Terms of Service

Acceptance of Terms

By creating an account or using Ailva, you agree to these Terms of Service. Ailva is operated by Scrivly, Inc. ("we," "us," or "our"). If you do not agree, you may not access or use the service.

Eligibility

Ailva is available exclusively to licensed healthcare providers with a valid, active National Provider Identifier (NPI) registered in the United States. By registering, you represent that you hold an active NPI and are a licensed healthcare provider in at least one US jurisdiction. Ailva is available to all NPI-verified provider types, including physicians, nurse practitioners, physician assistants, dentists, pharmacists, and other licensed professionals.

Clinical Decision Support Disclaimer

Ailva is a clinical decision support tool. It provides evidence summaries, citation references, and guideline recommendations to assist licensed healthcare providers in their clinical reasoning. Ailva is not medical advice and is not a substitute for independent clinical judgment, professional medical training, or the physician-patient relationship.

All outputs are informational in nature. Phrases such as "evidence suggests," "guidelines recommend," and "based on [study]" reflect summaries of published literature and do not constitute directives, diagnoses, or treatment orders. You are solely responsible for all clinical decisions made in the care of your patients.

Ailva may use multiple retrieval and inference systems to produce an answer, including vector retrieval, citation lookups, and third-party language model providers. Availability of these systems may affect response speed, citation formatting, and the level of verification attached to a given answer.

FDA Clinical Decision Support Exemption

Ailva is designed to meet the criteria for a non-device clinical decision support (CDS) tool under Section 3060(a) of the 21st Century Cures Act. Specifically, Ailva (1) is not intended to acquire, process, or analyze a medical image, signal, or pattern from an in vitro diagnostic device or body; (2) displays the underlying evidence and clinical references supporting its outputs; (3) does not replace the clinical judgment of a licensed physician; and (4) is intended to be used by a healthcare professional qualified to independently review and interpret the information.

Ailva is not classified as a medical device or Software as a Medical Device (SaMD). It is not intended to diagnose, treat, cure, or prevent any disease. It is not cleared or approved by the US Food and Drug Administration.

Protected Health Information (PHI) Prohibition

You must not enter Protected Health Information into Ailva. PHI includes any information that could be used to identify an individual patient, including but not limited to: patient names, dates of birth, medical record numbers (MRNs), Social Security numbers, addresses, phone numbers, email addresses, biometric identifiers, full-face photographs, and any other HIPAA-defined identifiers.

De-identified clinical descriptions are permitted and expected. You may include de-identified demographic information (e.g., age range, sex, race/ethnicity), lab values, vital signs, conditions, medications, and clinical findings when composing queries. These de-identified descriptors do not constitute PHI under the HIPAA Safe Harbor de-identification standard (45 CFR 164.514(b)(2)) and are necessary for Ailva to provide patient-specific evidence synthesis.

By using Ailva, you represent that any clinical context you submit has been de-identified before submission. You remain responsible for ensuring that query text does not contain identifiers or other protected data.

If you enter information that we determine contains PHI, we reserve the right to delete such data immediately without notice and, for repeated violations, to suspend or terminate your account.

Data Retention

Your query history and associated responses are retained while your account remains active. This enables session continuity, query history search, and shareable response links. Upon account deletion, your query history, profile data, and associated engagement metrics will be permanently removed within 30 days.

De-identified patient context and extracted retrieval metadata may also be stored with your query history so Ailva can reload prior sessions, support follow-up questions, and improve citation verification.

De-identified, aggregated analytics data (e.g., query topic volumes by specialty) may be retained indefinitely after account deletion because it cannot be linked back to you.

Third-Party Processing

You authorize Ailva to transmit your de-identified query text, retrieved evidence context, and related metadata to the third-party infrastructure required to operate the service, including hosting, database, embedding, monitoring, and language-model providers.

As of April 7, 2026, this includes Neon for database storage, Vercel for application hosting, Hugging Face for query embeddings, Z.ai for synthesis and understanding inference, Upstash for rate limiting, Sentry for error monitoring, and advertising systems such as Google Ad Manager and Google AdSense for contextual ad delivery.

Do not use Ailva if your institutional or legal requirements prohibit transmitting de-identified clinical context to these providers.

Permitted and Prohibited Uses

You may use Ailva to:

• Query clinical evidence using de-identified patient context
• Review synthesized evidence and citations for clinical decisions
• Generate prior authorization letters and patient handouts
• Check drug interactions and guideline recommendations
• Share de-identified response links with colleagues

You may not:

• Enter identifiable patient information (PHI)
• Use Ailva as a sole basis for clinical decisions without independent professional judgment
• Submit any query that contains PHI, proprietary third-party patient records, or information you are not authorized to share
• Redistribute Ailva's outputs as your own proprietary content or for commercial resale
• Attempt to reverse-engineer, scrape, or extract Ailva's underlying models, databases, or algorithms
• Share your account credentials with unauthorized individuals
• Use automated tools to submit queries at scale without prior written authorization

Intellectual Property

Ailva's software, evidence synthesis engine, clinical knowledge systems, citation database, and user interface are the proprietary property of Scrivly, Inc. and are protected by applicable intellectual property laws. Your use of Ailva does not grant you any ownership rights in the service or its underlying technology.

Limitation of Liability

To the maximum extent permitted by applicable law, Scrivly, Inc. and its officers, directors, employees, agents, and affiliates shall not be liable for any indirect, incidental, special, consequential, or punitive damages, including but not limited to damages for loss of profits, data, goodwill, or other intangible losses, arising out of or in connection with your use of or inability to use Ailva.

Without limiting the foregoing, Scrivly, Inc. shall not be liable for any clinical outcomes, patient harm, misdiagnosis, or treatment decisions that result from reliance on Ailva's outputs. Ailva provides evidence summaries from published literature; it does not examine patients, perform diagnostics, or prescribe treatments. All clinical decisions remain the sole responsibility of the treating physician.

In no event shall Scrivly, Inc.'s total aggregate liability exceed the greater of one hundred US dollars ($100) or the amount you have paid to Scrivly, Inc. in the twelve months preceding the claim.

Disclaimer of Warranties

Ailva is provided "as is" and "as available" without warranties of any kind, whether express, implied, or statutory, including but not limited to implied warranties of merchantability, fitness for a particular purpose, accuracy, completeness, and non-infringement. We do not warrant that the service will be uninterrupted, error-free, or free of harmful components.

While Ailva validates citations against a database of published literature, we do not guarantee the accuracy, completeness, or clinical applicability of any evidence synthesis. Medical knowledge evolves continuously, and published studies may be retracted, superseded, or reinterpreted.

Some responses may include citations that are structured and fully verified, PMID-backed citations derived from retrieved abstracts, or textual references that could not be automatically verified. You are responsible for independently reviewing the cited source material before relying on any answer.

Indemnification

You agree to indemnify and hold harmless Scrivly, Inc. and its officers, directors, employees, and agents from any claims, liabilities, damages, losses, or expenses (including reasonable attorneys' fees) arising from your use of Ailva, your violation of these Terms, or your violation of any third-party rights.

Modifications to the Service and Terms

We reserve the right to modify, suspend, or discontinue Ailva (or any part of it) at any time with or without notice. We may update these Terms from time to time. If we make material changes, we will notify you via email or through a notice in the application. Continued use of Ailva after the effective date of any changes constitutes your acceptance of the revised Terms.

Termination

We may suspend or terminate your access to Ailva at any time for any reason, including violation of these Terms. You may delete your account at any time through your profile settings. Upon termination, your right to use the service ceases immediately. Sections relating to intellectual property, limitation of liability, indemnification, and governing law survive termination.

Governing Law and Dispute Resolution

These Terms are governed by the laws of the State of Texas without regard to conflict of law provisions. Any dispute arising under these Terms shall be resolved exclusively in the state or federal courts located in Travis County, Texas.

Contact

Questions about these Terms may be directed to legal@ailva.ai.