What we do
Every personal injury recovery arrives with a stack of claims against it. Hospitals file liens. Providers assert balances. Health plans send reimbursement demands. Medicare and Medicaid attach statutory recovery rights. Left unchallenged, those liens quietly consume the settlement you fought to win, and they land on your desk as paperwork right when you are trying to close the file.
Lien & Order is the team that stands between your settlement and those claims. Medical lien resolution is the entire firm, not a side service. We audit every charge, cite the governing statute, test whether each lien is even enforceable, and negotiate provider by provider until the number reflects reality. You get a larger net for your client, a clean paper trail for your file, and hours back in your week.
The lien types we handle
Different liens follow different rules, and the rules are where reductions live. Each lien type below has its own dedicated resolution process. Follow any link for the detail on how we work it.
- Medicare Lien Resolution. Conditional payment demands, final demand letters, and the CMS appeals path handled end to end.
- Medicaid & Medi-Cal Lien Resolution. State recovery claims and Medi-Cal reductions worked under the Ahlborn and common fund rules.
- ERISA & Subrogation Lien Resolution. Self funded plan reimbursement claims tested for real enforceability, not accepted at face value.
- Hospital Lien Negotiation. Inflated chargemaster balances audited line by line and reduced under state hospital lien acts.
- Mass Tort Lien Resolution. High volume lien resolution across large inventories, with clean per claimant accounting.
Our process
One secure intake, no new software for your staff, and a documented result at the end. We keep it deliberately simple so your team does not have to learn a system to hand off a lien.
- Send us the file. Hand off the liens, bills, and settlement details through one secure intake. We take it from there.
- We audit and negotiate. We dissect every charge, surface the errors and unenforceable balances, apply the statute that governs each lien, and go claim by claim to drive the balances down.
- You disburse more. You receive documented reductions and a clean final ledger, a larger net to your client, and less work on your desk.
Why outsourcing beats in-house lien work
Most firms handle liens between everything else, which is exactly why money gets left on the table. A paralegal juggling intake, discovery, and calendaring cannot also spend a week citing the common fund doctrine to a self funded ERISA plan. We can, because it is all we do.
- Specialists win reductions generalists miss. We know which demands are real and which are bluffs, and we hold the line on the bluffs.
- We speak hospital and statute. ERISA, Medicare conditional payments, hospital lien acts, Medi-Cal recovery, and subrogation rules are our daily work.
- Your staff stays on lawyering. No new software, no lien queue, no chasing final demand letters. The bottleneck leaves your building.
- Contingency friendly terms. On most engagements, if we do not reduce the lien, you owe nothing.
Results you can put in the file
Every reduction we secure comes with itemized documentation, call logs, and a final balance your file, your client, and any auditor can rely on. We report outcomes honestly and we do not publish numbers we cannot back up. See our results for the outcomes and aggregate figures we are able to share, and about the firm for the people and credentials behind the work.
