Question, do you always send your clients to your doctors to be treated on a lien? It is our practice to have our clients treat through their own insurance unless they do not have coverage or need extensive treatment. However, I’ve been talking to other PI Attys who send their clients to lien docs right away. While i know it can drive up the value, at times, I also see it as a waste sometimes for clients, but idk if I’m looking at it this way since I started on the defense side???

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Almost always because it makes the most sense for my clients, but in situations where the case is iffy or the damages may be very low, I’ll have them go through insurance.

Liens are great because the reductions are usually better than insurance, the reports are usually written with a focus on the injuries affecting ADLs, and there’s no waiting period for the insurance to approve treatment. The downside is some of these treaters get waaaaay too liberal with their billing amounts and then they think they’re entitled to the full amount once the case is done.

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We do both, so many clients tell us their pcp can only get them an appt 3 months out and they don’t want to wait long, other clients have pip and that’s paying bills, the other issue is doctors that treat under HI have often refused to testify for my cases, so I definitely lean the lien route, but I’ve also found a few doctors treating under HI willing to testify

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Always lien. The client finds out holistic at the end.

You make them aware nothing is free.

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You’re an idealist not a practitioner apparently.

I’ve been in the game with attorneys with commutative 250~ years legal experience. You’re incorrect.

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Like A1 said before, have them treat on insurance if there case rough, and liability is not clear. I usually would explain to the client, we’re going to take your case but liability may be denied so we’re going to have you treat under your own health insurance. However, if liability is clear, always have them treat under lien as someone said before, they will typically testify in support of your clients injuries depending on whatever specialist it is. Non lien doctors won’t do that, because they don’t want to get deposed, and they will typically not put favorable notes in their medical chart to prevent that from happening. Lien imaging providers also tend to over call herniations/disc bulges which all play hand in hand with the pain management specialist and other specialist.

Don’t send to someone to be treated on a lien. It inflates the bill and just allows the providers to take more from your client in the end. It might be good for a lawyer but bad for your client.

You’re an amateur. It’s how it’s done.

What’s the biggest file you’ve handled?

I’ve done $25mm PI. You’re incorrect.

Heading to T14 btw. It’s the practice of business to restore the client prior incident and build the file, nothing is free. You negotiate medical bills at the end, if able.

Lien is how California does it; client(s) pocket the difference at the end. The carrier needs proof for maximum dispersal. They’re cheap, even during trial. Evidence of absence or absence of evidence?



Got to get some experience to get it seems.😂

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As a defense attorney, your client treats on a lien, I’m subpoenaing all of the doctor’s financials to prove that the $120k discectomy he’s billing in reality is only $30k based on his practice of reducing his liens. This in CA. We have been successful in in settling these cases for much reduced amounts. We’ve also gotten the Department of Insurance and the AG’s office to investigate at least five frequent fliers on the Plaintiff’s side for fraud.

As a plaintiffs attorney, thank you. Some of the "frequent flyers" and the attorneys that use them give the practice a bad rep.

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