Platform · PI case engine

LOP and lien tracking that runs itself

Every letter-of-protection patient is credit you extended, secured by a case you don’t control. Kaira keeps every LOP case tracked — cadence, records, attorney — from first call to settlement-ready.

LOP tracking software keeps every letter-of-protection patient visible from intake to settlement: who the referring attorney is, whether the patient is treating on cadence, what the case still needs to be settlement-ready, and which cases have gone quiet. Kaira does this as part of its PI case engine — automatically, across the whole caseload, alongside the EMR you already run.

What Kaira tracks on every LOP case

  • Case, attorney, and referral source — captured on the first call and tracked from intake through settlement-ready records.
  • Treatment cadence against plan — missed re-exams, stretched-out schedules, and gaps flagged before they become causation disputes.
  • Attorney communication — status requests classified, responses and proactive updates drafted from live case context, staff-approved before sending.
  • Dormant-case sweeps — patients who went dark surfaced for re-engagement instead of discovered at settlement.
  • Records readiness — a clean chronology, so a records request is fulfillment, not a scramble.

Why LOP patients fall through the cracks

A letter of protection turns care into credit: the clinic treats now and gets paid from a settlement later. That makes the clinic an unsecured stakeholder in a legal process it doesn’t run — and it makes operations the difference between a paid receivable and a write-off. The patient who quietly stops treating weakens the very case the receivable depends on. The attorney who can’t get a status update starts referring elsewhere. The case that settles while your balance sits in a drawer becomes a negotiation you enter late.

None of that is a billing problem. It’s a tracking problem — and in most practices, the tracking system is a spreadsheet a coordinator updates when the front desk is quiet. That’s the layer Kaira replaces: an agent that watches the caseload continuously, notices what’s slipping, and drafts the outreach and updates that keep cases — and relationships — on track. It’s the operational backbone attorneys notice; fast, structured communication is what they say separates their preferred clinics.

Built for the practices that carry LOP caseloads

LOP-heavy operations are concentrated in chiropractic, pain management, orthopedics, and spine surgery — the specialties Kaira is built for. Treatment-gap monitoring pairs with the case engine; see how clinics prevent treatment gaps before they form, and the full platform tour for everything around it.

FAQ

LOP tracking questions, answered

What is LOP tracking software?

Software that gives a treating practice one live view of every patient on a letter of protection: which attorney issued it, the case status, accumulated charges, treatment cadence against plan, and what’s still needed for settlement-ready records. Its job is to make sure no LOP patient — and no LOP receivable — quietly falls through the cracks.

What is a letter of protection, exactly?

A letter from a personal-injury attorney promising that the clinic’s bills will be paid from the eventual settlement or judgment, so an injured patient can treat now without paying up front. The clinic is effectively extending credit secured by the case — which is why tracking the case, not just the appointments, matters.

Why do clinics lose money on untracked LOPs?

Three ways: patients who stop treating (a gap in care weakens the case the receivable depends on), settlements that close without the clinic’s current balance in front of the attorney, and cases that go dormant with nobody following up. Each one is an operations failure, not a billing failure — the charges were earned; the follow-through was missing.

How does Kaira track LOP cases?

Kaira tracks every PI case from intake to settlement-ready records: the referring attorney, treatment cadence against the plan, gaps flagged before they hurt the case, dormant cases swept back into follow-up, and attorney status updates drafted from live case context for your staff to approve. The LOP stops being a filing-cabinet document and becomes a tracked case.

Does Kaira replace our EHR or billing system to do this?

No. Your EHR stays the clinical system of record and your biller keeps billing. Kaira is the operations layer on top — the part that answers the calls, watches the caseload, and keeps attorneys updated. No rip-and-replace.

Stop tracking six-figure cases in a spreadsheet

Kaira watches every LOP case — cadence, records, attorney — and drafts the follow-through your staff approves.

Or call us directly: (210) 343-5165