Personal Injury Billing Services That Turn Accident Cases into Collected Revenue
An accident patient can be your most valuable case or your oldest receivable. The difference is in how the case is opened, documented, and followed to settlement. We bill Med Pay and liability carriers, protect your position with liens and letters of protection, and keep attorneys supplied with settlement-ready records, so your practice is paid when the case closes, not forgotten.
Since 2014
Billing Nevada practices
Lien and LOP
tracking on every case
4–5%
of net collections
No setup fee
60-day exit
What Personal Injury Billing Involves,
and Why It Isn't Ordinary Insurance Billing
Personal injury billing is the work of getting paid for treating someone injured through another party's fault, most often in a car crash, a fall on someone's property, or a dog bite. Payment may come from the patient's own auto coverage, the at-fault driver's insurer, a health plan, or the settlement itself, and often from more than one of them.
That makes every PI case a sequence of decisions. Which source should be billed first? Should the visit go on a lien? What will the attorney need, and when? The answers decide whether you collect your full charge in eight weeks, a reduced amount in eighteen months, or nothing at all.
Every Route to Payment on a Nevada Injury Case,
Mapped Before Treatment
| Payment source | How it works | What to watch |
|---|---|---|
| Medical payments (Med Pay) | Optional auto coverage that pays the patient's medical bills regardless of fault, up to the policy limit | Limits are often small and pay out first come, first served, so bill quickly |
| At-fault party's liability insurer | Pays as part of a settlement or judgment, usually through the patient's attorney | Payment waits for the case to resolve |
| Uninsured/underinsured motorist (UM/UIM) | The patient's own coverage when the at-fault driver has too little or none | Requires the patient's claim to be opened |
| Health insurance | Pays under the plan's normal terms, then may seek reimbursement from the settlement | Your network contract may require you to bill the plan |
| Medicare or Nevada Medicaid | Pay under program rules, with recovery from the settlement | Strict Medicare Secondary Payer and lien rules apply |
| Lien or letter of protection | You defer payment and are paid from the settlement | Requires signed paperwork and steady follow-up with the attorney |
| Out-of-state PIP | No-fault coverage on policies from PIP states | Has its own claim deadlines and benefit limits |
See which of your open PI cases are still collectible.
Where Personal Injury
Revenue Quietly Disappears
Med Pay limits used up by other providers
because your bill went out weeks after theirs.
Treating on a lien without a signed lien or LOP,
leaving nothing enforceable when the case settles.
Attorney changes nobody noticed,
so the new firm never received your balance.
Records requests left waiting,
which stalls the demand package and the settlement with it.
Reductions accepted without negotiation,
when itemized documentation would have supported more.
Cases closed without notice,
with settlement funds already disbursed before your bill was paid.
Nevada Is an At-Fault State,
and That Changes Who Pays You
Nevada follows a fault-based auto insurance system. Drivers must carry liability coverage, and the driver who caused the crash is responsible for the injured person's medical costs. There's no mandatory no-fault coverage paying your bills shortly after the accident, so payment usually depends on one of three things: optional Med Pay, the patient's health plan, or the settlement of a liability claim.
The practical result: Nevada PI cases tend to run longer, depend more on attorneys, and reward providers who document carefully and follow up without letting go. Patients generally have two years to bring an injury claim, and some cases use most of that time.
Liens and Letters of Protection,
Done So They Hold Up at Settlement
Hospital liens.
Nevada gives hospitals a statutory lien on an injured patient's recovery under NRS 108.590 to 108.660. The lien must be perfected with a written notice, in the required form and on time, or it can be lost.
Liens for other providers.
Physicians, chiropractors, therapists, and imaging centers usually protect their balances with a signed lien agreement, or with a letter of protection (LOP) from the patient's attorney. These documents promise payment from the settlement, and they're only as strong as their wording and signatures.
We make sure every lien case has signed paperwork before treatment continues, track every balance against the case, confirm the attorney of record at regular intervals, and request a payoff before funds are disbursed. Attorney fees are generally paid before medical liens, so a timely, documented claim on the settlement matters.
PIP Billing for Patients
from No-Fault States
Nevada doesn't require personal injury protection (PIP), but your patients may still carry it. Visitors, new residents, and drivers insured in no-fault states, including neighboring Utah, bring PIP policies that pay medical bills regardless of fault.
PIP claims follow the rules of the state that issued the policy: filing deadlines, benefit limits, required forms, and examination rights. We identify PIP coverage at intake, file under the right state's rules, and move the balance to the next payer once PIP benefits run out.
Medicare,
Nevada Medicaid, and Health Plans on Injury Cases
Medicare.
Under Medicare Secondary Payer rules, you may bill the liability or Med Pay insurer first, but Medicare sets limits on how long you can wait before billing it. Once you bill Medicare, you generally can't pursue the settlement for more than Medicare allows.
Nevada Medicaid.
Providers who bill Medicaid generally accept its payment as payment in full, and Medicaid then recovers its costs from the settlement.
Health plans.
If you're in a patient's network, your contract may require you to bill the plan rather than hold a lien. The plan may then seek reimbursement from the settlement.
Choosing the wrong route can cost you the balance, or put you out of compliance. We check every case against these rules before the first bill goes out.
Not sure whether to bill Med Pay, the health plan, or a lien?
Personal Injury Billing Services
Built Around the Life of a Case
A PI case can stay open for a year or more. Our work follows it from the first visit to the final payoff.
Case intake and coverage discovery
At the first visit, we capture the date and type of accident, the attorney, claim numbers, and every possible payer: Med Pay, liability, UM/UIM, health plan, Medicare, Medicaid, or out-of-state PIP.
Payment route decision
We decide, with your approval, whether each case should bill Med Pay, a health plan, PIP, or be treated on a lien, based on coverage, your contracts, and Medicare and Medicaid rules.
Lien and LOP management.
We prepare lien agreements, collect signed letters of protection, perfect hospital liens on time, and keep every document tied to the case file.
Accurate coding and itemized billing.
Certified coders assign CPT, HCPCS, and ICD-10-CM codes, including injury and external-cause codes, and produce itemized statements that stand up to an adjuster's or attorney's review.
Med Pay and PIP claim submission.
We bill these first-party benefits immediately, before other providers use up the limits.
Attorney coordination.
We confirm the attorney of record, send balance updates, answer records requests promptly, and log every contact, so your balance is part of every demand package.
Records and settlement packages.
We assemble itemized bills, ledgers, medical records, and custodian-of-records affidavits when attorneys need them for demands or trial.
Reduction negotiation.
When an attorney asks for a reduction at settlement, we present your documentation and negotiate within limits you set. No reduction is accepted without your approval.
Payoff and posting.
We confirm the final payoff, post the payment, reconcile the balance, and close the case cleanly.
Reporting.
You get a monthly report of open PI cases by age, attorney, and expected payment source, with a list of cases nearing settlement.
From Accident Visit to Settlement
Check: Our 6-Step PI Billing Process
- 1
Open the case completely.
Capture accident details, attorney information, and every potential payer at the first visit.
- 2
Choose the payment route.
Decide between Med Pay, health plan, PIP, or lien before billing.
- 3
Secure your position.
Get signed liens and LOPs, and bill first-party coverage without delay.
- 4
Stay in front of the attorney.
Send balance updates, answer records requests, and track case status.
- 5
Negotiate the settlement.
Support your full charge with documentation, and agree reductions only with your approval.
- 6
Collect and close.
Confirm the payoff, post the payment, and close the case.
One Personal Injury Biller,
or a Dedicated Team?
Many practices rely on one in-house personal injury biller who knows every attorney by name. That works until the biller leaves, and the case history leaves too. With us, your PI cases sit in documented files, worked by a team that covers every day of the year, with one named account manager who knows your attorneys and your preferences.
Find out what your open PI cases are worth.
Built for Nevada Practices
That Treat Accident Patients
- Chiropractors and physical therapists, whose PI caseloads run on liens and long treatment plans.
- Orthopedic surgeons and ambulatory surgery centers, where high-value cases need perfected liens and solid records.
- Pain management practices, with injections and procedures that attorneys scrutinize closely.
- Imaging centers, which need clean itemized bills and fast records turnaround.
- Urgent care and primary care practices, the first stop after many accidents. See urgent care billing.
- Neurologists, treating concussions and nerve injuries. See neurology billing.
- Behavioral health providers, treating post-accident anxiety and PTSD. See behavioral health billing.
If a patient was injured while working, the case belongs in workers' comp first. See workers' compensation billing.
Pricing That Waits for Your Settlement, Too
Personal injury billing is included in our standard plans, at 4–5% of net collections, with no setup fee and a 60-day exit. On lien cases, our fee is earned only when the settlement pays you, so our incentives match yours for the life of the case. Older PI receivables can be worked on contingency.
Commitments
We Put in Writing
Med Pay and PIP claims billed within 24 hours of receiving documentation.
No lien case without signed paperwork: a lien agreement or LOP on file before ongoing treatment.
Attorney of record confirmed on every open case, at least every 90 days.
Records requests answered within 5 business days.
No reduction accepted without your written approval.
BAA signed before we see any patient data.
Personal Injury Billing Questions
Nevada Providers Ask Us
Can't find what you need? Our Nevada team answers every question before you commit.
They cover the full PI cycle: coverage discovery, choosing the payment route, Med Pay and PIP claims, lien and LOP management, itemized billing, attorney coordination, records and settlement packages, reduction negotiation, and final payoff.
A personal injury biller manages the billing and follow-up on accident cases: billing first-party coverage, tracking liens and letters of protection, keeping attorneys updated, and collecting at settlement. We give you a team that does this work, under one named account manager.
No. Nevada is an at-fault state and doesn't require personal injury protection. Patients insured in no-fault states may carry PIP, and we bill it under the rules of the state that issued the policy.
It depends on your network contracts, the patient's coverage, and Medicare or Medicaid rules. In-network contracts often require billing the plan. We review each case before choosing a route.
A letter of protection is a written promise, usually from the patient's attorney, to pay your bill from the settlement. It lets you treat without upfront payment. It should be signed before ongoing treatment begins.
Med Pay and PIP can pay within weeks. Lien cases often take many months, sometimes more than a year, until the case settles. Steady attorney follow-up keeps your balance in every settlement discussion.
Yes, it's common at settlement. We negotiate using your itemized records and accept a reduction only with your approval.
Most billing companies charge a percentage of what they collect. Our rate is 4–5% of net collections, with no setup fee. On lien cases, we're paid when you are.
Keep exploring
Every Open PI Case Is Money You've Already Earned. Let's Collect It.
Send us your open personal injury cases. We'll show you which balances are protected, which liens need paperwork, and which Med Pay or PIP benefits are still available. You get a written review within 5 business days, at no cost.
Please don't include patient information. We sign a BAA before reviewing any case data.