Practice / Name*

Phone

Email*

Specialty (Select All That Apply)*

Orthopedic

Chiropractic

Pain Management

Surgery Center

Imaging Center

Other

Number of Providers

1-5

6-10

11-15

15+

Estimated Total Outstanding Personal Injury Cases*

1-10

10-25

25-50

50+

Current Lien Billing Process*

In-house Billing

Outside Billing

Attorney

Unstructured

Current Case Tracking Process*

EHR System

CRM / Billing Software

Spreadsheet (Digital/Paper)

Unstructured

Response to Lien Settlements*

Accept Attorney's/Payor's Offer

In-house Negotiation

Outside Negotiation

Unstructured

Current Lien Case Challenges*

Payment Recovery

Billing Complexity

Staff Workload

Tracking Attorney Cases

Which Solution(s) Are You Most Interested In?*

Lien Filing & Compliance

Claim Tracking

Settlement Monitoring

Attorney Negotiations

Contact Form Questionnaire

Thanks for your interest in our services, we look forward to working with you! Once your form is submitted, please allow 2-3 business days to prepare our response to your query and arrange your complimentary consultation.

Contact Us!

Feel free to reach out for any assistance regarding lien cases. We're here to support you in navigating the complexities and ensuring everything is handled smoothly.

Email:

Phone:

admin@myliensolutions.com

818-698-9866

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