PC SOLUTIONS SOFTWARE DEVELOPMENT
INC.
1. P.C. SOLUTIONS SOFTWARE Support Policies 2005-2006 Period
a.
RxDME2000 DME system and Modules
b.
DMEFree Clearinghouse system
2. P.C. SOLUTIONS SOFTWARE Return
Policy
3. P.C.
SOLUTIONS SOFTWARE LICENSE
4. ADDITIONAL
TERMS FOR SOFTWARE AND CLAIMS
PROCESSING SERVICES
5. P.C. SOLUTIONS CLAIMS PROCESSING AGREEMENT
6. P.C. SOLUTIONS CLAIMS PROCESSING SERVICES
ELECTION
P.C. SOLUTIONS SUPPORT POLICIES
Please take the time to read. It concerns every user of the RxDME2000 DME and DMEFREE programs.
1. ALL Participants
purchasing or using the RxDME2000
DME or DMEFREE will be required to
purchase and maintain software support. This mandatory policy is similar to support
policies required by other pharmacy and DME software vendors. The Software License and software will expire
(cease to function) without the Participant maintaining a paid in full Support
contract. Only Active paid in full
support Participants are eligible to receive software updates / enhancements.
2. Support fees are as follows:
RXDME20000 DME SYSTEM
RXDME20000 DME SYSTEM
Support fee to be paid $600.00 per year includes all
purchased RxDME2000 DME standalone software and / or including
modules AR/Reconcile, Batch Rental Renewal. It does not include support for Topspeed
Report Writer. Electronic Modules or Clearinghouse Modules.
For the RxDME2000 DME Software only, does not include the
DMEFREE software.
RxDME2000 users can receive up to 2 hours Telephone Training
or On-line Training per year and up to 4 hours Telephone, Email, Fax support of
software questions and issues.
Additional Training and Support is billed at our usual hourly training
fees. Annual renewal of support contract
occurs 1 year from date of initial software contract date. Annual support services do not allow for
custom report creation.
NOTE:
CUSTOM REPORT DESIGN is not included in basic support. All Report design projects will be quoted in
advance of any development work for Participant approval and commitment.
DMEFREE SYSTEM
Hourly Support Paid in advance
1. $250.00 (for up to
two hours telephone support) per year.
During your active paid support period we provide free software
enhancements, shipping charges are billed separately.
2. During the year if the 2 hour block of time is used up you
will be billed for another 2 hour block of time for $250.00 your support time
period is extended for a 1 year period..
At the end of your 1 years support time period you will be rebilled to
renew another 2 hour time block.
3. Support time may be used for Telephone based Training or
Telephone, Email, Fax support of software questions and issues.
5. DMEFREE purpose is
to be a ‘front end’ or Software program for entering claims for transmission to
Insurance carriers (Medicare etc.) for claims processing via the
PCSolutions Clearinghouse Network. PCSolutions licenses DMEFREE to users on the
basis that electronic claims will be filed through PCSolutions
Clearinghouse. PC Solutions reserves the
right to cancel thus expire the DMEFREE software license in the event the Participant
does not transmit claims to be
processed. DMEFREE is not to be used as
a free DME management system, it is to be used as a billing system to send
claims through the PCSolutions Clearinghouse Network.
NOTE:
CUSTOM REPORT DESIGN is not included in basic support. All Report design projects will be quoted in
advance of any development work for Participant approval and commitment.
P.C. SOLUTIONS RETURN /REFUND POLICIES
1. Because
the nature of the HME software environment is so complex, PCSolutions, does not
accept software returns. PC Solutions
would request that if a Participant is unsure about the purchase or
capabilities, the Participant request our Live Working Demo CD and use it for
30 days at no obligation or charge.
2. Within 30
days after purchase / shipment of the software
the Participant may return the software unopened (including any unopened
shrink wrapped product) for purchase price less a 50% stocking fee. There is no refund after 30 days.
P.C. SOLUTIONS SOFTWARE LICENSE AGREEMENT
IMPORTANT-
By opening the package containing the software, you indicate your acceptance of
the following P.C. Solutions License Agreement.
SINGLE USER
AND MULTI USER PRODUCTS
This is a
legal agreement between you (either an individual or an entity) and P.C.
Solutions. By opening the sealed
software packages and/or by using the SOFTWARE, you agree to be bound by the
terms of this Agreement. If you do not
agree with the terms of this Agreement, promptly return the unopened software
packet(s) and accompanying items to the place from which you obtained them.
P.C. SOLUTIONS SOFTWARE LICENSE
1. Grant of license.
This License Agreement permits you to use one copy of the specified
version of P.C. Solutions RxDME2000 DME or DMEFREE software product on a single
computer.
2. Upgrades. If the Software is an upgrade, you may use or
transfer the SOFTWARE only in conjunction with prior version(s) of the
SOFTWARE.
3. The SOFTWARE is owned by P.C. Solutions and is protected
by
4. Other restrictions.
You may not rent or lease the SOFTWARE but you may transfer the SOFTWARE
on a permanent basis provided you retain no copies and the recipient agrees to
the terms of this Agreement. You may not
reverse engineer, decompile or disassemble the SOFTWARE.
5. Limited Warranty.
P.C. Solutions warrants that the SOFTWARE will perform substantially in
accordance with the written materials for a period of 30 days from date of
receipt.
6. No Liability for Consequential Damages. To the maximum extent permitted by applicable
law, in no event shall P.C. Solutions be liable for any damages whatsoever
(including without limitation, damages for loss of business profits, business
interruption, loss of business information or any other pecuniary loss) arising
out of the use of or inability to use
the P.C. Solutions product.
P.C. SOLUTIONS LICENSE AGREEMENT
Acceptance
PC Solutions
agrees to permit PARTICIPANT to use the DMEFREE or RxDME2000 DME software to be installed at the location(s)
indicated below in accordance with the provisions of the Software License
Agreement enclosed with this package.
Fees:
The fees are set forth in the following description of services and
their related fees:
The PARTICIPANT
agrees to pay in full the License Fee and Support Fees plus sales or use tax. Participant agrees to pay all third party
processing charges for claims processed through the PCSolutions Software.
Authorized
Signature __________________________________________________
Date:
_______________________________________________________________
Participant
Legal Name: __________________________________________________
Business
Name (if different) _____________________________________________
Address:
_____________________________________________________________
City: _____________________Country: _________State:________ Zip________
Phone:
( )__________________ Purchase Order# _________________________
Installation
Address (if different than above):
_____________________________________________________________________
_____________________________________________________________________
______________________________________________________________________
Please Sign and Return this page to:
DMEFREE
LLC
CLAIMS PROCESSING
SERVICES
This is the PC
SOLUTIONS SOFTWARE DEVELOPMENT INC / DMEFREE LLC CLAIMS PROCESSING AGREEMENT. This AGREEMENT is made and entered into
between PC SOLUTIONS SOFTWARE DEVELOMENT INC. with an address at
NOW, THEREFORE,
in consideration of the foregoing premises and the mutual covenants hereinafter
set forth, the parties hereto agree as follows:
1.
LICENSE. Subject to the terms and conditions of
this agreement, PCSI grants to Participant a non-exclusive and non-transferable
right for the term of this agreement the use of the service described in this
agreement. This license does not include any source code or system
documentation. PCSI reserves the right from time to time in its sole
discretion, without any liability to Participant, to suspend, revise, modify,
or update any portion of it’s software and/or services, provided, however, that
PCSI shall use reasonable efforts to notify Participant of any such event with
appropriate documentation and reasonable promptness.
2. FEES. The Participant agrees to pay PCSI for
each PCSI accepted claim transmitted by the Participant to the INSURANCE CARRIER at the
regular published per PCSI accepted claim rate. PCSI shall furnish Participant
an invoice on a monthly basis for the Per Accepted Claim Charge due for the
claims transmitted during the prior month. Invoices are due and payable upon receipt
or may be billed by PCSI using the Participants authorized approved credit card
kept on file. PARTICIPANT
shall pay a late payment charge, of the lesser of i) the maximum legally
permitted rate, or ii) 2% per month of the amount of the unpaid balance of each
invoice not paid in full by the due date.
The
costs of any Participant systems modification and enhancements necessary for
implementing the connection to the PCSI for the PCSI services are the sole
responsibility of the Participant. Any new enhancements, modifications,
features, modules, or products that may from tine to time be announced by PCSI
with respect to PCSI Clearinghouse services will be offered to Participant for
use hereunder, if Participant accepts the aforementioned, Participant will be
responsible for the charge, if any, imposed by PCSI therefor.
Participant shall be responsible for any state, local and federal taxes
applicable to the transactions set forth under this agreement, whether imposed
now or later by the applicable taxing authority, even if such imposition occurs
after the termination of this agreement.
3.
PCSI DELIVERABLES AND OBLIGATIONS. PCSI agrees to
process all claims in a timely manner. Edits will be applied to each claim
based upon the published edit documentation of the appropriate clearinghouse
and payer. If the claim passes the edits, it will be submitted electronically
or on paper to the appropriate payer. PCSI agrees to receive Participants
electronic claim file in the Participants approved format. PCSI may make format
changes in the information received by the Participant. These format changes
shall be made to conform to the payers’ or clearinghouses’ published
documentation for claim submission. PCSI WILL MAKE NO OTHER CHANGES TO CLAIM
INFORMATION RECEIVED FROM THE PARTICIPANT WITHOUT PRIOR WRITTEN CONSENT OF THE
PARTICIPANT. PCSI shall provide
Participant reasonable support through email , voice
or fax consultation. PCSI and PCSI employees will hold all of Participant’s
claim and additional documentation as confidential information between the
Participant, PCSI, the clearinghouse receiving PCSI’s
transmissions and the payer.
PARTICIPANT
agrees that all data to be supplied by it and to be used by PC Solutions will
be in good condition, correct, complete and in the appropriate form for
processing as set forth in the applicable operations manual or directions and
as may be required by government regulations or third party carrier.
PARTICIPANT shall be responsible for the correctness, completeness and accuracy
of all data. If any data submitted by PARTICIPANT to PC Solutions for processing
is not in good condition incorrect, incomplete, not in the form provided for as
set forth in the applicable operations manual directions, governmental
regulation, third party carrier rules or is changed by PARTICIPANT, PARTICIPANT
is still responsible to pay PC Solutions for such processing. Additionally,
PARTICIPANT will hold harmless and indemnify PC Solutions against any damages
to which it may become liable as a result of any such error or inadequacy in
the data or data bases provided to PC Solutions from PARTICIPANT. PARTICIPANT
shall keep a duplicate copy of all data supplied to PC Solutions, whether
transmitted or in hard copy form. If PARTICIPANT’s data is lost or incorrectly
processed due to PC Solution’s negligence, PC Solutions shall bear the cost of
duplicating such data from PARTICIPANT’s copy subject, however, to the
limitation of liability set forth
4.
PARTICIPANT ACKNOWLEDGEMENTS AND OBLIGATIONS. Participant
acknowledges that it has reviewed the PCSI Deliverables and Obligations, has determined
it to be satisfactory for its needs and accepts the current performance of the PCSI
Services as described in said documentation as is. Participant acknowledges
with respect to the PCSI services, that (a) the entity submitted to will reject
any claim which fails to satisfy that entity’s then current standard edits
published in the entity’s relevant technical specifications, and (b) each Payer
has the right to reject any claim that fails to meet claims administration
criteria then ordinarily employed by that Payer. Participant acknowledges that
all programs, specifications and materials (including software and related
documentation) supplied to Participant by PCSI hereunder (hereinafter called “PCSI
Materials”) are proprietary to PCSI and that PCSI retains all rights to and
ownership of such Materials. Participant agrees to protect all PCSI Materials
in accordance with the means in which Participant protects its own confidential
information and Participant shall not permit any claims, liens, or encumbrances
to be created against such Materials. Participant shall not make or permit
others to make copies or modifications to software and documentation supplied
by PCSI to Participant. Participant agrees to maintain security passwords for
transmissions to the PCSI Clearinghouse or Website on a confidential basis to
control access by unauthorized personnel. Participant shall make no
representations or warranties to any other entity with respect to the PCSI
Services.
5.
REPRESENTATIONS AND WARRANTIES. PCSI represents
and warrants that the PCSI Services shall perform in a reasonable manner in
accordance with the specifications set forth in the PCSI Service documentation.
In the event that a documented and reproducible flaw is discovered, PCSI's sole responsibility shall be to use all reasonable
efforts to correct such flaw in a timely manner. The above warranty does
not apply to any media or documentation which has been subjected to damage or
abuse or to any claim resulting from changes in the operating characteristics
of computer hardware or computer operating systems which are made after the
release of the applicable PCSI Services or which resulted from problems in the
interaction of any software with non-PCSI software or from an event in Section
6 below.
6.
LIMITATION OF LIABILITY. PCSI’S ONLY WARRANTIES ARE
THOSE SET
7.
TERM AND RIGHTS UPON TERMINATION. This agreement
will be effective for a period of one year from the Accepted Date. If neither
party has notified the other at least 30 days before the end of the first
one-year period of it’s intention not to renew this agreement, this agreement
will be automatically renewed for a renewal period of one year. Either party
shall have the right to terminate this agreement upon 30 days written notice
via USPS certified mail or Internet confirmed email. PCSI shall have the
further right to terminate this agreement effective immediately upon the
occurrence of any of the following events: (a) Upon notice by PCSI to
Participant that PCSI is no longer offering or providing support for the
applicable Service or Software; (b) In the event that the Participant fails to
pay a submitted invoice for services rendered; (c) In the event Participant
fails to use the latest release of applicable Software. Upon termination,
Participant shall promptly cease all use of the affected Service or Software
and, at Participants expense, cause to be returned to PCSI, all PCSI Materials
provided by PCSI with respect to terminated Services or Software.
8.
GENERAL. Each party shall comply with any
applicable law or industry practice and shall secure any authorization required
by applicable law, industry practice or otherwise in connection with the aspect
of the claim submission process for which it is responsible under this
agreement. Each party shall retain in confidence the terms of this agreement
and any and all confidential or proprietary information regarding the other
party or the PCSI Services transmitted by the other party that is marked
"Confidential" (all of which are hereinafter called
"information"). Each party shall make no use of Information except
pursuant to the terms of this agreement. Information shall be protected by each
party in the same manner as such party then protects its own confidential
Information, and such Information shall not be disclosed to any person other
than one for whom such knowledge is essential for the purposes of this agreement,
and then only to the degree such disclosure is so essential. This provision
shall survive the termination or expiration of the agreement. No
representations have been made to induce either party to enter into this
agreement except for the representations explicitly stated in this agreement.
This agreement supersedes all prior or contemporaneous agreements of intent of
understanding and is the entire agreement between the parties with respect to
its subject matter. This agreement is governed by the laws of the State of
PCSolutions Processing SERVICES
ELECTION
Please
complete and return this form to PCSI to elect services:
Third Party
Mark (X) your
election please:
□ BATCH CLAIM SUBMISSION
Participant
agrees to a Fee per claim of $.65, for TPB services for electronic claims Where a claim is defined as one complete HCFA
form electronically filed with upto 6 service lines, CMN and / or Narrative.
Participant
agrees to a Fee per claim of $1.00, for TPB services for paper claims mailed
back to Participant
Participant
agrees to a Fee per claim of $1.00, for TPB services for paper claims mailed to
insurance carrier (payor)
There is
a 20 claim minimum per month, making the
minimum month charges $13.00.
□ONLINE ADJUDICATED SUBMISSION
Participant
agrees to a Fee per claim of $.65, for TPB services for an online electronic
claim. Where a claim is defined as one
service line on a HCFA 1500 form.
Participant
agrees to a Fee per claim of $.65, for TPB services for REJECTED electronic
claims
Participant
agrees to a Fee per claim of $.65, for TPB services for each electronic CMN submitted, there is no charge for Rejected
CMN’s.
Participant
agrees to a Fee per claim of $.65, for TPB services for each electronic
Narrative submitted, , there is no charge for Rejected Narratives.
By
authorizing below with your signature PC solutions will provide third party
claim processing services in accordance with its standard procedures and per
transaction charges as established.
PRICES QUOTED DO NOT INCLUDE
TAX OR FREIGHT CHARGES
Authorized
Signature __________________________________________________
Date: _______________________________________________________________
Participant
Legal Name: __________________________________________________
Business
Name (if different) _____________________________________________
Address:
_____________________________________________________________
City: _____________________Country: _________State:________ Zip________
Phone:
( )__________________ Purchase Order# _________________________
Installation
Address (if different than above):
_____________________________________________________________________
_____________________________________________________________________
______________________________________________________________________
ACCEPTED
BY:________________________________________________________DATE__________
PC SOLUTIONS SOFTWARE
DEVELOPMENT INC
If you are
using DMEFree or PCSolutions for clearinghouse claims processing services
please sign this agreement and mail to:
DMEFREE LLC