California’s Trusted Partner for Workers’ Comp Lien Management

Request Audit Today

We handle every stage of the lien recovery process, verifying claim details, coding and submitting bills, negotiating payments, and preparing for litigation when needed. Our team works case-by-case, using verified adjuster data, specialty-based assignments, and system-driven follow-up to keep your files moving and your collections growing.

Request a Workers’ Comp Lien Audit

We’ll review a sample of your current cases and identify gaps, delays, or missed collections, at no cost.

What Sets MLM Apart

Full Lifecycle Collections Process

Each lien starts with our team gathering verified contact information for adjusters and defense attorneys, including direct phone, email, and fax. This ensures clean, immediate outreach and reduces wasted follow-up attempts.

Specialized Negotiation Teams

We don’t use general account managers. Instead, we assign your cases to negotiators trained specifically in the category of care, like chiropractic, imaging, or surgical claims, so communication is focused, credible, and escalated properly.

Offer Review & Supervisor Oversight

Before any offer goes out, a lien supervisor reviews all details to ensure we’re presenting a strong, fact-based case. This step increases the likelihood of full or near-full recovery.

Systemized Communications

We don’t rely on individual judgment or copy-paste emails. All communications, including demand packets and response letters, follow pre-approved templates and structured workflows, reducing compliance risk and improving consistency.

WCAB-Compliant Jet Filing & Legal Support

Our filing process is aligned with California WCAB standards. In-house legal support is available for hearings, disputes, and litigation prep, with every case tracked and escalated through our internal case management system.


Full Lifecycle Collections Process

Specialized Negotiation Teams

Offer Review & Supervisor Oversight

Systemized Communications

WCAB-Compliant Jet Filing & Legal Support

Real-World Issues, Solved by Workers Comp Experts

Are Workers’ Comp Liens Costing You Time and Revenue?

Managing workers’ comp billing in California is not just technical, it’s a high-risk, highly regulated process that demands precision, tracking, and legal awareness. Most practices lose revenue not from patient volume, but from the inefficiencies in how lien cases are handled. Here’s what we commonly see when providers come to us:

Delayed or Denied Payments


Claims often get delayed or denied due to missing or incorrect lien components, like incomplete CMS-1500 forms, invalid CPT codes, or improper modifier usage. Without knowing what each payer requires, your billing stalls before it even reaches negotiation.

Slow Case Progression from Missing Contact Details

When the DA (defense attorney) or adjuster contact info is missing or outdated, follow-ups don’t reach the right person, delaying settlement by weeks or months. We regularly see claims sit untouched for over 90 days due to simple gaps in basic information.

In-House Staff Overwhelmed by Backlogs

Your billing team may be skilled, but without systems tailored to lien-specific follow-up, even great teams struggle. We’ve seen in-house staff juggling hundreds of open claims, without time for proper appeals, resubmissions, or legal prep.

Compliance Risks from Missed Timelines or Improper Filing


California’s lien system has strict deadlines for Second Bill Review (SBR), IBR, and jet filing. Submitting late or incorrectly can disqualify your claim or invite penalties. Most in-house teams aren’t equipped to track these windows at scale.

MLM exists to fix these exact problems.


We don’t just submit claims, we manage the entire case lifecycle with verified contact info, structured follow-up, legal oversight, and proven workflows that keep cases moving and compliant.

Delayed or Denied Payments


Claims often get delayed or denied due to missing or incorrect lien components, like incomplete CMS-1500 forms, invalid CPT codes, or improper modifier usage. Without knowing what each payer requires, your billing stalls before it even reaches negotiation.

Specialized Workers’ Comp Lien Management in California

MLM handles the full scope of workers’ comp lien work. We integrate billing, legal, and operational workflows to ensure your cases move forward, and get resolved.

Accurate CPT/ICD coding, modifier review, charge entry, and clean claim submission

Fast, electronic lien submissions with pre-audit and payer-specific rules

Second Bill Review (SBR) within 90 days, followed by Independent Bill Review (IBR) with all required documentation and fees

Aggressive follow-up on underpaid, denied, or delayed claims

On-staff legal team handles disputes, liens, and litigation processes

Appointment setting and treatment request submission with tracking

Audits, UR/IMR tracking, lien cost analysis, and EOR reconciliation

Customized reporting: revenue trends, denial rates, payer performance

Accurate CPT/ICD coding, modifier review, charge entry, and clean claim submission

Fast, electronic lien submissions with pre-audit and payer-specific rules

Second Bill Review (SBR) within 90 days, followed by Independent Bill Review (IBR) with all required documentation and fees

Aggressive follow-up on underpaid, denied, or delayed claims

On-staff legal team handles disputes, liens, and litigation processes

Appointment setting and treatment request submission with tracking

Audits, UR/IMR tracking, lien cost analysis, and EOR reconciliation

Customized reporting: revenue trends, denial rates, payer performance

Why California Providers Choose Medical Lien Management (MLM)

End-to-End Workers’ Comp Lien Services, No Gaps, No Guesswork

MLM isn’t just a billing company, we’re a dedicated, California-based lien resolution partner built for medical
providers dealing with workers’ compensation claims.

Comprehensive Process, All Under One Roof

We handle every component of the lien cycle:

  • Pre-Case Verification: Our team contacts carriers and defense attorneys to confirm adjuster and DA contact info, policy status, and claim details.
  • RFA & Objection Handling: We manage treatment authorization requests and objection responses.
  • Billing & Submission: Our certified coders prepare lien bills with proper CPT/ICD-10 coding and submit through WCAB-compliant jet filing.
  • Second Bill Review (SBR): Timely submission of all supporting documents for review.
  • IBR & Appeals: Preparation and submission of Independent Bill Review and related appeal documentation.
  • Collections: Dedicated negotiators pursue payment based on claim type (e.g., chiro, imaging, surgery), supported by structured templates and supervisor reviews.
  • Litigation Support: We assist in documentation, board rep assignment, and case coordination across all WCAB boards in California.
  • Payment Follow-Up: Every claim remains tracked until closure and remittance.

What Our Clients Receive

Our client relationships go beyond case handling, we support your business operations:

Regular Strategy Calls with the Head of Operations

Live Analytics & Reporting Dashboards

24/7 Operational Support Access

Our clients gain a system, not just a service.

Use of MLM’s In House Practice Management System at no additional cost

Certified Jet Filing Team, Clearinghouse Partners & HIPAA Coders

Strict Compliance Across All Processes (HIPAA, HITECH, SOC 2)

Our clients gain a system, not just a service.

Result That Speak: Insights Backed By Experience

Instead of promising numbers, we focus on the systems, teams, and experience that consistently
help clients improve results over time.

Step 1: Data Access & Review


We securely connect to your system and perform a thorough review to ensure all required documents and information are in place.

Step 2: Service & Billing Setup


Our team verifies the type of services (radiology, psychology, interpreter, etc.) and finalizes appointment types, CPT codes, and billing structures.

Step 3: System Preparation


Provider and patient details are prepared and imported into Medflow to enable accurate, compliant billing.

Step 6: Rejection Handling & Follow-Up


Any claim rejections are carefully managed and resolved to keep your revenue cycle moving smoothly.

Step 5: Reporting & Transparency


You receive regular reports and performance updates so you always know the status of your billing.

Step 4: Billing & Submission


We initiate billing, assign ownership, and begin the claim submission process to ensure timely reimbursements.

Result That Speak: Insights Backed By Experience

Instead of promising numbers, we focus on the systems, teams, and experience that consistently
help clients improve results over time.

Step 1: Data Access & Review


We securely connect to your system and perform a thorough review to ensure all required documents and information are in place.

Step 2: Service & Billing Setup


Our team verifies the type of services (radiology, psychology, interpreter, etc.) and finalizes appointment types, CPT codes, and billing structures.

Step 3: System Preparation


Provider and patient details are prepared and imported into Medflow to enable accurate, compliant billing.

Step 4: Billing & Submission


We initiate billing, assign ownership, and begin the claim submission process to ensure timely reimbursements.

Step 5: Reporting & Transparency


You receive regular reports and performance updates so you always know the status of your billing.

Step 6: Rejection Handling & Follow-Up


Any claim rejections are carefully managed and resolved to keep your revenue cycle moving smoothly.

Clean Claim Submissions

Increased Revenue Capture

Denial Risk Reduction

Aging A/R Management

Timely Documentation

Operational Visibility

Accurate, verified coding and billing

Full-cycle collections with no blind spots

Pre-submission checks, compliant filings

Continuous follow-up and escalation

Efficient internal workflows and support

Real-time dashboards and regular reviews

“We’ve stopped losing time and money to claim errors and delays. The difference with MLM is their structure.”
 ~ Practice Manager, Ortho Group, California

Want A Quick Look At Your Missed Revenue?

Let’s connect. No obligation, just clarity on where improvements can be made.

Build Credibility with Real-World Experience

Trusted by California’s Top Medical Providers

“We were losing thousands each month to delayed claims and missed lien deadlines. MLM turned it around fast. Their billing and legal teams work like clockwork.”

~ Dr. K. Sharma, Pain Management Specialist

“MLM isn’t just a vendor, they’re an extension of our office. We get accurate reports, fast follow-ups, and expert handling of every claim.”

~ Billing Manager, Multispecialty Group

“From coding to litigation, MLM has helped us recover on claims we had written off. They’re worth every penny.”

~ Practice Administrator, Surgical Center

Frequently Asked Questions

MLM specializes exclusively in workers’ comp billing and lien management. Unlike general billing firms, we offer integrated legal support, certified coding, and a proprietary Jet Filing system, all under one roof.

We work with pain management clinics, orthopedic groups, surgical centers, and other California-based providers that deal with workers’ comp or personal injury patients.

Not necessarily. We can either supplement your internal staff or take over your full revenue cycle process, depending on your needs. We customize our approach to fit your operations.

Many practices see improvements in collections and denial rates within 30–60 days. Our billing response time is within 7 business days, which speeds up the entire payment process.

No. We do not lock you into long-term contracts. You pay only for what we collect, and there are no setup or hidden fees.

Let’s Recover What You’re Owed; Without the Headaches

Whether you're dealing with backlogged collections, denied claims, or constant delays from insurers, MLM is here to help you fix the leaks and increase your collections.

Or call us directly at 888-296-1109 to speak with a lien management expert.

No contracts. No pressure. Just clear insights and proven solutions.
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