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To Outsource Lien Resolution or Not? A Guide Every Personal Injury Firm Needs to See

9 Types of Liens to Get Help With

For personal injury law firms, healthcare lien resolution isn’t just a backend process—it’s a critical part of case resolution and a key to client satisfaction. But not all liens are created equal. Knowing which ones to partner with experts on and which to manage internally can save your team time, reduce liability, and increase your firm’s profitability.

Liens Where Employing Experts Pays Off!

Partnering with an expert team of subrogation experts, like synergy., can pay huge dividends for your client as well as for your law firm’s productivity when dealing with:

· Medicare Conditional Payments: These involve regulatory minefields, strict deadlines, and complex compromise/waiver processes. Missing a step can be very costly.

· Medicare Advantage (Part C) Liens: Even more nuanced than traditional Medicare, these liens carry personal liability risks and potential double damages.

· Medicaid Third Party Liability: State-specific rules and the need for Ahlborn reductions make these ideal for specialists who understand the negotiation landscape and legal nuances.

· ERISA (Employer-Sponsored Plan) Liens: Governed by federal law and full of dense plan language, ERISA liens demand precision. If you’re not reading plan documents daily and up to date on the best angle of attack, outsource this.

· FEHBA: These liens involve federal regulations that can be intricate and challenging to interpret.  FEHBA is very similar to ERISA, outsource it if you don’t know the nuances.

· Military Health Plan Liens: Military health plan liens are governed by specific federal laws and each branch of the military has different processes that can be difficult to navigate.  Like FEHBA, outside expertise can be invaluable.

· Hospital and Provider Liens: Often highly inflated, these liens require aggressive negotiation based on real cost of care—not full billed charges.

· Private Health Insurance Liens: These are governed by policy terms and state law. Subrogation-savvy firms can unlock substantial reductions that might be missed.

· Multi-Jurisdictional Liens: When cases cross state lines, choose a team that knows the rules everywhere, not just in your ZIP code.

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When May A Lien Best Handled In-House?

While many law firms can benefit from experts in lien resolution, some types of liens may just not be appropriate for outsourcing:

· Small Liens (≤ $2,000): For these liens, your team might resolve them faster—though synergy. does handle any size lien if you prefer full outsourcing.

· Local Provider Liens: If you have strong relationships with nearby providers, leverage them for goodwill and favorable outcomes.

· Workers’ Comp Liens: Highly state-specific and typically best handled by someone well-versed in local WC laws.

· Medicaid Estate Recovery: State agencies manage these claims, which hinge on state law with state specific resolution processes.

· Child Support Liens: Strictly governed by state statute and typically formulaic. Best left to your local legal team.

· Pre-Settlement Funding Liens: These are contract-based. Unless there’s a dispute, most follow straightforward repayment terms.

The Bottom Line

Not every lien needs to be outsourced—but the ones that are appropriate can really benefit from an expert like synergy. .

Knowing where to draw the line between handling it yourself and expert resolution is key to maximizing net recovery and reducing case bottlenecks. Evaluate complexity, risk, and your firm’s internal workload to decide what is right.  Making the right choice on lien resolution isn’t just about efficiency—it’s about protecting your client’s recovery and your firm’s bottom line.

If you want to recapture more of your team’s time, free your burdened staff and supercharge lien resolution results, consider partnering with synergy. for lien resolution.  Visit https://partnerwithsynergy.com/liens/why-partner/ to learn more.

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