Bill Pay User Supplemental Terms

If you are a Bill Pay User, the following Supplemental Terms apply to you:

1.     Information You Submit.  When you use our online bill pay,  you will need to submit certain information to us about yourself and your payment information, such as credit card type, credit card number, and credit card expiration date (your “Bill Pay Information”), which we will use to process your payment.  You are solely responsible for ensuring that the Bill Pay Information you submit is accurate, complete and current.  Company shall have no liability to you or to any third parties in connection with the accuracy of the information you provide, including but not limited to your Bill Pay Information.

2.     Payment Authorization.  You authorize us to charge and/or debit the account submitted with your Bill Pay Information for the charges for services rendered by your Dental Provider.  You also authorize us to share any information you submit, including but not limited to your Bill Pay Information, with your Dental Provider.  You acknowledge and agree that we will use certain trusted partners, such as Vantiv, LLC, or Fifth Third Bank, or a successor thereof, or Visa, MasterCard, Discover or any other card organization or third party vendor to process your payments and manage your Bill Pay Information (all of the foregoing, the “Third Party Vendors”).  You further acknowledge and agree that the Third Party Vendors processing your payments or managing your Bill Pay Information will receive information about you and your Dental Provider.

3.     Responsibility for Payment.  We will bear no responsibility for any unsuccessful charges or debits in connection with your use of the Services.  In the event that any charges cannot be collected using your submitted Bill Pay Information, you will be solely responsible for providing payment in full to your Dental Provider.