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Legal

Terms of Service

The agreement between Terra and the clinicians and practices that use it: accounts, clinical responsibility, PHI, credits and billing, acceptable use and liability.

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These Terms of Service ("Terms") are an agreement between {{LEGAL_ENTITY}} ("Terra", "we", "us") and the person or organisation that uses Terra ("you", the "customer"). By creating an account, starting a trial or using Terra, you agree to these Terms. If you accept them for a practice or other organisation, you confirm you have authority to bind it.

The service

Terra is a clinical documentation workspace available at app.useterra.si (the "Service"). It includes live and file transcription, AI-drafted notes, chart context, record chat, ICD-10-CM coding suggestions, evidence research, templates, writing style, text shortcuts and team review tools, as described on our website and in the Help Center. We may improve and change features over time. We will not materially reduce the core functions of a paid plan during a billing period without notice.

Accounts and practices

  • Each user needs their own account. Credentials are personal; do not share them.
  • You must give accurate account information, keep your email address current and keep your password and devices secure.
  • A practice ("workspace") is controlled by its managers, who invite members, assign roles and control access. The customer is responsible for who it invites and what roles it gives them, and for removing access when someone leaves.
  • Tell us promptly at security@useterra.si if you suspect unauthorised use of an account.

Clinical responsibility

Terra is a documentation tool. It is not a medical device, does not provide medical advice, and does not make clinical, diagnostic, treatment, coding or billing decisions.

  • Every draft, transcript, answer, code suggestion and evidence summary is a proposal that a licensed clinician must review. You are responsible for the content of every note you sign and every code you approve.
  • AI output can be incomplete or wrong. Citations show where text came from; they do not prove it is correct or complete.
  • Coding suggestions do not determine coverage, medical necessity, sequencing or claim acceptance. Terra does not submit claims.
  • Terra is not an electronic health record and is not intended for emergencies or time-critical clinical alerts.

Recording consent

You are responsible for informing patients and anyone else present, and for obtaining any consent that federal and state law or your policies require, before recording or transcribing a visit. Terra asks the clinician to confirm consent before each live session, but that confirmation does not replace your legal obligations.

Protected health information

  • Before entering PHI into Terra, a customer that is a covered entity or business associate must have a Business Associate Agreement with Terra in place. The BAA forms part of these Terms and controls if it conflicts with them.
  • The free trial is for synthetic data only. Do not enter real patient information during the trial.
  • You are responsible for having the rights and authorisations needed to upload the content you put into Terra, including outside records.

Your content

  • You keep all rights in the content you and your patients' records contribute ("Customer Data"). You grant Terra a limited right to host, process, transmit and display Customer Data only to provide, secure and support the Service for you, and as described in the Privacy Policy and the BAA.
  • We do not sell Customer Data or use PHI to train AI models.
  • You can export signed notes and records at any time while your account is active, and for {{EXPORT_WINDOW}} after it ends.

Subprocessors and third-party services

Terra uses subprocessors to run the Service, listed on the Compliance center. We are responsible for their performance of our obligations to you. Evidence research queries public services (NCBI, DailyMed, openFDA and MedlinePlus) with de-identified searches you approve; those services' content is provided as is under their own terms. Google sign-in and Stripe checkout are also governed by Google's and Stripe's terms.

Plans, credits and payment

  • Plans. Terra ($50 per month, 20,000 credits), Pro ($99 per month, 40,000 credits) and Groups ($89 per clinician per month, 35,000 credits per clinician, for 3 to 100 clinicians), or as otherwise shown on our pricing page or in an order you accept.
  • Credits. One credit represents $0.001 of model usage. Terra shows an estimate and reserves credits before larger requests, then charges actual usage. Included monthly credits expire at the end of each billing period. Top-up credits ($10 for 5,000, $25 for 12,500, $50 for 25,000) do not expire while your account is active. Credits have no cash value and are not refundable or transferable, except as required by law.
  • Billing. Subscriptions renew monthly until cancelled and are charged in advance through Stripe. Prices exclude taxes, which you pay where applicable. If a payment fails or is reversed, we may hold the related credits and pause credit-using features; manual editing, signing and export stay available.
  • Price changes. We will give at least 30 days' notice of a price increase, which takes effect at your next renewal.
  • Cancellation. You can cancel at any time by contacting us; access continues until the end of the paid period. Fees already paid are not refunded except where required by law or stated in writing.

Acceptable use

You will not, and will not let anyone else:

  1. use Terra in violation of law, including privacy, consumer protection and recording-consent laws;
  2. upload content you have no right to use, or malicious code;
  3. try to access another customer's data, bypass access controls, or probe or test the Service's security except under our vulnerability disclosure terms;
  4. overload, disrupt or reverse engineer the Service, or use it to build a competing product;
  5. use outputs to make automated decisions about patients without clinician review;
  6. resell or sublicense the Service except as we agree in writing.

We may suspend access that threatens the Service, other customers or patients, and will tell you why unless the law or the urgency of the risk prevents it.

Trials, previews and feedback

Trials and features labelled preview or beta are provided as is, may change or end, and are excluded from any service commitments. If you send us feedback, we may use it without obligation to you.

Confidentiality

Each party will protect the other's non-public information with at least reasonable care and use it only to perform under these Terms. PHI is governed by the BAA.

Term and termination

These Terms last while you use Terra. You may stop at any time. We may terminate for material breach not cured within 30 days of notice, or immediately for serious misuse or if required by law. On termination, your right to use the Service ends, you may export your data during the export window, and we then delete or return Customer Data as set out in the BAA. Sections that by their nature should survive termination do so.

Warranties and disclaimers

We will provide the Service with reasonable skill and care and in line with our security practices. Except as stated in these Terms, the Service is provided "as is" and "as available", and we disclaim all other warranties, including merchantability, fitness for a particular purpose, non-infringement and that the Service or its outputs will be accurate, complete or uninterrupted.

Limitation of liability

To the extent permitted by law, neither party is liable for indirect, incidental, special, consequential or punitive damages, or for lost profits, revenue or data, even if advised of the possibility. Each party's total liability arising from these Terms is limited to the fees you paid Terra in the 12 months before the event giving rise to the claim. These limits do not apply to your payment obligations, a party's indemnity obligations, or liability that cannot be limited by law. Liability under the BAA is subject to {{BAA_LIABILITY_TERMS}}.

Indemnity

You will defend and indemnify Terra against third-party claims arising from your Customer Data, your clinical decisions and documentation, or your breach of the acceptable use rules. We will defend and indemnify you against third-party claims that the Service, as provided by us, infringes their intellectual property rights.

Governing law and disputes

These Terms are governed by the laws of {{GOVERNING_LAW}}, without regard to conflict-of-laws rules. Disputes will be resolved in the courts of {{VENUE}}, and each party consents to their jurisdiction. Before starting proceedings, each party will first try in good faith to resolve the dispute by written notice and discussion for 30 days.

Changes to these Terms

We may update these Terms. We will post changes here with a new date and email account owners at least 30 days before material changes take effect. Continuing to use Terra after that date means you accept the updated Terms.

General

These Terms, the BAA and any order you accept are the entire agreement on this subject. If a provision is unenforceable, the rest remains in effect. A failure to enforce is not a waiver. Neither party may assign these Terms without consent, except to a successor of its business that agrees to them. Neither party is liable for delays caused by events beyond its reasonable control. Notices to Terra go to hello@useterra.si; notices to you go to the account owner's email.

Contact

{{LEGAL_ENTITY}}, {{COMPANY_ADDRESS}}. Email hello@useterra.si.