For law firms

The case settled. The client is still waiting for their money.

A closeout tracker for personal injury firms. Every lien on the case, its original amount, the reduction you negotiated and its status, so the settlement can be paid out as soon as the last one is final.

One-time build · $4,300

30 days

after a Medicare conditional payment letter, if no response is received, a demand letter is issued automatically.

Centers for Medicare & Medicaid Services

Why settlements wait

Medicare lists claims that are not related

The conditional payment letter lists every claim Medicare thinks is related to the case. Unrelated lines have to be found and disputed before the final amount is right.

GovernmentCMS on conditional payment information

Many liens, many deadlines

Medicare, health insurers and providers each have their own letters, amounts and timelines. The money cannot go out until every one is settled.

GovernmentCMS on conditional payment information

How it works

  1. Every lien on one page

    Medicare, health insurance and provider liens for the case, each with its letter, amount and deadline.

  2. Work each one down

    Mark unrelated Medicare lines to dispute, record reductions as they are agreed, and see what is still open.

  3. Close out cleanly

    When every lien is final, the closing statement is produced: settlement, fee, costs, each lien and the amount to the client.

What you get

  • Every open lien across all settled cases, by age
  • Medicare lines to dispute, marked and tracked
  • Reductions recorded as they are agreed
  • A closing statement ready the day the last lien is final

A good fit if

  • You settle personal injury cases with Medicare or health-insurer liens
  • Clients regularly ask why their money has not arrived
  • Lien work lives in notes and spreadsheets today

Probably not for you if

  • You outsource lien resolution to a service that already tracks it
  • Your cases rarely involve liens

Price

$4,300

One time, for the finished tool. About 60–110 hours of work at the same $50 an hour as the cost calculators on this site.

Talk about your firm
  • Lien types, letters and statuses set up for your firm
  • The closing statement in your firm's format
  • Connected to your case software where it allows
  • Training for the person who handles closeouts

Questions

What is a Medicare conditional payment letter?

A letter from Medicare listing the payments it believes it made for treatment related to the case, and the interim total it expects to be repaid. Unrelated claims on it can be disputed.

Does it handle personal injury lien resolution for us?

No. Your team negotiates. The tool records every lien, its status and the agreed amounts, so nothing is paid out early.

Does it connect to Medicare's portal?

No. Medicare's recovery portal has no connection for outside tools. Letters are uploaded and amounts entered, and the tool keeps track.

Can it work with the medical records desk?

Yes. Records and bills from the records desk feed the list of providers that may hold liens.

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Updated Sep 28, 2026

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