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Ajka KudicBlog

Uncovering Every Opportunity: How We Reduced a $750,000 Lien to $98,000

By January 28, 2025No Comments

In the complex landscape of lien resolution, our recent success with a private health insurance lien highlights the importance of thorough investigation of claims, and the plaintiff’s medical records. Here, Case Manager Ajka Kudic details how she reduced a lien amount from $741,817 to just $98,000.

Case Background

The case involved a plaintiff who experienced a significant delay in diagnosing upper tract urothelial cancer (UTUC).

Symptoms first emerged in 2018, but the cancer went untreated for over a year, leading to its spread to the retroperitoneum (the area behind the abdominal cavity that contains organs and other structures) by the time it was finally diagnosed in late 2019.

Plaintiff’s counsel was able to secure a very favorable settlement for their client, however, as is often the case, the lien claim included extensive treatment costs, which threatened to consume most the plaintiff’s net proceeds.

Challenges Faced

From the outset, the lien not only included costs associated with the failure to diagnose the cancer but also unrelated treatments, such as those for a stroke. Additionally, the primary cancer treatments included in the lien were for care that the ailing plaintiff would have needed regardless of the defendants’ actions. Health insurance plan representatives, unwilling to offer any reductions, argued that all charges were justified, leaving Precision Resolution with an uphill battle to prove otherwise.

Resolution Process

Ajka’s approach began with an immediate challenge to the lien amount, initially resulting in a modest reduction from $741,817.10 to $636,899.41, by successfully disputing the unrelated stroke claims. But she didn’t stop there.

After a week of pouring over medical records, peer-reviewed medical journals, and standards of treatment, Ajka’s breakthrough came by arguing that many of the cancer-related treatments would have been necessary even if the diagnosis had been timely. This included standard cancer care that the plaintiff would have received regardless of the alleged negligence. Leveraging expert testimony in her brief to health insurance representatives, Ajka demonstrated that the majority of the listed charges were for primary cancer treatment unrelated to the defendants’ failure to timely diagnose.

The Final Outcome

After persistent advocacy and negotiations, Precision Resolution achieved a significant reduction of the lien, reducing it from $636,899.41 to just $98,000. This outcome not only maximized the client’s settlement recovery but also underscored Precision Resolution’s approach to lien resolution.


Precision Resolution offers premier outsourced lien resolution services for attorneys aiming to enhance client services, achieve optimal case outcomes, and maximize settlements for plaintiffs. To learn more about how Precision Resolution can make a difference for your clients, contact us today.

About the Author
Ajka Kudic is a case manager for Precision Resolution. With the company since 2021, Ajka prides herself on her commitment to cultivating deep, trusting relationships with her clients. Ajka’s skill and dedication are most evident when she addresses some of our most complex cases. Her method, a blend of thorough attention to detail and a comprehensive understanding of her clients’ needs, guarantees that each case is handled with unparalleled care and professionalism. To contact Ajka, click here.