IMPAXX
IMPAXX is a U.S. professional services firm providing Medicare Secondary Payer compliance solutions — including MSA allocations, Section 111 reporting, conditional payment resolution, and settlement consulting — to insurance carriers, self-insured employers, TPAs, and legal counsel.
- Company typePrivate
- Founded2022
- HeadquartersLake Mary, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What IMPAXX does
IMPAXX is a U.S.-based professional services firm specializing in Medicare Secondary Payer (MSP) compliance for the workers' compensation and liability insurance markets. The company supports insurance carriers, self-insured employers, third-party administrators (TPAs), and defense/claimant counsel across the full MSP compliance lifecycle, including Medicare Set-Aside (MSA) allocations (Certified, Non-Submit, Non-Threshold, and Liability variants), Medical Cost Projections, Section 111 mandatory insurer reporting, conditional payment identification and negotiation, lien resolution, settlement consulting, and structured settlement services delivered through a partnership with Bridge Pointe.
The firm's core technology platform is the web-based 111 Reporter, which facilitates Section 111 mandatory insurer reporting to CMS through a data validation engine, error identification, customizable dashboards, and submission tracking. A complementary tool, QueryGuard, uses Section 111 query data to notify Medicare Part C and D plans of primary payer status for related workers' compensation, liability, or no-fault claims. IMPAXX also offers Professional Administration services for ongoing MSA fund management. The company does not operate an API, mobile application, or published SDK, and its technology footprint is purpose-built compliance tooling rather than a generalized platform.
IMPAXX was formed in April 2022 through the merger of MSP compliance pioneers MEDVAL and NuQuest, bringing together more than 38 years of combined industry experience. The firm operates a direct enterprise field sales model with regional account managers organized by U.S. geography, supported by a content marketing and webinar-driven thought leadership program. Revenue is generated primarily through quote-based, annual subscription pricing on professional services engagements, with no public pricing, no disclosed revenue, no external funding rounds, and no parent company.
IMPAXX firmographics
Firmographics- Name
- IMPAXX
- Legal name
- IMPAXX
- Website
- https://impaxx.com
- Company type
- Private
- Founded year
- 2022
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- IMPAXX is a U.S. professional services firm providing Medicare Secondary Payer compliance solutions — including MSA allocations, Section 111 reporting, conditional payment resolution, and settlement consulting — to insurance carriers, self-insured employers, TPAs, and legal counsel.
- Ownership category
- akta.pro rank
IMPAXX industry classification
Industry- Product category
- Medicare Secondary Payer Compliance Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
Keywords
Where IMPAXX is headquartered
LocationHeadquarters
- HQ city
- Lake Mary
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
IMPAXX business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Others
Revenue model
- MSP Compliance Services: IMPAXX generates revenue through professional services fees for Medicare Secondary Payer compliance solutions including MSA preparations, Section 111 reporting, conditional payment negotiations, and settlement consulting. Services are delivered through dedicated account managers and consultants to insurance carriers, self-insured entities, and TPAs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Professional Services - Customized MSP Compliance Solutions |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels6 records
IMPAXX product offering
Product offeringCore offering
IMPAXX is a B2B professional services firm delivering Medicare Secondary Payer (MSP) compliance solutions to insurance carriers, self-insured employers, third-party administrators, and legal counsel. Its core offerings include Medicare Set-Aside (MSA) cost projections and allocations, web-based Section 111 mandatory insurer reporting through its 111 Reporter platform, conditional payment identification and negotiation, lien resolution, settlement consulting, professional administration, and structured settlement services (delivered via partner Bridge Pointe). The company also licenses proprietary technology tools (111 Reporter and QueryGuard) to support these compliance workflows.
Product overview
IMPAXX offers a unified Medicare Secondary Payer (MSP) compliance platform comprising multiple integrated modules. The core offerings include 111 Reporter (web-based Section 111 reporting), QueryGuard (Medicare Part C/D notification tool), and a comprehensive MSA suite covering Certified MSA, Non-Submit MSA, Non-Threshold MSA, Liability MSA, and Medical Cost Projections. Supporting services include Conditional Payment Services, Lien Resolution Services, Settlement Consulting (with compliance, audit, and training), Professional Administration, and Structured Settlement Services delivered through partner Bridge Pointe. Founded in 2022 through the merger of MEDVAL and NuQuest, IMPAXX brings nearly 40 years of combined MSP compliance experience.
Differentiator
Problem solved
Functional benefit
Products and services
- 111 Reporter Web-based Section 111 mandatory insurer reporting solution that facilitates comprehensive and accurate reporting, simplifies the Mandatory Insurer Reporting process, and enables compliance with Centers for Medicare & Medicaid Services (CMS) requirements for insurance carriers, self-insured employers, and TPAs.
- QueryGuard Tool that takes data available via the Section 111 query process and uses it to notify Medicare Part C and D plans of the existence of a primary payer for workers' compensation, liability, or no-fault claims, enabling proactive Medicare Advantage recovery compliance.
- Medicare Set-Aside (MSA) Programs Comprehensive MSA solutions including Certified MSA, Non-Submit MSA, Non-Threshold MSA, and Liability MSA, designed for adequate allocation of future medical expenses and treatment needs in workers' compensation and personal injury settlements, for insurance carriers, self-insured employers, and claimants.
- Medical Cost Projection (MCP)
- Conditional Payment Services
- Lien Resolution Services
- Settlement Consulting Services
- Structured Settlement Services
Companies that use IMPAXX
Customer profileSegments4 records
Ideal customer profiles3 records
IMPAXX technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
IMPAXX partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- Bridge PointecoreBridge Pointe is IMPAXX's partner for structured settlement services, providing customers with guidance on which cases most benefit from structured settlements. Bridge Pointe offers quick quotes within 24 hours, in-person settlement conference support, and access to AM Best A-rated life insurance companies for annuity rates. Their structured settlement professionals have at least 10 years of front-line experience in workers' compensation and general liability claims.
Scale indicators3 records
Recent moves6 records
Expansion highlights4 records
IMPAXX competitors and assessment
Company assessmentBroad incumbents
- Optum: Optum, a UnitedHealth Group subsidiary, holds the federal contract for Medicare Secondary Payer recovery and operates one of the largest healthcare services platforms with significant overlap into MSP compliance administration, claims analytics, and payer-side data exchange — making it the most relevant broader healthcare incumbent versus IMPAXX's MSP focus.
- Genex Services: Genex provides managed care services for workers' compensation and disability claims, including coordination with Medicare compliance workflows. Its clinical and claims management scale and overlap with MSP-adjacent work make it a comparable broad incumbent serving the same payer/TPA buyer base as IMPAXX.
- Mitchell International: Mitchell International delivers claims management technology, medical bill review, and pharmacy solutions across the workers' compensation and auto casualty markets. Its presence in claims data, medical cost containment, and integration with payer-side systems makes it a comparable broad incumbent addressing similar insurance carrier and TPA customers as IMPAXX.
- Sedgwick: Sedgwick is a global claims management firm handling workers' compensation, liability, and disability claims for large employers and insurers. Its broad service portfolio includes elements touching MSP compliance coordination, positioning it as a broad incumbent serving the same customer segments as IMPAXX across the US.
- CorVel Corporation: CorVel is a publicly traded national provider of workers' compensation managed care and claims management services with technology platforms serving carriers, TPAs, and self-insured employers. Its scale and coverage of the same buyer base make it a comparable broad incumbent to IMPAXX's niche MSP focus.
- Verisk: Verisk provides data analytics and specialized services to the insurance industry including claims analytics and regulatory data exchange solutions. Its scale in insurance data infrastructure and underwriting analytics positions it as a comparable broad incumbent in adjacent insurer- and TPA-facing technology workflows.
- LexisNexis Risk Solutions: LexisNexis Risk Solutions provides data and analytics to insurance carriers for claims, fraud detection, and regulatory compliance. Its presence in insurance data services and payer-side workflows makes it a comparable broad incumbent serving similar insurance industry buyers as IMPAXX.
- Helmsman Management Services: Helmsman Management Services, a Liberty Mutual subsidiary, manages claims and ancillary services for self-insured employers including workers' compensation coordination. Its focus on serving self-insured employers across the US and overlap with the same customer segment as IMPAXX makes it a comparable broad incumbent.
Direct peers
- Tower MSA Partners: Tower MSA Partners is a Medicare Set-Aside allocation services firm serving workers' compensation insurers, self-insured employers, and counsel. Its direct overlap in MSA preparation, Section 111 reporting support, and settlement consulting makes it the most comparable direct peer to IMPAXX's core MSP compliance offering.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights6 records
Customer concentration
IMPAXX social profiles
Digital presenceIMPAXX financial estimates
Financial estimateRevenue estimate
Valuation estimate
IMPAXX leadership team
Management profileNumber of profiles
Profiles24 records
IMPAXX funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
IMPAXX 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 IMPAXX
What does IMPAXX do?
IMPAXX is a B2B professional services firm delivering Medicare Secondary Payer (MSP) compliance solutions to insurance carriers, self-insured employers, third-party administrators, and legal counsel. Its core offerings include Medicare Set-Aside (MSA) cost projections and allocations, web-based Section 111 mandatory insurer reporting through its 111 Reporter platform, conditional payment identification and negotiation, lien resolution, settlement consulting, professional administration, and structured settlement services (delivered via partner Bridge Pointe). The company also licenses proprietary technology tools (111 Reporter and QueryGuard) to support these compliance workflows.
Is IMPAXX a public or private company?
IMPAXX is a private company. It is classified as management employee owned and is currently operating.
When was IMPAXX founded?
IMPAXX was founded in 2022. It employs 11 to 50 people.
Where is IMPAXX based?
IMPAXX is headquartered in Lake Mary, United States, in the North America region.
How does IMPAXX make money?
One revenue line is on record: MSP Compliance Services.
Who are IMPAXX's main competitors?
Broad incumbents on record are Optum, Genex Services, Mitchell International, Sedgwick, CorVel Corporation, Verisk, LexisNexis Risk Solutions and Helmsman Management Services. Tower MSA Partners is listed as a direct peer.
Does IMPAXX have an API?
No public API is recorded for IMPAXX.
What industry is IMPAXX in?
IMPAXX's product category is Medicare Secondary Payer Compliance Services. Its primary akta.pro industry code is HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 524292 and its SIC code is 6321.