These terms govern use of the Denyless™ service ("Denyless," "we," "us") by the healthcare practice that signs up ("you," "the practice"). By creating an account or purchasing claim credits, you agree to them.
Denyless provides insurance-billing support for outpatient healthcare practices: eligibility and benefits verification, professional (837P) claim creation and submission through enrolled clearinghouse connections, remittance (835) processing and reconciliation, denial management, drafted appeals for your review, prior-authorization tracking, and related reminders and reporting. Denyless prepares and transmits billing on your behalf; you remain the billing provider of record.
You are responsible for the accuracy of the clinical and demographic information you (or your systems) provide — services rendered, codes, dates, provider identifiers, and payer enrollment details — and for reviewing and approving appeal letters before they are sent or filed. You represent that you are appropriately licensed and credentialed for the services you bill.
Insurance payment decisions are made by payers, not by us. Denyless improves the odds and does the follow-through, but we do not guarantee that any claim will be paid, any denial overturned, or any specific amount recovered. Statistics on this website describe industry-wide data and past performance, not a promise about your claims.
Appeal letters, parity references, coding suggestions, and payer guidance that Denyless generates are drafts and tools for your use — they are not legal advice, and Denyless is not a law firm. For disputes involving significant amounts or regulatory action, consult a healthcare attorney. Clinical judgment and final coding responsibility remain yours.
Denyless acts as your business associate under HIPAA. A Business Associate Agreement is executed as part of onboarding and governs all handling of protected health information; if these terms and the BAA conflict regarding PHI, the BAA controls. See our Privacy Policy.
The service may be used only for lawful billing of services actually rendered. Submitting claims you know to be false or inflated is prohibited, is a federal crime, and results in immediate termination.
You may stop using Denyless at any time; unused credits are handled per Section 2, and we will export your billing records to you on request. We may suspend or terminate accounts for violation of these terms, with notice where practicable. Sections 4, 5, 6, and 9 survive termination.
To the maximum extent permitted by law, Denyless's total liability arising from the service is limited to the fees you paid us in the twelve months before the claim arose, and neither party is liable for indirect or consequential damages. Nothing in these terms limits liability that cannot be limited by law.
We may update these terms; material changes will be emailed to active practices with the new effective date. These terms are governed by the laws of the State of California, without regard to conflict-of-law rules.
Questions: hello@denyless.com.