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Terms of Service

Last Updated: January 2024

Please read these Terms of Service ("Terms") carefully before using the services of MedBill Advocate ("we," "us," or "our"). By accessing our website or using our services, you agree to be bound by these Terms. If you disagree with any part of these terms, you may not access our services.

1. Our Services

MedBill Advocate provides medical billing dispute resolution services, including:

  • Review and analysis of medical bills and insurance explanations of benefits (EOBs)
  • Identification of billing errors, overcharges, and coding issues
  • Negotiation with healthcare providers and insurance companies
  • Assistance with insurance claim appeals
  • Guidance on patient rights and California medical billing laws
Important: We are not a law firm and do not provide legal advice. Our services are limited to medical billing advocacy and dispute resolution. For legal advice, please consult with a qualified attorney.

2. Client Agreement

Free Consultation

We offer a free initial consultation to review your case and determine if we can assist you. This consultation does not create a client-advocate relationship until both parties sign a written service agreement.

Service Agreement

If you decide to proceed with our services, we will enter into a written agreement that outlines:

  • The scope of services to be provided
  • Our fee structure (typically contingency-based)
  • Your responsibilities and obligations
  • The estimated timeline for case resolution

Fee Structure

We work on a contingency fee basis, meaning we only get paid if we successfully recover money for you. Our fee is typically a percentage (25-40%) of the amount we recover or save you. The exact percentage will be specified in your service agreement.

No upfront fees required.

3. Your Responsibilities

To effectively represent you, you agree to:

  • Provide accurate and complete information about your medical billing dispute
  • Supply all relevant medical bills, EOBs, and insurance documents
  • Respond promptly to our requests for information
  • Notify us of any changes in your contact information or circumstances
  • Authorize us to communicate with your insurance company and healthcare providers on your behalf

4. Our Obligations

We agree to:

  • Provide competent and professional advocacy services
  • Keep you informed about the status of your case
  • Maintain the confidentiality of your information
  • Act in your best interest throughout the dispute resolution process
  • Comply with all applicable laws and regulations

5. No Guaranteed Results

Important: While we have a strong track record of success, we cannot guarantee specific results in your case. Every medical billing dispute is unique, and outcomes depend on various factors beyond our control, including insurance company policies and healthcare provider responses.

6. Termination

Either party may terminate the service agreement with written notice. If you terminate the agreement:

  • You remain responsible for our fees for work performed up to the termination date
  • We will provide you with all documents and information related to your case
  • We will cease all advocacy activities on your behalf

We reserve the right to terminate our representation if you fail to cooperate, provide false information, or if your case falls outside our scope of services.

7. Limitation of Liability

To the maximum extent permitted by law, MedBill Advocate shall not be liable for any indirect, incidental, special, or consequential damages arising out of or in connection with our services. Our total liability shall not exceed the amount you paid to us for our services.

8. Confidentiality

We are committed to protecting your privacy. All information you provide to us is confidential and will only be used for the purpose of resolving your medical billing dispute. We comply with applicable privacy laws and maintain appropriate security measures to protect your information.

9. Dispute Resolution

Any disputes arising from these Terms or our services shall be resolved through binding arbitration in accordance with the rules of the American Arbitration Association. Arbitration shall take place in Marin County, California. The prevailing party shall be entitled to recover reasonable attorney's fees and costs.

10. Governing Law

These Terms shall be governed by and construed in accordance with the laws of the State of California, without regard to its conflict of law provisions.

11. Changes to These Terms

We reserve the right to modify these Terms at any time. We will notify you of any material changes by posting the updated Terms on our website. Your continued use of our services after such changes constitutes your acceptance of the modified Terms.

12. Contact Information

If you have any questions about these Terms of Service, please contact us:

MedBill Advocate
Phone: 1-415-755-5310
Email: help@tammymedbilling.us
Address: Sausalito, CA 94965

13. Acknowledgment

By using our services, you acknowledge that you have read, understood, and agree to be bound by these Terms of Service. If you are entering into this agreement on behalf of a minor, you represent that you are legally authorized to do so.