Last Updated: Sep 21, 2026
These Terms of Service (“Terms”) are a binding agreement between Stenohealth Inc. (“StenoHealth,” “we,” “us,” or “our”) and the organization or individual accessing the Platform (“Customer” or “you”). By accessing or using the Platform, you agree to these Terms, our Privacy Policy, and, where applicable, our Business Associate Agreement (“BAA”).
If you are entering into these Terms on behalf of a company, agency, or other legal entity, you represent that you have authority to bind that entity, and “you” refers to that entity.
If a separate written agreement, order form, master services agreement, or enterprise subscription agreement is executed between you and StenoHealth, that agreement controls to the extent it conflicts with these Terms.
Please read these Terms carefully. If you do not agree, you may not access or use the Platform.
1. Definitions
2. Eligibility and Intended Use
The Platform is intended solely for use by healthcare organizations, clinicians, and their authorized personnel in a professional capacity. The Platform is not intended for personal, family, or household use, and is not intended for use by individuals under 18 years of age.
The Platform is a documentation support tool. It is not a medical device, is not intended to diagnose, treat, cure, or prevent any disease, and does not provide medical advice. StenoHealth does not practice medicine and does not exercise clinical judgment on behalf of any provider.
3. The Platform and Services
3.1 Audio and Text Capture
The Platform enables healthcare providers to capture audio during or after patient encounters. These recordings are transcribed into text using automated speech recognition technology.
3.2 Transcription and Narrative Generation
The Platform uses artificial intelligence to transcribe recordings and generate narrative summaries, structured documentation, coding suggestions, and related Output. Authorized Users must review and, where necessary, correct Output before finalizing documentation.
3.3 Integrations
The Platform may integrate with electronic health record systems and other third party services. Availability of any integration depends on the applicable third party and may change or be discontinued.
3.4 Changes to the Platform
We may modify, enhance, or discontinue features of the Platform. We will not materially degrade the core functionality of a paid subscription during its then current term without notice.
4. Accounts and Access
4.1 Registration
To access the Platform, you must create an account and provide accurate, current information. You are responsible for maintaining the confidentiality of login credentials and for all activity occurring under your account.
4.2 Authorized Users
You are responsible for the acts and omissions of your Authorized Users and must ensure each Authorized User complies with these Terms. Credentials may not be shared between individuals. You must promptly deactivate access for any individual who is no longer authorized.
4.3 Security Incidents
You must notify us promptly at security@stenohealth.com upon becoming aware of any unauthorized access to or use of your account, credentials, or Customer Data.
4.4 Acceptable Use
You and your Authorized Users may not:
5. Customer Responsibilities and Clinical Judgment
5.1 Provider Responsibility for Documentation
You are solely responsible for the accuracy, completeness, and clinical appropriateness of all final documentation, claims, and records produced with the assistance of the Platform. Output is a draft. A qualified clinician or authorized professional must review Output before it is signed, submitted, billed, or entered into a medical record.
5.2 Patient Notice and Consent
You are solely responsible for obtaining and documenting all patient notices, consents, and authorizations required to record encounters and process patient data through the Platform, including consents required under applicable state recording and wiretapping laws, some of which require all party consent.
5.3 Regulatory Compliance
You are responsible for your own compliance with HIPAA, the Conditions of Participation, Medicare and Medicaid billing and documentation requirements, state licensure and scope of practice rules, and all other laws applicable to your practice. Use of the Platform does not guarantee reimbursement, audit success, or regulatory compliance.
5.4 Prohibited Data
Unless expressly agreed in writing, you may not submit to the Platform: payment card data, Social Security numbers other than as incidentally contained in clinical records, or data subject to regulatory regimes we have not agreed to support, including FISMA, ITAR, or CJIS.
6. AI Generated Output
6.1 Nature of Output
Output is generated by probabilistic models and may contain errors, omissions, or content that does not accurately reflect the underlying encounter. Output may vary even for similar inputs. StenoHealth does not warrant that Output is accurate, complete, clinically correct, compliant with any payer or regulatory standard, or suitable for any particular purpose.
6.2 Human Review Required
You acknowledge that human review of Output is a required control and that you will not rely on Output as the sole basis for any clinical, billing, coding, or coverage decision.
6.3 Ownership of Output
As between the parties, and subject to Section 7, Customer owns the Output generated from its Customer Data. StenoHealth makes no representation that Output is unique, and similar or identical Output may be generated for other customers.
7. Customer Data and Ownership
7.1 Ownership
Customer retains all right, title, and interest in and to Customer Data. StenoHealth claims no ownership of Customer Data.
7.2 License to Operate
Customer grants StenoHealth a limited, worldwide, nonexclusive license to host, process, transmit, display, and otherwise use Customer Data solely to provide, maintain, secure, and support the Platform, and as otherwise permitted under the BAA and applicable law.
7.3 Deidentified and Aggregated Data
StenoHealth may create deidentified data from Customer Data in accordance with the deidentification standard at 45 C.F.R. 164.514, and may use such deidentified and aggregated data to operate, evaluate, improve, and develop the Platform and its models. Deidentified data will not be re identified, and will not be published or disclosed in any manner that identifies Customer, any Authorized User, or any individual.
7.4 Use of PHI for Model Training
StenoHealth does not use Customer PHI to train general purpose or third party foundation models. Any use of PHI for model development is limited to purposes permitted under the BAA and applicable law, including data aggregation and health care operations, and is subject to the safeguards described in our Privacy Policy.
7.5 Data Export and Deletion
During an active subscription, Customer may export Customer Data through features made available in the Platform. Following termination, Customer may request an export for 30 days, after which StenoHealth will delete or return Customer Data as required under the BAA and Section 12.3.
8. HIPAA and Business Associate Obligations
Where StenoHealth creates, receives, maintains, or transmits PHI on behalf of a Covered Entity or another Business Associate, StenoHealth acts as a Business Associate under HIPAA. In that case, the parties will execute a BAA, which is incorporated by reference into these Terms.
In the event of a conflict between the BAA and these Terms with respect to PHI, the BAA controls.
StenoHealth maintains administrative, physical, and technical safeguards designed to meet the requirements of the HIPAA Security Rule, and will notify Customer of any Breach of Unsecured PHI within the timeframes set forth in the BAA.
9. Confidentiality
Each party may receive nonpublic information of the other party that is designated confidential or that reasonably should be understood to be confidential (“Confidential Information”). Each party will use the other party’s Confidential Information only to perform under these Terms, will protect it with at least reasonable care, and will not disclose it except to personnel and advisors bound by confidentiality obligations.
Confidential Information does not include information that is publicly available through no fault of the receiving party, independently developed without reference to the disclosing party’s information, or rightfully received from a third party without restriction. A party may disclose Confidential Information when compelled by law, provided it gives reasonable advance notice where legally permitted.
PHI is governed by the BAA rather than this Section.
10. Intellectual Property
StenoHealth and its licensors retain all right, title, and interest in and to the Platform, including all software, models, algorithms, user interfaces, documentation, and all improvements to the foregoing. No rights are granted except as expressly set forth in these Terms.
Subject to your compliance with these Terms, StenoHealth grants you a limited, nonexclusive, nontransferable, revocable license to access and use the Platform for your internal healthcare operations and patient care purposes during the applicable subscription term.
If you provide feedback, suggestions, or ideas regarding the Platform, you grant StenoHealth a perpetual, irrevocable, royalty free license to use and incorporate that feedback without restriction or obligation to you.
StenoHealth may identify Customer by name and logo as a customer on its website and in marketing materials only with Customer’s prior written consent.
11. Fees, Payment, and Taxes
Fees, subscription scope, and payment terms are set forth in the applicable order form, quote, or subscription plan. Unless stated otherwise, fees are quoted in U.S. dollars, invoiced in advance, and due within 30 days of the invoice date.
Fees are nonrefundable except as expressly stated in these Terms or an applicable order form. Overdue amounts may accrue interest at the lesser of 1.5 percent per month or the maximum permitted by law.
Fees are exclusive of taxes. Customer is responsible for all sales, use, and similar taxes, excluding taxes on StenoHealth’s income.
StenoHealth may adjust fees effective upon renewal with at least 30 days’ prior written notice.
12. Term, Termination, and Suspension
12.1 Term
These Terms remain in effect for as long as you access or use the Platform, or for the subscription term set forth in an applicable order form, including any renewal terms.
12.2 Termination
Either party may terminate for material breach if the breach remains uncured 30 days after written notice. StenoHealth may terminate a free, trial, or evaluation account at any time. Customer may cancel a self service subscription effective at the end of the then current billing period.
12.3 Effect of Termination
Upon termination, Customer’s access to the Platform ceases and any accrued fees become immediately due. StenoHealth will return or destroy PHI in accordance with the BAA. Sections concerning Customer Data ownership, confidentiality, intellectual property, disclaimers, limitation of liability, indemnification, and governing law survive termination.
12.4 Suspension
StenoHealth may suspend access, with notice where practicable, if Customer’s use poses a security risk, violates law, materially disrupts the Platform, or if fees are more than 30 days overdue.
13. Third Party Services
The Platform may interoperate with third party services, including electronic health record systems, transcription infrastructure, and cloud providers. Your use of a third party service is governed by that provider’s terms.
14. Text Messaging (SMS) Program Terms
StenoHealth may offer a text messaging program to share account notifications, appointment and documentation reminders, product and service updates, and customer support communications. This Section describes the terms of that program.
Consent. By providing your mobile phone number and opting in through the Platform, an enrollment form, or another method we make available, you provide express written consent to receive automated and manual text messages from StenoHealth at that number. Consent to receive text messages is not required as a condition of using the Platform or purchasing any service.
Message Frequency and Cost. Message frequency varies depending on your account activity and the specific program you join. Message and data rates may apply according to your mobile carrier plan.
Opting Out. You may stop receiving text messages at any time by replying STOP to any message. After you reply STOP, you will receive one final confirmation message and no further messages unless you opt in again. Reply HELP to any message for assistance, or contact us using the information in Section 22.
Carrier Liability. Supported carriers are not liable for delayed or undelivered messages.
Use of Mobile Information. We do not share your mobile phone number or opt in status with third parties for their marketing or promotional purposes. Your mobile information is handled in accordance with our Privacy Policy.
Other Communications. If you opt out of text messages, we may still contact you through other channels, such as email or phone, regarding your account or the services you use.
15. Support and Availability
StenoHealth provides support during standard business hours and will use commercially reasonable efforts to make the Platform available, excluding scheduled maintenance, emergency maintenance, and events outside our reasonable control. Any committed service levels, uptime targets, or support response times apply only if set forth in a written service level agreement or order form.
16. Disclaimers
EXCEPT AS EXPRESSLY STATED IN THESE TERMS OR A WRITTEN AGREEMENT, THE PLATFORM AND ALL OUTPUT ARE PROVIDED “AS IS” AND “AS AVAILABLE” WITHOUT WARRANTIES OF ANY KIND, WHETHER EXPRESS, IMPLIED, OR STATUTORY. STENOHEALTH DISCLAIMS ALL IMPLIED WARRANTIES, INCLUDING MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, NONINFRINGEMENT, AND ANY WARRANTIES ARISING FROM COURSE OF DEALING OR USAGE OF TRADE.
STENOHEALTH DOES NOT WARRANT THAT THE PLATFORM WILL BE UNINTERRUPTED OR ERROR FREE, THAT OUTPUT WILL BE ACCURATE OR COMPLETE, OR THAT USE OF THE PLATFORM WILL RESULT IN REIMBURSEMENT, REGULATORY COMPLIANCE, OR ANY PARTICULAR CLINICAL OR FINANCIAL RESULT.
17. Limitation of Liability
TO THE MAXIMUM EXTENT PERMITTED BY LAW, NEITHER PARTY WILL BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES, OR FOR LOST PROFITS, LOST REVENUE, OR LOSS OF DATA, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
EACH PARTY’S TOTAL AGGREGATE LIABILITY ARISING OUT OF OR RELATING TO THESE TERMS WILL NOT EXCEED THE AMOUNTS PAID OR PAYABLE BY CUSTOMER TO STENOHEALTH IN THE TWELVE MONTHS PRECEDING THE EVENT GIVING RISE TO THE CLAIM.
The limitations in this Section do not apply to: (a) Customer’s payment obligations, (b) either party’s indemnification obligations, (c) a party’s breach of its confidentiality obligations, (d) StenoHealth’s obligations under the BAA to the extent a higher cap is agreed there, or (e) liability that cannot be limited under applicable law.
18. Indemnification
StenoHealth will defend Customer against any third party claim alleging that the Platform, as provided by StenoHealth and used in accordance with these Terms, infringes a United States patent, copyright, or trade secret, and will indemnify Customer for damages finally awarded or amounts agreed in settlement.
Customer will defend StenoHealth against any third party claim arising from: (a) Customer Data or Customer’s right to submit it, (b) failure to obtain required patient consents or authorizations, (c) clinical, billing, or coding decisions made by Customer or its Authorized Users, or (d) Customer’s violation of law or these Terms, and will indemnify StenoHealth for damages finally awarded or amounts agreed in settlement.
Each indemnity is conditioned on the indemnified party providing prompt notice, reasonable cooperation, and sole control of the defense and settlement to the indemnifying party.
19. Compliance and Screening
Each party represents that it is not, and none of its personnel providing or receiving services are, excluded from participation in any federal healthcare program under 42 U.S.C. 1320a-7 or listed on the HHS OIG List of Excluded Individuals and Entities. Each party will notify the other promptly if it becomes aware of any such exclusion or proposed exclusion.
Nothing in these Terms is intended to induce or reward the referral of patients or the ordering of items or services reimbursable by any federal healthcare program. The parties intend that all compensation reflects fair market value for services actually rendered and complies with the federal Anti Kickback Statute and the Stark Law.
20. Governing Law and Dispute Resolution
These Terms are governed by the laws of the State of New York, without regard to its conflict of laws principles. The United Nations Convention on Contracts for the International Sale of Goods does not apply.
The parties will first attempt to resolve any dispute informally by escalating to senior representatives for 30 days. Any dispute not resolved informally will be resolved by binding arbitration administered by JAMS under its Streamlined Arbitration Rules, seated in Brooklyn, New York, before a single arbitrator. Judgment on the award may be entered in any court of competent jurisdiction.
Either party may seek injunctive or equitable relief in a court of competent jurisdiction to protect its intellectual property or Confidential Information. Disputes will be brought only on an individual basis and not as a class, collective, or representative action.
21. General
Assignment. Neither party may assign these Terms without the other party’s prior written consent, except to a successor in connection with a merger, acquisition, or sale of substantially all assets.
Force Majeure. Neither party is liable for delays or failures caused by events beyond its reasonable control, excluding payment obligations.
Notices. Notices to StenoHealth must be sent to legal@stenohealth.com and to Alex Milani, 137 Clermont Ave, Brooklyn, New York 11205 . Notices to Customer may be sent to the email address associated with the account.
Independent Contractors. The parties are independent contractors. Nothing creates a partnership, joint venture, agency, or employment relationship.
Severability and Waiver. If any provision is held unenforceable, the remaining provisions remain in effect. Failure to enforce a provision is not a waiver.
Entire Agreement. These Terms, together with the Privacy Policy, BAA, and any applicable order form, constitute the entire agreement between the parties regarding the Platform and supersede all prior understandings.
Export and Government Rights. Customer will comply with applicable United States export control and sanctions laws. The Platform is commercial computer software subject to FAR 12.212 and DFARS 227.7202.
22. Modifications to the Terms
We may update these Terms from time to time. Changes are effective upon posting to the Platform with an updated date, except that material changes affecting a paid subscription will take effect upon renewal or upon 30 days’ prior notice. Continued use of the Platform following the effective date constitutes acceptance of the revised Terms.
23. Contact Information
StenoHealth
General: support@stenohealth.com
Legal and notices: legal@stenohealth.com
Security: security@stenohealth.com
Privacy: privacy@stenohealth.com