Iodine Product Terms

IODINE PRE-RELEASE TERMS 

IODINE PARTNER TEMPLATES 

IODINE APR-DRG ADD-ON (“SOFTWARE”) 

IODINE AWAREUM (“SOFTWARE”) 

COGNITIVEML ENGINE (“SOFTWARE”) 

IODINE CONCURRENT (“SOFTWARE”) 

IODINE FORECAST (“SOFTWARE”) 

IODINE INTELLIGENCE (“SOFTWARE”) 

IODINE INTERACT (“SOFTWARE”) 

IODINE INTROSPECT (“SOFTWARE”) 

IODINE RETROSPECT (“SOFTWARE”) 

IODINE GROUPER/ENCODER (“SOFTWARE”)

IODINE AWAREUM

Iodine AwareUM provides a number of functionalities as listed below to support concurrent utilization review integrity. 

• Utilization Review (“UR”) Nurse Environment: Intelligent and adaptive prioritization and efficiency workflow for UR  Nurses, using a proprietary AwareUM algorithm 
• Physician Advisor Environment: Dedicated patient list prioritization and efficiency workflow for Physician Advisors, driven  by referrals from UR Nurses 
• Payer Communication: Ability to send clinical information directly to Payers 
• Reporting: reporting on utilization review productivity and outcome metrics 
• Avoidable days tracking: ability to capture avoidable days and report on those delays by payer, attending, and delay reason
• Case communications: ability to leave internal notes, document escalation notes, and completed review notes

1. Iodine AwareUM does not include medical advice of any kind and in no event shall Customer utilize AwareUM as a “device”  under Section 201(h) of the Food, Drug, & Cosmetic Act. Iodine AwareUM does not include coding or billing advice of any  kind. Customer and its resources are responsible for exercising their judgment and ensuring they act in a manner compliant  with Customer’s policies and all applicable federal and state laws and regulations, including, but not limited to, all authorities governing the coding and submission of claims for reimbursement to Medicare, Medicaid and other government health  programs.

Cloud-Based Query Management Feature: 

AwareUM further provides a cloud-based query management platform that makes it easier for clinicians to review and respond to  review requests from utilization management nurses and UM support staff, resulting in more accurate records and reimbursement. 

The AwareUM platform creates a new process by which provider organizations can query and educate clinicians on questions  pertaining to patient status. Review requestors, such as utilization management nurses and UM support staff creates a review request  by customizing templates and attaching selected documentation from the patient record. Clinicians may respond to requests from a  mobile device or a computer, and their responses can automatically update documentation in the patient record. All communication  activity is tracked and reportable with measures displayed real-time in graphical performance dashboards and reports. 

Interface Requirements 

One additional interface for each site is required to add this platform onto Iodine. Iodine will fully develop this interface for the  Customer facilities. Customer IT shall support this work with requirements information, approvals, and testing. The implementation  will be managed by a dedicated Iodine Project Manager. The dedicated Iodine Project Manager will guide Customer through each  phase of the process from interface set up to go-live. 

Outbound (from Iodine) Documents: This feature posts query documents back to the electronic medical record. The query  documents are filed alongside progress notes and other physician documentation and contain the provider’s response to the query as  well as the full original query with supporting clinical information. 

Product End User Specifications 

End-User Access 

• Customer providers will access this feature via mobile application or the Iodine website 
• Customer’s nurses, physician advisors, and UM support staff who are actively involved in the Utilization review use  cases will access this feature from the Iodine website 

Single Sign-On 

• Single sign-on is supported through SAML or LDAP 

Supported desktop operating systems 

• Windows, 7 – Current 
• Mac OS X, 8 – Current 

Supported mobile operating systems 

• iOS, 11 – Current 
• Android, 5.1 – Current 

Supported browsers 

• Modern browsers (support all releases within the last two years): 
• Chrome 
• Firefox 
• Safari 
• Edge 

Other requirements for browsers 

• JavaScript must be enabled 
• Cookies must be enabled 

Product Implementation 

Implementation services for deployment of the Software to the designated Customer facilities identified in the Order. Implementation  typically consists of the following: 

Implementation project management services:

• Iodine will work closely with Customer to define the scope and specific goals for the implementation. 
• Iodine will project manage the interface development work and coordination between Customer IT and Iodine.
• Iodine will configure the software for user account set-up, provider alerts, CDI and coder workflow requirements, query  template library, metrics tracking, and reporting. 
• Iodine will provide access to and support of online training for CDI and coding staff. 
• Iodine will coordinate system testing prior to go-live. 
  • Iodine’s testing approach involves reviewing HL7 messages from the Customer’s test interfaces to Iodine’s test ports to  verify the HL7 message structure and data fields are included. Once validated, Iodine will request for the Customer’s  test interfaces to be promoted to production, sending to Iodine’s production ports. Iodine will then utilize production  data to build the test translator logic. Once complete, Iodine will allow data received from both the test and production  ports to flow through the test translator into Iodine’s Pre-PROD/UAT environment to complete all application  configurations. Once complete, internal and external validation sessions will be held to further validate the data and  configurations. Once any applicable changes are made, Iodine will then promote the test translator logic to production,  and allow data received from the production ports to flow through the production translator into Iodine’s PROD  environment for go-live training. 
  • Because Iodine utilizes production data sets for validation and configuration in the UAT/Pre-PROD environment, Iodine  does not require Customer to run specific testing scripts unless test data is unavailable for a specific element that needs  to be validated prior to Customer promoting interfaces to production. 
  • Customer agrees to use Iodine’s testing approach unless otherwise agreed by both parties in writing. Customer requests  for testing requirements outside of Iodine’s standard approach will be evaluated on a case-by-case basis for impact to  timeline and additional cost to Customer. 

Implementation Content development services: 

• Iodine will provide training to Customer for developing, incorporating, and maintaining the query template Content for use  within this feature. 
• If Customer utilizes their own query template Content, ongoing query template Content updates and maintenance are the  responsibility of the Customer. 
• Iodine will test template Content functionality prior to go-live of the Customer facility. 

For purposes of this feature the following definitions shall apply 

• “Content” means Query Templates and Educational Content delivered through the AwareUM suite. 
• “Educational Content” means any educational content used to educate Authorized Users on clinical documentation best  practices and delivered through the AwareUM suite. 
• “Query” means a request submitted by UM staff to a physician to answer questions about documentation, review a case for  medical necessity, etc. 
• “Query Templates” means any content which comprises the ‘medical necessity query template’ which is used to create a  query to send to Authorized Users through the AwareUM suite. 

GenAI Summaries Feature: 

AwareUM utilizes generative AI technology to analyze the medical record and create narrative summaries (“GenAI Summaries”).  These summaries are designed to help Customer’s UM nurses, UM support staff, physician advisors, and other stakeholders to  digest information more quickly and communicate case details more efficiently and effectively with each other and with payers.  The summaries are designed to include one or more of the following examples: 

• Chart Summary – Summarizes the patient’s chart, highlighting key points, data and issues from the medical record to  recap why the patient is in the hospital and explain their current medical situation. 
• Conditions Summary – Summarizes the patient’s conditions in a quick, digestible format. 
• New Since Last Review Summary – Summarizes information that was added to the chart since the last review was  conducted, helping Customer to quickly identify new and pertinent information additions. 

The exact content of the summaries may change over time. Iodine reserves the right to add additional summary types, as well as  sunset summary types, to the examples listed here. 

1.2. Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and UM support staff personas who are  actively involved in the Utilization review use cases for an Authorized Facility and which shall not include third-party contract  resources without prior written approval from Iodine.

COGNITIVEML ENGINE (“SOFTWARE”) 

CognitiveML is the engine that drives Iodine’s innovative cognitive emulation technology. By automatically analyzing the complete  patient record, including both documentation and clinical evidence, the CognitiveML Engine applies advanced predictive analytics to  help support clinical documentation and coding decisions. Drawing on millions of historical patient examples and state-of-the-art  machine learning techniques, accuracy levels exceed what is possible with other, more straightforward rules-based approaches.  Natural language processing is of course an aspect of CognitiveML, but the interpretation of clinical data, such as lab results, and  medication orders, unlocks capabilities not possible with alternative solutions that depend primarily on documentation. 

 Product Description 

• Integration with hospital documentation and clinical data to continuously update patient medical condition predictions • Evaluation of millions of historical patient records to help drive accurate machine learning models • Automatic analysis of each patient record for identification of clinical conditions and documentation and/or coding  opportunities 
• Algorithms to prioritize patient censuses for more efficient utilization of hospital resources 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE CONCURRENT (“SOFTWARE”) 

Iodine Concurrent provides a number of functionalities as listed below to support concurrent documentation integrity. Iodine CDI SmartList (“Software”) 

Iodine CDI SmartList uses a proprietary algorithm to prioritize a CDI Specialist’s patient list. By prioritizing his/her patient list, the  SmartList enables the CDI Specialist to spend his/her time on the cases that are most likely to need documentation improvement.  

Product Description 

• Prioritizes each patient based on clinical data, patient history, payer, length of stay, and other factors
• Intelligent and adaptive prioritization based on feedback from CDI specialists, using a proprietary Iodine algorithm
• Tracking of patients with open queries 
• Tracking of patients who have been reviewed 
• Intelligently and automatically reprioritizing the list of patients as new information about patients is made available to  Iodine 
• Intelligent identification of potential documentation improvement opportunities for each patient
• Detailed data that may indicate documentation improvement opportunities 
• Historical tracking of previous patient reviews by other CDI specialists 
• Ability to filter the list of cases by location and other criteria 
• Dashboard for viewing CDI Specialist productivity 
• Historical logs of CDI Specialist activity and select patient events 
• Iodine CDI Timeline (“Software”) 

Iodine CDI Timeline automatically identifies possible documentation continuity and consistency issues and visualizes them in a  graphical timeline. CDI specialists see a list of documentation issues and review the contents of documents and other clinical data to  identify the reason for the issue and the next step to resolve it. 

Product Description 

• Automatic identification of patients with documentation consistency and/or continuity issues 
• Graphical view of documents and clinical data over duration of patient stay to illustrate documentation issues
• Search across all documentation for Iodine condition mentions and/or custom keyword searches
• Read content of documents with relevant keywords highlighted in body of text

Iodine Labs and Vitals (“Software”) 

Iodine Labs and Vitals provides CDI specialists with a view of clinical data from the patient’s visit. The view is customizable so that  users can choose the type of data and the date range they would like to explore.  

Product Description 

• Clinical observations are visually grouped into their related panels, such as hematology and ABG
• Results outside of the reference range are highlighted in the display with a special badge 
• Date range and types of observations to display is customizable based on the CDI specialist’s needs Iodine Worksheet (“Software”) 

Iodine Worksheet creates a point-and-click process to track notes directly from documents and clinical information in the medical  record. CDI specialists can easily pull key information into their Worksheet without the need to manually type or hand-write it.  Notes in the Worksheet are available for future reviews, and the notes can be quickly copied elsewhere, such as to a query template. 

Product Description 

• Highlight text from documentation and take note of it with one click 
• Add lab results and vital signs to notes with one click while reviewing them in the Labs & Vitals interface
• Worksheet can be expanded to be always visible and available throughout the review workflow 
• Notes added to worksheet can be copied to clipboard with one click and then pasted elsewhere, for example to a query  template 

Iodine Spotlight (“Software”) 

Iodine Spotlight highlights documentation and clinical data related to the patient’s likely diagnoses, based on data automatically  identified by Iodine’s artificial intelligence technology. CDI specialists can activate the Spotlight for the patient’s possible conditions,  and then see its related information called out throughout the course of their review. 

Product Description 

• Possible conditions are suggested automatically, based on the analysis of patient data by Iodine artificial intelligence  technology 
• CDI specialists choose which conditions to spotlight, based on their judgment and clinical review 
• Documents with mentions related to the condition are called out on the CDI Timeline, and the specific text found is  highlighted while reviewing the document 
• Clinical indicators, such as lab results and vital signs, related to the condition are called out in the Labs & Vitals display Iodine Query Templates (“Software”) 

Iodine SmartList Query Templates integrates the query process directly into the Iodine review workflow. CDI specialists can choose  the appropriate query template and edit it with clinical indicators before sending to providers.  

Product Description 

• Selection of multiple templates to support different query scenarios 
• Fill in template with relevant clinical indicators for the patient 
• Quick copying and printing of full query text 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE FORECAST (“SOFTWARE”) 

The Iodine Forecast automatically predicts the expected length of stay (based on MS-DRG GMLOS) and final MS-DRG for every  inpatient. This information can be interfaced to other hospital systems via HL7 or be made available for batch export to support Care  Management teams and other departments that utilize expected length of stay or MS-DRGs in their daily workflow and planning.

Product Description 

• Expected length of stay and final MS-DRG are automatically predicted using Artificial Intelligence/Machine Learning  even if there has been no CDI review 
• Predictions are updated regularly as new patient data is received 
• Predicted final MS-DRGs and related information (GMLOS, relative weight, DRG code description) can be interfaced via  HL7 or made available for periodic flat-file transfer 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE INTELLIGENCE (“SOFTWARE”)  

Iodine Intelligence provides CDI specialists with additional details and support for advanced clinical decision making. Reference  materials and automatically generated query content are provided to CDI specialists so that they can more efficiently make decisions  about what queries to send and how to author them. This content is available within the Iodine SmartList so that CDI specialists can  maintain an optimal review workflow. 

Product Description 

• Enhanced patient review user experience highlights conditions most likely to require CDI intervention • Embedded reference and educational materials to assist CDI specialists in evaluating more complex or infrequent  conditions 
• Automatically pre-selected content available for use by CDI in their query authoring process 
• Client-configurable criteria can control when to prompt CDI specialists with pre-selected content or educational material  based on patient data or scenarios 
• Auditing and analytics tracks what has been prompted to CDI specialists and what action they took as a result 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE INTERACT (“SOFTWARE”)  

Iodine Interact provides a cloud-based, HIPAA-compliant, query management platform that makes it easier for clinicians to review  and respond to queries from clinical documentation specialists, coders and quality staff resulting in more accurate reimbursement,  public reporting, research and policy decisions.  

The Iodine Interact platform creates a new process by which provider organizations can query and educate clinicians on clarifying  clinical documentation. Query authors, such as clinical documentation specialists and medical coders, create queries by customizing  compliant templates and attaching selected documentation from the patient record. Clinicians may respond to queries from a  mobile device or a computer, and their responses automatically generate query documents in the patient record. All query activity is  tracked and reportable with measures displayed real-time in graphical performance dashboards and reports.  

Iodine Interact Interface Requirements 

One additional interface for each site is required to add the Iodine Interact platform onto Iodine. Iodine will fully develop this  interface for the Customer facilities. Customer IT shall support this work with requirements information, approvals, and testing. The  implementation will be managed by a dedicated Iodine Interact Project Manager. The dedicated Iodine Interact Project Manager will  guide you through each phase of the process from interface set up to go-live. 

Outbound (from Iodine Interact) Documents: Iodine Interact posts query documents back to the electronic medical record. The  query documents are filed alongside progress notes and other physician documentation and contain the provider’s response to the  query as well as the full original query with supporting clinical information.

Iodine Interact Product End User Specifications 

End-User Access 

• Customer providers will access Iodine Interact via mobile application or the Iodine Interact website  
• CDI staff and coders will access Iodine Interact from the Iodine Interact website  

Single Sign-On 

• Single sign-on is supported through SAML or LDAP 

Supported desktop operating systems 

• Windows, 7 – Current 
• Mac OS X, 8 – Current 

Supported mobile operating systems 

• iOS, 11 – Current 
• Android, 5.1 – Current 
• Supported browsers 
• Modern browsers (support all releases within the last two years): 
  • Chrome 
  • Firefox 
  • Safari 
  • Edge 
• Internet Explorer 11 

Other requirements for browsers 

• JavaScript must be enabled 
• Cookies must be enabled 

Product Implementation 

Implementation services for deployment of the Software to the designated Customer facilities identified in Order. Implementation  consists of the following: 

Implementation project management services: 

• Iodine will work closely with Customer to define the scope and specific goals for the implementation
• Iodine will project manage the interface development work and coordination between Customer IT and Iodine
• Iodine will configure the software for user account set-up, provider alerts, CDI and coder workflow requirements, query  template library, metrics tracking, and reporting 
• Iodine will provide access to and support of online training for CDI and coding staff 
• Iodine will coordinate system testing prior to go-live 
  • Iodine’s testing approach involves reviewing HL7 messages from the Client’s test interfaces to Iodine’s test ports to  verify the HL7 message structure and data fields are included. Once validated, Iodine will request for the Client’s test  interfaces to be promoted to production, sending to Iodine’s production ports. Iodine will then utilize production data  to build the test translator logic. Once complete, Iodine will allow data received from both the test and production  ports to flow through the test translator into Iodine’s Pre-PROD/UAT environment to complete all application  configurations. Once complete, internal and external validation sessions will be held to further validate the data and  configurations. Once any applicable changes are made, Iodine will then promote the test translator logic to production,  and allow data received from the production ports to flow through the production translator into Iodine’s PROD  environment for go-live training. 
  • Because Iodine utilizes production data sets for validation and configuration in the UAT/Pre-PROD environment, Iodine  does not require the Client to run specific testing scripts unless test data is unavailable for a specific element that  needs to be validated prior to the Client promoting interfaces to production. 
  • Client agrees to use Iodine’s testing approach unless otherwise agreed by both parties in writing. Customer requests  for testing requirements outside of Iodine’s standard approach will be evaluated on a case-by-case basis for impact to  timeline and additional cost to Customer.
• Iodine will provide ongoing support 

Implementation Content development services: 

• Iodine will provide training to Customer for developing, incorporating, and maintaining the query template Content for use  within Iodine Interact 
• The Customer may utilize their own query template Content or Customer may enter into a Work Order with Iodine Partner,  AHIMA or HCPro, for query Partner Templates, updates and maintenance 
• If Customer utilizes their own query template Content, ongoing query template Content updates and maintenance are the  responsibility of the Customer 
• Iodine will test query template Content functionality prior to go-live of the Customer facility 

For purposes of Iodine Interact the following definitions shall apply 

• “Content” means Query Templates and Educational Content delivered through Iodine Interact 
• “Educational Content” means any educational content used to educate Authorized Users on clinical documentation best  practices and delivered through Iodine Interact 
• “Query Templates” means any content which comprises the ‘request for documentation clarification template’ which is  used to create a query to send to Authorized Users through Iodine Interact 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE INTROSPECT (“SOFTWARE”) 

Introspect provides standard dashboards and reports for tracking CDI program metrics, as well as custom report building  capabilities. Dashboards include both aggregated information at a summary level as well as drill-downs and exports to see the  details behind the numbers. 

Product Description 

• Suite of pre-configured dashboards to report on CDI productivity and quality metrics 
• Self-service custom report building capabilities across a variety of data fields 
• Integrated data from across AwareCDI product suite available for analysis on-demand 
• Explore details of underlying data with drill-downs and exports 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE RETROSPECT (“SOFTWARE”) 

Iodine Retrospect combines the prioritization technology of Iodine’s SmartList^TM technology with an integrated CDI review workflow  for post discharge records. Retrospective reviews are the last opportunity to resolve documentation and coding issues for billing and  quality reporting purposes. Assigned CDI specialists or managers can review documentation and clinical data for the patient post  discharge, pre-bill to support coding accuracy and reporting. Records are prioritized and tracked through final reconciliation and  billing, supporting an efficient workflow that monitors for timely completion of query completion and final coding. 

The Iodine Retrospect will also support a standardized workflow to complete quality audits of CDI staff. Cases that CDI Specialists  have reviewed with additional documentation concerns will be detected combining the prioritization technology of Iodine’s  SmartList technology with a workflow designed for timely review and identification of opportunities. This will allow CDI program  leaders to isolate knowledge deficits and identify workflow and process issues to support continued CDI program growth and  success.

Product Description 

• Iodine SmartList automated prioritized worklist of discharged patients based on likelihood of documentation  improvement opportunities 
• Indicators automatically generate to identify possible coding issues, concurrent CDI missed opportunities, and patient  condition information 
• Likely conditions and query opportunities prompted to reviewers based on clinical criteria and documentation
• Access to reference information like history of concurrent CDI review activity, patient demographics, and activity during  the patient visit 
• Reporting dashboard with review, query and outcome metrics 
• Filtering capabilities to review prioritized patient list based on concurrent CDI reviewer, patient location, or hospital  service line

Filtering capabilities to review prioritized patient list based on concurrent CDI reviewer, patient location, or hospital  service line 

Scope of Use: The Software may be used by Customer’s nurses, physician advisors, and CDI support staff personas who are actively  involved in the CDI process for an Authorized Facility and which shall not include third-party contract resources without prior written  approval from Iodine. 

IODINE GROUPER/ENCODER (“SOFTWARE”) 

The Iodine Grouper/Encoder enables CDI specialists and other users to have instant access to the right codes, the right DRG, and the  right coding guidelines. Users are empowered to search for diagnosis and procedure codes through coding handbooks and other  industry-standard reference materials so charts are most optimally coded. 

Product Description: 

• Automatic grouping of ICD-10 codes into the resulting MS-DRG or APR-DRG if licensed (see APR product description for  more details) 
• Ability to re-sequence principal and secondary diagnosis codes 
• Examine alternative DRGs for claims through Principal Diagnosis or DRG Analysis 
• Reference info about MS-DRG, such as GMLOS, relative weight, and estimated reimbursement 
• Display coding-related references and search by terms or codes 
• Perform comprehensive editing for inpatient claims (Medical Necessity and proprietary TruCode edits) Use of Iodine Grouper/Encoder is subject to the following additional terms: 

TruCode General Terms 

GENERAL TERMS: The software and/or services provided by Iodine Software, LLC (“Reseller”) to Customer pursuant to the  agreement attached hereto (the “Customer Agreement”) may contain software and/or content (collectively, the “Licensed  Content”) provided by TruCode LLC (“TruCode”) and its third party providers (such providers, collectively, the “Third Party  Providers”). Use of the Licensed Content is subject to Customer’s acceptance of and compliance with the terms set forth in this  Exhibit (these “Required Terms”). By signing or otherwise indicating acceptance of the Customer Agreement, Customer  acknowledges that it has read and accepts these Required Terms and agrees to be bound by the same. For purposes of the Customer  Agreement, TruCode is a Subcontractor. 

1. 1. End Users. Customer is responsible for ensuring that its authorized users (“End Users”) comply with all of the terms and  conditions in these Required Terms. 
   • 2. Copies; Printing. Customer may not provide copies of the Licensed Content to any third party, except to its  employees or agents who are subject to the confidentiality provisions herein. Customer is permitted to print  limited portions of the Licensed Content on a specific topic (“Excerpts”), without any modification to the Excerpt,  and solely for the exclusive use of Customer, provided that the source of the Excerpt(s) and applicable copyright  notices and government rights notices are printed on the printout. Any Excerpts so distributed may only be used  for purposes of claims processing, billing, and patient treatment.
2. 3. Additional Restrictions. Customer, and its End Users, must not, nor attempt to: (i) use the Licensed Content or any portion of  the Licensed Content for any unlawful purpose or in violation of any laws or regulations; (ii) market, sell, lease, license,  sublicense, publish, distribute, lend, transfer, or otherwise make the Licensed Content or any portion thereof, or components or  output from the Licensed Content available to any unauthorized party, including distribution via the Internet or other public 
3. electronic information system; (iii) alter, maintain, enhance, modify, translate, or create derivatives of the Licensed Content or  any components thereof; (iv) remove any trademark, copyright, or proprietary notices; or (v) use the Licensed Content to  benefit any party other than Customer. 
4. 4. Usage Information. TruCode may collect and use data provided through, collected by, and/or regarding Customer’s use of the  Licensed Content in order to: (a) provide the Licensed Content in accordance with the Required Terms and TruCode’s Privacy  Policy, located at: https://www.trucode.com/privacy-policy; (b) prevent or address service or technical problems, and (c)  comply with applicable law. 
5. 5. Information and Data Disclaimer. Customer acknowledges and agrees that certain information within the Licensed Content may  be provided to TruCode and/or the Third Party Providers by third parties or is developed using information provided by third  parties. Neither TruCode nor the Third Party Providers will be responsible for the accuracy or completeness of the information  within the Licensed Content. Nothing contained in the Licensed Content is intended to replace the independent medical  judgment of a health care professional and neither TruCode nor the Third Party Providers will be liable for any damages arising  out of reliance on the information contained in or derived from the Licensed Content. In addition, neither TruCode nor the Third  Party Providers make any warranties regarding the accuracy or completeness of any data or information provided by the  Centers for Medicare & Medicaid Services (“CMS”), the American Medical Association, or any other third party. TruCode and the Third Party Providers specifically disclaim any liability for any consequences due to use, misuse or interpretation of information. 
6. 6. Third Party Beneficiaries; Termination. TruCode and the Third Party Providers are third-party beneficiaries to the Customer  Agreement. If Reseller’s contractual relationship with TruCode, or TruCode’s contractual relationship with any other Third Party  Provider, expires or is otherwise terminated, Reseller or TruCode will have the right to terminate the Customer Agreement  immediately upon written notice to Customer, at which time all rights granted to Customer with respect to the Licensed  Content will terminate and Customer will be required to discontinue all use of the Licensed Content immediately. 

AHA – REQUIRED TERMS: 

The Licensed Content may include content (the “AHA Content”) licensed from Health Forum, LLC or its Affiliates. The  following terms apply to AHA Content: 

1. 1. Copyright Notices. Customer shall include the appropriate copyright notice set forth below in connection with AHA Content.  From time to time, Reseller may provide Customer with updated versions of the AHA Content (“Updated Products”). When  Customer receives the Updated Products, Reseller will advise Customer of the appropriate year to display in the copyright  notice. 

Official UB-04 Data Specifications Manual, “AHA Coding Clinic for ICD-9-CM”, “AHA Coding Clinic for ICD- 10-CM/PCS” and “AHA  Coding Clinic for HCPCS” © 2021 American Hospital Association (“AHA”), Chicago, Illinois. Reproduced with permission. No portion  of this publication may be copied without the express, written consent of the AHA. 

2. U.S. Government Rights Notices. If Customer is a federal government agency, the following notices are provided, as applicable: 

1. 1. ICD-9-CM Coding Clinic. This product contains AHA CODING CLINIC® FOR ICD-9-CM content which is commercial  technical data and/or computer data bases and/or commercial computer software and/or commercial computer  software documentation, as applicable, which was developed exclusively at private expense by the American Hospital  Association, 155 N. Wacker Dr., Suite 400, Chicago, Illinois 60606. U.S. government rights to use, modify, reproduce,  release, perform, display, or disclose these technical data and/or computer data bases and/or computer software  and/or computer software documentation are subject to the restrictions of DFARS 227.227-7015(b)(2) (November 1995)  and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as  applicable, for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14  (December 2007) and/or subject to the restricted rights provisions of FAR 52.227-14 (December 2007) and FAR 52.227- 19 (December 2007), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense  Federal procurements.
2. 2. HCPCS CODING CLINIC. This product contains AHA CODING CLINIC® FOR HCPCS content which is commercial  technical data and/or computer data bases and/or commercial computer software and/or commercial computer  software documentation, as applicable, which was developed exclusively at private expense by the American Hospital  Association (“AHA”), 155 N. Wacker Dr., Suite 400, Chicago, Illinois 60606. U.S. government rights to use, modify,  reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer  software and/or computer software documentation are subject to the restrictions of DFARS 227.227-7015(b)(2)  (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June  1995), as applicable, for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14  (December 2007) and/or subject to the restricted rights provisions of FAR 52.227-14 (December 2007) and FAR 52.227- 19 (December 2007), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense  Federal procurements. 
3. 3. ICD-10-CM AND ICD-10-PCS CODING HANDBOOK. This product contains ICD-10-CM AND ICD-10-PCS CODING  HANDBOOK, <YEAR>, BY NELLY LEON-CHISEN content which is commercial technical data and/or computer data bases  and/or commercial computer software and/or commercial computer software documentation, as applicable, which was  developed exclusively at private expense by Health Forum, LLC, 155 N. Wacker Dr., Suite 400, Chicago, Illinois 60606.  U.S. government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or  computer data bases and/or computer software and/or computer software documentation are subject to the  restrictions of DFARS 227.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)  (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable, for U.S. Department of Defense procurements and the  limited rights restrictions of FAR 52.227-14 (December 2007) and/or subject to the restricted rights provisions of FAR  52.227-14 (December 2007) and FAR 52.227-19 (December 2007), as applicable, and any applicable agency FAR  Supplements, for non-Department of Defense Federal procurements. 

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