35-18 Hospital Lien
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other institution maintaining a hospital in this state is entitled to a lien for the reasonable value of
hospitalization services rendered to a person injured in any accident. The lien attaches to all
claims for relief, claims, demands, and judgments recovered on account of the injuries against
persons or corporations liable to the injured person in tort for damages occasioned by negligence
causing the injuries, and attaches to the proceeds of the settlement of such claims or demands,
and to insurance of the tort-feasor payable by reason of the liability occasioned by such injury,
and to any insurance or indemnity payable to the injured person by any insurer.35-18-02. Service of notice of intention to file hospital lien. A notice of intention tofile a hospital lien must be served upon the person, corporation, or limited liability company
claimed to be liable for the damages arising from the injury, by registered or certified mail or by
personal service in the manner provided for the service of a summons in a civil action. Proof of
such service must be filed with the lien statement.35-18-03. Lien statement - Contents - Verification - Filing. The lien claimant, at anytime after the rendering of the hospital services, or some part thereof, or from time to time as the
services are rendered, as the lien claimant may deem best, but not later than thirty days after the
services have been rendered and terminated, shall file a lien statement in the office of the clerk of
the district court of the county in which the services were rendered containing all of the following:1.The name of the injured person to whom the services were rendered.2.The address of the injured person as shown upon the records of the hospital or
institution.3.The date upon which the injured person was admitted to the hospital and the date of
that person's release, if that person has been released from the hospital at the time
of the filing of the statement.4.The name, if known, of the person, corporation, or limited liability company alleged
or claimed to be guilty of the negligence causing the injuries, and the address, if
known, or ascertainable from the hospital records.5.The name and address of any person, corporation, or limited liability company
insuring the tort-feasor against liability on account of negligence, if the same are
known or ascertainable from the hospital records.6.The name of any insurer liable for insurance to the injured person, if known.7.An itemized statement of the charges for hospital services and the total sum claimed
to be due.Such statement must be signed in the name of the hospital or institution claiming the lien and
verified on behalf of the institution by some person authorized so to do and possessing
knowledge of the facts. The verification must show that the facts therein set forth are true to the
best of the knowledge, information, and belief of the person making the same, that the charges
for services are the reasonable and usual charges of the institution for such services, and that the
sum claimed is due and unpaid.35-18-04. Clerk of court - Filing - Record - Fee. The clerk of the district court withwhom the lien statement and proof of service are filed shall endorse on those filings the date and
hour of filing and shall keep a record of all lien statements filed in the county, and of any orders,
or responses relating to any orders, by the district court. The clerk shall establish and maintain aPage No. 1system for indexing, filing, or recording which is sufficient to enable users of the records to obtain
adequate information. The clerk shall collect a fee as prescribed in subdivision d of subsection 1
of section 27-05.2-03 for filing and indexing each lien.35-18-05. Filing is notice to whom - Effect of payment or release of claim. The filingof a hospital statement, from the time of filing thereof, is constructive notice to all persons of the
claim of the hospital and of its right to a lien upon any claim or demand or claim for relief against
the tort-feasors and the insurer or insurers of the tort-feasors, or an insurer of the injured person,
and no release of any judgment, claim, or demand by the injured person is valid or effective as
against the lien. The person, corporation, or limited liability company making any payment to the
injured person, or to the injured person's legal representative, as compensation for injuries
sustained, in settlement of a claim for relief claimed to exist for negligence causing such injuries,
or out of insurance carried by the tort-feasor, shall remain liable to the hospital for the amount of
the reasonable charges due at the time of such payment to the extent of the full amount so paid
or given to the injured person.35-18-06. Hospital lien enforced by action. Any hospital or institution securing a lienunder this chapter may enforce its lien in a civil action against the tort-feasor, the insurer of the
tort-feasor, or the insurer of the injured person. A judgment obtained against the tort-feasor or
any insurer does not bar the hospital or institution from collecting the amount of its account from
the person for whom the services were rendered, or that person's insurer, unless payment has
been made by the tort-feasor or tort-feasor's insurer to the hospital, and then only to the extent
that payment has been made.35-18-07.Judgment for damages to contain reference to lien - Proceeds ofjudgment applied on lien or deposited. Upon the trial of any action for damages for personal
injuries wherein it appears at the trial that services were rendered in hospitalization of the injured
person, the court before whom the action is tried shall require the clerk of the district court to
search the records for information as to whether a lien has been filed, and if a lien has been filed,
mention of that fact and a statement of the amount claimed must be made in the judgment. If the
parties to the action admit the facts set forth in any lien described in the judgment, and the
judgment is collected under execution, an amount equal to the amount claimed in the lien must
be deposited with the clerk of the district court for the payment of the lien when the execution is
returned. If the lien is contested, the deposit must be held to abide the final event of an action to
enforce the lien, which action must be brought by the hospital or the institution within sixty days
after a demand therefor is made by any of the parties interested.35-18-08. Insurance - Payment to holder of lien - Deposit with clerk. If an injuredperson receiving hospitalization has a contract providing for indemnity or compensation for the
sum incurred for hospitalization, the hospital has a lien upon the amount payable under such
contract, and the party obligated to make reimbursement for the hospitalization under the
contract may pay the sum due thereunder directly to the hospital, and such payment constitutes
a release of the party making the payment under such contract to the amount of the payment. If
the amount of the claim is contested, payment must be made to the clerk of the district court and
is subject to all of the terms and conditions stated in section 35-18-07.35-18-09.Hospital records open to inspection.Any person, firm, corporation, orlimited liability company legally liable under this chapter and against whom a claim is asserted for
compensation for injuries must be permitted to examine the records of any hospital which has
filed a lien statement in reference to treatment, care, and maintenance of the injured person.35-18-10. Workforce safety and insurance excepted from application of chapter.The provisions of this chapter do not apply to any money paid or payable under title 65.35-18-11. Action on lien - Limitations. An action to enforce a hospital lien must becommenced within one year after the filing of the lien, except that when the claim for relief
against a tort-feasor or insurer has not become barred or an action is pending involving the
question of liability, the lien continues in effect until the final termination of such action and for a
period of one year thereafter.Page No. 2Document Outlinechapter 35-18 hospital lien