1. Introduction

Welcome to the website of ClaimSure Medical Solutions Pty Ltd ("ClaimSure", "we", "us" or "our").

These Terms & Conditions govern your access to and use of claimsuremed.co.za (the "Website").

By accessing or using the Website, you agree to be bound by these Terms & Conditions. If you do not agree with any part of these Terms & Conditions, please do not use the Website.

2. Company Information

Registered Name: ClaimSure Medical Solutions Pty Ltd
Registration Number: 2026/605923/07
Physical Address: 8274 Scorpio Drive, Johannesburg, Gauteng, 1827, South Africa
Email: info@claimsuremed.co.za
Website: claimsuremed.co.za

3. Purpose of the Website

The Website provides general information about ClaimSure, its medical billing, claims administration and revenue cycle management services, and allows prospective clients to contact us or request a consultation.

Information on the Website is provided for general informational purposes and does not constitute a binding offer to provide services.

Any professional services provided by ClaimSure will be subject to a separate agreement between ClaimSure and the relevant client.

4. Use of the Website

You agree to use the Website lawfully and responsibly.

You must not:

• Use the Website for any unlawful or fraudulent purpose;

• Attempt to gain unauthorised access to the Website or its systems;

• Introduce malicious software, viruses or other harmful material;

• Interfere with the operation, security or availability of the Website;

• Copy, reproduce or commercially exploit Website content without our prior written permission;

• Use information obtained from the Website in a manner that infringes the rights of ClaimSure or any third party.

We reserve the right to restrict or terminate access to the Website where we reasonably believe that these Terms & Conditions have been breached.

5. Website Content

We make reasonable efforts to ensure that information published on the Website is accurate and current.

However, ClaimSure does not warrant that all information is complete, accurate, current or free from errors or omissions.

Website content may be updated, changed or removed without prior notice.

Nothing on the Website should be interpreted as a guarantee of any particular financial, claims, reimbursement or business outcome.

6. ClaimSure Services

The Website describes services that ClaimSure may provide to medical practices and healthcare professionals.

The information presented does not constitute a binding service agreement.

Actual services, responsibilities, fees, deliverables, service levels, confidentiality obligations and other contractual terms will be governed by a separate written agreement entered into between ClaimSure and its client.

Submitting an enquiry or consultation request through the Website does not create a client relationship between you and ClaimSure.

7. Medical and Professional Disclaimer

ClaimSure provides medical billing, claims administration and revenue cycle management services.

ClaimSure does not provide medical diagnosis, treatment or clinical advice.

Nothing contained on the Website should be regarded as medical, legal, accounting, financial or other professional advice.

Where information relating to medical procedures, healthcare services or medical billing is provided, it is intended for general informational purposes only.

Users should obtain appropriate professional advice before making decisions based on information obtained from the Website.

8. Claims and Reimbursement Outcomes

ClaimSure may assist clients with medical billing, claims submission, claims follow-up, denial management and related revenue cycle management activities.

However, ClaimSure cannot guarantee that a medical scheme, administrator, insurer or other payer will approve or pay a particular claim.

Payment decisions may depend on factors outside ClaimSure's control, including member eligibility, benefit availability, clinical information, coding, tariffs, authorisations, scheme rules, contractual arrangements and applicable legislation.

9. Intellectual Property

Unless otherwise stated, the Website and its contents, including its text, branding, logos, graphics, design, layouts, materials and other content, are owned by or licensed to ClaimSure.

You may access and view the Website for your personal or legitimate business information purposes.

You may not reproduce, modify, distribute, publish, transmit, sell, licence or commercially exploit any Website content without ClaimSure's prior written permission, except where permitted by applicable law.

10. Third-Party Websites and Services

The Website may contain links to third-party websites, platforms or services.

These links are provided for convenience or informational purposes.

ClaimSure does not control and is not responsible for the content, availability, security, privacy practices or policies of third-party websites or services.

Accessing a third-party website is at your own discretion and risk.

11. Consultation and Contact Forms

Information submitted through the Website's contact or consultation forms is provided voluntarily by the user.

Submitting a form does not guarantee that ClaimSure will provide services or enter into a business relationship.

ClaimSure may contact you using the information provided in order to respond to your enquiry or discuss potential services.

The handling of personal information submitted through the Website is addressed in our Privacy Policy.

12. Website Availability and Security

We endeavour to keep the Website available and operational, but we do not guarantee uninterrupted or error-free access.

The Website may occasionally be unavailable due to maintenance, technical issues, hosting problems, security measures or circumstances beyond our reasonable control.

Users are responsible for maintaining appropriate security on their own devices and internet connections.

13. Limitation of Liability

To the fullest extent permitted by applicable South African law, ClaimSure will not be liable for any loss or damage arising from or connected with:

• Your use of, or inability to use, the Website;

• Reliance on information contained on the Website;

• Errors, omissions or inaccuracies in Website content;

• Temporary Website unavailability;

• Third-party websites, services or content accessed through links on the Website; or

• Unauthorised access or events outside ClaimSure's reasonable control.

Nothing in these Terms & Conditions excludes or limits any liability that cannot lawfully be excluded or limited under applicable South African law.

14. Indemnity

To the extent permitted by applicable law, you agree to indemnify and hold ClaimSure, its directors, employees, contractors and service providers harmless against claims, losses, damages, liabilities and reasonable costs arising from your unlawful use of the Website or your breach of these Terms & Conditions.

15. Privacy

Your use of the Website may involve the processing of personal information.

ClaimSure is committed to handling personal information responsibly and in accordance with applicable South African law.

For information about how personal information submitted through the Website is handled, please refer to our Privacy Policy.

ClaimSure's broader privacy and data-protection framework will be updated as the Company's operational services develop.

16. Changes to These Terms

ClaimSure reserves the right to amend, update or replace these Terms & Conditions from time to time.

Any updated version will be published on this Website and will become effective from the date of publication unless otherwise stated.

You should review these Terms & Conditions periodically to remain informed of any changes.

17. Severability

If any provision of these Terms & Conditions is found to be unlawful, invalid or unenforceable, that provision will be interpreted or amended to the extent necessary to make it lawful and enforceable where possible.

The remaining provisions will continue in full force and effect.

18. Governing Law

These Terms & Conditions are governed by and interpreted in accordance with the laws of the Republic of South Africa.

Any dispute relating to the Website or these Terms & Conditions will be subject to the jurisdiction of the competent courts of South Africa.

19. Contact Us

If you have any questions regarding these Terms & Conditions, please contact:

ClaimSure Medical Solutions Pty Ltd
8274 Scorpio Drive
Johannesburg, Gauteng, 1827
South Africa

Email: info@claimsuremed.co.za
Website: claimsuremed.co.za