Medical providers

Medical lien funding

A provider treating on a lien is paid when the patient’s case resolves. Medical lien funding brings some of that payment forward, and the funder reads the case behind the lien.

Who this is for

Practice owners, billing managers and revenue leads at providers treating on liens

Your job is to keep a practice funded while receivables wait on other people’s cases. The funder’s question is not about the bill. It is about the case the bill depends on: how strong it is, how long it will take and whether the lien will be honoured.

  1. Car accident12 to 24 mo
  2. Motorcycle accident12 to 30 mo
  3. Slip and fall12 to 24 mo
  4. Premises liability12 to 30 mo
  5. Truck accident18 to 36 mo
Figure 1Typical time to resolution for the cases behind a lien. The typical band, in months, published on each Criterica Capital case-type page. A lien is collected when its case resolves, so the case-type band is the clock the receivable runs on.Source: Criterica Capital case-type pages

What medical lien funding is

A medical lien, or letter of protection, is the provider’s claim on a patient’s case recovery for treatment given without payment up front. Medical lien funding advances part of the value of those receivables so the provider is paid before the case resolves.

Criterica Capital prepares the provider request and sends it to independent funders. Each decides on its own. Balance letters are enough; medical records are not requested.

What the funder reads behind a lien

The funder reads the underlying case: the type, the stage, the court and the attorney. It reads the lien itself: the amount, the date of service and whether the attorney has acknowledged it. And it reads the pace of comparable cases in the same court, because the receivable is only collected when the case resolves.

The case stage, the court and the pace come from the court record. The lien and the acknowledgement come from the provider and the attorney.

How to prepare the provider request

List each lien with the attorney’s details, the case type and court, the balance and the date of service. Attach the attorney’s acknowledgement where there is one. Group the liens by attorney so the funder can see concentration.

How to read this

The bands describe how each case type has commonly resolved. A particular lien depends on its own case, its court and its attorney, and the funder weighs those on its own.

Questions readers ask

What is medical lien funding?

An advance against the value of a provider’s lien or letter of protection receivables, so the provider is paid before the patient’s case resolves.

What does a funder read behind a lien?

The underlying case type, stage, court and attorney, the lien amount and date of service, and the pace of comparable cases in the same court.

Are medical records required?

No. Balance letters are enough, and medical records and treatment notes are not requested.

Next step

Get paid sooner on your lien cases.

Send a provider request. Balance letters only, never medical records. Independent funders each decide on their own.

Start a provider request

Need analysis rather than funding? Criterica Intelligence