Cass County Pediatric & Adolescents - Annual Maintenance Renewal

8/10/2019 Cass County Pediatric & Adolescents - Annual Maintenance Renewal

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e-MDs Renewal Page 2

P.O. Box 2889Cedar Park, TX 78630

T: 512.257.5200F: 512.257.5225

RE: Annual Maintenance Renewal for e-MDs software

Dear Valued Customer:

Licensing

Thank you for choosing e-MDs software and we look forward to serving you.

Maintenance Renewal - e-MDs

Upon the renewal of your maintenance, e-MDs will email you an activation key. Requesting and installing the

new key will prevent and/or resolve any warning messages that your license will expire. Please complete thebottom of the maintenance agreement so we can automatically email you the activation key. If you have anyquestions, please email [email protected].

Please review the attached renewal form for accuracy. I f you have any changes and need to get an updatedrenewal form or if you have any other questions concerning your maintenance agreement, please [email protected]. If all information is accurate, complete the provider list, sign and fax to 512-257-5225 orsend to PO Box 2889, Cedar Park, TX 78630, attn: Maintenance Renewal. I f you are paying by check,please note that the maintenance renewal agreement does not inc lude applicable sales tax. Once youreturn your si gned maintenance agreement, we will create a formal invoi ce with sales tax and mail toyour office. If you need the invoice expedited, please let us know w here to fax or email it to w hen yousend in your co mpleted maintenance renewal. If you are paying by credit card, complete the credit cardsection of th e renewal. We will add sales tax and charge the credit card once we receive the completedrenewal.

From time to time e-MDs may query your server remotely, or you will be asked to certify to us the number ofproviders currently using the e-MDs Solution Series applications at your site. Maintenance and Support fees willbe pro-rated monthly for providers or applications added during the reporting year, to adjust all annual fees to theend-user's license anniversary date.

Renewal Fees for Maintenance and Support

The annual maintenance and support fee is equal to a percentage of the current initial license fees, determinedat the time of renewal. The maintenance plan insures that you will get the latest reference data and the latesttechnology. On a regular basis e-MDs will update information included in the Software, such as codes ormedical libraries. The cost of these updates is covered by the Maintenance and Support Fee.

e-MDs may elect to release additional software enhancements or features that offer additional functionality notincluded in the e-MDs Solution Series at the time of your initial license. These upgrades will also be mdeavailable to existing users of the Software as part of the Maintenance and Support Fee. The cost, if any, ofupgrading 3rd party software (i.e. Microsoft SQL) is not included in e-MDs Maintenance Fee and will be borne bythe end-user.

April 29, 2014

Our records indicate that your Annual Maintenance Agreement for Upgrades and Support will expire soon. ARenewal Agreement is enclosed. To ensure uninterrupted Upgrades and Support, please sign and return it rightaway. If you would like to pay via credit card please complete the credit card payment section of the renewalagreement and fax it back to 512-257-5225, Attn: Maintenance Renewal Department.

All renewal amounts are due prior to the commencement date of the renewal period. Maintenance must becontinuous; in the event of renewal after a period of lapse, Licensee will be responsible for retroactive paymentsfor the lapse period. Maintenance fees delinquent beyond 180 days may not be brought current and will requirethe customer to repurchase the current version of our software.

Licensing After you have sent in your annual maintenance renewal from and payment.Please take a moment to email [email protected] to request a new annuallicensing key. In your email you should include the following: name of clinic,provider count, main phone number, and contact person. Requesting andinstalling the new key will prevent and or resolve any warning that your license

Page 2 of 6 Renewal v. November 2013


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to

Provider List (if you need additional space, please attach list):

Includes but is not limited to MD, PA and NPs

Electronic Filing

Software License*

MS SQL Workstation Lic ense**

AMA User Li censes***

Please write the Solution Series version you are currently using on the line to the right.

Annual Upgrade Maintenance and Support Maintenance:

AMA CPT Codes ($20 per user per year)

RxHub (Formulary Benefits) ($300 per provider per year)

Patient Portal ($900 per provider per year)

ElectronicFilingMaintenance

***Last year, e-MDs reported 14 AMA user li censes to the American Medical Association. Please see thenote on page 5 of the renewal for the AMA definition of a user. Please confirm your user count on the line to

the right.

14

Annual Maintenance Fee

5,276.70$

9,406.70$

2,700.00$900.00$280.00$

Amou nt Due Annual (s ales t ax wi ll b e added at t ime o f in voice, asapplicable)

Customer Profile

Ann ual Maintenanc e Renewal Perio d:

Annual Maintenance Renewal Agreemente-MDs

Please complete the provider list and the version that you are currently running. In addition, please review the informationbelow for accuracy. Any changes sh ould be r epor ted by email ing licens [email protected]

4/30/2015

Products:

14

3

Gateway

Cass County Pediatric & Adolescents

250.00$

Customer Name:

**

* Customers are required to have a software license for each provider to be compliant with our licensing policies

Customers are required to have a workstation license for each workstation to be compliant with our licensing policies

5/1/2014

Solution Series -Patient Portal (Live), RxHub (Live)



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e-MDs st rongly encourages the Customer to develop and fol low: (1) a Software back-up plan (atleas t w eek ly a f ull s ys tem b ac ku p, i n ad dit io n t o p er fo rm in g a f ul l s ys tem dat abas e b ac ku pimmediat ely p rior to ins tal li ng any upgrade (inc luding enhancemen ts o r mod if icat ions o f anykind) to the Software and each such pre-upgrade backup should be maintained unt il the date thatis the later of: twelve full months from the date of the installation of the upgrade to theCustomer s Software or s ix months af ter the next such upgrade) and (2) a disas ter recovery planfor the Customer s use of the Software and related operat ions . To the extent Customer does nothave an d m ai nt ai n at l eas t s uc h m in im um r ec om men ded f ul l d at ab as e b ac ku ps , Cu st om er understands e-MDs is not in any w ay responsible f or: any damages and inconveniencesresult ing from such failure; and, including any damages or inconveniences that would have beenmit igated with such recommended minimum back-ups . Although e-MDs does not provide suchservices , Customer should consult with Customer s own IT staff or contrac tors and consultantsto develop an appropriate back-up plan and disaster recovery options for the Customersoperations related to t he Sof tw are. e-MDs agrees that Cust om er may copy and image theappl icab le e-MDs Software database(s ) as r easonab le and appropri at e for such backup andrecovery purposes . Customer agrees to keep an accurate accounting of al l copies and backupsof t he So ft war e m ad e an d t o p rov id e e-MDs w it h s uc h ac co un ti ng u pon r eq ues t. Cus tom er i sr espons ib le to requi re that any thi rd par ty p roviding such servi ces to Customer ab ides by andcomplies wit h the Customers obligations und er the Agreement.

On behal f of the named Customer, I cer ti fy that I am an author ized representat ive to approve thisRenewal Agreement and that Customer has read and agrees to and understands the terms andcondi ti ons: (1) s tat ed on thi s Renewal Agreemen t; (2) those l is ted in the Annual Maintenanceand Support Renewal Agreement, the End User License Agreement, Website Terms of Use, (all ascurrently l is ted on the e-MDs Customer support websi te); and, (3) to the extent not inconsistentor modified by the above referenced newer terms and conditions, such other terms andcondi ti ons o f the Customer s ex is ti ng Agreemen t with e-MDs wil l con tinue and remain in ful lforce and effec t . Customer may reques t (v ia emai l f rom an author ized customer representat ive)c op ies o f Cu st om er s c ur rent Renew al Ag reem en t as w ell as an y o ther par ts o f Cu st om er sexis t ing Agreement wi th e-MDs. In addi tion , to the bes t of my knowledge the above informat ioni s accu rat e and the named Customer i s in mater ial compl iance with al l such ex is ti ng terms andconditio ns of t he Customers Agreement wit h e-MDs.



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Customer Signature: Date:

Customer confirms that : (1) the number of Users (defined below) being reported by Customer relatedto the AMA CPT Code [CPT copyright 2012 American Medical Association. All rights reserved; CPT isa registered trademark of the American Medical Association] content is accurate, along with the currentnumber of such Users confirmed by Customer on this annual renewal agreement; (2) Customer has onlyac ces sed an d w ill o nly u se an d ac ces s t he AMA CPT Co de c on ten t d es ig nat ed as b ein g i n t he s am ecalendar and subsequent years of consecutive annual renewals (as may be applicable to Customer) year that Customer first obtained the Software from e-MDs; and (3) Customer understands and agrees thatwil l be obligated to pay additional charges if Customer or i ts Users uses or accesses the AMA CPT Codecontent designated for any calendar years prior to the calendar year in which Customer ini tial ly becamean author ized user of e-MDs Software and cus tomer of e-MDs or for any year dur ing which Customer may have not co nsecutively renewed the Customers accou nt wit h e-MDs.Curren tly, the AMA provides the fol lowing wri tt en guidance related to how you as the Customer mus tcomply with and confi rm related to the AMA CPT Code content embedded in the e-MDs Software:

Acc ording to the term s of the AMA CPT Code lic ensing Agr eement , User means an in div idual w ho:

(a) accesses, uses, or manipulates CPT Editorial Content contained in the Electronic Licensed Product;or

(b) accesses, uses, or manipulates the Electronic Licensed Product to produce or enable an output (data,r ep or ts , o r t he l ik e) t hat c ou ld n ot h ave b een c reat ed w it ho ut t he CPT emb ed ded i n t he El ec tro ni cLicensed Product even though CPT Editorial Content may not be visible or directly accessible; or

(c ) mak es u se o f an o ut pu t o f t he El ec tr on ic L ic en sed Pr od uc t t hat r el ies o n o r c ou ld n ot h ave b eencreated without the CPT Editorial Content embedded in the Electronic Licensed Product even thoughCPT Editorial Content may not b e visible or directly acc essible.

Customer confirms that __________ are the total number of Users per the above stated definition fromthe AMA for AMA CPT Code purposes on Customer s database(s ) for the Customer s annual renewal

period covered by t his renewal agreement.The undersigned is an authorized representative of the Customer and on behalf of the Customer certifiesthe informat ion submi tted in thi s renewal agreement (and al l at tachments , i f any, submi tted with thi sform by Customer) is true and correct . The Customer agrees and understands that as a condition to theCustomer s Agreement with e-MDs, the information provided in this Customer renewal agreement and allother Customer account information must be kept current, and the Customer agrees to notify e-MDs inwrit ing (via electronic mail to l [email protected]) at least s ixty (60) days in advance of any changes,or as soon as possible before or after such a change occurs or Customer becomes aware such a changeis likely to oc cur related to the information submitted on this form.

__________________________________________________________@ ___________________________________________ . __________________

Please email my li cense to :

ONCE YOU RENEW YOUR MAINTENANCE, YOU WILL NEED AN UPDATED ACTIVATION KEY. PLEASE PROVIDE AN EMAIL ADDRESS

SO WE CAN SEND YOU THE UPDATED ACTIVATION KEY AUTOMATICALLY. ACTIVATION KEYS CAN ONLY BE SENT VIA EMAIL,THEREFORE, THERE IS NO NEED TO CALL CUSTOMER SUPPORT. IF YOU HAVE QUESTIONS CONCERING YOUR LICENSE,PLEASE EMAIL L [email protected].



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*Credit Card Number:

Expiration Date:

Billing Address

City

State

Zip Code

*Name as it Appears on the Card:

*Signature of Card Holder:

__________________________________________________________@ ___________________________________________ . __________________

Please email my license to :

ONCE YOU RENEW YOUR MAINTENANCE, YOU WILL NEED AN UPDATED ACTIVATION KEY. PL EASE PROVIDE AN EMAIL ADDRESS SO WE CAN SEND YOU THE UPDATED ACTIVATION KEY AUTOMATICALLY. ACTIVATION KEYS CAN ONLY BE

SENT VIA EMAIL, THEREFORE, THERE IS NO NEED TO CALL CUSTOMER SUPPORT. IF YOU HAVE QUESTIONSCONCERING YOUR LICENSE, PL EASE EMAIL [email protected].

Customer Name: Cass County Pediatric & Adolescents

Renewal - Payments by Credit Card


Cass County Pediatric & Adolescents - Annual Maintenance Renewal

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