Company: HCTI
Filing Date: 2025-03-31
Form Type: 10-K
Source: 0001213900-25-026218
Chunk: 36

Company: Healthcare Triangle, Inc.
Filing Date: 2025-03-31
Form: 10-K
Item: Item 1
Chunk 36
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 “E-Prescribing and the Prescription Drug Program” regulations in
2005 (effective January 1, 2006), and final regulations governing the standards for electronic prescribing under Medicare Part D in 2008
(effective June 6, 2008) (the “ePrescribing Regulations”). These regulations are required by the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (“MMA”) and consist of detailed standards and requirements, in addition to the
HIPAA Standard discussed above, for prescription and other information transmitted electronically in connection with a drug benefit covered
by the MMA’s Prescription Drug Benefit. Further, in 2016, Congress passed the Comprehensive Addiction and Recovery Act, which contained
components related to Prescription Drug Monitoring Programs and other elements that relate to the use of our technologies. These standards
are detailed and broad and cover not only routing transactions between prescribers and pharmacies, but also electronic eligibility, formulary,
and benefits inquiries. In general, regulations in this area can be burdensome and evolve regularly, meaning that any potential benefits
to our clients from utilizing such solutions and services may be superseded by a newly promulgated regulation that adversely affects our
business model. Our efforts to provide solutions that enable our clients to comply with these regulations could be time consuming and
expensive.

Any failure or perceived failure by us to comply
with the aforementioned laws and regulations in connection with our products and services provided to our clients or used by third parties,
or our related legal obligations, or any compromise of security that results in the unauthorized release or transfer protected information,
may result in governmental enforcement actions, litigation, class action, or public statements against us by consumer advocacy groups
or others and could cause our clients to lose trust in us, which could have an adverse effect on our business, financial condition, results
of operations, reputation, or prospects.

We may be subject to liability as a result
of a failure or a perceived failure to comply with laws and regulations governing approval and reimbursement of claims by healthcare industry
payers.

Our software solutions allow to electronically
transmits medical claims by physicians to patients’ payers for approval and reimbursement. In addition, our services include assistance
in cloud processing and submission of medical claims by physicians to patients’ payers for approval and reimbursement. Federal law
provides that it is both a civil and a criminal violation for any person to submit, or cause to be submitted, a claim to any payer, including,
without limitation, Medicare, Medicaid