$5,000+ More Per Case.
Zero Extra Staff Hours.
LienClear is an autonomous AI agent that negotiates medical liens while you sleep. It plugs into your existing CMS, works every case without prompting, and delivers 50%+ lien reductions—up from the 30% industry average. No workflow changes. No new hires. Just more money in your clients' pockets.
What it is
An autonomous AI system that sits on top of your case management system, detects when cases settle, and independently manages the entire lien reduction lifecycle. From identifying lienholders to negotiating reductions to documenting agreements—without requiring attorney or staff initiation.
The economics
On a typical $100K settlement, medical liens often consume $30-60K of proceeds. Current manual processes achieve ~30% reductions. LienClear's systematic approach delivers 50%+ reductions—an incremental $5,000+ per case that flows directly to improved client recovery, firm profitability, or both.
How it works
- Monitors your CMS for settlement events via API or lightweight RPA integration.
- Parses medical records, EOBs, and correspondence to build a complete lienholder inventory.
- Selects negotiation strategies based on historical success rates with each provider.
- Conducts multi-channel negotiations via email, fax, and AI voice calls.
- Produces signed reduction agreements and final settlement statements ready for review.
System architecture
LienClear integrates with your existing infrastructure—no disruption to current workflows.
Core capabilities
- Auto-detection of settlement events from Filevine, Litify, Clio, and other CMS platforms.
- Vision-language document parsing for bills, EOBs, and lien letters in any format.
- Provider knowledge graph with historical negotiation outcomes and optimal strategies.
- Multi-turn negotiation engine that adapts tactics based on provider responses.
- Human-in-the-loop escalation for impasses or high-value cases.
Negotiation intelligence
- Cross-reference charges against Medicare fee schedules and usual/customary rates.
- Provider-specific strategy selection based on thousands of historical outcomes.
- Timing optimization for end-of-quarter and other high-leverage negotiation windows.
- Escalation scripts for hardship cases and supervisor-level negotiations.
- Continuous learning loop that improves firm-specific performance over time.
Compliance and security
- Medicare Secondary Payer (MSP) protocol compliance with automated MSPRC documentation.
- ERISA plan-specific requirement handling for employer-sponsored health plans.
- State-specific lien statute awareness across all jurisdictions.
- Complete audit trail for every negotiation, decision, and outcome.
Operational impact
- Increase lien reductions from 30% average to 50%+ with systematic negotiation.
- Cut staff hours per case from 8-12 hours to under 30 minutes of review.
- Reduce time to disbursement from 45-90 days to 14-21 days.
- Eliminate cases falling through the cracks with autonomous monitoring.
Deployment approach
System observes settled cases and generates "what I would have done" reports. Zero firm action required.
System prepares lien packages and drafts communications. Firm approves with one click.
System operates independently. Firm receives digests and intervenes only on escalations.
Typical use cases
- High-volume PI firms settling 100+ cases per year.
- Multi-lienholder cases with 10-30 providers per settlement.
- Medicare and Medicaid conditional payment recovery.
- ERISA plan subrogation negotiations.