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Coverage Connextion Legal

Terms of Service

Effective Date: February 6, 2026

1. Acceptance of Terms

By accessing and using the Coverage Connextion platform (the "Service"), you agree to be bound by these Terms of Service (the "Agreement"). If you do not agree to these terms, please do not use the Service. By creating an account or subscribing to the Service, you acknowledge that you have read, understood, and accept all terms and conditions contained herein.

These Terms constitute the entire agreement between you and Coverage Connextion regarding the use of the Service and supersede all prior negotiations, representations, and agreements between the parties, whether written or oral.

2. Description of Service

Coverage Connextion is a subscription-based Software-as-a-Service (SaaS) platform designed to help market access professionals, diagnostic companies, and medical device companies drive medical policy coverage. Our Service includes features for:

  • Medical policy research and analysis
  • CPT code research and tracking
  • Payor relationship management and tracking
  • Health Technology Assessment (HTA) submission management
  • Reimbursement strategy and market access intelligence
  • Team collaboration and project tracking

3. Account Registration and Security

3.1 Account Creation

To use the Service, you must create an account by providing accurate and complete information. You are responsible for maintaining the confidentiality of your account credentials, including username and password.

3.2 Account Security

You agree to:

  • Notify Coverage Connextion immediately of any unauthorized access or breach of your account
  • Not share your account credentials with unauthorized persons
  • Implement appropriate safeguards to protect your login information
  • Maintain all passwords securely and change them regularly

3.3 Account Ownership

You are solely responsible for all activities conducted under your account, including those performed by authorized users. You agree to maintain accurate and updated contact information.

4. Subscription and Payment Terms

4.1 Subscription Plans

Coverage Connextion offers subscription-based pricing. Specific features and limits vary by plan. Current pricing and plan details are available on our website at coverageconnextion.com.

4.2 Billing

Billing occurs on a monthly basis on the anniversary date of your subscription. You authorize Coverage Connextion to charge the payment method on file for the subscription fee plus applicable taxes and fees. If payment fails, we will attempt to retry using the payment method on file.

4.3 Price Changes

Coverage Connextion reserves the right to modify subscription pricing with thirty (30) days written notice. Price increases will not apply to your current billing period. If you do not accept a price increase, you may cancel your subscription before the new pricing takes effect.

4.4 Refunds

Subscription fees are non-refundable except as required by law or as explicitly stated in this Agreement. Cancellations made during a billing period do not entitle you to a refund for the current period; however, you will have continued access until the end of your billing period.

4.5 Taxes

You are responsible for all applicable sales, use, GST, and other taxes. If Coverage Connextion is obligated to collect taxes, they will be added to your invoice.

5. Permitted Use and Restrictions

5.1 Permitted Use

You may use the Service only for lawful purposes and in accordance with applicable laws and regulations. You agree not to use the Service:

  • In violation of any applicable law, regulation, or industry standard
  • To transmit malware, viruses, worms, or other malicious code
  • To access the Service through unauthorized means or bypass security measures
  • To attempt to reverse engineer, decompile, or discover the source code or algorithms
  • To engage in competitive analysis, benchmarking, or creating competing services
  • To use the Service to develop similar products or services
  • To remove, obscure, or alter any proprietary notices or labels
  • To use the Service for any unauthorized or illegal purpose

5.2 Automated Access

You may not use bots, crawlers, scraping tools, or automated systems to access the Service without prior written consent from Coverage Connextion.

6. User Responsibilities

6.1 Data Accuracy

You are responsible for the accuracy, quality, and legality of all data you input, upload, or process through the Service. You warrant that all information provided is true, accurate, and not misleading.

6.2 Compliance with Laws

You agree to comply with all applicable federal, state, and local laws and regulations, including applicable healthcare regulations, data protection laws, and state privacy laws.

6.3 No Medical Advice

The Service is not intended to provide medical advice, diagnose conditions, or replace professional judgment. You acknowledge that any information or analysis generated by the Service is for informational purposes only and should not be relied upon as medical advice. Final medical and clinical decisions rest solely with licensed healthcare professionals.

7. Intellectual Property Rights

7.1 Coverage Connextion IP

All intellectual property rights in the Service, including but not limited to software, algorithms, user interfaces, documentation, and any improvements, enhancements, or modifications, are the exclusive property of Coverage Connextion or its licensors.

7.2 Limited License

Coverage Connextion grants you a limited, non-exclusive, non-transferable license to use the Service solely for your internal business purposes during the term of your subscription. This license does not grant you any ownership rights in the Service.

7.3 Restrictions

You may not:

  • Sublicense, resell, rent, or lease the Service
  • Create derivative works from the Service
  • Use the Service for third parties or as a service bureau
  • Transfer your license to any other party

7.4 Feedback

Any feedback, suggestions, or comments you provide regarding the Service may be used by Coverage Connextion without restriction or compensation to you.

8. Data Ownership and Licensing

8.1 Your Data

You retain all ownership rights to your data and other content you provide to the Service ("Your Data"). You grant Coverage Connextion a non-exclusive, worldwide license to access, use, process, and store Your Data solely to provide the Service to you and to comply with legal obligations.

8.2 Use of Your Data

Coverage Connextion may use aggregated, anonymized, or de-identified data derived from Your Data for:

  • Service improvement and optimization
  • Analytics, reporting, and benchmarking
  • Compliance and legal obligations

8.3 Data Processing

You acknowledge that Coverage Connextion may process Your Data in accordance with your subscription plan and our Privacy Policy.

9. Confidentiality

9.1 Confidential Information

Each party agrees to maintain the confidentiality of the other party's confidential information and to use such information solely for the purposes of this Agreement.

9.2 Exceptions

Confidentiality obligations do not apply to information that:

  • Is publicly available or becomes publicly available without breach of this Agreement
  • Is rightfully received from a third party without confidentiality obligations
  • Is independently developed without reference to the confidential information
  • Is required to be disclosed by law, court order, or regulatory agency

9.3 Protection

Each party will implement reasonable measures to protect confidential information from unauthorized access, use, or disclosure.

10. Data Security

Coverage Connextion implements administrative, physical, and technical safeguards designed to protect your data. These safeguards include:

  • Encryption of data in transit and at rest
  • Access controls and authentication mechanisms
  • Audit logs and monitoring
  • Regular security assessments and vulnerability testing
  • Employee security training
  • Incident response and breach notification procedures

11. Service Level and Availability

11.1 Uptime Commitment

Coverage Connextion commits to maintaining 99.5% monthly uptime for the Service, measured from the start of each calendar month. Scheduled maintenance windows, which will be scheduled outside business hours when possible, are excluded from this commitment.

11.2 Scheduled Maintenance

Coverage Connextion may perform scheduled maintenance with forty-eight (48) hours notice to you. During maintenance windows, the Service may be temporarily unavailable.

11.3 Service Status

Coverage Connextion maintains a service status page at coverageconnextion.com that displays real-time information about Service availability and incidents. You may subscribe to notifications for Service updates.

11.4 Limitations

Coverage Connextion is not responsible for unavailability caused by:

  • Force majeure events
  • User actions or misconfigurations
  • Third-party systems or internet connectivity
  • DDoS attacks or cyberattacks

11.5 SLA Credits

In the event the Service fails to meet the 99.5% uptime commitment, you may be eligible for service credits in accordance with the published SLA. Service credits are the sole remedy for Service availability failures.

12. Third-Party Integrations

12.1 Third-Party Services

The Service may integrate with third-party services, applications, and platforms. Your use of third-party services is subject to their respective terms of service and privacy policies.

12.2 No Responsibility

Coverage Connextion is not responsible for the availability, functionality, security, or accuracy of third-party services. Coverage Connextion does not endorse or guarantee any third-party service.

12.3 Data Sharing

You are responsible for authorizing and managing the sharing of your data with third-party services. Coverage Connextion does not guarantee the security of data transmitted to third-party systems.

12.4 Integration Support

Coverage Connextion provides technical support for the integration of third-party services only to the extent provided in your subscription plan.

13. Disclaimers and Limitation of Liability

13.1 Disclaimer of Warranties

THE SERVICE IS PROVIDED "AS-IS" AND "AS-AVAILABLE" WITHOUT WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED. COVERAGE CONNEXTION DISCLAIMS ALL WARRANTIES, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT.

13.2 No Medical Warranty

Coverage Connextion does not warrant that the Service will be suitable for your specific operational requirements. Coverage Connextion does not warrant that any analysis, recommendations, or output generated by the Service is accurate, complete, or suitable for any particular decision-making purpose.

13.3 Limitation of Liability

IN NO EVENT SHALL COVERAGE CONNEXTION BE LIABLE FOR:

  • Indirect, incidental, special, consequential, or punitive damages
  • Lost profits, lost revenues, lost business opportunities, or lost data
  • Business interruption or loss of use
  • Even if advised of the possibility of such damages

13.4 Liability Cap

EXCEPT AS PROHIBITED BY LAW, COVERAGE CONNEXTION'S TOTAL CUMULATIVE LIABILITY FOR ANY CLAIM ARISING OUT OF THIS AGREEMENT SHALL NOT EXCEED THE TOTAL AMOUNT YOU HAVE PAID TO COVERAGE CONNEXTION DURING THE TWELVE (12) MONTHS PRECEDING THE CLAIM.

13.5 Essential Terms

You agree that the limitation of liability is an essential term and that neither party would enter into this Agreement without these limitations.

14. Indemnification

14.1 Your Indemnification

You agree to indemnify, defend, and hold harmless Coverage Connextion and its officers, directors, employees, agents, and representatives from any claims, damages, liabilities, costs, and expenses (including reasonable attorneys fees) arising from or related to:

  • Your use of the Service in violation of this Agreement
  • Your violation of applicable laws or regulations
  • Your data or content you provide to the Service
  • Your infringement of any third-party intellectual property rights
  • Claims by third parties related to Your Data or your use of the Service

14.2 Coverage Connextion Indemnification

Coverage Connextion agrees to indemnify you for third-party claims that the Service, as provided by Coverage Connextion and used in accordance with this Agreement, infringes any patent, copyright, or trademark of a third party.

14.3 Conditions

Indemnification obligations are conditioned upon the indemnified party providing prompt written notice of the claim and cooperating reasonably in the defense of the claim.

15. Term and Termination

15.1 Term

This Agreement begins when you create an account and continues until terminated by either party.

15.2 Termination by You

You may terminate your subscription at any time by providing thirty (30) days written notice to legal@coverageconnextion.com. Termination will take effect at the end of your current billing period.

15.3 Termination by Coverage Connextion

Coverage Connextion may terminate this Agreement:

  • Immediately if you breach a material term of this Agreement and fail to cure it within thirty (30) days of written notice
  • Immediately if you violate applicable laws or regulations
  • For convenience with thirty (30) days written notice

15.4 Effect of Termination

Termination does not relieve you of obligations for fees accrued prior to termination. Upon termination, your account access will be disabled at the end of your current billing period.

16. Effect of Termination

16.1 Data Return and Deletion

Upon termination of your subscription, you may request the return or deletion of Your Data. Coverage Connextion will:

  • Provide you with an export of Your Data within thirty (30) days of termination
  • Securely delete Your Data from the Service within sixty (60) days of termination, unless retention is required by law
  • Provide a written certification of deletion upon request

16.2 Survival of Obligations

The following sections survive termination: Intellectual Property Rights, Data Ownership and Licensing, Confidentiality, Limitation of Liability, Indemnification, and Dispute Resolution.

16.3 Survival of Responsibilities

You remain responsible for any breaches occurring during the term of this Agreement, including payment obligations for services rendered prior to termination.

17. Dispute Resolution

17.1 Governing Law

This Agreement is governed by and construed in accordance with the laws of the State of Arizona, without regard to its conflict of law principles.

17.2 Arbitration Clause

Any dispute, claim, or controversy arising out of or relating to this Agreement or the Service shall be resolved by binding arbitration administered by JAMS under its Comprehensive Arbitration and Mediation Services Rules and Procedures, rather than in court.

17.3 Arbitration Procedures

The arbitration shall be conducted by a single neutral arbitrator with relevant expertise. The arbitration shall take place in Scottsdale, Arizona, or such other location as agreed by the parties. Each party bears its own attorneys fees and costs, except as provided by law.

17.4 Class Action Waiver

YOU AGREE THAT ANY ARBITRATION SHALL BE CONDUCTED ON AN INDIVIDUAL BASIS AND NOT ON A CLASS, GROUP, OR REPRESENTATIVE BASIS. YOU WAIVE YOUR RIGHT TO PARTICIPATE IN CLASS ACTIONS OR CLASS ARBITRATIONS AGAINST COVERAGE CONNEXTION.

17.5 Exceptions

Notwithstanding the above, the following disputes may be brought in court:

  • Claims for injunctive or equitable relief
  • Claims arising from or relating to intellectual property infringement
  • Small claims brought in small claims court

17.6 Informal Resolution

Before initiating arbitration, the parties agree to attempt to resolve the dispute informally by negotiation for thirty (30) days.

18. Force Majeure

Neither party shall be liable for any failure or delay in performing its obligations under this Agreement if such failure or delay is caused by events beyond its reasonable control, including but not limited to acts of God, natural disasters, wars, terrorism, pandemics, government actions, or telecommunications failures. The affected party shall promptly notify the other party of the force majeure event and use reasonable efforts to resume performance.

Force majeure events do not excuse payment obligations.

19. Modifications to Terms

Coverage Connextion may modify these Terms of Service at any time by posting the updated Terms on our website at coverageconnextion.com. Material changes will be communicated to you via email at least thirty (30) days prior to the effective date. Your continued use of the Service after the effective date constitutes acceptance of the modified Terms.

If you do not agree with any modifications, you may terminate your subscription in accordance with Section 15.2.

20. Severability

If any provision of this Agreement is found to be invalid, illegal, or unenforceable by a court of competent jurisdiction, such provision shall be modified to the minimum extent necessary to make it valid and enforceable, or if not possible, severed from this Agreement. The remaining provisions shall continue in full force and effect.

21. Entire Agreement

This Agreement, together with the Privacy Policy and any other documents referenced herein, constitutes the entire agreement between you and Coverage Connextion regarding the Service and supersedes all prior and contemporaneous understandings, whether written or oral.

22. Contact Information

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

Coverage Connextion Email: legal@coverageconnextion.com Website: coverageconnextion.com Corporate Headquarters, Scottsdale, AZ

Questions about this document?

Contact us at legal@coverageconnextion.com