Lien Management That Pays for Itself.
We identify, verify, and reduce every lien on every case — from child support and Medicaid to ERISA and hospital balances. More money to your clients. More fee to your firm.
Liens eat settlements. Especially the ones you didn't catch.
Most firms work liens at the last minute. Hospital balances aren't verified until the demand is out. Medicare conditional payments are chased after settlement. Reductions are skipped because nobody has the bandwidth to negotiate a $4,000 hospital bill.
Every dollar of un-reduced lien comes out of the client's net — or your fee.
Common leakage
- Child support liens caught at disbursement, blowing up the close
- Medicare Final Demand letters arriving 90 days after settlement
- Hospital liens paid in full because nobody negotiated
- ERISA plans overreaching on subrogation with no pushback
From first lien check to final letter
Lien work runs in parallel with case work — so disbursement isn't held up by a missing reduction letter.
Bill Balance & Lien Verification
Every outstanding balance and lien identified, verified, and tracked before demand drafting.
Child Support Lien Checks
Statewide child-support lien verification on every plaintiff — every time — before disbursement.
Medicare / Medicaid Verification
Conditional payment checks with CMS and state Medicaid recovery contractors. Liens identified before they surprise you at settlement.
Health Insurance Subrogation
ERISA and private health plan reimbursement claims tracked, verified, and negotiated.
Lien Reduction Negotiation
Reduction requests drafted, sent, and negotiated. We push providers and lien holders for the lowest defensible number.
Final Lien Letters
Final, signed lien letters secured from every provider and recovery contractor before disbursement.
Lien management is dedicated work — delivered by Impact Assistants.
Impact Assistants
A dedicated assistant who learns your providers, your lien holders, and your negotiation thresholds — then runs the lien pipeline in parallel with case work.
Explore Impact AssistantsIntake 360
Intake 360 covers intake and reception — not lien negotiation. Pair it with Impact Assistants for case coverage from first call through final disbursement.
Learn about Intake 360From inventory to final letter
Lien inventory
Full lien matrix built from intake records and bills.
Verification + outreach
Verify amounts, file conditional payment requests, contact recovery contractors.
Reduction negotiation
Draft and negotiate reductions with providers and lien holders.
Final letters secured
Signed final lien letters in hand before disbursement.
What changes for your firm
More net to the client
Reductions that would never have been pursued become standard practice. Clients walk away with more — and tell their friends.
Clean closes
Final lien letters in hand before disbursement. No 90-day surprises. No held-up files.
Higher effective fee
Reduced liens preserve the fee math. The firm captures more of the gross because the lien stack stops eating into it.
Common questions
How much can lien reductions typically save per case?
It varies by case and lien type, but disciplined reduction work routinely moves five-figure liens down by 25–50% and recovers thousands per case that would otherwise come out of the client's net.
Do you handle Medicare conditional payment letters?
Yes. We file CMS conditional payment requests, track Final Demand letters, and dispute charges that aren't related to the injury.
What about ERISA plans with strong subrogation language?
We verify the plan documents, push back on overreach, and negotiate where the plan terms allow. We escalate to your attorneys when plan language is unusually aggressive.
Can you handle liens on cases we didn't intake through you?
Yes. Lien management is independent of intake — Impact Assistants can pick up existing case files and run the lien pipeline.
Which product handles this work?
Lien management is dedicated case work — delivered through Impact Assistants. Intake 360 is on-demand intake coverage and does not include lien negotiation.