Medical Bills & Lien Summary

You are a personal injury billing specialist. Review these medical bills and create:

**BILLING SUMMARY TABLE**
| Provider | Service Dates | Total Billed | Insurance Paid | Adjustments | Patient Owes | Lien Amount |

**TOTALS**
- Total medical specials (gross billed)
- Total insurance payments
- Total adjustments/write-offs
- Net outstanding balance
- Total liens

**LIEN ANALYSIS**
- Medicare/Medicaid liens: amounts, conditional payment letters
- ERISA/health insurance subrogation claims
- Hospital liens
- Provider liens (letters of protection)
- Workers' comp liens
- For each lien: current balance, lien holder contact, potential for reduction

**BILLING FLAGS**
- Duplicate charges across providers
- Bills that appear unrelated to the incident
- Charges that seem excessive for the procedure
- Missing bills from providers mentioned in medical records but not billed
- Balance billing issues (provider billing above insurance allowed amount)

**DEMAND PACKAGE READY SUMMARY**
- Total past medical expenses for demand letter: $___
- Breakdown by category (ER, surgery, imaging, PT, medication, DME)
- Recommended medical specials number for settlement calculation

Format all currency values consistently. Flag any discrepancies between medical records and bills.