Medical Liens in Personal Injury Cases
A provider balance, a private repayment agreement, Medicare conditional payments and Medi-Cal recovery do not all follow the same process. Identify the claimant and the asserted basis before treating a notice as a final amount. Start with itemized records and use the relevant official program instructions when a public benefit program is involved.
Hurt Advice editorial guide. Source review: . This guide does not state that the attorney authored, reviewed or approved it. Visit the profile for public licensing and background records.
Review the attorney’s public background, then confirm experience and availability directly.

Raffi Naljian
Founder, Civil Litigation, Personal Injury & Criminal Defense Attorney
Raffi Garabed Naljian is the founder of Naljian Law Offices and an active California attorney under State Bar #238919. A Los Angeles Times profile says he founded the firm in 2008 after beginning his legal career in 1997, and the State Bar lists personal injury, litigation, criminal law, and business law among his self-reported practice areas.
View Raffi Naljian's full verified profilePrimary identity record
Learn more about Raffi Naljian
This is a focused supporting page. Use Raffi Naljian's full sourced attorney profile as the primary identity record for biography, role, languages, office information, and public-record links. Review that profile alongside the issue-specific preparation and public sources below.
The State Bar record lists Raffi Garabed Naljian as an active California attorney, State Bar #238919. Hurt Advice is a separate referral and legal information service, not the attorney's law firm.
How to Evaluate Attorney Fit for This Issue
Ask counsel to explain the asserted legal or contractual basis, the correct recipient for a response and any deadline. A generic lien checklist cannot decide validity or promise a reduction; keep disputed and confirmed amounts separate.
Consultation worksheet
Medical repayment claimant register
This is a document-organizing tool, not a finding that a claim is valid. Keep personal health details out of these notes.
There is no submit or save action. Copy your notes before leaving this page.
Is this a provider, insurer, Medicare, Medi-Cal or another claimant, and which notice or agreement explains its asserted right?
Which services and dates appear, and are any items unrelated, duplicated or already corrected?
Which program or contractual process applies and who is authorized to receive a response?
What action and deadline does the current notice specify, and who will review it?
What document supports the amount proposed for payment, and which part remains uncertain?
Sources for this guide
- CMS: Medicare recovery process
Official process for reporting a case, reviewing conditional payments and responding to a Medicare recovery demand.
- California DHCS: Medi-Cal Personal Injury Program
Official Medi-Cal recovery program and its reporting and case-resolution resources. This is a separate process from a private provider agreement.
- State Bar of California: Fees and billing
Explains fee arrangements, expense estimates and the questions to settle in a written engagement.
Check the Cost Decision
- 1List each provider or benefit program asserting repayment.
- 2Request the notice, itemized statement and agreement or program basis supporting the claim.
- 3Use CMS for Medicare recovery and DHCS for Medi-Cal recovery; do not assume either program’s process governs a private agreement.
- 4Track response deadlines and ask counsel to resolve disputed items before treating a balance as final.
Records for the Cost Review
- Claimant identity and contact information
- Itemized charges or paid-claim list with dates
- Notice, repayment agreement or asserted program basis
- Dated disputes, responses and any final written resolution
Keep your unanswered questions handy when comparing the attorney’s public profile with your needs.
Common Mistakes to Avoid
- Applying one program’s reduction rule to every claimant
- Treating a preliminary conditional-payment figure as a final demand
- Subtracting both a medical bill and the same paid amount twice
- Assuming a promised negotiation guarantees a reduction
Use the attorney’s public background as a starting point for a direct conversation about fit.
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Attorney Advertising. Hurt Advice is a lawyer-referral and legal-information service, not a law firm. This website provides general information, not legal advice. Viewing a page or submitting a form does not create an attorney-client relationship. Independent participating attorneys decide whether to accept a matter, and representation begins only under a separate written agreement. Prior results do not guarantee a similar outcome; results depend on the facts and circumstances of each matter.