AppealFox
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Legal

Terms of Service

Effective May 16, 2026

These Terms of Service (“Terms”) govern your use of the AppealFox website at appealfox.com and the insurance-appeal drafting service we provide (collectively, the “Service”). By using the Service, you agree to these Terms.

1. The Service

AppealFox writes draft insurance-appeal letters on behalf of licensed mental-health professionals in private practice. You send us a denial letter (or related documentation) and we deliver a custom-written draft appeal, typically within 24 hours of receipt.

We are a drafting and research service only. We do not file appeals on your behalf, communicate with payers on your behalf, practice law, provide medical advice, or provide certified medical-coding services.

2. Eligibility

To use the Service you must be (a) at least 18 years old and (b) a licensed mental-health professional, or an authorized employee or agent of one, with the authority to share the information you provide.

3. Your responsibilities

  • You are responsible for the accuracy of the information and documents you send us, and for verifying the appeal letter before sending it to the payer.
  • You are responsible for actually filing the appeal with the payer, observing payer deadlines, and following any payer-specific procedures.
  • You confirm that you have the right to share any patient information you send us (for example, under a patient’s consent or HIPAA’s treatment/payment/operations rules).

4. Payment terms

  • Price. Each appeal is $99 USD. There is no subscription, no retainer, and no minimum commitment.
  • When you pay. You only pay if you decide to use the draft we send you. If you receive the draft and choose not to use it, you owe nothing.
  • How you pay. Payments are processed by Stripe. You agree to Stripe’s terms in addition to ours.
  • Taxes. Prices do not include applicable taxes, which you are responsible for.

5. Refunds

Because payment is made only after you decide to use the appeal we send, refunds are not generally applicable. If you believe you were charged in error, email finn@appealfox.com within 30 days and we will work in good faith to resolve it.

6. No guarantee of outcome

Whether an appeal succeeds depends on factors outside our control, including the payer’s policies, the strength of your underlying documentation, and the reviewer’s judgement. We do not guarantee that any appeal will be granted, that any specific amount will be recovered, or that any specific turnaround time will be met in every case.

7. Not legal, medical, or coding advice

The Service and its outputs are provided for informational purposes only and do not constitute legal advice, medical advice, billing advice, or certified medical coding. Nothing we deliver creates an attorney-client or doctor-patient relationship. Consult a qualified professional for advice specific to your situation.

8. Confidentiality and PHI

We treat the information you share with us as confidential. Where it contains Protected Health Information (PHI), we handle it as described in our Privacy Policy. A Business Associate Agreement (BAA) is available on request before any patient information is shared.

9. Intellectual property

Once you pay for an appeal letter, you own the final letter we deliver to you and may use, modify, and submit it as you see fit. Our website, brand, and the templates and research processes underlying the Service remain our property.

10. Acceptable use

You agree not to:

  • Misrepresent yourself or another person, or submit information you are not authorized to share.
  • Use the Service to draft appeals containing false, fraudulent, or knowingly misleading statements.
  • Resell or relicense letters we produce as if they were your own template product.
  • Reverse-engineer, scrape, or attempt to disrupt the Service.

11. Disclaimers

THE SERVICE IS PROVIDED “AS IS” AND “AS AVAILABLE.” TO THE FULLEST EXTENT PERMITTED BY LAW, APPEALFOX DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT.

12. Limitation of liability

TO THE FULLEST EXTENT PERMITTED BY LAW, APPEALFOX’S TOTAL LIABILITY ARISING OUT OF OR RELATING TO THESE TERMS OR THE SERVICE WILL NOT EXCEED THE GREATER OF (A) THE AMOUNT YOU PAID US IN THE TWELVE MONTHS BEFORE THE CLAIM AROSE, OR (B) $100 USD. APPEALFOX WILL NOT BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, OR FOR LOST PROFITS OR LOST REVENUE, EVEN IF ADVISED OF THE POSSIBILITY.

13. Indemnification

You agree to indemnify and hold AppealFox harmless from any claim arising out of (a) your use of the Service, (b) your violation of these Terms, or (c) your violation of any third-party right, including any patient’s privacy rights.

14. Termination

Either party may stop using or providing the Service at any time. Sections that by their nature should survive termination (including payment obligations, IP, disclaimers, limitation of liability, indemnification, and governing law) will survive.

15. Governing law and dispute resolution

These Terms are governed by the laws of the Province of Manitoba and the federal laws of Canada applicable in Manitoba, without regard to its conflict-of-laws principles. The parties consent to the exclusive jurisdiction of the courts located in Winnipeg, Manitoba, for any dispute that cannot be resolved informally.

16. Changes to these Terms

We may update these Terms from time to time. The “Effective” date at the top reflects the latest version. Continued use of the Service after a change constitutes acceptance of the updated Terms.

17. Contact

Questions about these Terms: finn@appealfox.com.