Legal Document

Terms of Service

Last updated: 4 June 2025

01

Introduction

Welcome to fairClaims, an AI-driven health insurance claims recovery platform ("Service") operated by Gaido Insurance Pvt Ltd ("Company," "we," "us," or "our"). These Terms of Service ("Terms") govern your use of our website, application, and related services.

By accessing or using our Service, you agree to be bound by these Terms. If you disagree with any part of these terms, then you may not access the Service.

02

Acceptance of Terms

By creating an account, uploading documents, or using our AI-powered claims analysis features, you acknowledge that you have read, understood, and agree to be bound by these Terms and our Privacy Policy.

03

Service Description

fairClaims provides the following services:

  • AI-powered analysis of health insurance claim rejections and short settlements
  • Personalized recovery plans based on your claim specifics
  • Draft grievance letters addressed to insurer GROs
  • Ombudsman complaint preparation and guidance
  • Educational content about IRDAI rights and the claims process
04

User Responsibilities

4.1 Account Security

You are responsible for maintaining the confidentiality of your account credentials and for all activities that occur under your account.

4.2 Accurate Information

You must provide accurate, current, and complete information when using our Service. Misrepresentation of information may affect the accuracy of our AI analysis and recovery recommendations.

4.3 Prohibited Uses

You may not use our Service for:

  • Any unlawful purpose or to solicit others to perform unlawful acts
  • Violating any applicable regulations, rules, or laws
  • Infringing upon our intellectual property rights or those of others
  • Harassing, abusing, or discriminating against any person
  • Submitting false or misleading information
  • Uploading or transmitting viruses or any malicious code
05

AI Technology and Data Usage

5.1 AI Analysis

Our AI technology analyzes your insurance documents and claim details to provide recovery guidance. While we strive for accuracy, AI-generated insights are for informational purposes only and should not be considered professional legal or insurance advice.

5.2 Data Processing

We process your data in accordance with our Privacy Policy. By using our Service, you consent to the processing of your personal and health information for the purpose of providing our AI-powered services.

06

Intellectual Property Rights

The Service and its original content, features, and functionality are and will remain the exclusive property of Gaido Insurance Pvt Ltd and its licensors. The Service is protected by copyright, trademark, and other laws.

You retain ownership of any content you upload, but grant us a license to use, process, and analyze such content to provide our services.

07

Disclaimers and Limitations

7.1 No Legal or Insurance Advice

Our Service provides information and AI-generated insights for informational purposes only. We are not licensed lawyers or insurance agents. Our analysis and draft letters should not be considered as professional legal or insurance advice. Always review generated content before submission.

7.2 Service Availability

We do not guarantee that the Service will be available at all times. We reserve the right to modify, suspend, or discontinue the Service with or without notice.

7.3 Limitation of Liability

In no event shall Gaido Insurance Pvt Ltd, nor its directors, employees, partners, agents, suppliers, or affiliates, be liable for any indirect, incidental, special, consequential, or punitive damages resulting from your use of the Service.

08 – 10

Additional Provisions

Privacy Policy

Your privacy is important to us. Please review our Privacy Policy, which also governs your use of the Service, to understand our data practices.

Termination

We may terminate or suspend your account immediately, without prior notice or liability, for any reason including breach of these Terms. If you wish to terminate your account, contact us to request account deletion.

Changes to Terms

We reserve the right to modify or replace these Terms at any time. If a revision is material, we will provide at least 30 days notice prior to any new terms taking effect.

11

Contact Information

If you have any questions about these Terms of Service, please contact us at:

Gaido Insurance Pvt Ltd.

Email: [email protected]

Website: https://policygaido.com

These Terms of Service are effective as of 4 June 2025 and will remain in effect except with respect to any future changes, which will be in effect immediately after being posted on this page.