STATE LAW – NORTH CAROLINA LIBRARY – GUIDE 21
North Carolina MedPay, Medical Provider Liens, Subrogation & Reimbursement
North Carolina medical-expense recovery can involve optional MedPay, health-plan reimbursement, Medicare or Medicaid interests, and statutory medical-provider liens. G.S. 44-49 et seq. can protect qualifying hospitals, physicians, dentists, nurses, ambulance services, drugs and medical supplies when statutory notice and documentation requirements are satisfied.

- Identify MedPay and other first-party medical benefits.
- Track health-plan, Medicare, Medicaid and contractual reimbursement claims.
- Preserve and review medical-lien notices, records and perfection requirements.
- Apply statutory priority, retention and settlement-distribution rules before disbursing proceeds.
Current-law review: September 23, 2026. Verify current G.S. 44-49 et seq., MedPay, reimbursement and subrogation law before publication.
PUBLIC-INTEREST LEGAL EDUCATION
VictimsGuide does not provide legal services or create an attorney-client relationship. Insurance requirements, deadlines, remedies and controlling authority can change. Verify current primary authority, policy language and the law applicable to the particular event before legal reliance.
Official North Carolina sources
North Carolina General Assembly · North Carolina Department of Insurance · North Carolina Judicial Branch
