Privacy, Confidentiality, and Security of Credentialing and Billing Documents

To maintain compliance with HIPAA and to safeguard Client privacy, confidentiality, and data security, TriumpHealth strictly prohibits the transmission of credentialing, billing, payer, patient, financial, or other sensitive documents through unsecured email, postal mail, or fax.

Technology Platform Usage Requirements

All documents required for onboarding, billing transition, payer setup, A/R review, reporting, and related revenue-cycle services must be uploaded directly by the Client through TriumpHealth’s approved secure technology workflow. Failure to use the approved secure process may result in delays or inability to proceed.

If the Client is unable to navigate the required technology after initial onboarding and workflow training, TriumpHealth will provide one additional training session at no additional cost.

If the Client does not effectively use the approved secure platform and fails or refuses to provide the required documentation within three (3) months of onboarding, TriumpHealth shall have no obligation to continue processing the applicable services, and the Client shall not be entitled to any refund or credit of amounts paid under the Agreement.

Payer / Portal / System Access

Where payer portals, clearinghouse access, EHR/PM access, payment-system access, or other third-party system access is required to perform the agreed services, the Client is responsible for providing timely, accurate, authorized access. TriumpHealth is not responsible for delays, denials, rejections, or incomplete work caused by unavailable or inaccurate access credentials or permissions.

Primary Location Address

I verify that the primary service location information provided above is accurate and is not a virtual office, mail drop, P.O. Box, mailbox service, or other address that would fail payer or billing requirements where a compliant physical service location is required.

Pricing Terms

The pricing set forth in the executed Agreement is contingent upon the Client’s adherence to TriumpHealth’s recommended technology platforms, workflows, documentation requirements, and timely cooperation.

Scope of Work Precedence

In the event of any conflict, inconsistency, or discrepancy between the Scope of Work set forth in the executed Service Agreement and information provided in this Billing Client Discovery Form, the terms of the executed Service Agreement shall control and be deemed final and binding.