Effective date: [EFFECTIVE DATE]
These Provider Terms (the "Terms") are between you, the reviewing provider, and MDside AI LLC ("MDside") and govern your use of the provider portal at app.mdside.ai. They apply in addition to any separate provider services or compensation agreement you have signed. [Attorney: decide whether these Terms ARE the provider agreement or a supplement to an offline-signed one.]
1. Eligibility and credentialing
You represent and warrant, on acceptance and continuously, that:
- You hold an active, unrestricted license to practice in every state listed in your provider profile, and a valid NPI number;
- The credentialing information you provided is accurate and you will keep it current through the Credentialing section of the portal;
- You will notify MDside within [2] business days if any license is suspended, restricted, surrendered, revoked, or made subject to investigation or disciplinary proceedings, or if you are excluded from any federal healthcare program;
- You maintain professional liability (malpractice) insurance covering asynchronous telehealth review, with limits of at least [$1,000,000 / $3,000,000] [attorney: confirm limits and whether MDside procures a group policy].
The platform only routes you requests from patients in your licensed states (and, where configured, from specific clinics). This routing is an administrative safeguard, not a substitute for your own obligation to practice only where licensed.
2. Your role: independent clinical judgment
- You review Good Faith Exam (GFE) requests and decide each one - approve, decline, or request more information - using your independent professional judgment. MDside does not direct, control, or influence your clinical decisions and no provision of these Terms will be interpreted to do so.
- AI output is a draft, not a decision. Each case includes an automated preliminary screen and a draft clinical (SOAP) note generated from de-identified case data. You must personally review the patient's intake before deciding; relying on the draft without review is a breach of these Terms and of your professional obligations. You may append signed addenda to the note; the record is append-only and your decision is immutable once signed.
- You are an independent contractor. Nothing here creates employment, a partnership, or a medical group. You are solely responsible for your clinical decisions and for your own taxes.
3. Platform rules
- Your login is personal; never share credentials or delegate review to anyone else, licensed or not.
- Access patient information only for requests assigned to you and only as needed to review them (minimum necessary). All access is recorded in an append-only audit log.
- Do not export, download, screenshot, or transmit patient information outside the platform except as required for patient care and permitted by the responsible clinic.
- HIPAA applies to your work on the platform. Complete any privacy and security training MDside reasonably requires.
- Decide requests promptly; the inbox is oldest-first so the longest-waiting patient is on top. Persistent failure to decide requests in a timely manner may lead to routing reduction or suspension.
4. Compensation
[PLACEHOLDER - per-review compensation, rates, and payment schedule to be defined; the portal's Earnings section reflects amounts accrued. Anticipated: per-completed-review fee, paid monthly, reported on Form 1099.] Compensation must be structured to comply with fee-splitting and anti-kickback laws [attorney to confirm structure].
5. Suspension and termination
MDside may suspend your portal access immediately if: your license status changes or an exclusion appears; a clinic or patient raises a credible clinical or professional concern; a security issue involves your account; or you breach these Terms. Either party may end the relationship on [30] days' notice. Records of your reviews, notes, and decisions are retained per legal record-keeping requirements regardless of termination, and remain available to the responsible clinics.
6. Liability and indemnification
You are solely responsible for your clinical decisions and will indemnify MDside against claims arising from your professional acts or omissions. MDside will indemnify you against claims that the platform infringes third-party IP. MDSIDE PROVIDES THE PLATFORM "AS IS" AND DISCLAIMS ALL IMPLIED WARRANTIES; NEITHER PARTY IS LIABLE FOR INDIRECT OR CONSEQUENTIAL DAMAGES. [Attorney: coordinate with malpractice coverage and any group policy.]
7. General
Governing law: [GOVERNING LAW STATE]. Venue/disputes: [VENUE]. MDside may update these Terms; material changes take effect on notice and re-acceptance at your next sign-in. If any provision is unenforceable, the rest stands. Confidentiality: platform internals, request volumes, and compensation terms are MDside confidential information.
Questions: [SUPPORT EMAIL].