PMSI

Workers' Compensation Insurance Servicespmsionline.com

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

Workers compensation services
Pharmacy benefit management
Auto no-fault claims
Clinical care coordination
Insurance cost containment

Where PMSI is headquartered

Location

Headquarters

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 offering

Core 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 profile

Named customers2 records

Segments1 record

Ideal customer profiles2 records

PMSI technology and API

Technology

Technology focussed No

API detail

Has API: No
API docs
API detail

Core technology

AI maturity

App detail

PMSI partnerships and signals

Strategic signal

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

PMSI competitors and assessment

Company assessment

Direct 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 compliance and trust

Trust signal

Compliance1 record

PMSI financial estimates

Financial estimate

Revenue estimate

Valuation estimate

PMSI leadership team

Management profile

Number of profiles

Profiles1 record

PMSI funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

PMSI M&A and investment

M&A and investment

M&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?

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.