Lien Resolver
Medicare liens, hospital liens, ERISA — tracked to resolution
Identifies potential lienholders from medical records, generates notice letters, tracks responses, and calculates reduction arguments. Manages the months-long lien resolution process so no money leaves your trust account without proper clearance.
INGREDIENTS
PROMPT
Create a skill called "Lien Resolver" for a personal injury lawyer. After I settle a case, help me identify and resolve all liens against the settlement proceeds. From the medical records (pair with Medical Records Summarizer), identify potential lienholders: Medicare/Medicaid (CMS conditional payments), ERISA health plans, hospital liens, VA/Tricare, workers' compensation, and child support liens. For each, generate a notice letter with case details and settlement amount. Track: date notice sent, date response received, claimed amount, negotiated amount, and final amount. Send follow-up reminders if no response within 30 days. Calculate lien reduction arguments (made-whole doctrine, common fund, Ahlborn). When all liens are resolved, generate a final disbursement sheet showing: gross settlement, attorney fees, costs, each lien payment, and net to client. Maintain a compliance log documenting every step.
How It Works
After a PI settlement, you can't disburse funds until all liens are resolved.
Medicare alone can take 3-6 months. This skill manages every lienholder from
identification through final resolution.
What You Get
- Lienholder identification from medical records (Medicare, Medicaid, ERISA, hospitals, child support)
- Notice letter generation for each lienholder
- Response tracking with follow-up reminders
- Lien amount recording and reduction argument calculations
- Final disbursement sheet generation
- Compliance documentation for your file
- Section 111 MSP reporting tracking (if applicable)
Setup Steps
- Run Medical Records Summarizer first to identify all providers
- Identify applicable lien types for this case
- Generate and send notice letters
- Track responses and negotiate reductions
- Generate the final disbursement sheet
Tips
- Send notice letters immediately after settlement — the clock starts ticking
- Medicare conditional payment amounts are often inflated — always request an itemized statement
- Track every communication — incomplete documentation is the #1 source of personal attorney liability
- The disbursement sheet must account for every dollar before you cut a single check