Skip to content
LOP Doctors

How liens and letters of protection work

A medical lien or letter of protection lets you get treated now and have the provider paid from your settlement or verdict later. You pay nothing upfront. The provider waits for the case to resolve.

Medical lien

A lien is the provider's right to be paid from your injury recovery. Some states create liens by statute — mostly for hospitals, and in states like Illinois, Arizona and Georgia for other providers too. Most clinics also use a written lien agreement you sign before treatment.

Letter of protection (LOP)

An LOP is a letter from your attorney's office promising the provider will be paid from your case proceeds. It is a contract between the law office, you and the provider. Florida and Texas providers rely on LOPs; many other states use both.

What happens at settlement

When your case resolves, your attorney pays the provider's balance from the proceeds under the lien or LOP terms. Reductions are sometimes negotiated between the attorney and the provider. The terms are explained to you before your first visit.

What it is not

LOP Doctors is a directory. We are not a law firm and not a medical provider, and nothing here is legal or medical advice. Every listing is an independently licensed provider.

This is general information, not legal advice. Lien and LOP terms are explained to you before your first visit.

Lien and LOP physical therapy session

Questions

Can I treat on a lien if I don't have a lawyer yet?

In states with provider lien statutes, and with providers that accept a signed lien agreement, yes. A letter of protection requires an attorney.

What if my case doesn't settle?

That depends on the lien or LOP agreement you sign — read it before treatment. The coordinator or provider explains the terms up front.

Does treating on a lien cost more?

Charges are set by the provider. Ask for the provider's lien or LOP terms before your first visit.

Find a lien or LOP doctor near you.

Find a Doctor

Browse by state