Exhibit 10.1
WebMD ENVOY AGREEMENT FOR
VENDORS
THIS AGREEMENT is by and between
ENVOY Corporation d/b/a WebMD ENVOY (“WebMD”) and MD
Technologies, Inc (“Vendor”). For adequate
consideration, the receipt of which is hereby acknowledged by each
of WebMD and Vendor, intending to be legally bound, mutually agree
to the following terms and conditions:
1. Definitions
For all purposes of this Agreement,
the following terms shall have the following meanings:
1.1 “Affiliate” shall mean any
entity owned or controlled by, under common ownership or control
with, or which owns or controls, either party to this Agreement or
any of its subsidiaries.
1.2 “Annual Service Fees” shall mean
the charge imposed by WebMD each year on Vendor as set forth in
Exhibit A hereto for use by Vendor of the WebMD Services
during each 12 month period of the term of this Agreement
commencing on the Effective Date.
1.3 “Billing Services” shall mean an
entity or person that bills on behalf of a physician, dentist or
lab practice on an outsourced or contracted basis; provided,
however, no WebMD Competitor, clearinghouse, POMIS vendor, or
aggregator or processor of healthcare electronic transactions shall
be a Billing Service for purposes hereof.
1.4 “Direct Transaction” shall mean
a Transaction that is submitted directly to Vendor by
Vendor’s Customer. For avoidance of doubt, a Transaction that
is received by Vendor from any clearinghouse, POMIS vendor, or
aggregator or processor of Transactions, including, without
limitation, a WebMD Competitor, shall not constitute a Direct
Transaction.
1.5 “Effective Date” shall mean the
date this document is signed by WebMD.
1.6 “WebMD Materials” shall mean all
specifications and materials (including but not limited to any and
all training materials, Specifications, designs and design
documents, information manuals, and all other documentation)
pertaining to WebMD Products and WebMD Services supplied by
WebMD.
1.7 “WebMD Products” shall mean all
equipment, hardware, firmware, and software (whether in source or
object code form), and all modifications, updates, enhancements, or
replacements for any of the foregoing furnished to Vendor by WebMD,
including but not limited to that which is specified
below:
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WebMD
Companion
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WebMD Genesis
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Other
___________
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1.8 “WebMD Services” shall mean
those transaction services selected below by Vendor to be performed
by WebMD from time to time for Vendor or Vendor’s
Customers:
(a) “Batch Transactions” shall main
the following:
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Hospital
Claims
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Electronic Remittance
Advice (“ERA”)
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Dental
Claims
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Rosters
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x Medical Claims
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Encounters
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Other
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(b) “Real-Time Transactions” shall
mean the following categories of transmissions, which are
initiated, processed and a response returned to the initiating
entity during the same telecommunications session:
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Eligibility
Verification
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Referral
Submission
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Referral
Inquiry
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Referral
Verification/Authorization
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Quick
Claims/Encounters
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Credit Card and Check
Guarantee Services
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Other
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(c) Miscellaneous:
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Patient
Statements
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Direct Provider Billing
Service
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Other (specify)
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1.9 “Payers” shall mean the
following entities, which receive electronic healthcare
transactions, submitted by Vendor’s Customers through the
WebMD Services as identified from time to time by WebMD:
(a) “WebMD Participating Payers”
shall mean Payers which pay WebMD’s standard fees to receive
electronic healthcare transactions from the WebMD Services or are
otherwise designated by WebMD as a WebMD Participating Payer;
and
(b) “WebMD Non-Participating Payers”
shall mean Payers who do not pay WebMD fees to receive electronic
healthcare transactions from the WebMD Services or are otherwise
designated by WebMD as a WebMD Non-Participating Payer.
1.10 “Per Transaction Fees” shall
mean the charges imposed for Transactions as set forth in Exhibit A
hereto.
1.11 “Specifications” shall mean the
specifications in effect from time to time as applicable to each
specific Transaction and similar documentation relating to the
WebMD Services.
1.12 “Transactions” shall mean
transactions submitted by Vendor or Vendor’s Customers to the
WebMD Services, whether or not Payer accepts or favorably
adjudicates such transactions.
1.13 “Vendor’s Customers”
shall mean pharmacies, physicians, hospitals, dentists,
laboratories or other medical service providers, or Billing
Services, who, pursuant to written contracts with Vendor in
accordance with this Agreement, have the right to effect
transmission of Transactions through the WebMD Services; provided;
however, no WebMD Competitor, clearinghouse, POMIS vendor, or
aggregator or processor of healthcare electronic transactions shall
be a Vendor’s Customer for purposes hereof.
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1.14 “Vendor’s System” shall
mean the facility (other than the WebMD Products) incorporating the
Specifications licensed hereunder, which facility is furnished by
Vendor for purposes of enabling Vendor’s Customers to use the
WebMD Services.
1.15 “WebMD Competitor” shall mean
an entity that offers electronic interchange or transaction
processing services and/or products similar in kind or type to
those offered by WebMD, including, without limitation, those
identified in this Agreement.
2. Vendor’s Rights to WebMD
Services
2.1 Subject to the terms and conditions of this
Agreement, WebMD grants to Vendor a non-exclusive and
non-transferable license for the term of this Agreement to (a) use
the Specifications for the development of Vendor’s System and
(b) sublicense to Vendor’s Customers the use of the WebMD
Services through Vendor’s System or through the WebMD
Products (if selected pursuant to Section 1.7 hereof) only in
compliance with the applicable Specifications. This license is
valid for use of the WebMD Services only at physical sites owned or
managed by or under the control of Vendor and/or Vendor’s
Customers solely for Transactions generated by Vendor and/or
Vendor’s Customers. No rights are granted to the WebMD
Services except as explicitly set forth in this
Agreement.
2.2 WebMD may from time to time in its sole
discretion, without liability to Vendor or Vendor’s
Customers, suspend, revise, modify or update any part of the WebMD
Services; provided, however, that WebMD shall notify Vendor of any
such event, either electronically or in writing, with reasonable
promptness after determining that such event will occur. WebMD
shall furnish Vendor with appropriate WebMD Materials (and, if
applicable, modifications to the WebMD Products) in connection
therewith in a manner reasonably calculated to allow implementation
and testing by Vendor before the effective date of such
event.
3. Vendor’s Rights to WebMD
Products
If the applicable box in Section 1.7
hereof has been marked, Vendor also shall have a non-exclusive and
non-transferable license for the term of this Agreement to use,
sublicense and distribute the specified WebMD Products to
Vendor’s Customers pursuant to the following
provisions:
3.1 WebMD hereby grants to Vendor a limited
right to use the specified WebMD Product(s) for the term of this
Agreement and authorizes Vendor to provide a limited right to use
the WebMD Products directly to Vendor’s Customers or, at the
request of Vendor, WebMD agrees to provide to Vendor’s
Customers a limited right to use the WebMD Products, solely for the
purposes of facilitating use of the WebMD Services by Vendor or
Vendor’s Customers in compliance with the procedures and
guidelines regarding the use of the WebMD Products as set forth in
the Specifications accompanying the WebMD Products and subject to
Section 6.6 hereof. In furtherance hereof:
(a) In the event that Vendor elects to provide
WebMD Products directly to Vendor’s Customers, Vendor shall
effect such delivery without modification of the WebMD Products or
accompanying documentation except that Vendor may modify
documentation if such modification is approved in advanced in
writing by WebMD.
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(b) In the event Vendor requests WebMD to
deliver the WebMD Products to Vendor or Vendor’s Customers,
the initial delivery shall be F.O.B. origin via a nationally
recognized delivery carrier following receipt by WebMD of the
applicable order form. Any applicable taxes and shipping, insurance
and delivery charges associated with the delivery and any
subsequent return of the WebMD Products, or any portion thereof,
may be separately charged by WebMD. Upon delivery of a WebMD
Product to a carrier pursuant to this subsection, Vendor assumes
the risk of loss, damage or destruction with respect to such WebMD
Product, except where attributable to the negligence or wrongful
action of WebMD or to ordinary wear and tear until redelivery to
WebMD.
3.2 Vendor will pay WebMD upon demand any
remaining balance owed for WebMD Products and the reduced value of
any WebMD Products which are not returned to WebMD or returned and
have suffered damage for which Vendor is responsible
hereunder.
3.3 Vendor shall be responsible for the
deployment, delivery, training, marketing and distribution of the
WebMD Products to Vendor’s Customers. Vendor shall maintain
adequate facilities and personnel to accomplish such tasks, and
Vendor shall ensure that all documentation required by WebMD in
conjunction with its delivery of the WebMD Products to end-users of
such WebMD Product(s) are executed by each such Vendor’s
Customer prior to permitting such Vendor’s Customer to use
the WebMD Products. WebMD shall provide reasonable training to
Vendor’s staff responsible for the deployment, enrollment
requirements, equipment setup, equipment use and functionality, and
customer support capability for the use by Vendor’s Customers
of the WebMD Products. Training shall be conducted in a group
setting for all Vendor staff who will be participating in the
deployment of the WebMD Products to Vendor’s Customers, with
a specific training schedule to be agreed upon jointly between
Vendor and WebMD.
3.4 During the term of this Agreement, WebMD
shall provide direct replacement service (hereinafter
“DRS”) for WebMD Products furnished hereunder on the
following terms and conditions:
(a) Upon notification that a WebMD Product is
not functioning, WebMD will promptly ship to Vendor or the
applicable Vendor’s Customer a replacement WebMD Product.
Upon receipt of the replacement WebMD Product, Vendor’s
Customers shall promptly return the non-functioning WebMD Product
to WebMD.
(b) The DRS does not cover WebMD Products which
have been modified, altered or supplemented without WebMD’s
prior written approval or which have been damaged following receipt
by Vendor or Vendor’s Customers.
(c) In the event that Vendor implements the DRS
for a WebMD Product under circumstances in which such service is
inapplicable either as a consequence of the returned WebMD Product
being, in actuality, a functioning WebMD Product or as a
consequence of Section 3.4(b) hereof, WebMD shall have the right to
charge Vendor for all costs incurred by WebMD in connection with
such event, including insurance and freight charges.
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3.5 WebMD reserves the right to make
substitutions and modifications to WebMD Products and any and all
portions thereof, provided that such substitutions or modifications
will not materially and adversely affect the performance of the
WebMD Products, and Vendor is furnished reasonable advanced notice
thereof.
4. Fees
4.1 The first year’s Annual Service Fee is
payable to WebMD upon execution by Vendor of this Agreement and
shall be for services during the one year period following the
Effective Date. In addition, on or about thirty (30) days prior to
each anniversary of the Effective Date, WebMD shall invoice Vendor
for the Annual Service Fee for each subsequent year.
4.2 Invoices for WebMD Products and WebMD
Services hereto will be submitted by WebMD to Vendor on or about
the 15th day of each calendar month with respect to use of the
WebMD Products and WebMD Services during the preceding month. Each
WebMD invoice for Per Transaction Fees shall identify the
Transaction types, volumes and applicable total charge represented
by the amount invoiced.
4.3 The foregoing fees and any other charges or
financial terms of this Agreement are subject to increase or
modification by WebMD no more than once each calendar year during
the term of this Agreement, provided that WebMD shall give Vendor
at least ninety (90) days prior written notice of any such
modification. Vendor may terminate this Agreement if within thirty
(30) days of the date of WebMD’s notice of such modification
of financial terms, Vendor delivers notice of its intent to
terminate and WebMD fails to withdraw the modification of financial
terms within thirty (30) days of Vendor’s delivery of such
notice.
4.4 Notwithstanding the foregoing:
(a) WebMD shall be entitled at any time without
prior notice to pass through any increase in communications tariffs
related to the WebMD Services, including, without limitation,
government imposed access fees, fees resulting from changes in
regulation or statute, or access fees and/or other similar fees
assessed against WebMD and outside of WebMD’s reasonable
control. Upon request, WebMD shall make available to Vendor,
documentation relating to these pass through fees in connection
with the WebMD Services; and
(b) If a third party charges an access fee to
WebMD related to any of the WebMD Services, WebMD reserves the
right to request at any time a price increase for such WebMD
Services and, if Vendor fails to accept such price increase, WebMD
shall have the right to terminate the use by Vendor and/or
Vendor’s Customers of such WebMD Services on at least thirty
(30) days prior notice.
4.5 All invoices issued under this Agreement
shall be sent to Vendor’s address as designated in writing by
Vendor or, if not so designated, to the address set forth for
Vendor in the signatory section of this Agreement. Payment for each
invoice shall be due within thirty (30) days of the date of such
invoice, except as otherwise provided for in this Agreement. If
Vendor fails to make payment with respect to any invoice by its due
date, such invoice shall be deemed delinquent and a late charge
equivalent to 1½% per month, or the maximum rate permitted by
applicable law if less, of the unpaid balance shall be payable for
each month, or portion thereof,
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during which the delinquency remains
outstanding. WebMD reserves the right to suspend use of the WebMD
Services at any time if past due invoices are not paid within ten
(10) days following notice by WebMD of such past due amounts, and
all costs of collection, including reasonable attorneys’
fees, shall be paid by Vendor.
4.6 Any technical support, software
customization or training services requested in writing by Vendor
which are not required to be performed by WebMD hereunder shall be
subject to the availability of WebMD’s technical staff and
shall be billed at WebMD’s then current time and material
rates plus out-of-pocket expenses, and subject to such other terms
and conditions which may be agreed upon in writing by the parties
before such services are performed.
4.7 Any optional enhancements, modifications,
features, modules or products that may from time to time be
announced by WebMD with respect to the WebMD Services will be
offered to Vendor and, if Vendor elects to utilize such
enhancements, modifications, features, modules or products, Vendor
shall pay the fee, if any, imposed by WebMD therefor.
4.8 Vendor shall be responsible for any taxes or
charges however called, including but not limited to any
registration fees, assessments, sales, use, personal property, ad
valorem, stamp, documentary, excise, telecommunications, and other
taxes (excluding any taxes imposed on WebMD’s income) imposed
by any federal, state, or local government or regulatory authority
with respect to the performance of services or delivery of products
or materials by WebMD pursuant to this Agreement, whether such is
imposed now or later by the applicable authority, even if such
imposition occurs after the receipt or use by Vendor of the
applicable service, product or material, the invoicing by WebMD for
the applicable service, product or material, or the termination of
this Agreement.
5. WebMD Obligations
5.1 WebMD shall operate the WebMD Services in
accordance with the Specifications applicable to each of the WebMD
Services, and the WebMD Services shall be available to Vendor and
Vendor’s Customers during the hours designated in the
Specifications. WebMD may change the hours of such availability
with reasonable advanced notice if such change is applicable to all
entities participating in WebMD Services in like manner as Vendor
with substantially equivalent or greater Transaction volume as
Vendor.
5.2 WebMD shall provide Vendor and
Vendor’s Customers a local telephone number or alternative
toll free number for access by Vendor and Vendor’s Customers
(on a dial-up telecommunications basis) to the WebMD central
processing facility for use of the WebMD Services.
5.3 WebMD shall provide reasonable ongoing
technical support through telephone consultations with respect to
the WebMD Services and shall provide a local or toll free telephone
number for access to WebMD’s technical support facility for
this purpose. In addition, if determined to be necessary by WebMD,
WebMD shall provide on site visits to Vendor to assist the use by
Vendor or Vendor’s Customers of the WebMD Services. WebMD
shall not charge for such visits unless the visit is requested by
Vendor and not determined to be necessary by WebMD, in which case
such visits shall be subject to the availability of
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WebMD’s support staff and may be charged
to Vendor at WebMD’s then time and material rates for such
support plus out-of-pocket expenses.
5.4 WebMD shall perform, at its election,
automated data checks of the data submitted through the WebMD
Services for completeness, logic, and satisfaction of statistical
requirements. Vendor acknowledges any Transactions not in
compliance with such requirements will be rejected.
6. Vendor Obligations
6.1 Vendor shall pay WebMD the fees and charges
due hereunder in a timely fashion as required by this
Agreement.
6.2 If Vendor or Vendor’s Customers
transmit Transactions through the WebMD Products, Vendor shall
cause such use to be only through the version(s) of such WebMD
Products authorized for such use and only in accordance with the
requirements and procedures applicable to the use of such WebMD
Products for such purposes. If Vendor’