Patient Information

Online Website Agreement and Authorization for Payments to Goshen Physicians

The Goshen Health Web Site (the "Service") is an on-line bill viewing and payment service provided by Goshen Health/Goshen Physicians and its licensors.

Please read this Agreement carefully before accessing or using the Service. By accessing or using the Service, you agree to be bound by the terms and conditions below. If you do not accept the terms and conditions of this Agreement, you may not access or use the Service. Goshen Health/Goshen Physicians may modify this Agreement from time to time, and such modifications shall be effective immediately upon posting of the modified Agreement. By continuing to access or use the Service following such modifications, you agree to be bound by the modified Agreement. Goshen Health/Goshen Physicians has no obligation to notify users of the posting of a modified Agreement.

Payment Services: By accessing the Service, you authorize Goshen Health/Goshen Physicians (1) to establish and maintain your payment authorizations and (2) to process your payments according to your instructions.

Types of Payments and Payees: You may use the Service only to authorize the payment of bills owing to Goshen Health/Goshen Physicians. Payments that you authorize will be made from a bank, financial institution or credit card company account (the "Transaction Account") that you designate. It is your responsibility to establish and maintain the Transaction Account, pay any and all fees associated with the Transaction Account and execute any and all documents required by the bank, financial institution or credit card company account to authorize the payment from the Transaction Account.

Timing: By providing Goshen Health/Goshen Physicians with a payment authorization under the Service, you authorize Goshen Health/Goshen Physicians to charge the Transaction Account to remit funds on your behalf to pay your bills owed to Goshen Health/Goshen Physicians. It is your responsibility to make timely payment authorizations, so that the funds will arrive at Goshen Health/Goshen Physicians before the date on which they are due. You should submit all payment authorizations to Goshen Health/Goshen Physicians at least three (3) business days before the actual due date for the bills (not the late date). A "business day" means any day other than Saturday, Sunday, a federal holiday, or any other day on which banks in the United States are not generally open for business. You shall bear the risk and the responsibility for paying any late charges or penalties resulting from the late receipt of any payment made under the Service; provided, however that Goshen Health/Goshen Physicians agrees to waive late charges and penalties resulting from late receipt of payment, in the event that your payment authorization was made more than (3) business days before the actual due date and the payment is late solely due to Goshen Health/Goshen Physicians failure to promptly process your payment authorization.

Responsibility of Goshen Health/Goshen Physicians: Goshen Health/Goshen Physicians will use all reasonable efforts to process all your payment authorizations promptly and properly, provided the authorizations are timely and properly received by Goshen Health/Goshen Physicians and are complete and accurate. Goshen Health/Goshen Physicians will not be responsible for any failure to process a payment authorization that is not timely filed, properly authorized, or incomplete or inaccurate for any reason, including user error, equipment malfunction, natural disasters or impediments, or inaccurate or incomplete information.

If Goshen Health/Goshen Physicians does not process a payment request on time or in the correct amount, Goshen Health/Goshen Physicians will be liable for your losses, but in no event shall Goshen Health/Goshen Physicians liability exceed the amount of the affected payment authorization. However, Goshen Health/Goshen Physicians shall incur no liability fees if it is unable to complete a payment authorization initiated by you because of the existence of any one or more of the following circumstances:

  1. The Transaction Account does not contain sufficient funds to complete the transaction, or the transaction would exceed the credit limit applicable to the Transaction Account.
  2. You have not provided Goshen Health/Goshen Physicians with correct names or account information.
  3. Circumstances beyond Goshen Health/Goshen Physicians' control (such as, but not limited to, fire, flood, or interference from an outside force) prevent the proper transmission of your payment authorization and Goshen Health/Goshen Physicians has taken reasonable precautions to avoid those circumstances.
  4. Goshen Health/Goshen Physicians fails to receive a full and complete payment authorization.
  5. You have made any false or materially misleading statement or representation in connection with any payment authorization.
  6. The bank or financial institution maintaining the Transaction Account refuses or is unable to honor a payment request from Goshen Health/Goshen Physicians.

Bank or Financial Institution Limitations: In using the Service, you are requesting Goshen Health/Goshen Physicians to make payments for you from your designated Transaction Account owed by you to Goshen Health/Goshen Physicians. If your bank, financial institution or credit card company is unable to process a transaction (for example, there are not sufficient funds in the Transaction Account to cover the transaction, or if funds in the account are unavailable for any reason), the transaction may not be completed. There may be limits or restrictions upon the number or frequency of payments that may be made from your Transaction Account under applicable law or under the terms of your agreement with the bank, financial institution or credit card company maintaining the Transaction Account. Goshen Health/Goshen Physicians obligations under the Service are subject to any such limits or restrictions, and Goshen Health/Goshen Physicians has no duty to notify you of any such limits or restrictions.

Charges: As a customer of the Service, you will not be charged by Goshen Health/Goshen Physicians for payment authorizations that you choose to send electronically.

DISCLAIMER OF WARRANTIES: GOSHEN HEALTH/GOSHEN PHYSICIANS IS PROVIDING THE SERVICE "AS IS" WITHOUT ANY WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. GOSHEN HEALTH / GOSHEN PHYSICIANS DOES NOT WARRANT THAT THE SERVICE IS ERROR-FREE, OR THAT ACCESS TO AND USE OF THE SERVICE WILL BE UNINTERRUPTED OR ERROR-FREE.

LIMITATION OF LIABILITY: IN NO EVENT SHALL GOSHEN HEALTH OR ANY LICENSORS BE LIABLE FOR ANY INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE DELIVERY, PERFORMANCE, OR USE OF THE SERVICE, WHETHER INCURRED BY YOU OR ANY THIRD PARTY, EVEN IF GOSHEN HEALTH / GOSHEN PHYSICIANS OR ITS LICENSORS OR SUPPLIERS HAVE BEEN ADVISED OR MAY OTHERWISE KNOW OF THE POSSIBILITY OF SUCH DAMAGES. Some jurisdictions prohibit exclusion or limitation of liability for implied warranties or consequential or incidental damages, so the above limitation may not apply to you.

IF YOU ARE DISSATISFIED WITH THE SERVICE OR ANY PORTION OF THE WEBSITE, YOUR SOLE REMEDY AGAINST GOSHEN HEALTH/GOSHEN PHYISICANS IS TO CEASE USING THE SERVICE.

Indemnity: You agree to defend, indemnify and hold Goshen Health/Goshen Physicians and its employees, agents, directors, officers and shareholders from and against all liabilities, claims, damages and expenses (including, without limitation, reasonable attorney fees and costs) arising out of your use of the Service or this Website, your breach or alleged breach of this Agreement, and your breach or alleged breach of the intellectual property or proprietary or other rights of third parties.

Assignment: You may not assign this Agreement to any other party. Goshen Health/Goshen Physicians may assign this Agreement to any directly or indirectly affiliated company. Goshen Health/Goshen Physicians may also assign or delegate certain of its rights and responsibilities under this Agreement to independent contractors or other third parties.

General: This Agreement is governed by and shall be construed in accordance with the laws of the State of Indiana, excluding its choice of law rules. This Agreement constitutes the entire agreement and supersedes any prior agreements or understandings, oral or written, between Goshen Health/Goshen Physicians and you concerning the Service and may only be amended as provided herein. Failure or delay in enforcing any right or provision of this Agreement shall not be deemed a waiver of such provision or right with respect to any subsequent breach or a continuance of an existing breach. If any provision of this Agreement shall be held to be unenforceable, that provision will be enforced to the maximum extent possible, and the remaining provisions of this Agreement will remain in full force and effect.