What is a hospital lien on my injury settlement under O.C.G.A. 44-14-470 in Georgia?


A hospital lien is a legal claim a medical provider can assert against the money an injured person recovers from the party who caused the injury. In Georgia, O.C.G.A. § 44-14-470 gives a hospital that treats an accident victim a lien on the victim’s cause of action and on any resulting settlement or judgment, so the hospital’s unpaid charges can be paid out of the recovery.

How the lien attaches

The statute creates a lien for the reasonable charges of care and treatment of injuries arising out of a cause of action the patient has against a responsible third party. Rather than attaching to the patient’s house, car, or wages, the lien reaches the claim itself and the money it produces. When an at-fault driver’s insurer pays a settlement, a valid hospital lien gives the provider a right to be paid from those proceeds.

This is why a settlement can be reduced by amounts owed to a treating hospital. The lien follows the recovery, and the parties handling the settlement generally must account for a perfected lien before the injured person sees the net proceeds.

What the lien is and is not

It helps to understand the boundaries of the right the statute creates.

  • It is a claim against the recovery from the injury, not a general money judgment against the patient personally.
  • It covers reasonable charges for treating the injuries tied to the claim, not unrelated medical care.
  • It must be perfected by following the statute’s filing and notice steps to be enforceable.
  • It interacts with other rights to the proceeds, including the patient’s own recovery and any other liens.

Because the lien depends on the provider satisfying the statutory requirements, a hospital that does not properly perfect its lien may not be able to enforce it against the settlement fund.

The bottom line

Under O.C.G.A. § 44-14-470, a Georgia hospital lien is a statutory claim on an injury victim’s cause of action and on the settlement or judgment it yields, allowing the hospital to be paid its reasonable charges from the recovery. It targets the proceeds of the claim rather than the patient’s personal assets, and it is effective only when the hospital meets the statute’s perfection requirements.


This article is for general educational and informational purposes only and is not legal advice. It does not create an attorney-client relationship, and Georgia law may change. For advice about a specific situation, consult a licensed Georgia personal injury attorney.

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