Vigil Health
Founding Practice Program · July 9, 2026
This 90-Day Pilot Program Agreement (“Agreement”) is entered into as of the date signed below, between Vigil Health, a Utah company (“Vigil”), and the medical practice identified below (“Practice”).
Practice information
Legal practice name
DBA (if different)
NPI
Tax ID (EIN)
Street address
City
State
ZIP
Billing email
Primary contact name and title
Vigil Health
Vigil Health
Utah
info@vigil-health.org
vigil-health.org
Vigil grants Practice a 90-day pilot access to the Vigil Health Chronic Care Management (CCM) platform, beginning on the date of account activation (“Start Date”) and ending 90 calendar days thereafter (“Pilot Period”), unless earlier terminated per Section 7.
The purpose of the Pilot Period is to evaluate the platform for Practice's CCM program. Practice agrees to provide honest feedback to Vigil and to designate at least one care coordinator and one supervising provider to participate in onboarding and ongoing use.
The following fees apply under the Founding Practice Program rate:
| Fee | Amount | When due |
|---|---|---|
| One-time onboarding fee (Founding Practice rate) | $500.00 | Within 3 business days of agreement execution |
| Monthly per-enrolled-patient fee Patients 1–100: $25.00/pt · 101–200: $20.00/pt · 201+: $17.00/pt | Starting $25.00/pt | 28th of each month; due by the 5th |
Standard list price for the onboarding fee is $1,000.00. The Founding Practice rate of $500.00 is a permanent discount, not limited to the Pilot Period. All payments via ACH through Melio — no credit cards. Mid-month enrollments prorated at 1/30th per day.
A Business Associate Agreement (BAA) between Vigil and Practice is required before Practice may enter any real patient Protected Health Information (PHI) into the platform. Vigil will provide a BAA for execution concurrently with or immediately following this Agreement. Practice agrees not to use the platform with real patient data until the BAA is fully executed.
During the Pilot Period, Practice agrees to:
During the Pilot Period, Vigil agrees to:
At the end of the 90-day Pilot Period, service will automatically continue on a month-to-month basis under the same pricing and terms unless either party provides written notice of termination per Section 7. No additional agreement or re-enrollment is required to continue.
Either party may terminate this Agreement with 15 calendar days written notice to the other party's primary contact email. No cancellation fee applies. Upon cancellation, Vigil will refund any prepaid but undelivered service days via ACH within 5 business days of the cancellation effective date.
To the maximum extent permitted by law, Vigil's liability for any claim arising from use of the platform is limited to fees paid by Practice in the three months preceding the claim. Vigil is not liable for indirect, incidental, or consequential damages, including lost Medicare reimbursements. Vigil does not guarantee that use of the platform will result in successful Medicare reimbursement — Practice is solely responsible for billing accuracy and CMS compliance.
This Agreement is governed by the laws of the State of Utah. Disputes shall be resolved in state or federal courts in Utah. The parties consent to that jurisdiction.
For the Practice
Authorized signature
Printed name
Title
Date
For Vigil Health
Authorized signature
Printed name
Title
Date
Vigil Health · vigil-health.org · info@vigil-health.org
Apply online at vigil-health.org/register · Questions: info@vigil-health.org