PMSI
PMSI, LLC provides Medicare Set-Aside cost containment and integrated workers' compensation and auto no-fault pharmacy, clinical, and claims management services to insurance carriers, operating as part of Optum's Workers' Compensation and Auto No-Fault division.
- Company typePrivate
- Founded1976
- HeadquartersEden Prairie, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingServices
What PMSI does
PMSI, LLC (founded 1976, headquartered in Eden Prairie, MN) provides Medicare Set-Aside cost containment and integrated workers' compensation and auto no-fault solutions to insurance carriers. Operating as a subsidiary of Optum, Inc. (itself part of UnitedHealth Group), PMSI functions within the Optum Workers' Compensation and Auto No-Fault division alongside sister entities including Progressive Medical, Cypress Care, Healthcare Solutions, and Procura Management. Its core offering combines pharmacy management (home delivery, pharmacy locator, Tmesys Network, Ask-a-Pharmacist), clinical coordination, care management, and claims administration services designed to manage costs and outcomes for injured workers and auto no-fault claimants. PMSI, LLC specifically operates under the "Optum Workers' Compensation Services of Florida" DBA brand.
The division reports serving 500,000+ injured persons, achieving a 92% average satisfaction rate, and maintaining 50+ years of industry presence with 15+ years average team experience. It holds URAC Gold accreditation and reaches customers primarily through direct B2B enterprise sales to insurance carriers. Pricing is quote-based and not publicly disclosed; no standalone product-level pricing, revenue, or contract value data is available in source material.
The business model is services-driven and B2B, monetizing clinical, pharmacy, and administrative workflows for workers' compensation and auto no-fault payers. Go-to-market is executed via direct enterprise sales relationships and supplemented by content marketing (Clinical Connection, Policy Matters insights) and LinkedIn presence. The company does not appear to have disclosed AI/ML capabilities, proprietary software platforms, or standalone consumer-facing products; its technology profile is operationally embedded rather than productized. Customer logos are not disclosed, with only anonymized carrier testimonials referenced in marketing material.
PMSI firmographics
Firmographics- Name
- PMSI
- Legal name
- PMSI, LLC, dba Optum Workers' Compensation Services of Florida
- Website
- https://pmsionline.com
- Company type
- Private
- Founded year
- 1976
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- PMSI, LLC provides Medicare Set-Aside cost containment and integrated workers' compensation and auto no-fault pharmacy, clinical, and claims management services to insurance carriers, operating as part of Optum's Workers' Compensation and Auto No-Fault division.
- Ownership category
- akta.pro rank
PMSI industry classification
Industry- Product category
- Workers' Compensation Insurance Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Drugs and Druggists' Sundries Merchant Wholesalers (42421), Pharmacies and Drug Retailers (456110)
- SIC
- Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122), Retail-Drug Stores And Proprietary Stores (5912)
- akta.pro primary industry
- Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)
- akta.pro secondary industry
- Mail-Order Pharmacy & Home Delivery (HLAEAKAF)
Keywords
Where PMSI is headquartered
LocationHeadquarters
- HQ city
- Eden Prairie
- HQ country
- United States
- HQ region
- North America
Markets served
PMSI business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Distribution channels1 record
Marketing channels2 records
PMSI product offering
Product offeringCore offering
PMSI delivers pharmacy benefit management, clinical services, and care coordination for insurance carriers handling workers' compensation and auto no-fault claims. The offering includes pharmacy network access, home delivery, a digital pharmacy card, an Ask-a-Pharmacist service, claims management, and clinical support for injured workers and claimants. Services are provided as part of Optum's Workers' Compensation and Auto No-Fault division.
Product overview
PMSI operates as a subsidiary brand within the Optum Workers' Compensation and Auto No-Fault division. The division offers a unified portfolio of solutions spanning workers' compensation and auto no-fault insurance markets, combining pharmacy management, clinical services, and care coordination. PMSI, LLC specifically operates under the Optum Workers' Compensation Services of Florida brand. The broader Optum portfolio includes related entities such as Progressive Medical (Ohio), Cypress Care (Georgia), Healthcare Solutions (Georgia), and Procura Management (Managed Care Services), collectively providing comprehensive workers' comp and auto no-fault solutions including pharmacy locator, home delivery, Ask-a-Pharmacist, and continuing education resources. The source material does not provide additional product-level details for PMSI's standalone offerings.
Differentiator
Problem solved
Functional benefit
Products and services
- Workers' Compensation Solutions Integrated workers' compensation services for insurance carriers, combining pharmacy management, clinical services, and care coordination to deliver outcomes for injured workers. Designed for workers' comp claims professionals and provider networks.
- Auto No-Fault Solutions Coordinated pharmacy and clinical services for auto no-fault/PIP claims, extending benefits for policyholders and supporting claims professionals. Targeted at auto insurance carriers and claims leaders.
- Home Delivery Pharmacy
- Ask-a-Pharmacist
Quantifiable outcome
- 92% average satisfaction rate
- +1 more outcomes
Companies that use PMSI
Customer profileNamed customers2 records
Segments1 record
Ideal customer profiles2 records
PMSI technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
PMSI partnerships and signals
Strategic signalScale indicators3 records
Recent moves5 records
Expansion highlights4 records
PMSI competitors and assessment
Company assessmentDirect peers
- Coventry Workers' Comp Services: Coventry (now part of Aetna/CVS Health) provides workers' compensation PPO networks, utilization review, and pharmacy services. Directly comparable to PMSI as a long-standing WC services specialist for insurance carriers.
- One Call Care Management: Workers' compensation specialty services provider offering physical medicine, diagnostics, transportation, and home health. Comparable to PMSI as a WC-focused care coordination partner for insurance carriers, though distinct from pharmacy management.
- myMatrixx: Workers' compensation pharmacy benefit manager owned by Encompass Health (formerly Healtheon/HealthTrios lineage). Directly competes with PMSI in WC pharmacy management, network administration, and clinical support for injured workers.
- Mitchell International: Major workers' compensation and auto casualty claims management technology and services provider. Competes head-to-head with PMSI in pharmacy benefit management, clinical services, and care coordination for workers' comp and auto no-fault carriers.
Emerging players
- Spreemo: Workers' compensation radiology and specialty care network. Comparable to PMSI as a workers' comp-focused clinical services partner, though operating in a different specialty vertical (diagnostic imaging rather than pharmacy).
- MedImpact Healthcare Systems: Independent PBM with growing specialty and workers' compensation pharmacy capabilities. Comparable to PMSI as a PBM serving non-traditional populations, though broader across commercial and government lines.
- Helios (formerly Apricus/HCA Workers' Comp): Workers' compensation and auto claims management services company. Comparable to PMSI as a niche WC/auto services provider serving carriers and TPAs, though smaller in scale and pharmacy depth.
Broad incumbents
- Express Scripts: One of the largest U.S. PBMs, now part of The Cigna Group. Competes with PMSI/Optum in mail-order pharmacy, formulary management, and specialty pharmacy services, and increasingly into workers' compensation pharmacy management.
- Magellan Health: Specialty health management company owned by Centene, offering PBM, behavioral health, and specialty pharmacy services. Comparable to PMSI in pharmacy benefit administration and managed care services, though with broader government and commercial focus.
- Optum Rx: Optum's flagship PBM serving health plan, employer, and government clients. Operates within the same parent (Optum/UnitedHealth Group) as PMSI and provides overlapping mail-order, formulary, and clinical pharmacy capabilities, though at vastly broader scale across commercial lives rather than workers' comp.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
PMSI social profiles
Digital presencePMSI compliance and trust
Trust signalCompliance1 record
PMSI financial estimates
Financial estimateRevenue estimate
Valuation estimate
PMSI leadership team
Management profileNumber of profiles
Profiles1 record
PMSI funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
PMSI M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about PMSI
What does PMSI do?
PMSI delivers pharmacy benefit management, clinical services, and care coordination for insurance carriers handling workers' compensation and auto no-fault claims. The offering includes pharmacy network access, home delivery, a digital pharmacy card, an Ask-a-Pharmacist service, claims management, and clinical support for injured workers and claimants. Services are provided as part of Optum's Workers' Compensation and Auto No-Fault division.
Is PMSI a public or private company?
PMSI is a private company. It is classified as corporate owned and is currently operating.
When was PMSI founded?
PMSI was founded in 1976. It employs 501 to 1,000 people.
Where is PMSI based?
PMSI is headquartered in Eden Prairie, United States, in the North America region.
Who are PMSI's main competitors?
Direct peers on record are Coventry Workers' Comp Services, One Call Care Management, myMatrixx and Mitchell International. Emerging players are Spreemo, MedImpact Healthcare Systems and Helios (formerly Apricus/HCA Workers' Comp). Broad incumbents are Express Scripts, Magellan Health and Optum Rx.
Does PMSI have an API?
No public API is recorded for PMSI.
What industry is PMSI in?
PMSI's product category is Workers' Compensation Insurance Services. Its primary akta.pro industry code is HLAFALAI, Pharmacy Benefit Management (PBM) & Pharmacy Network Administration, with a secondary code of HLAEAKAF, Mail-Order Pharmacy & Home Delivery. Its NAICS code is 524292 and its SIC code is 5122.