Submit Shield

Submit Shield Terms of Service

Last updated: April 18, 2026

These Terms of Service ("Terms") govern access to and use of the Submit Shield service ("Service") provided by Moise Mickerlin Medina LLC, a Florida limited liability company (Document No. L18000289509) doing business as Submit Shield (referred to herein as "Submit Shield," "Company," "we," "us," or "our"). Moise Mickerlin Medina LLC is the sole contracting party under these Terms.

By creating an account, accessing the dashboard at app.submitshield.health, calling our API, or installing the submitshield Python SDK, you ("Customer" or "you") agree to these Terms. If you do not agree, do not use the Service.

1. The Service

Submit Shield is a pre-submission medical claim validation service. Given a claim in one of four supported formats, the Service runs a library of deterministic validation rules and returns a verdict indicating whether the claim is likely to be accepted, needs a fix, or should be blocked.

1.1 What is included

  • Thirty-two (32) deterministic validation rules covering NCCI PTP, NCCI MUE, MPFS indicators, LCD coverage policy, ICD-10 validity and specificity, place of service, NPI validation, modifier combinations, demographics, behavioral health, home health, telehealth, timely filing, frequency limits, global-period overlap, duplicate detection, charge reasonableness, and data quality.
  • Four input endpoints: canonical JSON (POST /validate), CSV (POST /validate/csv), X12 837P (POST /validate/837p), and FHIR R4 (POST /validate/fhir).
  • A web dashboard at app.submitshield.health.
  • A Python SDK published to PyPI as submitshield.
  • Browser-side de-identification utilities that scrub Protected Health Information ("PHI") on the Customer's own device before transmission.

1.2 What is not included

  • Guaranteed uptime, service-level commitments, or response-time SLAs (unless separately agreed in writing).
  • Custom rule development, clearinghouse submission, or payer remittance retrieval.
  • Medical, legal, billing, or coding advice. The Service is a decision-support tool; Customer remains responsible for every claim it submits to any payer.

2. Account Registration

To use the Service, you must create an account at submitshield.health/signup. You agree to provide accurate information and to keep your API key confidential. You are responsible for all activity that occurs under your account or with your API key.

You must be at least 18 years old and authorized to bind your organization to these Terms.

3. Customer Responsibilities

You agree that:

  1. Accuracy of data. You are responsible for the accuracy of claims data you submit.
  2. Legal right to submit. You represent that you have the right to submit any data you transmit to the Service and have obtained all necessary patient authorizations required under HIPAA and applicable state law.
  3. Clinical and coding decisions. You remain solely responsible for all clinical, coding, and billing decisions. A verdict of "READY" from the Service is not a guarantee of payment; a verdict of "NEEDS FIX" is not a certainty of denial.
  4. Review every claim. You will review every claim before submission to any payer.

4. Acceptable Use

You will not:

  1. Use the Service to validate fraudulent claims or to manipulate results for the purpose of circumventing payer adjudication rules.
  2. Reverse-engineer, decompile, or attempt to extract the proprietary validation rule logic, except for portions published as open-source.
  3. Exceed the published rate limits (100 requests/minute, 10,000 requests/day) without prior written approval.
  4. Resell, sublicense, or make the Service available to any third party without a separate written agreement.
  5. Submit raw PHI without a signed Business Associate Agreement. The Service's server-side PHI guard will reject such submissions with HTTP 400.
  6. Interfere with the operation of the Service, probe for vulnerabilities without authorization, or violate any applicable law.

5. Fees and Payment

5.1 Trial

New accounts receive a free evaluation period governed by the Submit Shield Trial Service Agreement: ninety (90) days or 1,000 claim validations, whichever comes first. No payment method is required during the trial.

5.2 Paid Service

Continued use beyond the trial requires a paid service agreement. Pricing is posted at submitshield.health/pricing and is subject to change with thirty (30) days' notice to active paid customers.

5.3 Taxes

Fees are exclusive of applicable taxes. You are responsible for any sales, use, or similar taxes other than those based on our net income.

6. Protected Health Information

6.1 Default mode — Safe Harbor de-identification

By default, the Service operates in de-identified mode. The dashboard and SDK scrub PHI on the Customer's device — patient names, dates of birth, member IDs, addresses, phone numbers, email addresses, and similar identifiers — before data is transmitted to the Service. Data received by the Service in this mode is de-identified under 45 C.F.R. §164.514(b)(2). In this mode, Submit Shield is not a Business Associate and no BAA is required.

6.2 BAA mode

Customers who require transmission of raw PHI — for example, to integrate with a clearinghouse that does not perform de-identification — must first execute a Business Associate Agreement with Submit Shield. Only after the BAA is signed will raw-PHI mode be enabled on the account.

6.3 Pseudonymization and re-identification

Member identifiers are pseudonymized using HMAC-SHA256 with a Customer-scoped secret that never leaves the Customer's control. Submit Shield cannot reverse these pseudonyms. The Customer remains able to map pseudonyms back to patients using its own internal records.

7. Data Ownership and License

You retain all right, title, and interest in the data you submit. You grant Submit Shield a limited, non-exclusive, worldwide license to use that data solely to operate, maintain, and improve the Service for your benefit.

Aggregated, de-identified statistics (such as rule-fire rates) that contain no identifying information about you or your patients may be used by Submit Shield to improve the Service.

8. Intellectual Property

Submit Shield and all associated software, rule logic, documentation, and trademarks are owned by Submit Shield or its licensors. Except for the license expressly granted to use the Service, no rights are granted to you by implication, estoppel, or otherwise.

Portions of the validation logic are published as open-source; those portions are governed by their respective open-source licenses.

9. Confidentiality

Each party may disclose information marked or reasonably understood to be confidential. Each party agrees to protect the other's confidential information with at least the degree of care it uses for its own confidential information, and not less than a reasonable standard of care. This obligation survives for three (3) years after termination.

10. Disclaimers

THE SERVICE IS PROVIDED "AS IS" AND "AS AVAILABLE," WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT.

Submit Shield does not warrant that claims validated as "READY" will be paid, that claims flagged as "NEEDS FIX" would have been denied, or that the Service will be error-free or uninterrupted.

Nothing in the Service constitutes medical, legal, billing, or coding advice.

11. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, SUBMIT SHIELD'S TOTAL LIABILITY ARISING OUT OF OR RELATING TO THESE TERMS OR THE SERVICE IS LIMITED TO THE GREATER OF (A) THE AMOUNTS PAID BY YOU TO SUBMIT SHIELD IN THE TWELVE (12) MONTHS PRECEDING THE CLAIM, OR (B) ONE HUNDRED U.S. DOLLARS ($100).

SUBMIT SHIELD IS NOT LIABLE FOR INDIRECT, INCIDENTAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, INCLUDING LOST PROFITS OR LOST DATA.

These limitations do not apply to (a) gross negligence or willful misconduct, or (b) a breach of confidentiality obligations.

12. Indemnification

You will defend, indemnify, and hold harmless Submit Shield from any third-party claim arising out of (a) your use of the Service in violation of these Terms, (b) your submission of data you did not have the right to submit, or (c) your clinical, coding, or billing decisions.

13. Term and Termination

These Terms remain in effect while you use the Service. Either party may terminate for any reason with seven (7) days' written notice. We may suspend or terminate your account immediately if you breach these Terms or if required by law.

Upon termination, your API key is deactivated. Sections 6, 7, 8, 9, 10, 11, 12, 15, and 16 survive termination.

14. Changes to the Terms

We may update these Terms from time to time. Material changes will be communicated via email to the address on file at least thirty (30) days before they take effect. Continued use of the Service after the effective date constitutes acceptance.

15. Dispute Resolution

15.1 Governing law

These Terms are governed by the laws of the State of Florida, without regard to its conflict-of-laws principles.

15.2 Pre-suit notice and negotiation

Before initiating any claim, the complaining party will send written notice to the other party (to the email address on file, and additionally to legal@submitshield.health if against Submit Shield) describing the dispute in reasonable detail. The parties will then negotiate in good faith for thirty (30) days. The running of any statute of limitations or other time limit is tolled during this negotiation period.

15.3 Mandatory mediation

If the dispute is not resolved within thirty (30) days after the pre-suit notice, the parties will submit the dispute to non-binding mediation under the JAMS Streamlined Mediation Rules, held in Palm Beach County, Florida (remote participation permitted). Mediator fees and administrative costs are split equally. No lawsuit or arbitration may be commenced until mediation has been attempted and has concluded without resolution.

15.4 Binding arbitration

If mediation does not resolve the dispute within sixty (60) days after commencement, the dispute will be finally resolved by binding arbitration administered by JAMS under its Streamlined Arbitration Rules, before a single arbitrator, seated in Palm Beach County, Florida. The arbitrator's award is final and enforceable. Judgment on the award may be entered in any court of competent jurisdiction.

15.5 Class action and jury trial waiver

EACH PARTY WAIVES ANY RIGHT TO PARTICIPATE IN A CLASS, COLLECTIVE, CONSOLIDATED, OR REPRESENTATIVE ACTION AND WAIVES ANY RIGHT TO A TRIAL BY JURY. All claims must be brought individually. If this waiver is held unenforceable, the unenforceable portion is severed and all remaining provisions remain in effect.

15.6 Shortened limitations period

Any claim arising out of or relating to these Terms or the Service must be brought within one (1) year after the claim first accrued, or it is permanently barred.

15.7 Prevailing party fees (capped)

The prevailing party in any dispute is entitled to recover its reasonable attorneys' fees, arbitration fees, mediation fees, filing fees, and expert-witness fees from the non-prevailing party; provided that the total amount recoverable under this section by either party is capped at twenty-five thousand U.S. dollars ($25,000), regardless of the actual amount incurred.

15.8 Carve-outs — court actions permitted

Notwithstanding Sections 15.3 and 15.4, either party may bring an action directly in the state or federal courts located in Palm Beach County, Florida for any of the following, and the other party consents to personal jurisdiction and venue in those courts:

  1. Injunctive, equitable, or declaratory relief to protect intellectual property, confidential information, or trade secrets;
  2. Infringement of patent, copyright, trademark, or other intellectual-property rights;
  3. Collection of undisputed fees owed to Submit Shield;
  4. Claims within the jurisdictional limit of Florida small claims court;
  5. Enforcement of an arbitration award rendered under Section 15.4;
  6. Emergency relief to prevent or mitigate a security incident, data breach, or ongoing violation of HIPAA or applicable law;
  7. Actions in response to fraud, intentional misuse, or criminal conduct;
  8. Violations of Section 4 (Acceptable Use) — including reverse engineering, rate-limit abuse, unauthorized sublicensing, or submission of raw PHI without a signed BAA;
  9. Any action by Submit Shield to suspend or terminate an account under Section 15.9.

15.9 Account suspension pending resolution

During any pre-suit notice period, mediation, arbitration, or lawsuit, Submit Shield may suspend Customer's account if continued access, in Submit Shield's reasonable judgment, poses a risk to the Service, to other customers, or to Protected Health Information. A suspension under this Section is not a breach by Submit Shield and does not entitle Customer to damages.

16. No Personal Liability

16.1 Sole recourse against the Company

Submit Shield is operated by Moise Mickerlin Medina LLC, a Florida limited liability company. The sole recourse for any claim arising out of or relating to these Terms, the Service, or Customer's relationship with Submit Shield is against Moise Mickerlin Medina LLC and its assets. Customer irrevocably waives any claim against any member, manager, officer, employee, contractor, agent, affiliate, parent, subsidiary, or successor of Moise Mickerlin Medina LLC, whether under a theory of piercing the corporate veil, alter-ego, joint-and-several liability, personal guarantee, or any other theory of individual or derivative liability.

16.2 Limitation on affiliated parties

Nothing in these Terms creates any obligation or liability on the part of any person or entity other than Moise Mickerlin Medina LLC. Customer will not name any individual — including but not limited to Moise M. Medina personally — or any affiliated or successor entity in any claim, arbitration, or lawsuit arising out of or relating to these Terms.

16.3 Survival

The provisions of this Section 16 survive termination or expiration of these Terms indefinitely and are intended to be given the broadest enforceability permitted by law.

17. General

  • Entire agreement. These Terms, together with the Privacy Policy, Trial Service Agreement, and (if executed) the BAA, constitute the entire agreement regarding the Service.
  • Assignment. You may not assign these Terms without our written consent. We may assign in connection with a merger, acquisition, sale of assets, or reorganization, including to any successor entity of Moise Mickerlin Medina LLC.
  • Severability. If any provision is held unenforceable, the remaining provisions remain in effect.
  • No waiver. Failure to enforce a provision is not a waiver.
  • Force majeure. Neither party is liable for delay or failure to perform due to causes beyond its reasonable control.
  • Notices. Notices to Submit Shield must be sent to legal@submitshield.health. Notices to Customer will be sent to the email on file.

Contact

Moise Mickerlin Medina LLC — d/b/a Submit Shield Florida LLC, Document No. L18000289509 Registered in the State of Florida, United States Email: legal@submitshield.health Web: submitshield.health