MediFlow 360

    Letter of protection tracking for PI providers

    A letter of protection is the attorney's written promise that your bill will be paid from the case recovery. MediFlow 360 keeps each LOP on the shared case with the attorney, from the first draft to the signed copy to the balance you collect at settlement.

    Where the LOP fits in a PI case

    A patient comes in after an accident, usually referred by an attorney or another provider, and treats now while payment waits for the case to resolve. Your team asks the attorney for an LOP at or before the first visit. The balance grows with every visit, the attorney sends a demand once treatment ends, and at settlement the signed LOP is what your payment rests on. A missing signature, the wrong date of loss or a balance nobody updated can hold up that payment months later. Our PI lien checklist covers what a clean letter needs.

    What MediFlow 360 does for LOP tracking

    Create the LOP from the case

    The patient, date of loss and attorney details already live on the case, so the letter you generate matches the matter it covers. No retyping from an intake sheet.

    E-signature with an audit trail

    Send the LOP to the attorney for e-signature. Outstanding signatures get automatic reminders, and the signed copy, timestamps and audit trail stay with the case.

    Status across every case

    See which letters are drafted, out for signature or signed across all of your PI cases, so an unsigned LOP is caught at the first visit, not at settlement.

    Balances through settlement

    Every visit posts to the case's itemized ledger, and the firm can see the current balance anytime. At settlement, record the final amount and any agreed reduction in the same place.

    LOPs and liens on the same case

    Many practices hold both: a lien signed by the patient and an LOP from the attorney. MediFlow 360 tracks either one, or both, on the case, each with its own signatures and history, so your billing team and the law firm look at the same documents and the same balance. How LOPs and liens work varies by state. For the basics, see what a letter of protection is and what a medical lien is.

    Working with your current systems

    Your EHR and billing system stay where they are. MediFlow 360 holds the PI side of the case: the LOP, the signatures and the ledger the attorney sees. Yes, we can connect it, and we set it up when you need it.

    Who uses it

    Intake coordinators who request the LOP when the patient is scheduled, PI and lien billing staff who track balances to settlement, and office managers who need to know which letters are still unsigned. On the other side, the attorney's team signs the LOP and sees the balance in the attorney portal.

    Frequently asked questions

    An LOP is a letter from the patient's attorney promising your bill will be paid from the case recovery. A lien is a claim against the settlement itself, usually signed by the patient and often by the attorney. MediFlow 360 tracks either one on the case. This is general information, not legal advice.

    Yes. The LOP is sent for e-signature, and the signed copy, timestamps and audit trail stay with the case.

    Every LOP shows its status on the case, and outstanding signatures get automatic reminders. You can see unsigned letters across all of your cases in one view.

    Yes. Each case has an itemized ledger, and the attorney on the case can see the current balance at any time.

    Record the final amount and any reduction you agree to on the same case, so the signed LOP, the ledger and the payment stay together.

    Yes. MediFlow 360 is HIPAA compliant, with AES-256 encryption, role-based access and an audit trail on every action.

    Keep every letter of protection on the case.

    Early access is open for practices that treat PI patients.