What is a Letter of Protection (LOP) in medical billing?
Key Takeaways
Mostly, an LOP is recommended when an injured victim needs diagnoses or medical treatment they cannot pay for while waiting for a settlement. This incident is usually common with personal injury victims who do not have medical health insurance or the means to finance the out-of-pocket payments of medical diagnoses and treatment. Having an attorney by your side who understands your case and interprets how to negotiate a lop may be advantageous to you in getting the medical treatment you need.
If someone gets injured at work, the person’s medical health insurance might look towards the company’s worker’s compensation medical insurance. Financial handling and liability for a slip or fall injury might be deflected to the building or property owner’s medical insurance, for instance. It is a legal document that a personal injury lawyer may use to prevent a medical provider from collecting a medical fee incurred in the past.
For instance, if you are involved in a car accident and have to see a doctor, the medical bill may not be reimbursed by your insurance provider since the injury was due to a car wreck. This can result in a pricey bill that you cannot afford to pay. In such a situation, your attorney can send an LOP to the medical provider, which will prevent them from filing the bill, thereby protecting your credit score from being hurt or the bill being sent to collections. It gives the injured party flexibility in paying for medical care received as a result of an accident. They can pay for it out of the settlement of the case. However, if the case is lost and no money is recovered, the medical provider can still pursue collection efforts from the patient.
Mostly, medical health insurance will decline to pay for your medical assistance and care when they think the at-fault entity or a person should be paying for your healthcare expenses. However, the at-fault entity may also have a dispute that they should have to reimburse for your medical treatment. While these two medical insurance companies quarrel about these issues, you will eventually end up having to either wait for your medical care because you can’t afford the expenses or finance the medical services yourself outright. LOP allows you to primarily pause any responsibility or obligation you may have to finance the healthcare providers or a hospital. At the same time, you work through your injury or a workers’ compensation case. It takes some responsibility and pressure off while you focus on your injury case while getting the medical diagnoses or help you need.
In a quintessential, your injury attorney will address the medical healthcare provider or doctor involved in your patient care and inform them that you do not have the finances required to cover the payment of your care. If you have suffered minor or major injuries in an incident and are having difficulty financing your health care bills, you are likely eligible for compensation. It will inform the healthcare providers that the personal injury attorney has taken the case and anticipates to regain compensation for your losses. The letter will assure the healthcare providers that they will get the full payment when the financial settlement is received.
Summary