For Personal Injury Patients

Letter of Protection (LOP) for Injury Care

A letter of protection is a payment arrangement sometimes used in personal injury matters when an attorney and healthcare provider agree that a medical bill may be addressed later from case proceeds. It is not insurance, it is not automatic, and it does not guarantee that someone else will ultimately pay the bill. We consider LOP arrangements only for qualifying cases and explain the payment responsibility before care begins.

Ohio auto-injury bills can involve several possible payment sources, including MedPay, health coverage, liability insurance, self-pay, or a letter of protection. Which option applies depends on the policy, claim, and individual arrangement. Our Ohio car accident insurance guide explains the common terms. An LOP should be treated as a billing agreement, not as a reason to start, continue, or extend care that is not clinically appropriate. This page relates to care with a car accident chiropractor and to ongoing personal injury care.

Illustration of a medical billing document with a deferred-payment clock and ledger

A letter of protection is a billing arrangement, not a promise about a case outcome.

A letter of protection is a written billing arrangement that may defer collection under its terms. It is not insurance and does not guarantee that a balance will be paid.

What an LOP may provide

Deferred billing for a qualifying case

The provider may agree to wait for payment under the terms of the written arrangement rather than collecting the full bill at each visit.

A written payment arrangement

The agreement should explain how the bill is expected to be handled and who may still be responsible if the expected payment source is not available.

Administrative coordination

When you authorize communication, the clinic and attorney's office can coordinate records and billing questions without changing the clinical basis for care.

How an LOP works at our clinic

  1. The patient or attorney asks whether an LOP arrangement is available for the case.
  2. The office reviews the billing situation and explains whether the case qualifies.
  3. If an LOP is accepted, the written arrangement is completed before relying on deferred payment.
  4. Clinical care continues only when it remains appropriate based on the patient's findings and progress.
  5. Billing and authorized records are coordinated separately from medical decision-making.

What an LOP does not do

An LOP does not guarantee a settlement, guarantee that the bill will be paid in full, or erase the patient's financial responsibility. The exact obligations depend on the written agreement and the facts of the case. Patients should read the agreement, ask the clinic how billing works, and ask their attorney for legal advice about the agreement when appropriate.

FAQ

LOP Questions

Straight answers about care, scheduling, payment, and what to expect.

What is a letter of protection?

It is a written payment arrangement sometimes used in an injury matter. A healthcare provider may agree to defer collection under the terms of the agreement while the case is pending. The patient should understand who remains responsible for the bill and how payment is expected to work.

Do all cases qualify for an LOP?

No. An LOP is case-specific and is not automatically available because an injury or attorney is involved. The clinic reviews whether it will accept the arrangement before the patient relies on deferred billing.

What if my case does not settle or the proceeds are not enough?

An LOP does not guarantee payment. Depending on the written agreement, the patient may still owe some or all of the bill. Ask the clinic to explain the financial responsibility and ask an attorney for legal advice about the agreement when appropriate.

This page is general information, not legal advice.

New to these terms? See our accident and injury glossary.

Have questions about payment before you schedule?

Call the office. We will explain the clinic's billing options and what must be confirmed before you rely on any arrangement.