Terms and Conditions

Last Updated: October 17, 2026

These Terms and Conditions ("Terms") govern your access to and use of the Avelian website, platform, and related services (collectively, the "Services"). By accessing or using our Services, you agree to be bound by these Terms. If you do not agree with these Terms, you must not use our Services.

Where Avelian has a separate written agreement with a customer, that agreement will take precedence over these Terms.

1. About Avelian Health, Inc.

1.1 Company Overview

Avelian provides AI-powered payment integrity technology that helps health plans, third-party administrators, and other healthcare organizations identify and address errors in medical claims and payments. Our Services include claims analysis, medical record review, payment auditing, and related administrative workflows.

1.2 HIPAA Compliance and Data Protection

Avelian handles protected health information in accordance with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and applicable agreements with our customers. We maintain administrative, technical, and physical safeguards designed to protect the confidentiality, integrity, and availability of sensitive information.

Where required, Avelian enters into Business Associate Agreements ("BAAs") with customers that establish how protected health information is used, disclosed, and secured.

2. Acceptance and Modification of Terms

2.1 Acceptance

By using the Services, you represent that you have read, understood, and agree to be bound by these Terms and our Privacy Policy. If you are using the Services on behalf of an organization, you confirm that you are authorized to do so.

2.2 Modifications

Avelian reserves the right to update these Terms periodically to reflect changes in our Services, business practices, or legal requirements. Updated Terms will be published on our website with a revised effective date.

Continued use of the Services after changes become effective constitutes acceptance of the revised Terms, to the extent permitted by law. Changes to these Terms will not override existing written customer agreements.

3. Description of the Services

3.1 Scope of Services

Avelian provides software and technology-enabled services designed to support healthcare payment integrity operations. Our Services include, but are not limited to:

Reviewing and analyzing medical claims and supporting documentation;
Identifying potential billing errors, discrepancies, and overpayments;
Supporting medical record review and payment auditing;
Automating administrative workflows related to claims review; and
Providing reporting, analytics, and related payment integrity tools.

3.2 Technology and Artificial Intelligence

Our Services use artificial intelligence, automation, and other technologies to analyze information, identify potential discrepancies, and support payment integrity activities.

The specific features and responsibilities associated with our Services may vary based on individual customer agreements.

3.3 Service Availability

Avelian uses commercially reasonable efforts to maintain reliable and secure Services. However, uninterrupted availability is not guaranteed. Maintenance, updates, and technical issues may occasionally affect service availability.

Any specific service commitments are governed by separate customer agreements.

4. Data Ownership, Privacy, and Security

4.1 Data Ownership

Customers retain ownership of all data and documents they provide to Avelian. By using our Services, customers authorize Avelian to access, store, and process their information as necessary to deliver our Services and fulfill applicable legal and contractual obligations.

4.2 Privacy and Use of Personal Information

Avelian collects, uses, and protects information in accordance with our Privacy Policy, applicable laws, and customer agreements.

We do not sell customer data or protected health information.

4.3 Security Measures

Avelian maintains appropriate technical, administrative, and physical safeguards to protect customer information. These measures include encryption, access controls, and security monitoring.

Security incidents will be addressed in accordance with applicable laws and contractual obligations.

5. Registration and Account Security

5.1 Account Registration

Access to certain Services may require an account. Users agree to provide accurate information and use their accounts only for authorized purposes.

5.2 Account Security

Users are responsible for maintaining the confidentiality of their account credentials and for activities conducted through their accounts.

You agree to notify Avelian promptly if you suspect unauthorized access or misuse of your account.

6. Payment and Billing

6.1 Payment Terms

Fees and payment arrangements for Avelian's Services are established through separate agreements with customers.

6.2 Billing Information

Customers agree to fulfill their payment obligations according to the terms of their respective agreements with Avelian.

7. Prohibited Conduct

You agree not to use the Services for unlawful or unauthorized purposes. Prohibited activities include, but are not limited to:

Accessing systems or information without authorization;
Submitting fraudulent or misleading information;
Interfering with the operation or security of the Services;
Transmitting malicious software or harmful code; and
Attempting to gain unauthorized access to accounts, networks, or infrastructure.

Violations of these provisions may result in restricted or suspended access to the Services, subject to applicable customer agreements.

8. Intellectual Property

8.1 Ownership

Avelian retains ownership of its software, technology, designs, algorithms, and other proprietary materials.

Nothing in these Terms transfers ownership of Avelian's intellectual property to any third party.

8.2 User Content

Customers retain ownership of the data they provide and may use reports, findings, and other outputs produced through our Services, subject to applicable agreements.

Avelian retains ownership of the underlying technology used to generate those outputs.

9. Disclaimers and Limitation of Liability

9.1 Disclaimer of Warranties

Except as otherwise provided in a separate written agreement, the Services are provided on an "as is" and "as available" basis, without warranties beyond those required by applicable law.

9.2 Limitation of Liability

To the extent permitted by law, Avelian shall not be liable for indirect, incidental, special, or consequential damages arising from the use of our Services.

Any additional limitations of liability or obligations established in separate customer agreements will take precedence over these Terms.

Nothing in these Terms limits liability that cannot legally be limited.

10. Termination

10.1 Termination by You

Customers may terminate their use of the Services in accordance with their respective agreements with Avelian.

10.2 Termination by Avelis, Inc.

Avelian reserves the right to suspend or terminate access to the Services in response to violations of these Terms, security threats, or legal requirements, subject to applicable customer agreements.

10.3 Effect of Termination

Upon termination, access to the Services will cease as provided in the applicable agreement. Customer information will be retained, returned, or deleted in accordance with contractual obligations and applicable laws.

11. Dispute Resolution and Governing Law

11.1 Dispute Resolution

Any disputes arising out of or relating to these Terms or your use of the Services shall be resolved through binding arbitration in accordance with applicable law. Each party waives any right to participate in a class action or to bring a claim in a court of general jurisdiction.

11.2 Governing Law

These Terms shall be governed by and construed in accordance with the laws of the State of Delaware, United States, without regard to its conflict of laws principles.

12. General Provisions

12.1 Entire Agreement

These Terms, together with our Privacy Policy and any applicable written customer agreements, govern the use of our Services. Separate written agreements take precedence in the event of a conflict.

12.2 Severability

If any provision of these Terms is found to be invalid or unenforceable, the remaining provisions shall continue in full force and effect.

12.3 Waiver

The failure of Avelian to enforce any right or provision of these Terms shall not constitute a waiver of that right or provision.