Q: Quick question, I'm in North Carolina and have a patient that was in an accident on I85 in Georgia. What are the laws in Georgia regarding PI claims where the patient is seen under an assignment of benefits/lien. This patient is dealing directly with the insurance carrier A: Thanks for your e-mail. In Georgia an attorney lien is worthless. An attorney is not obligated to honor it but if you have a good relationship with an honest one they probably will. As far as having a patient sign that the insurance carrier pay you directly with assignment of benefits this still stands. If the patient has what is called "Medpay" with their own auto carrier (this means that their personal auto insurance company will pay you directly regardless of who hit who .. this is the way to go if the patient has Medpay) since the third party or the carrier that hit the patient is under no obligation to pay you directly (with or without a lien or assignemnt of benefits as it does not stand since the third party is not contracted to the patient or you they will only settle at the end. The amount of settlement is out of your hands and the third party carrier may not even pay the funds directly to you but instead to the patient .. you then you hope they pay you. So check if the patient has Medpay .. call the carrier to be sure and if they do work with that and send claims as normal. If they say another carrier is guilty and they should pay (but the patient has Medpay) try to have them use the Medpay as you are almost assured of 100% payment with third party you are assured of nothing. The patients carrier will recover the money through subrugation or asking the offending insurance for money to recover their loss