A walk down an Oklahoma disbursement sheet, from the gross settlement figure through the fee, the costs, the liens and the advance, to the number actually paid.
How personal injury claims are valued, funded and paid out, including contingency fees, medical liens and pre-settlement advances

The settlement figure quoted by an insurer is the gross amount, before anyone is paid out of it. The net, the number on the client's check, is what remains after fee, costs, liens and any advance.
Whether the fee is calculated before or after costs come off changes the client's share. On a mid-size case the difference is a few hundred dollars, and the contract decides it.
The number the adjuster says out loud is a gross figure, meaning the whole pot before anyone takes anything out of it, and it is almost never the number on the check. Between that phone call and the deposit, the money passes through a trust account and gets divided among everyone who has a legal claim on it. That division shows up on a single page, usually called a disbursement sheet or a settlement statement, that the client signs before the money moves. It is worth understanding line by line, because every line is a decision someone made, and several of those decisions were made months earlier.
Take a hypothetical Oklahoma case that resolves for ninety thousand dollars. The figure is made up for the sake of arithmetic, but the shape of what follows is ordinary. The gross is ninety. The check at the bottom, in this example, is closer to thirty-six. Nobody stole anything. Every dollar of the difference went somewhere identifiable, to a person or an institution that had a right to be paid before the injured person was, and the sequence in which they got paid is the whole subject.
The contingency fee comes off the gross first. In a case that settles before suit is filed, a third is the common number in Oklahoma, so thirty thousand of the ninety goes to the firm as its fee. Then case costs come off separately, and this is where people are surprised, because costs are not covered by the fee. Costs are the money the firm spent moving the case forward: certified medical records, the filing fee, a crash reconstruction report, the court reporter for a deposition, postage and mileage. Call it forty-two hundred dollars here. Sixty thousand became fifty-five thousand eight hundred.
The distinction matters because the fee percentage is negotiable in some situations and the costs almost never are, since they are reimbursements for cash already spent. What is negotiable is whether the fee is calculated before or after costs are deducted, and that ordering changes the client's number by a few hundred dollars on a case this size. Ask before signing. Attorneys who handle these cases in Comanche County, including firms advertising as Lawton Personal Injury Lawyers, can usually show a sample disbursement sheet from a closed case with the names removed, which tells you more than any explanation.
Next come the medical claims, and there are two kinds. A hospital that treated an accident victim can file a lien against the settlement, which is a recorded claim on the recovery rather than a bill sent to the patient, and in this example the hospital's lien is eleven thousand dollars. A health plan that already paid for care has a separate right to be reimbursed out of the same money, because it paid for something a third party caused, and that reimbursement claim runs sixty-five hundred. Both numbers are starting points. Both get negotiated, and the negotiating is a real part of the work.
Suppose the hospital lien comes down to seven thousand and the health plan accepts forty-three hundred after a reduction argument based on the fee and costs the client bore to create the fund in the first place. That is forty-two hundred dollars in reductions, money that lands in the client's pocket rather than an institution's. Fifty-five thousand eight hundred is now forty-four thousand five hundred. Loose provider balances, the chiropractor still carrying a tab, the imaging center, get paid out of the same line and need to be gathered before the sheet is final.
If the client took a pre-settlement advance during the case, money from a funding company repaid only out of the recovery, it gets paid here. A five thousand dollar advance taken sixteen months before settlement does not come off as five thousand. The fee structure on these compounds or steps up on a schedule, so eight thousand is a plausible payoff on a case that took that long, and the sheet shows the payoff, not the principal. Forty-four thousand five hundred becomes thirty-six thousand five hundred. That is the check. It is roughly forty percent of the headline number, and every deduction between the two had a name.
Seen as a cost, the advance is the most expensive line on the page relative to what it delivered, because the other deductions bought something durable: legal work, records, medical care. The advance bought time, specifically the ability to say no to an early offer while rent got paid. Sometimes that is worth three thousand dollars and sometimes it is not, and the honest way to judge it is to compare the offer on the table when the money was borrowed against the settlement that patience produced.
The last line is the client's, and it is generally not taxed. The Internal Revenue Service is responsible for how settlement proceeds are treated, and compensation for physical injury is ordinarily excluded from income, though interest and certain other components are handled differently and a tax preparer should see the sheet. What the remainder represents is narrower than people expect. The medical bills were paid out of the middle of the page. What is left is for the pain, the missed work, and whatever the injury took that no invoice measured.
Ask for a draft disbursement sheet before you agree to settle, not after. The lien numbers on that draft are the ones still open to argument, and an hour spent on them is usually the best-paid hour in the whole case.