North Dakota Code § 35-18-05

Filing is notice to whom - Effect of payment or release of claim
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The filing of 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.

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