LEGAL & TERMS
Terms of Service
Last updated: September 23, 2026
In short
You keep your billing TIN — Rura never becomes your billing entity.
Rura’s percentage fee is earned only after a payer pays a claim, never on denied or unpaid claims.
Credentialing and payer approval are pursued in good faith but decided by third-party payers, not guaranteed by Rura.
You can cancel anytime; fees already earned on paid claims remain due.
This summary is for convenience only. The full terms below govern your use of Rura.
ON THIS PAGE
1. Services & Eligibility 2. Fees & Responsibilities 3. Credentialing, Confidentiality & IP 4. Term & Liability 5. Governing Law & General
1. Description of Services & Eligibility
The service. Rura provides a platform and related services that help independent pharmacies and pharmacists offer and bill for clinical services, including credentialing and payer contracting support; an integrated medical EMR; scheduling and eligibility verification; medical claims submission and denial management; revenue-cycle and performance reporting; and related telehealth and clinical documentation tools.
Who may sign up. The Services are available to pharmacies or organizations enrolling on behalf of their locations and pharmacists, and individual pharmacists, including those working with an existing pharmacy, each a Client or you. By creating an account you represent that you are authorized to bind the pharmacy or organization you represent, and that all license, NPI, and credentialing information you provide is accurate and current.
Account accuracy. You are responsible for maintaining accurate practice, licensure, and pharmacist information and for promptly updating us of any change, such as a lapsed license, a new location, or a change in services offered, since inaccurate information can delay or block credentialing and claims.
2. Fees, Payment & Client Responsibilities
Fees. Fees consist of a monthly platform fee per enrolled pharmacist plus a percentage of collected, paid claims, as set out in your Order Form or pricing schedule, currently marketed as $41 per month per pharmacist plus 45% of paid claims. If you are already credentialed and contracted, the percentage of collected, paid claims decreases to 40%. Rura’s percentage fee is earned only after a payer pays a claim; Rura does not charge a percentage on claims that are denied or never paid. Fees may change with notice as described in your Order Form; continued use after a fee change takes effect constitutes acceptance.
No fee on existing revenue. Fees apply only to new claims submitted through the Rura platform, not to a Client’s existing, unrelated billing or dispensing revenue.
Your billing TIN. You retain your own billing Tax Identification Number and remain the billing provider of record; Rura does not become the billing entity for your claims.
Client responsibilities. You agree to provide timely, accurate practice and pharmacist information; document clinical encounters in the timeframe required for clean claims submission; maintain all required professional licenses, DEA and state registrations, and liability insurance; deliver clinical services in compliance with your state’s pharmacy practice act, scope-of-practice rules, and applicable collaborative practice agreements or standing orders; and cooperate with credentialing, payer enrollment, and audit requests. You are responsible for the clinical and professional judgment involved in patient care; Rura is not a healthcare provider and does not practice pharmacy or medicine.
Cancellation. You may cancel your subscription at any time as described in your Order Form; cancellation does not relieve you of fees already earned on claims paid before the cancellation date.
3. Credentialing, Payer Contracting, Confidentiality & IP
No guarantee of approval or reimbursement. Rura will use commercially reasonable efforts to pursue credentialing and payer contracting on your behalf, but credentialing approval, network participation, and claim reimbursement are ultimately decided by third-party payers and are not guaranteed. Reimbursement rates, timelines, and covered services vary by state, payer, and plan, and past or marketed figures, including any revenue or time-savings estimates, are illustrative only and not a promise of results.
Third-party partners. Rura may use third-party credentialing, technology, telehealth, or clearinghouse partners to deliver the Services. We remain responsible for requiring appropriate confidentiality and, where PHI is involved, HIPAA protections from those partners.
Confidentiality. Each party will protect the other’s non-public business, technical, and financial information using at least the same care it uses for its own confidential information, and will use it only to perform this Agreement.
Intellectual property. Rura retains all rights in the Rura platform, software, documentation, and trademarks. You retain all rights in your practice data and, as between the parties, in patient data submitted through the platform, subject to Rura’s right to use de-identified or aggregated data to operate, support, and improve the Services. Nothing here transfers ownership of either party’s pre-existing IP.
4. Term, Termination, Disclaimers & Limitation of Liability
Term and termination. This Agreement begins when you create an account and continues until terminated. Either party may terminate for convenience as described in your Order Form, marketed today as “cancel anytime”; Rura may also suspend or terminate immediately for non-payment, a compliance or credentialing issue that puts patients or payer relationships at risk, or a material breach that is not cured within a reasonable period after notice. On termination, fees earned on claims paid before the effective termination date remain due, and Rura will reasonably cooperate on an orderly transition of credentialing status and data as further described in the BAA and any data-return terms in your Order Form.
Disclaimer. The Services are provided “as is” and “as available.” Rura disclaims all warranties not expressly stated in this Agreement, including implied warranties of merchantability, fitness for a particular purpose, and non-infringement. Rura does not guarantee any specific level of revenue, time savings, claims approval rate, or payer reimbursement.
Limitation of liability. To the maximum extent permitted by law, neither party will be liable for indirect, incidental, special, consequential, or punitive damages, or lost profits or revenue. Each party’s total liability arising out of this Agreement will not exceed the fees paid or payable to Rura in the 12 months before the claim arose, except for liability arising from a party’s confidentiality or HIPAA/BAA obligations, indemnification obligations, or gross negligence or willful misconduct, which are not subject to this cap.
5. Governing Law, Dispute Resolution & General Provisions
Indemnification. Each party will indemnify the other against third-party claims arising from its own breach of this Agreement, violation of law, or negligent or willful acts, including, for Clients, claims arising from the clinical care you provide or the accuracy of information you submit, and, for Rura, claims arising from our credentialing, billing, or platform errors within our control.
Governing law and disputes. This Agreement is governed by the laws of [State of incorporation/HQ], without regard to conflict-of-laws principles. [Insert litigation venue or binding arbitration terms — to be finalized with counsel.]
General provisions
Assignment. Neither party may assign this Agreement without the other’s consent, except Rura may assign it in connection with a merger, acquisition, or sale of substantially all assets.
Severability. If any provision is found unenforceable, the remaining provisions stay in effect.
Entire agreement. This Agreement, together with your Order Form and the BAA, is the entire agreement between the parties on this subject and supersedes prior discussions.
Notices. Notices to Rura should be sent to sales@rura.health, and notices to Client will be sent to the contact information on file.
Changes. Rura may update these Terms with notice as described above. Continued use after changes take effect constitutes acceptance.
Questions?