMENT BY PERSONS USING THE SERVICES OR FOR UNAUTHORIZED ACCESS TO, ALTERATION, THEFT, CORRUPTION, LOSS OR DESTRUCTION OF YOUR DATA FILES, PROGRAMS, PROCEDURES, OR INFORMATION THROUGH THE SERVICES, WHETHER BY ACCIDENT, FRAUDULENT MEANS OR DEVICES, OR ANY OTHER MEANS. YOU ARE SOLELY RESPONSIBLE FOR VALIDATING THE ACCURACY OF ALL OUTPUT AND REPORTS, AND FOR PROTECTING YOUR DATA AND PROGRAMS FROM LOSS BY IMPLEMENTING APPROPRIATE SECURITY MEASURES. YOU HEREBY WAIVE ANY DAMAGES OCCASIONED BY LOST OR CORRUPT DATA, INCORRECT REPORTS, OR INCORRECT DATA FILES RESULTING FROM PROGRAMMING ERROR, OPERATOR ERROR, EQUIPMENT OR SOFTWARE MALFUNCTION, SECURITY VIOLATIONS, OR THE USE OF THIRD-PARTY SOFTWARE. WE ARE NOT RESPONSIBLE FOR THE CONTENT OF ANY INFORMATION TRANSMITTED OR RECEIVED THROUGH OUR PROVISION OF THE SERVICES.

14.6 Limitation of Liability.

NOTWITHSTANDING ANYTHING IN THESE TOS OR THE SERVICE AGREEMENT TO THE CONTRARY, OUR AGGREGATE LIABILITY UNDER THE SERVICE AGREEMENT, REGARDLESS OF THEORY OF LIABILITY, SHALL BE LIMITED TO THE AGGREGATE FEES ACTUALLY PAID BY YOU UNDER THE SERVICE AGREEMENT FOR THE TWO (2) MONTH PERIOD PRECEDING THE EVENT FIRST GIVING RISE TO THE CLAIM, UP TO A LIMIT OF $10,000 IN THE AGGREGATE.

15. Insurance

You will obtain and maintain such policies of general liability, errors and omissions, and professional liability insurance with reputable insurance companies as is usually carried by persons engaged in your business covering the term of these TOS.

16. Modification; Suspension; Termination

16.1 Termination upon Notice.

Absent any agreement to the contrary, you may terminate the Service Agreement in accordance with the terms thereof.

16.2 Modification.

We may update or change the Service or the terms set forth in these TOS from time to time.  Accordingly, we recommend that you review the TOS on a regular basis. You understand and agree that your continued use of the Service after the TOS has been updated or changed constitutes your acceptance of the revised TOS. Without limiting the foregoing, if we make a change to the TOS that materially affects your use of the Service, we may post notice or notify you via email or our website(s) of any such change.

16.4 Termination, Suspension or Amendment as a Result of Government Regulation.

Notwithstanding anything to the contrary in these TOS, we have the right, on notice to you, immediately to terminate, suspend, or amend these TOS, without liability: (a) to comply with any order issued or proposed to be issued by any governmental agency; (b) to comply with any provision of law, any standard of participation in any reimbursement program, or any accreditation standard; (c) if performance of any term of these TOS by either Party would cause it to be in violation of law, or would jeopardize its tax-exempt status.

16.5 Judicial or Administrative Procedures; Credentialing.

We may terminate your Service Agreement and these TOS, and your access to the Service, immediately upon notice to you: (a) if you are named as a defendant in a criminal proceeding for a violation of federal or state law; (b) if a finding or stipulation is made or entered into that you have violated any standard or requirement of federal or state law relating to the privacy or security of health information in any administrative or civil proceeding; (c) you are excluded from participation in a federal or state health care program; (d) you cease to be qualified to provide services as a health care professional, or we are unable to verify your qualifications as such or (e) as otherwise set forth in the Service Agreement.

16.6 Suspension of Access.

We may suspend access to the Service by you or any member of your Workforce immediately pending your cure of any breach of these TOS, or in the event we determine in our sole discretion that access to or use of the Service by you or the member of your Workforce may jeopardize the Service or the confidentiality, privacy, security, integrity or availability of information within the Service, or that you or the member of your Workforce has violated or may violate these TOS or our Policies and Procedures, or has jeopardized or may jeopardize the rights of any third party, or that any person is or may be making unauthorized use of the Service with any Credentials assigned to you or a member of your Workforce. We may terminate the access of any member of your Authorized Workforce upon termination or change in status of his or her employment with you. Our election to suspend the Service shall not waive or affect our rights to terminate these TOS as permitted under these TOS.

16.7 Obligations after Termination.

Upon termination of the Service Agreement for any reason, you will (i) cease all use of the Service and (ii) pay the outstanding balance of any fees due to us. All provisions of the TOS which, by their nature, should survive termination shall survive termination, including, but not limited to, Sections 1, 3.15, 5, 7, 9.10, 11.2, 12 through 15, 16.7, 17, 18, 19, 20.3, and 21 through 26.

17. No Solicit or Hire Clause

You acknowledge that Kipu invests considerable time and expense in the training of its employees and independent subcontractors in the services to be provided under the Service Agreement. You agree that for the full term of the Service Agreement, and for 2 years after its termination, you will not solicit or employ in any capacity, whether as a direct employee, independent contractor or as a representative of another company providing similar services to you as the Service provided by Kipu, any person employed by Kipu at any time during the term of the Service Agreement whose duties involve providing the Service, whether for yourself or other Kipu customers. In addition to equitable remedies, you acknowledge and agree that actual damages in the event of a breach of this Section 17 are difficult to ascertain at present. You have reviewed and found the amount of one hundred thousand dollars ($100,000) to be a reasonable estimate of damages Kipu would incur if you breach this Section 17.  You have reviewed and will not challenge this amount as unreasonable, and you agree that you will not contest an order entering a judgment in this amount without delay and that you will not present any defenses or counterclaims.

18. Applicable Law

The interpretation of the Service Agreement, including these TOS, and the resolution of any disputes arising out of or related to the Service Agreement, including these TOS shall be governed by the laws of the State of Florida, without regards to its conflicts of laws provisions. If any action or other proceeding is brought on or in connection with the Service Agreement, including these TOS, the venue of such action shall be exclusively in the applicable state or federal courts in and for Miami-Dade County, Florida.

19. Arbitration

19.1 EXCEPT FOR CLAIMS BY EITHER PARTY UNDER ANY OF THE SECTIONS OF THESE TOS LISTED IN SECTION 19.2, ANY DISPUTE, CLAIM OR CONTROVERSY ARISING OUT OF OR RELATING TO THE SERVICE AGREEMENT INCLUDING THESE TOS OR THE BREACH, TERMINATION, ENFORCEMENT, INTERPRETATION OR VALIDITY THEREOF, INCLUDING THE DETERMINATION OF THE SCOPE OR APPLICABILITY OF THIS AGREEMENT TO ARBITRATE, SHALL BE SUBJECT TO FINAL AND BINDING ARBITRATION GOVERNED BY THE FEDERAL ARBITRATION ACT (9 U.S.C. §§ 1 ET SEQ.). THE ARBITRATION SHALL BE CONDUCTED BEFORE A SINGLE ARBITRATOR IN ACCORDANCE WITH THE COMMERCIAL DISPUTE RESOLUTION PROCEDURES AND THE SUPPLEMENTARY PROCEDURES FOR CONSUMER RELATED DISPUTES OF THE AMERICAN ARBITRATION ASSOCIATION (THE “AAA”) THEN IN EFFECT, AS MODIFIED BY THESE TOS, AND WILL BE ADMINISTERED BY THE AAA. JUDGMENT ON THE AWARD MAY BE ENTERED IN ANY COURT HAVING JURISDICTION. THIS CLAUSE SHALL NOT PRECLUDE EITHER PARTY FROM SEEKING TEMPORARY OR PRELIMINARY INJUNCTIVE RELIEF IN CONNECTION WITH AN ARBITRABLE CONTROVERSY, BUT ONLY UPON THE GROUND THAT THE AWARD TO WHICH THAT PARTY MAY BE ENTITLED MAY BE RENDERED INEFFECTUAL WITHOUT SUCH PROVISIONAL RELIEF.

19.2  THIS AGREEMENT TO ARBITRATE SHALL NOT APPLY TO INTELLECTUAL PROPERTY CLAIMS BROUGHT BY KIPU OR CLAIMS BY ANY PARTY BROUGHT UNDER AND TO ENFORCE ANY ONE OR MORE OF THE FOLLOWING SECTIONS OF THESE TOS: 2.1; 3.1.2; 3.1.3; 3.2; 3.4.3(c), (d), or (e); 3.8; 3.9; 17 or, TO THE EXTENT APPLICABLE TO THE FOREGOING SECTIONS, 16.6.

19.3  THE PARTIES AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN AN INDIVIDUAL CAPACITY, AND NOT AS A PLAINTIFF, CLASS MEMBER, OR PRIVATE ATTORNEY GENERAL IN ANY PURPORTED CLASS, REPRESENTATIVE, OR PRIVATE-ATTORNEY-GENERAL PROCEEDING. BY ENTERING INTO THESE TOS, YOU AND WE ARE EACH WAIVING THE RIGHT TO A JURY TRIAL OR TO PARTICIPATE IN A CLASS ACTION. THE ARBITRATOR MAY NOT CONSOLIDATE MORE THAN ONE PERSON’S CLAIM WITH YOUR CLAIMS OR OUR CLAIMS AND MAY NOT OTHERWISE PRESIDE OVER ANY REPRESENTATIVE, CLASS, OR PRIVATE-ATTORNEY-GENERAL PROCEEDING. THE ARBITRATOR MAY AWARD DECLARATORY OR INJUNCTIVE RELIEF ONLY IN FAVOR OF THE INDIVIDUAL PARTY SEEKING RELIEF AND ONLY TO THE EXTENT NECESSARY TO PROVIDE RELIEF WARRANTED BY THAT PARTY’S INDIVIDUAL CLAIM, IN ADDITION TO REASONABLE ATTORNEYS’ FEES AND COSTS.

19.4 Any part of this agreement to arbitrate that shall prove to be invalid, void, or illegal shall in no way affect, impair, or invalidate any other provision of these TOS to arbitrate, and such other provisions shall remain in full force and effect.

20. Amending Client Information; Assignability of these TOS; Assurances

20.1 Amending Client Information.

If you are a Client, you are required to submit to us all information necessary to confirm yourself as the Client, and maintain the accuracy of such information, in a timely fashion, during the term of these TOS. You are also required to maintain the accuracy of all information associated with each Credential. We shall be entitled to rely on all information you submit to us under these TOS, including pursuant to Section 3.1 or this Section 20.1. If you contact us and assert that you have authority to act on behalf of a Client or any of its account(s) or data, you hereby agree to submit to us such written certifications, assurances (which may include a written opinion of your counsel identifying us as beneficiaries entitled to rely on such opinion), instruments or judicial process as we, in our sole discretion, may request.

20.2 Assignments.

The Service Agreement, including these TOS, may be transferred in its entirety by a Client in connection with the sale, transfer or reorganization of all or substantially all of the practice or business to which the Service Agreement relates; provided that each of the following conditions are satisfied in full: (a) an authorized representative of the transferor or transferee notifies us in writing of the transfer, the legal name of the transferee, and date of transfer; (b) the transferor or transferee submits to us such written certifications, assurances (which may include a written opinion of your counsel identifying us as beneficiaries entitled to rely on such opinion) or instruments as we, in our sole discretion, may request; and (c) we are satisfied, in our sole discretion, of the validity of the certifications, assurances or instruments submitted pursuant to clause (b). Upon our recognition of a transfer by a Client, the Administrative Rights and all User accounts of such Client’s Authorized Workforce shall automatically transfer to such Client’s recognized transferee. Except as expressly set forth in this Section 20.2, you may not assign or transfer the Service Agreement, including these TOS, in whole or in part, without the prior written consent of Kipu’s CEO, which may be withheld at our sole discretion. We may freely assign the Service Agreement, including these TOS in connection with a merger, acquisition, or sale of assets, or by operation of law or otherwise. In the event that the Service Agreement is assigned or transferred by a Client in accordance with this Section 20.2, we may in our sole discretion update the Service Agreement to the pricing on our most recent Price List as of the date of such assignment or transfer.

20.3 Assurances.

By requesting or directing us to take any action described in Section 20.1 or Section 20.2 with respect to any Client or any account(s) or data held by such account(s), you represent and warrant that (i) you have the authority to act on such Client’s behalf or to control such account(s) or data, and (ii) your request or direction is not in furtherance of any purpose or action that would violate any provision of these TOS, applicable law or the rights of any person or entity. YOU HEREBY WAIVE AND UNCONDITIONALLY RELEASE US, OUR AFFILIATES, AND OUR AND THEIR RESPECTIVE OFFICERS, DIRECTORS, EMPLOYEES AND AGENTS, FROM ANY AND ALL CLAIMS, DEMANDS, DAMAGES, DEBTS, LIABILITIES, EXPENSES, ACTIONS AND CAUSES OF ACTIONS OF EVERY KIND AND NATURE, WHETHER NOW KNOWN OR UNKNOWN, ARISING OUT OF OR IN CONNECTION WITH ANY ACTION WE TAKE OR DO NOT TAKE IN RESPONSE TO ANY REQUEST, DIRECTION, INFORMATION, CERTIFICATION, ASSURANCE OR INSTRUMENTS WE RECEIVE FROM YOU IN ACCORDANCE WITH SECTION 20.1 OR SECTION 20.2. ACCORDINGLY, YOU AGREE TO WAIVE THE BENEFIT OF ANY LAW, INCLUDING, TO THE EXTENT APPLICABLE, CALIFORNIA CIVIL CODE § 1542 (OR SIMILAR PROVISIONS OF THE LAWS OF OTHER STATES), WHICH STATES,

A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.

You hereby agree to indemnify, defend, and hold harmless us and other users, and our and their respective affiliates, officers, directors, employees and agents, from and against any claim, cost or liability, including reasonable attorneys’ fees arising from: (a) any action we take in reliance on any information, certification, assurance or instrument you provide to us, or (b) any action we take that complies with any request or direction you at any time make or made.

21. Force Majeure

No party to the Service Agreement, including these TOS, shall be deemed in violation if it is prevented from performing any of its the obligations thereunder by reason of: (a) severe weather and storms; (b) earthquakes or other natural occurrences; (c) strikes or other labor unrest; (d) power failures; (e) nuclear or other civil or military emergencies; (f) acts of legislative, judicial, executive, or administrative authorities; or (g) any other circumstances that are not within its reasonable control.

22. Severability

Any provision of the Service Agreement, including these TOS that shall prove to be invalid, void, or illegal, shall in no way affect, impair, or invalidate any other provision of the Service Agreement.  Such other provisions shall remain in full force and effect and the unenforceable term or provision shall be replaced by such enforceable term or provision as comes closest to the intention underlying the unenforceable term or provision.

23. Notices

Any and all notices required or permitted under these TOS shall be sent by United States mail or fax transmission to the address provided below or to such other and different addresses as the Parties may designate in writing. If you supply us with an electronic mail address, we may give notice by email message addressed to such address; provided that if we receive notice that the email message was not delivered, we will give the notice by United States mail or fax.

To us:
Kipu Systems LLC.
Attention: Chief Executive Officer
444 Brickell Avenue, Suite 850
Miami, FL 33131

To you, at the current contact information on file with us at the time notice is given.

24. No Third-Party Beneficiaries

Except as expressly provided for in Sections 2.2, 3.15, 14 and 20.3, nothing express or implied in the Service Agreement, including these TOS, is intended to confer, nor shall confer, upon any person or entity other than the parties and their respective successors or assigns any rights, remedies, obligations, or liabilities whatsoever.

25. Electronic Transactions

The Service gives you the ability to enter into agreements, authorizations, consents and applications; make referrals; order lab tests; prescribe medications; or engage in others transactions electronically. YOU ACKNOWLEDGE THAT YOUR ELECTRONIC SUBMISSIONS VIA THE SERVICES IN CONNECTION WITH SUCH ACTIVITIES CONSTITUTE YOUR ACKNOWLEDGMENT THEREOF AND YOUR AGREEMENT AND INTENT TO BE BOUND BY SUCH AGREEMENTS AND TRANSACTIONS, AND APPLIES TO ALL RECORDS RELATING TO SUCH TRANSACTIONS. You represent and warrant that you have the authority to take such actions.

26. Privacy Policy

The Service is provided by us under these TOS on our website kipuemr.com Your use of our Service is subject to our Privacy Policy. By using the Service, you are consenting to the terms of the Privacy Policy and acknowledge that you have reviewed our Privacy Policy.

Last updated July 7, 2017