TERMS AND
CONDITIONS
PLEASE READ THE FOLLOWING TERMS AND CONDITIONS CAREFULLY. THEY
GOVERN YOUR ACCESS AND USE OF THIS WEBSITE. BY ACCESSING OR USING THIS
WEBSITE, YOU AGREE TO BE BOUND BY THESE TERMS AND CONDITIONS AND
ACCEPT THEM IN FULL, AS THEY MAY BE MODIFIED BY PNC FROM TIME-TO-TIME
AND POSTED ON THIS WEBSITE (for purposes of these terms and conditions
the term "PNC" includes The PNC Financial Services Group, Inc. and its
subsidiaries and affiliates, as applicable).
No Warranties
Although PNC attempts to provide accurate information, names,
images, pictures, logos, icons, documents, and materials
(collectively, the "Contents") on the Website, it makes no
representation, endorsement, or warranty that such Contents are
accurate or suitable for any particular purpose. Much of the Contents
displayed on the Website is provided by participating insurance
companies, and questions related to individual claim or payment
information should be directed to the originating insurer.
THE WEBSITE AND ITS CONTENTS ARE PROVIDED ON AN "AS IS" BASIS.
USE OF THE WEBSITE AND ITS CONTENTS IS AT THE USER'S SOLE RISK. USER
ACKNOWLEDGES THAT ACCESS TO THE WEBSITE MAY BE INTERRUPTED WITHOUT
NOTICE AND THAT OPERATION OF THE WEB SITE MAY NOT BE ERROR-FREE.
THE WEBSITE AND ITS CONTENTS ARE PROVIDED WITHOUT ANY
REPRESENTATIONS, ENDORSEMENTS, OR WARRANTIES OF ANY KIND WHATSOEVER,
EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY
WARRANTIES OF TITLE OR ACCURACY AND ANY IMPLIED WARRANTIES OF
MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR
NON-INFRINGEMENT, WITH THE SOLE EXCEPTION OF WARRANTIES (IF ANY) WHICH
CANNOT BE EXPRESSLY EXCLUDED UNDER APPLICABLE LAW. AS NOTED BELOW, PNC
ALSO MAKES NO REPRESENTATIONS, ENDORSEMENTS, OR WARRANTIES, EITHER
EXPRESS OR IMPLIED, WITH RESPECT TO ANY WEBSITE OPERATED BY A THIRD
PARTY.
Limitation of Liability
IN NO EVENT WILL PNC OR ITS SUBSIDIARIES, AFFILIATES,
CONTRACTORS, OR THEIR RESPECTIVE EMPLOYEES BE LIABLE FOR ANY INDIRECT,
INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES THAT ARISE IN
CONNECTION WITH YOUR USE OF THE WEBSITE, WHETHER SUCH DAMAGES ARE
SOUGHT UNDER CONTRACT LAW, TORT LAW OR ANY OTHER THEORY OF LIABILITY,
EVEN IF PNC IS AWARE OF THE POSSIBILITY OF SUCH DAMAGES.
Use of Website
Contents are included in this Website solely for the use of
Website users. Users may copy, distribute, transmit, display, or
reproduce only their own claim or payment data, in the form of search
returns, EOBs, check images, or data files. You may not copy, modify,
distribute, transmit, display, perform, reproduce, transfer, resell,
or republish any of the other Contents of this Website without the
prior written consent of PNC, which may be withheld in its sole
discretion. This website may only be used for lawful purposes and
consistent with the rights of other users and third parties. Without
limiting the foregoing, this website shall not be used in a manner
that would violate any law or infringe the copyright, trademark, trade
secret, right of publicity, right of privacy, or any other rights of
others, or for the purpose of transmitting or storing material that is
obscene or defamatory. You are prohibited from posting on, or
transmitting through this website, any unlawful, harmful, threatening,
abusive, harassing, defamatory, vulgar, obscene, profane, hateful,
racially, ethnically or otherwise objectionable material of any kind,
including without limitation any material that encourages conduct that
would constitute a criminal offense, give rise to civil liability, or
otherwise violate any applicable local, state, national, or
international law.
You are solely responsible for ensuring that the bank account
and other information you provide via the Website is accurate and
complete. We verify only that the bank account number you give us is a
valid bank account but we do not verify that it is your account. You
agree to indemnify PNC against, and to release PNC from, any loss or
liability resulting from any inaccurate or incomplete data provided by
you or the relevant payer to us via the Website.
You may authorize representatives, whether employees or third
parties ("Authorized Users"), to use the Website on your behalf. Your
authorization shall be considered by us to be unlimited and will be
effective until you revoke such authorization. You are responsible for
all acts or omissions that occur while your Authorized User(s) use the
Website.
We will not reverse transactions, except as allowed under NACHA
rules and we will not otherwise withdraw funds from your account.
Your electronic funds transfer ("EFT") enrollment with the
Website authorizes PNC to initiate electronic credit entries on behalf
of the applicable payers to the bank account you specify when you
enroll with the Website. You acknowledge that the origination of ACH
transactions to your account must comply with applicable law. This
authority for such EFTs will remain in effect until you have cancelled
it through the website.
Electronic Remittance Advice ("ERA") enrollment authorizes PNC
to deliver electronic remittance advices in the form and format
indicated in the current PNC Remittance Advantage Electronic
Remittance Advice (835) Companion Guide on behalf of the applicable
payers to the recipient indicated on your enrollment. This authority
will remain in effect until you have cancelled it through the Website.
If you accept card payments, the file download option follows
the form and format indicated in the current PNC Remittance Advantage
Electronic Remittance Advice Companion Guide.
Copyrights and Other Intellectual Property
Except where otherwise expressly noted or as noted below, all
Contents of this Website, including the graphics, icons and overall
appearance of the Website, are the sole and exclusive property of PNC
and/or its subsidiaries, affiliates, or third party vendors. The
posting of the Contents of this Website neither constitutes a waiver
of any of PNC's proprietary rights or any other party's proprietary
rights, including but not limited to, copyrights, trademarks,
servicemarks, patents, and other intellectual property, nor a transfer
by implication, estoppel, or otherwise of any such rights or of any
license to the Website user or to any third party. Contents of this
Website are protected by United States and international copyright
laws, both as individual works and as a collection and by United
States and international trademark laws. You agree not to delete any
copyright, trademark or similar notice from any Contents you obtain
from the Website.
Except as specified above, any downloading of material contained
in the site, or of any site linked to the site, may be a violation of
federal trademark and copyright laws. Any downloading of Contents of
this Website or any website linked to this Website may be a violation
of federal and other trademark laws and federal copyright laws.
Instructions for Accessing CAQH CORE Code
Combination Definitions and Defined Business Scenarios
The CAQH CORE 360 Operating Rule requires the payer to use a
defined set of Claim Adjustment Reason Codes (CARC) and as
appropriate, Remittance Advice Remark Codes (RARC) based on CORE
defined Business Scenarios. To access the defined CARC RARC Code
descriptions and associated defined Business Scenarios for the CAQH
CORE 360 Rule refer to the following URL:
http://www.caqh.org/Host/CORE/EFT-ERA/CORE-required_CodeCombos.xlsx.
In addition, The Explanation of Benefit (EOB) displayed in the portal,
will provide the CAQH CORE URL link to access the defined Code
Combination definitions and associated defined Business Scenarios that
are reflected in the remittance payment advice. The CAQH CORE 360
Rules do not apply to Property and Casualty claims.
Links to Other Websites
PNC may establish links between this Website and one or more
Websites operated by third parties. PNC has no control over any such
other Websites or the contents therein. The existence of any such
links shall not constitute an endorsement by PNC of such Websites, the
contents of the Websites, or the operators of the Websites.
Links to PNC's Websites
You shall not display hyperlinks on your web sites to any web
site owned or operated by PNC or its affiliates (a "PNC Site"). If you
desire to display on your web site a hyperlink to a PNC Site, you must
enter into a written agreement with PNC governing such display. Access
to any PNC Site does not authorize you to use PNC's and/or any of its
affiliates' or subsidiaries' names, logos, trademarks or copyrights,
and you agree not to do so without PNC's express written consent.
Transmissions to and from this Website
Transmissions to the Website that contain Protected Health
Information are sent in a secure form. Except where expressly
indicated otherwise, other transmissions to and from this Website or
directed to PNC, including E-mails, are not sent in a secure form and
can be intercepted by third parties and may not be immediately
received by the appropriate business unit at PNC. Please do not use
E-mail to send us communications that contain confidential
information, information which we require to be in writing, or
information which needs our immediate attention. Please call PNC
Healthcare at 877-597-5489. Any transmission to this Website,
including E-mails shall be deemed and remain the property of PNC. PNC
shall be free to use, for any purpose, any ideas, concepts, know-how,
or techniques provided by a Website user to PNC through this Website.
Privacy
We recommend that you review our Privacy Policy, which is
incorporated herein by this reference. We may amend the Privacy Policy
from time to time. If at any time you are not in compliance with the
policy, we have the right to terminate your rights of use and access
to the Web Site.
Modifications
PNC may at any time make modifications, changes, and alterations
to the Contents of this Website, including these Terms and Conditions,
without prior notice. You are responsible for regularly reviewing
these terms and conditions. Your continued use of this Website
following any modifications, changes, or alterations shall constitute
your acceptance of such modifications, changes, or alterations.
Governing law
These Terms and Conditions shall be governed by and construed in
accordance with the law of the Commonwealth of Pennsylvania, without
regard to the conflict of laws thereof, and to the laws of the United
States.
Venue
Disputes arising from the use of this Website shall be
exclusively subject to the jurisdiction of any federal or state court
for the Western District of Pennsylvania or the county of Allegheny.
Severability
To the extent any portion of these Terms and Conditions is
determined to be unenforceable by a court of competent jurisdiction,
such portion will be modified by the court solely to the extent
necessary to cause such portion to be enforceable, and these Terms and
Conditions, as so modified, shall remain in full force and effect.
Waiver
No waiver by PNC of any right under or term or provision of
these Terms and Conditions will be deemed a waiver of any other right,
term, or provision of these Terms and Conditions at that time or a
waiver of that or any other right, term, or provision of these Terms
and Conditions at any other time.
Service Contact
You may contact PNC by E-mail via the Customer Support link on
the Remittance Advantage Home page or by phone at 877-597-5489. You
may receive emails periodically related to features of the Website or
related services.