Contingency Fee Engagement Agreement

CONTINGENCY FEE ENGAGEMENT AGREEMENT
Forensic Medical Claim Audit Services

Service Provider: Just Ask Brad LLC, a Florida Limited Liability Company, DBA JAB Audit
JABaudit.com | hello@jabaudit.com

1. ENGAGEMENT & SCOPE OF SERVICES

Client hereby engages JAB Audit to perform forensic medical claim auditing services, including but not limited to: review of Explanation of Benefits (EOB) documents and/or 835 Electronic Remittance Advice files; identification of payer underpayments, downcoding, bundling errors, and modifier abuse; preparation of appeal letters with supporting clinical justification; and guidance on resubmission strategy.

Services are performed on claims submitted for review by Client. JAB Audit does not guarantee any particular outcome and does not provide legal, medical, or billing compliance advice beyond claim recovery strategy.

2. CONTINGENCY FEE

JAB Audit's fee is 30% (thirty percent) of all Recovered Amounts when the Client submits carrier participation agreements for review (Option A), or 35% (thirty-five percent) when the audit is performed against the Medicare fee schedule without carrier contracts (Option B). The applicable option is the one the Client selects in the JAB Audit pre-audit disclosure. There is no upfront retainer, subscription, or minimum fee under this Agreement; Option A requires a one-time $500 contract review fee to cover manual contract review and rate extraction.

"Recovered Amount" means the additional payment received by Client from a payer as a direct result of an appeal, resubmission, or corrected claim prepared by JAB Audit, calculated as the difference between the original payer payment and the corrected payment actually received and collected by Client.

JAB Audit's fee applies only to amounts actually collected by Client. If Client does not collect, JAB Audit does not invoice.

3. CLIENT REPORTING OBLIGATIONS

Client agrees to:
a. Notify JAB Audit within ten (10) business days of receiving any payment from a payer on an appealed or resubmitted claim prepared under this Agreement;
b. Provide documentation of the recovered payment upon request (ERA, EOB, or payment posting report);
c. Report recovered amounts honestly and completely. Failure to report constitutes a material breach of this Agreement.

4. INVOICING & PAYMENT

Upon notification of a Recovered Amount, JAB Audit will issue an invoice equal to the applicable contingency percentage (30% under Option A or 35% under Option B) of that amount via the Client's account at JABaudit.com. Payment is due within fifteen (15) days of invoice date. Invoices unpaid after 15 days accrue interest at 1.5% per month. Client authorizes JAB Audit to process payment via the credit card or ACH on file in Client's JABaudit.com account.

5. HIPAA COMPLIANCE & DATA HANDLING

Client and JAB Audit acknowledge that JAB Audit functions as a Business Associate under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations. A separate Business Associate Agreement (BAA) must be executed between the parties prior to the transmission of any Protected Health Information (PHI). JAB Audit maintains HIPAA-compliant data handling practices and does not sell, share, or use Client data for any purpose other than performing the services described herein.

6. TERM & TERMINATION

This Agreement begins on the Effective Date and continues until terminated by either party with thirty (30) days written notice. Termination does not extinguish Client's obligation to pay contingency fees on Recovered Amounts received after termination if the underlying appeal was prepared by JAB Audit prior to termination.

7. NO GUARANTEE OF RECOVERY

JAB Audit makes no representation or warranty that any claim will be recovered or that any particular dollar amount will be obtained. Payer decisions are outside JAB Audit's control. This is a best-efforts engagement.

8. CONFIDENTIALITY

Both parties agree to maintain the confidentiality of all proprietary information, client data, pricing, and methodology shared under this Agreement. Client shall not reverse-engineer, share, or resell JAB Audit's processes, templates, or AI outputs.

9. GOVERNING LAW & DISPUTE RESOLUTION

This Agreement is governed by the laws of the State of Florida. Any dispute arising under this Agreement shall first be submitted to non-binding mediation in Hillsborough County, Florida. If mediation fails, disputes shall be resolved by binding arbitration under the rules of the American Arbitration Association.

10. ENTIRE AGREEMENT

This Agreement, together with any executed Business Associate Agreement, constitutes the entire agreement between the parties and supersedes all prior discussions. Amendments must be in writing and signed by both parties.