Terms of Service

Welcome to BYOND™ Credentialing Solutions (“BYOND,” “Company,” “we,” “our,” or “us”). These Terms of Service (“Terms”) govern your access to and use of our website, digital products, subscriptions, educational resources, credentialing support services, monthly retainer services, forms, client portal, and related offerings.

By accessing this website, purchasing a product or service, subscribing to a plan, submitting a Credentialing Support Request, or otherwise using our services, you agree to these Terms. If you do not agree, please discontinue use of the website and services.

Credentialing & Administrative Support Services

BYOND™ Credentialing Solutions provides administrative credentialing, enrollment, contracting, recredentialing, revalidation, credential maintenance, provider data management, expiration monitoring, payor follow-up, and related practice support services.

Depending on the service purchased and authorization provided by the client, BYOND™ Credentialing Solutions may communicate with payors, health plans, credentialing entities, government programs, and other applicable organizations on the client's behalf for purposes related to credentialing, enrollment, contracting, maintenance, and follow-up.

Specific services, pricing, submission allowances, responsibilities, limitations, and other terms applicable to monthly retainer clients are governed by the applicable Retainer Services Agreement & Authorization executed between BYOND™ Credentialing Solutions and the client.

If these website Terms conflict with an executed written service agreement between BYOND™ Credentialing Solutions and a client, the executed service agreement will control with respect to the services covered by that agreement.

Client Responsibilities

Clients are responsible for providing complete, accurate, current, and truthful information and documentation necessary for BYOND™ Credentialing Solutions to perform requested services.

Clients are also responsible for:

• Responding to requests for additional information or documentation in a timely manner.
• Reviewing information for accuracy when requested.
• Notifying BYOND™ Credentialing Solutions of changes that may affect credentialing, enrollment, contracting, or maintenance activities.
• Ensuring providers complete actions that must legally or procedurally be performed by the individual provider.
• Maintaining required licenses, certifications, insurance coverage, registrations, and other credentials.
• Providing updated documentation following renewals, changes, or expirations.
• Maintaining appropriate access and authorization for any accounts, systems, or information provided to BYOND™ Credentialing Solutions.

Monthly Retainer Services

Monthly Credentialing Retainer Services provide ongoing credentialing support according to the plan selected by the client and the applicable Retainer Services Agreement.

Services may include ongoing credentialing maintenance and a defined monthly allowance for new enrollment or contracting submissions, depending on the plan purchased.

Monthly submission allowances reset each billing cycle. Unused submissions do not roll over, accumulate, or carry forward to future billing cycles.

Requests exceeding a plan's included monthly submission allowance may require an additional fee or separate quote before work begins.

The availability, scope, pricing, features, and submission allowances associated with retainer plans may change from time to time. Changes affecting an existing client will be handled in accordance with the client's applicable service agreement and applicable law.

What Constitutes a Submission

Unless otherwise specified in the applicable service agreement or plan description, one submission generally means one new enrollment or contracting request requiring a separate application or submission to a payer.

Examples may include a new individual provider enrollment or a new group payer contract involving the group and one rendering provider.

Requests involving additional providers, locations, payers, applications, or other separately processed enrollments may constitute additional submissions.

Standard Submission Allowance & Exclusions

The monthly submission allowance applies only to standard payer enrollment and credentialing requests reviewed and accepted by BYOND™ Credentialing Solutions.

Certain payers, networks, enrollment types, or credentialing requests may be excluded from the standard monthly submission allowance due to factors including, but not limited to, significantly greater administrative requirements, complex or extended processing workflows, specialized enrollment procedures, extensive documentation requirements, or additional follow-up and coordination.

BYOND™ Credentialing Solutions reserves the right, at its discretion, to determine whether a payer, network, enrollment, or credentialing request falls within the standard submission allowance. Requests determined to fall outside the standard allowance may be declined, quoted separately, or offered as an additional service for an additional fee.

BYOND™ will notify the Client before beginning any work that falls outside the standard submission allowance or would result in an additional fee.

A submission will count toward the Client's monthly allowance only after BYOND™ has reviewed and accepted the request for processing.

Credentialing Maintenance

Ongoing credentialing maintenance may include, depending on the client's plan and circumstances:

• Provider profile maintenance and re-attestations
• NPI/NPPES updates
• Provider and group demographic updates
• License and certification updates
• Directory and roster maintenance
• Recredentialing and revalidation
• Provider terminations
• Payor follow-up and status monitoring
• Credential expiration monitoring
• Other related credentialing maintenance activities

Credential Expiration Monitoring

Where included or separately arranged, BYOND™ Credentialing Solutions may monitor credential expiration and re-attestation dates, including items such as professional licenses, BACB certifications, provider profile re-attestations, and other applicable credentials.

For practices with multiple providers, BYOND™ Credentialing Solutions may accept provider information in bulk for expiration-monitoring purposes.

Expiration monitoring is a tracking and reminder service. BYOND™ Credentialing Solutions may send reminder notifications to providers and designated practice contacts; however, providers and practices remain responsible for completing required renewals.

BYOND™ Credentialing Solutions cannot perform actions that a licensing board, certification organization, government agency, or other entity requires the individual provider to personally complete, attest to, sign, or submit.

Credentialing Support Requests

Clients may submit service requests through the BYOND™ Credentialing Solutions Credentialing Support Request Form or another method approved by BYOND™ Credentialing Solutions.

Submission of a request does not necessarily mean that work can begin immediately. BYOND™ Credentialing Solutions may first review the request for completeness, scope, required documentation, applicable plan allowances, and any additional fees.

BYOND™ Credentialing Solutions may request additional information or documentation before processing a request.

Client Credentialing Portal

Eligible clients may receive access to a Client Credentialing Portal providing high-level status information regarding submitted credentialing requests.

Portal information is intended to provide convenient visibility into credentialing activity and should not be interpreted as a complete record of every communication, action, internal task, or interaction associated with a request.

Status information may be updated as work progresses and as information is received from payors and other third parties.

Clients are responsible for safeguarding portal credentials and access codes and should not provide access to unauthorized individuals.

No Guarantee of Credentialing or Payor Outcomes

Credentialing, enrollment, contracting, reimbursement, network participation, and related decisions are controlled by third-party payors, health plans, government programs, credentialing entities, and other organizations.

BYOND™ Credentialing Solutions does not guarantee:

• Credentialing approval
• Enrollment approval
• Contract execution or acceptance
• Network participation
• Specific reimbursement rates
• Rate-increase approval
• Application processing times
• Effective dates
• Recredentialing or revalidation approval
• Claim payment
• Compliance determinations
• Business or financial outcomes

Third-Party and Payor Delays

BYOND™ Credentialing Solutions is not responsible for delays, errors, outages, processing backlogs, lost submissions, system limitations, policy changes, portal issues, communication failures, or decisions caused by payors, government agencies, credentialing organizations, technology vendors, or other third parties outside our reasonable control.

Processing times provided by BYOND™ Credentialing Solutions are estimates unless expressly stated otherwise and may change based on third-party requirements or circumstances.

Educational Products & Resources

BYOND™ Credentialing Solutions also provides digital products and educational resources, including guides, templates, trackers, SOPs, policies, checklists, articles, training materials, and other operational resources.

These materials are provided for educational and informational purposes and do not constitute:

• Legal advice
• Medical advice
• Tax advice
• Accounting advice
• Financial advice
• Compliance certification
• Government guidance
• Payor authorization
• A guarantee of regulatory or credentialing compliance

No Affiliation With Payors or Government Agencies

BYOND™ Credentialing Solutions is an independent business and is not affiliated with, endorsed by, sponsored by, or owned by any payor, health plan, Medicaid agency, Medicare, CMS, licensing board, credentialing organization, government agency, or regulatory entity unless expressly stated otherwise.

References to third-party companies, programs, organizations, trademarks, and service marks are provided for informational or service-related purposes. All third-party trademarks and service marks remain the property of their respective owners.

Authorization from a client allowing BYOND™ Credentialing Solutions to communicate with a payor or other organization on the client's behalf does not create an affiliation, agency relationship, endorsement, or partnership between BYOND™ Credentialing Solutions and that third party.

Payments, Recurring Billing & Refunds

Prices and payment terms are displayed at the time of purchase or stated in the applicable service agreement.

Monthly retainer plans and other recurring subscriptions automatically renew according to the billing frequency and terms disclosed at purchase unless canceled in accordance with the applicable plan or service agreement.

Clients are responsible for maintaining a valid payment method.

Except where otherwise expressly stated or required by law, payments for digital products, subscriptions, and services are non-refundable once purchased or once the applicable service period has begun.

Digital products are generally non-refundable due to their immediately accessible nature.

Additional services, out-of-scope work, or submissions exceeding a client's monthly allowance may require separate approval and payment.

Cancellation & Termination of Services

Clients may cancel recurring services according to the cancellation terms disclosed at purchase and in the applicable service agreement.

BYOND™ Credentialing Solutions may suspend or terminate access to services where permitted by the applicable agreement or law, including for:

• Nonpayment
• Material breach of an agreement
• Fraudulent or abusive activity
• Unauthorized sharing of proprietary materials
• Misuse of services or systems
• Failure to provide information necessary to perform services
• Conduct that creates security, legal, compliance, or operational risk

Intellectual Property

Unless otherwise stated, all website content, graphics, branding, downloads, templates, trackers, SOPs, workflows, guides, policies, checklists, articles, training materials, forms, and digital products are owned by or licensed to BYOND™ Credentialing Solutions and are protected by applicable intellectual property laws.

Purchased digital products are licensed for the purchaser's internal business use only unless otherwise expressly stated.

Users may not, without prior written permission:

• Resell or redistribute materials
• Republish materials publicly
• Share purchased materials with unauthorized third parties
• Reproduce substantial portions for commercial distribution
• Modify materials for resale
• Remove proprietary notices or branding
• Represent BYOND™ Credentialing Solutions materials as their own original work

BYOND™ Insider

BYOND™ Insider provides subscribers with access to designated educational resources, content, and other subscriber benefits.

Access is limited to authorized subscribers and may not be shared with unauthorized users.

BYOND™ Credentialing Solutions may update, replace, add, or remove Insider content and may modify future pricing or features subject to applicable subscription terms and law.

Limitation of Liability

To the fullest extent permitted by applicable law, BYOND™ Credentialing Solutions will not be liable for indirect, incidental, special, consequential, or punitive damages, lost profits, lost revenue, lost business opportunities, operational interruptions, or similar losses arising from use of the website, digital products, educational resources, or services.

BYOND™ Credentialing Solutions is not responsible for losses resulting from third-party payor decisions, credentialing denials, enrollment delays, reimbursement decisions, inaccurate information supplied by a client, changes in third-party requirements, or circumstances outside our reasonable control.

Nothing in these Terms excludes or limits liability that cannot legally be excluded or limited.

Governing Law

These Terms are governed by the laws of the State of California, without regard to conflict-of-law principles, except where applicable law requires otherwise.

Changes to These Terms

BYOND™ Credentialing Solutions may update these Terms periodically to reflect changes to our services, business practices, technology, or legal requirements.

The updated version will be posted on this page with a revised “Last Updated” date. Where required by applicable law or contract, additional notice will be provided.

Continued use of the website or services after updated Terms become effective constitutes acceptance of the revised Terms to the extent permitted by law.

Credentialing Services Disclaimer

BYOND™ Credentialing Solutions provides administrative credentialing, enrollment, contracting, maintenance, and related support services.

Final decisions regarding credentialing, enrollment, contracting, network participation, reimbursement, effective dates, and other payor matters are made by the applicable third-party organization.

BYOND™ Credentialing Solutions cannot guarantee approval, processing time, participation status, reimbursement, or any other outcome controlled by a third party.

Educational Resource Disclaimer

Digital products, guides, templates, trackers, policies, articles, training materials, and other educational resources provided by BYOND™ Credentialing Solutions are for educational and informational purposes.

Nothing contained in these resources constitutes legal, medical, tax, accounting, or financial advice, compliance certification, government guidance, or a guarantee of any credentialing or regulatory outcome.

Users should independently verify requirements applicable to their organization and seek qualified professional advice where appropriate.

Information Accuracy

Healthcare payor requirements, credentialing procedures, Medicaid and Medicare requirements, licensing requirements, regulations, and operational policies may change without notice.

BYOND™ Credentialing Solutions strives to provide accurate and useful information but does not guarantee that educational content will always be complete, current, or applicable to every user's circumstances.

No Affiliation Disclaimer

BYOND™ Credentialing Solutions is not affiliated with, endorsed by, sponsored by, or owned by any payor, health plan, Medicare, Medicaid program, CMS, government agency, licensing board, certification organization, or regulatory entity unless expressly stated otherwise.

Third-party names and trademarks are used only for legitimate informational, identification, or service-related purposes.