What your injury cases actually pay.
You can pull what insurance paid you in five minutes. The injury cases are a different story — the answer is spread across two years, a dozen law firms, and software built to bill insurance.
Four questions, from your own closed cases.
What did you actually collect?
Billed versus received across every finished case, as a percentage with its denominator shown — not an industry average, not a model.
Which firms pay, and which stall?
Realization and days-to-payment broken out by referring firm, so a pattern you have felt for years becomes something you can prove.
How long does your money sit?
Aging on closed cases and on the open book — the wait, measured, rather than estimated from memory.
What is the open book worth?
Your unfinished cases valued at your own historical collection behavior, not at billed.
It is not a billing failure. It is where you sit in line.
When a case settles, the attorney's fee comes out first, then case costs, then Medicare's recovery. The practice is paid after all of it, and the remainder is negotiated down.
| Order | Who is paid | Illustrative $100,000 settlement |
|---|---|---|
| 1 | Attorney contingency fee | −$33,300 |
| 2 | Case costs | −$4,000 |
| 3 | Medicare conditional-payment recovery | −$5,013 |
| 4 | The practice — billed $45,000, receives | $21,000 |
| 5 | Patient | $36,653 |
46.7% of billed. Illustration built from standard contingency structure and statutory recovery mechanics — not a customer file.
Your practice management system records what you billed and what insurance paid. It was never designed to reconcile a settlement, months later, back to the encounters that produced it. That is the gap, and it is structural.
One export of finished cases.
Cases that are done — settled, paid, or written off. Most systems produce this in a few clicks. We do not need open cases, patient narratives, or clinical records.
| Field | Why | Required |
|---|---|---|
| Date of service | Anchors duration | yes |
| Amount billed | The denominator in every figure | yes |
| Amount collected | The numerator | yes |
| Date closed or paid | Days to payment | yes |
| Referring firm or attorney | The by-firm table — usually the most actionable section | strongly preferred |
| Case or account identifier | Groups encounters into one case | preferred |
| Payer or case type | Separates injury work from insurance work | preferred |
If your export does not look like this, send it anyway. Mapping messy exports is our problem, not yours — and it is the part of this work we expect to spend the most time on.
What the diagnostic will not do.
We won't show a number we can't support.
If you have fewer than about thirty finished cases, the report says so and stops. Between thirty and roughly one hundred it reports directionally and labels itself that way. We would rather hand you an honest blank than a confident number your data cannot support.
- Compute from your closed cases only
- Show the method under every figure
- Name the firms in your own report
- Tell you when the data is too thin
- Predict what any individual case will pay
- Give legal advice, or advise on any specific claim
- Contact your referring attorneys
- Buy, broker, service, or finance your receivables
One spreadsheet from you. Your answer in a day.
Send your finished injury cases and we compute what they actually paid — case by case, firm by firm, with the math shown.
HIPAA agreement signed before any upload · Available in 37 states and DC · You pay us — nobody else does