# What do users ask about liens, IMEs and defense review?

> Short answers on personal injury and MVA cases in Medrecords AI: liens, IME reports, defense review, bills, imaging, case value and changing details.

Canonical page: https://medrecords.ai/help/case-types/personal-injury/faq/

---
New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/)
[Home](https://medrecords.ai/) ›[Help](https://medrecords.ai/help/) ›[Personal injury](https://medrecords.ai/help/case-types/personal-injury/) › — What do users ask about liens, IMEs and defense review?
MEDRECORDS AI HELP

## What do users ask about liens, IMEs and defense review?

These are short answers to common questions about personal injury and motor vehicle cases in Medrecords AI. They cover liens and letters of protection, IME reports, defense review, bills, imaging and what the app will not do. Each answer links to the page with the full steps, so you can follow up.

Last checked 2026-10-24 — ·Written by Ahmed Jemaa

**Help center contents26 articles**
Start here

- [Choose the right case type](https://medrecords.ai/help/tasks/choose-case-type/)
- [Which files can you upload?](https://medrecords.ai/help/tasks/file-types-limits/)
- [Confirm the case details, key date and focus](https://medrecords.ai/help/tasks/confirm-case/)
- [Fix a failed upload or a stuck case](https://medrecords.ai/help/tasks/troubleshooting/)

Work with the records

- [Read the medical chronology](https://medrecords.ai/help/tasks/chronology/)
- [Check any fact against its source page](https://medrecords.ai/help/tasks/verify-source/)
- [Search your records with exact text or keywords](https://medrecords.ai/help/tasks/search/)
- [Filter and group the documents index](https://medrecords.ai/help/tasks/documents-index/)
- [Add flags, highlights and notes to records](https://medrecords.ai/help/tasks/annotations/)
- [How duplicate pages are found and removed](https://medrecords.ai/help/tasks/deduplication/)
- [Work through the missing records list](https://medrecords.ai/help/tasks/missing-records/)
- [Add records to an existing case](https://medrecords.ai/help/tasks/add-records-later/)

Write and share

- [Edit the chronological narrative](https://medrecords.ai/help/tasks/narrative/)
- [Create a report in Report Studio](https://medrecords.ai/help/tasks/report-studio/)
- [Set up report templates](https://medrecords.ai/help/tasks/templates/)
- [Export your work](https://medrecords.ai/help/tasks/export/)

Account and trust

- [Set your role](https://medrecords.ai/help/tasks/roles/)
- [Is Medrecords AI HIPAA compliant, and who can see my cases?](https://medrecords.ai/help/tasks/security-hipaa/)
- [How accurate is Medrecords AI, and what are its limits?](https://medrecords.ai/help/tasks/accuracy-limits/)
- [Glossary of terms](https://medrecords.ai/help/glossary/)

Case type playbooks

- [Work a birth injury case](https://medrecords.ai/help/case-types/birth-injury/)
- [Work a nursing home neglect case](https://medrecords.ai/help/case-types/nursing-home/)
- [Work a VA disability case](https://medrecords.ai/help/case-types/va-disability/)
- [Work a mass tort case](https://medrecords.ai/help/case-types/mass-tort/)
- [Work a medical malpractice case](https://medrecords.ai/help/case-types/medical-malpractice/)
- [Work a personal injury or car crash case](https://medrecords.ai/help/case-types/personal-injury/)

[See every topic on the help center home](https://medrecords.ai/help/)

### Should I pick Personal Injury or Motor Vehicle Accident (MVA)?

Pick MVA for any crash: car, truck, motorcycle, bike or pedestrian. Pick Personal Injury for falls, premises cases, dog bites and other injuries. MVA adds crash details to check. See [set up a personal injury case, and when to pick MVA](https://medrecords.ai/help/case-types/personal-injury/setup/).

### How do liens and letters of protection show up?

A letter of protection is a promise to pay a provider from any recovery. The app reports liens and letters of protection as facts from the records. On an MVA case, the confirm window has a **Coverage and liens** field. The MVA Demand Package has a section called Liens and Reimbursement Claims. To find them yourself, search with **Keywords** for "lien", "letter of protection" and "LOP". Read our guide on [medical liens and letters of protection](https://medrecords.ai/guides/medical-liens-letters-of-protection/).

### Can I answer an IME report?

Yes. Upload the IME report, then pick **Response to IME / Rule 35 Report** in Report Studio. Reading the IME costs 1 credit per page, on top of the 100 credits for the report. You can also use the **Q&A** pane on the case to compare the IME with the treating records, with page cites.

### Can I use it for defense review?

Yes. Attorneys pick plaintiff or defense on each case. Q&A brings up records that deny a link to the injury as readily as records that support 1. The Pre-existing Condition Analysis and the Deposition Preparation Summary are useful on either side. See [find prior injuries and check the mechanism](https://medrecords.ai/help/case-types/personal-injury/analysis/).

### Does it read the bills?

Yes. Billed charges show in reports under "Medical Expenses (Billed Charges)" or "Billed Charges of Record". The **Billing Ledger** tab lists every charge on the case. Press **Export CSV** to save it. See [export your work](https://medrecords.ai/help/tasks/export/).

### Does it read X-ray and MRI images?

No. DICOM imaging files are stored and you can view them, but the app does not read the images. Upload the radiology report. The app quotes words like "degenerative" or "no acute finding" exactly.

### Will it tell me what the case is worth?

No. Medrecords AI never gives a settlement value. It does not decide fault, causation or permanency either. It reports what the records say, with cites.

### Can I change the crash details after I confirm?

No. Check them while the case says **Needs confirming** . The confirm window opens again if you add records later, and you can update your answers then. See [confirm the case details](https://medrecords.ai/help/tasks/confirm-case/).

### Can my paralegal open my case?

Not today. Each person needs their own account, and only the owner can open a case. To share your work, export the chronology or a report and send the file.

Medrecords AI organizes and cites the records. Its output is not a medical or legal opinion and does not replace your expert.

### Related help

- [Review a personal injury case in Medrecords AI](https://medrecords.ai/help/case-types/personal-injury/)
- [Prepare a damages summary and a demand narrative](https://medrecords.ai/help/case-types/personal-injury/reports/)
- [Is Medrecords AI HIPAA compliant?](https://medrecords.ai/help/tasks/security-hipaa/)
- [Create a report in Report Studio](https://medrecords.ai/help/tasks/report-studio/)

Facts checked against the Medrecords AI app code on 2026-10-24.

### Try it on a real file

Upload a case and see the page count and cost before you confirm.

[Book a demo](https://medrecords.ai/demo/)
