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Case Management

How is a Missouri chiropractic lien handled?

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Summary

Every Missouri personal-injury patient must have a Notice of Chiropractic Lien served on the at-fault driver and the at-fault or UM carrier via certified mail.

  1. 1
    Every Missouri personal-injury patient must have a Notice of Chiropractic Lien served on the at-fault driver and the at-fault or UM insurance carrier via certified mail.
  2. 2
    The lien is mailed via certified mail to protect the clinic's interest in the personal-injury settlement.
  3. 3
    Once third-party or UM insurance information is obtained (liability can still be pending), begin the Notice of Chiropractic Lien process immediately to secure the lien.
  4. 4
    The lien representative emails a copy of the lien, fax confirmations, and certified mail labels to the clinic.
  5. 5
    Print the lien packet and staple the documents together.
  6. 6
    Make an extra copy of the lien to be used later for the Final Packet.
  7. 7
    File the lien packet and the extra lien copy on the left side of the patient chart.
Citation
CA Manual, Notice of Chiropractic Lien (Missouri), p. Patient Records · Revised 2/9/26
Answers source the CA Manual first; the Medisoft guide is used only where the CA Manual does not cover the task.

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