Terms of Service

These terms are between you and Approva Health, Inc. (Approva). By creating an account or using the service, you agree to them. If you are agreeing on behalf of an organization, you confirm you have authority to do so. Where we handle protected health information, our Business Associate Agreement also applies and controls in the event of a conflict.

Approva prepares and files prior authorizations on your behalf: it matches payer requirements, gathers documentation from systems you connect, submits requests, follows up on status, and surfaces exceptions to your team.

Approva is a tool that assists your operations. It does not practice medicine and does not make clinical decisions. It does not guarantee that any payer will approve a request. You are responsible for how you configure it, for clinical judgment, and for the requests submitted on your behalf.

Use Approva lawfully and in line with your obligations as a covered entity or business associate. Ensure you have the right to share the information you connect, and configure the rules for what stays with a human appropriately.

Keep your account secure and your billing details current. You are responsible for activity under your organization's accounts and for reviewing exceptions in a timely way.

Do not use Approva for unlawful purposes or in a way that harms patients, others, or the service.

Paid plans bill in advance: Practice at $499 per month and Group at $1,499 per month, or the discounted annual rate if you choose annual billing. Enterprise is priced by agreement. Each plan includes a monthly auth-volume band; overage is billed at the per-auth rate stated in your order.

Fees are non-refundable except where required by law or your order. You can cancel any time, and cancellation takes effect at the end of the current billing period.

We work hard to keep Approva running, with monitoring and redundancy, and Enterprise plans may include a written SLA. Even so, except as stated in an SLA, the service is provided as is, and we cannot promise it will be uninterrupted or error-free.

Approva supplements your team; it does not replace your responsibility to oversee prior-auth work. Keep a process to handle requests if the service is ever unavailable.

You retain ownership of your records and information. You grant Approva the limited rights needed to operate the service for you, as described in our Privacy Policy and BAA.

We do not sell your data and do not use PHI to train third-party AI models.

To the extent the law allows, Approva is not liable for indirect, incidental, or consequential damages, or for lost revenue or denied or delayed authorizations. Our total liability for any claim is limited to the amount you paid us in the twelve months before the claim. Nothing in these terms limits obligations under the BAA or liability that cannot be limited by law.

We may update these terms as the service changes. If a change is material, we will give you notice before it takes effect. Continuing to use Approva after that means you accept the update.

You can stop using Approva at any time. We may suspend or end an account that violates these terms or puts the service, patients, or others at risk.

Questions about these terms go to legal@approvahealths.com.