June 3, 2022
The following Financial Agreement shall provide the terms of payment and fees due to Altignis Health LLC dba Mindfuli (“Company,” or “We,” or “Us,” or “Mindfuli,” or “Provider”), hereinafter referred to as Mindfuli, and/or its affiliated companies, partner companies, subsidiaries, sister-companies, & holding companies (collectively referred to as “Provider”), for services provided to subscriber, guardian, guarantor, agent, or as patient, (hereinafter “User”) through the Mindfuli website or software, (collectively, “Mindfuli,” or “Mindfuli Services,” or “Services,” “Mindfuli Platforms,” or “Platforms”, or “Products”) The Effective Date shall be the date executed by the Signatory herein. By signing this Agreement the undersigned agrees, whether signing as subscriber, guardian, agent, or as patient, (hereinafter “Signatory”) that he/she jointly or severally shall be responsible for the terms and conditions herein.
PUBLISHED RATES
The fee schedule due by the User for Services and description of said services can be located on the Published Rate page, located at mindfuli.com. Signatory shall be responsible for the fees for services rendered by the Provider (“Services”) outlined on the reference site provided. Descriptions of said Services can also be found on the Published Rate site, linked above. Additional description of what is not included within the defined Services can be found within the Terms of Service It is the responsibility of the User to review the Terms of Use and any descriptions of Services prior to purchasing any services provided by Mindfuli.
UPDATES TO PUBLISHED RATES
The Signatory agrees that by utilizing Mindfuli Services he/she is agreeing to be bound by the terms and conditions of this Agreement including any periodic updates to fees, costs and published rates which may be changed and published by Mindfuli without notice to the Signatory. Any changes to the published rates shall be automatically incorporated herein without the requirement of amendment of this Agreement. In the event of a change of the rate of services, Mindfuli will post any changes we make to our service rates on the Published Rate page, located at mindfuli.com. If we make changes to said rates, we will notify you through a notice on the Website and Products. The date the date on which the updated rates will go into effect will be included within the notice. You are responsible for ensuring we have an up-to-date active and deliverable email address for you, and for periodically visiting our Website and Product Notice pages and the Published Rates to check for any changes.
PAYMENT OPTIONS
Provider accepts all major credit cards and debit cards (collectively “Credit Cards”).
PAYMENT BY CREDIT CARD
By accepting the terms of this Agreement, User authorizes Provider to charge his/her/their Credit Cards for the Services listed above as provided. By accepting the terms of this Agreement, User agrees that all such services and items provided to the Signatory as set forth above are non-refundable once utilized. Mindfuli is committed to quality of Services and customer satisfaction and, upon request and review, will provide a refund for any services not yet utilized. By accepting the terms of this Agreement, User authorizes Provider to process payment on the Credit Cards for such Services.
By accepting the terms of this Agreement, User certifies that he/she/they are the authorized user of the Credit Card(s) and he/she/they will not chargeback or dispute the payment of any services rendered or items provided to said User with applicable credit card company, bank, credit union, and/or the like.
INSURANCE
As a courtesy and in consideration of the Services to be rendered to the User accepting this agreement, here on referred to as “User”, Product Provider and/or its’ authorized agents, shall bill and is authorized by the User to submit claims to the applicable insurance plan for Services, should the User’s Payor provide reimbursements for services rendered by the Product Provider. In the event that the Payor of the User does not recognize the Product Provider as a provider of a reimbursable services, the User is responsible in full for all services rendered by Product Provider.
Should the insurance plan fail to remit payment to Provider, the Userhereby jointly or severally obligates himself/herself/themself to pay any outstanding balance due to Product Provider for Services in addition to any User Responsibility that may be due under the insurance plan.
“Patient Responsibility” shall include the insurance plan deductible, out of pocket, co-insurance and/or co-payments due. Product Provider reserves the right to balance bill the User for amounts that the insurance company deems to be Patient Responsibility per the Explanation of Benefits provided by the insurance company.
The User hereby states that he/she/they is/are authorized and is/are a subscriber under the insurance plan provided to Product Provider and has authorized the submission of claims to his/her/their insurance plan. The User also warrants that the insurance plan information disclosed to Provider and that which is anticipated to cover the costs of Services under this Agreement has not and shall not lapse, terminate, changed or be reduced in any material way. The User also does hereby irrevocably assign the right of payment and any ownership interest in these funds to Product Provider, as well as agrees to execute an Assignment of Benefit and assign and authorize Product Provider all rights to appeal, dispute, litigate, communicate and provide any other functions required to obtain reimbursement from the insurance plan for services rendered by Product Provider.
In the event the User receives any payment directly from the insurance plan for services rendered by Product Provider, User agrees to immediately endorse any such payment and forward directly to Product Provider. User further agree that he/she/they shall have no ownership interest in any insurance check(s) issued by the insurance plan for payment for Services provided by Product Provider. To be clear, the User has acknowledged and agreed that he/she/they has no ownership or property interest in checks issued by insurance plan for Services rendered by Product Provider and that any checks issued by insurance plan for Services rendered are the sole property of Product Provider.
EARLY TERMINATION OF SERVICES
By accepting the terms of this Agreement, User certifies that Provider reserves the right to terminate said User for non-payment and/or non-compliance with policies and rules of the platform, as stated in the mindfuli.com/terms-of-use, or for any other reason with or without cause, at any time and without notice.
By accepting the terms of this Agreement, User understands that said User may terminate Services with Provider at any time. At time of termination, upon formal request submitted to Provider via email to customersupport@mindfuli.com, any fees for Services rendered prior to termination shall be due and owing to Provider.
REFUNDS
Mindfuli is committed to the highest quality service and client support. In the event that a User is not fully satisfied with their subscription, Mindfuli is committed to providing a refund to any customer woh is not satisfied with its services. It is understood that good relationships and product familiarity and satisfaction take time. Mindfuli will still be accessible to an individual for the remainder of the month in which a subscription cancellation and request is made. Refunds can be requested upon cancellation via email at customersupport@mindfuli.com or via mail at ATTN: Mindfuli, 34185 Street of the Violet Lantern, #103, Dana Point, CA 92629.
ACCESS TO DATA POST TERMINATION
User shall have the ability to request his/her/their data if he/she/they terminate services by submitting a request to customersupport@mindfuli.com or via mail to ATTN: Mindfuli, 34185 Street of the Violet Lantern, #103, Dana Point, CA 92629.
CONSEQUENCES OF NON-PAYMENT & LEGAL
Should the User’s account have to be referred to a credit agency, skip tracing agency, debt collector and/or an attorney for collection, the User shall pay reasonable attorney’s fees and collection expenses whether suit be brought or not.
The laws of the State of California apply to this Agreement, and all Exhibits and documents incorporated herein. The exclusive venue and jurisdiction for any legal action relating to this Agreement is in the state courts of California.
This Agreement represents the entire understanding between User and Serviced Provider regarding its contents and it supersedes all prior agreements or understandings, whether written or oral, between the Parties and with respect to its subject matter. No amendment, change, modification, or alteration of the terms and conditions of this Agreement, by the Signatory are permitted without written agreement by both Parties. Mindufuli may make changes or amend this Agreement at any time without consent and notice to Signatory.
If any provision within this Agreement is found by any court having jurisdiction to be invalid or unreasonable then the provision herein contained shall nevertheless remain effective, but shall be deemed amended as may be considered to be reasonable by such court, and as so amended shall be enforced.
This Agreement must be executed by the User and may be done so in counterparts and all of which shall constitute the same. Electronic acceptance will be accepted as original signature for acknowledgement of consent.
ACKNOWLEDGEMENT
By clicking the box designated “I ACCEPT,” the User affirms and asserts that he/she/they have read and understood the terms and conditions of this Agreement in full and are fully liable for payment of all contracted Services, fees, or monies due under this Financial Agreement to Provider.
Signatory has had the opportunity to ask questions, understands this is a binding legal Agreement and is accepting this Agreement freely and without inducement and with the intention to be bound by the terms and conditions herein.
We obtain the categories of personal information listed above from the following categories of sources:
USE OF PERSONAL INFORMATION
We may use, or disclose the personal information we collect for one or more of the following purposes:
We will not collect additional categories of personal information or use the personal information we collected for materially different, unrelated, or incompatible purposes without providing you notice.
SHARING PERSONAL INFORMATION
We may share your personal information by disclosing it to a third party for a business purpose. We only make these business purpose disclosures under written contracts that describe the purposes, require the recipient to keep the personal information confidential, and prohibit using the disclosed information for any purpose except performing the contract. In the preceding twelve (12) months, Company has not disclosed personal information for a business purpose.
We do not sell personal information. In the preceding twelve (12) months, Company has not sold the following categories of personal information to the categories of third parties indicated in the chart below. For more on your personal information sale rights, see Personal Information Sales Opt-Out and Opt-In Rights below.
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Email VOB to verification@mindfuli.com
Include the following: