Medivest

What Medivest does

Medivest is a U.S.-based Medicare Secondary Payer (MSP) compliance services provider founded in 1996 and headquartered in Orlando, Florida, specializing in workers' compensation and liability settlement administration. The company claims to be the first professional administrator of Medicare Set-Aside (MSA) arrangements and the oldest and most experienced MSA administrator in the country, with over 25 years of regulatory and operational expertise. Its core platform supports end-to-end MSA administration including claims processing, provider coordination, CMS reporting, and cost-containment negotiation through a preferred pharmacy and durable medical equipment network that prices below CMS Average Wholesale Price benchmarks.

Medivest's product portfolio centers on Professional Administration of MSA and Medical Custodial Account (MCA) funds, complemented by MSA Allocation Reports, Medical Cost Projection Reports, Trust Advisor Services for Special Needs Trusts, the ClearLiens healthcare lien resolution sub-brand, a Settlement Solution Escrow Account, an MSA Self-Administration Kit, and a Hospital Custodial Account. Services are delivered by a team of nurses and certified coders using proprietary adjudication workflows and a member identification card system; the company holds SOC 2 Type II attestation from AICPA. The company maintains an extensive library of CMS memoranda, federal regulations, instructional videos, and member resources to support its professional community.

Revenue is generated through a mix of recurring subscription fees for ongoing MSA and MCA account administration, professional services fees for reports and lien resolution, and one-time fees for self-administration toolkits and optional Medical Cost Projection add-ons (e.g., $1,750 per MCP). Go-to-market is sales-led, relying on direct referrals from attorneys, law firms, workers' compensation payers, special needs trusts, and brokers across all 50 states, with settlement consultants guiding intake via a toll-free line and online referral form. On February 26, 2026, Medivest was acquired by Physicians Life Care Planning (PLCP), a national leader in damages valuation services, with the transaction advised by Bailey & Company; Medivest continues to operate under its own brand post-close.

Name

Medivest

Legal name

Medivest

Website

https://medivest.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

11–50 employees

Short description

Medivest is a Medicare Secondary Payer compliance services provider for workers' compensation and liability settlements, offering MSA administration, lien resolution, and medical cost projection services to law firms, insurers, and trustees across all 50 states.

Ownership category

akta.pro rank

Product category

Medicare Compliance and Settlement Administration Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Medigap Plan Administration (Enrollment, Billing & Member Services) (HLAEADAC)

akta.pro secondary industries

Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ), Medigap Fraud, Waste & Abuse (FWA) & Payment Integrity (HLAEADAI)

Keywords

• Medicare Secondary Payer compliance
• Medicare Set-Aside administration
• Healthcare lien resolution
• Workers compensation settlements
• MSA professional administration

Headquarters

HQ city

Oviedo

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Professional MSA Administration: Ongoing fees for managing Medicare Set-Aside Arrangement accounts for injured individuals post-settlement. Medivest handles claims processing, payment adjudication, CMS reporting, and provider coordination. Deep discounts on annual fees offered when both MSA and MCA accounts are bundled together.
2. Medical Custodial Account (MCA) Administration: Fees for administering non-Medicare allowable medical expenses held in dedicated custodial accounts. Covers a wide variety of expenses including copays, insurance premiums, and living expenses as dictated by the settlement.
3. MSA Allocation Reports: One-time fees for preparation of Medicare Set-Aside Allocation Reports (WCMSA and LMSA) providing anticipated injury-related medical expenses over the claimant's life expectancy. Reports reviewed by nurses and certified coders.
4. Lien Resolution Services: Fees for negotiating and resolving healthcare liens (Medicare, Medicaid, ERISA, VA/TriCare, private) on behalf of settling parties. Many states permit these services to be treated as case-related expenses.
5. Medical Cost Projection (MCP) Reports: Fees for in-depth medical cost projection reports that estimate future care costs for injury cases. Standard 10-business day turnaround; 5-business day rush service available for an additional fee.
6. Open Claim Medical Payment Account: Fees for claims processing and annual reporting services for unsettled workers' compensation claims. Medical Cost Projection for funding determination available for an additional fee of $1,750.
7. MSA Self-Administration Kit: One-time purchase of a toolkit providing injured persons with resources and a one-hour consultation to self-administer their own MSA accounts in compliance with CMS requirements.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Medivest provides Medicare Secondary Payer (MSP) compliance services for workers' compensation and liability settlements, including professional administration of Medicare Set-Aside (MSA) accounts, medical cost projection reports, healthcare lien resolution (Medicare, Medicaid, ERISA, VA/TriCare, private), and trust advisory services for special needs trusts. The company adjudicates claims, negotiates pharmacy and durable medical equipment pricing below CMS Average Wholesale Price thresholds, and submits required annual reports to CMS.

Product overview

Medivest offers a comprehensive suite of Medicare Secondary Payer (MSP) compliance solutions for workers' compensation and liability settlements. The company's core offerings center on Professional Administration of Medicare Set-Aside (MSA) accounts and Lien Resolution services. Professional Administration serves as the primary service, managing MSA funds for future injury-related medical expenses with claims processing, provider coordination, and annual CMS reporting. This core is supported by specialized modules including Medical Custodial Account (for non-Medicare allowable expenses), the All-In-One combo account, Open Claim Medical Payment Account, and Hospital Custodial Account. The Lien Resolution sub-brand ClearLiens provides specialized negotiation services for Medicare, Medicaid, ERISA, VA/TriCare, and private healthcare liens. Additional services include Trust Advisor Services, Medical Cost Projection Reports, MSA Self-Administration Kit, and Settlement Solution Escrow Account. Founded in 1996, Medivest claims to be the oldest and most experienced MSA professional administration provider in the industry.

Differentiator

Problem solved

Functional benefit

Brands

• ClearLiens: Medicare lien resolution service offered by Medivest for resolving healthcare liens including Medicare, Medicaid, ERISA, VA, and TriCare liens.

Products and services

• Professional Administration Third-party management of Medicare Set-Aside (MSA) funds for future medical expenses following workers' compensation or liability settlements, including claims processing, payment adjudication, provider coordination, and annual CMS reporting. For law firms, workers' compensation payers, and injured parties.
• Medical Custodial Account Management of non-Medicare allowable medical expenses held in a dedicated, interest-bearing, FDIC-insured custodial account covering copays, insurance premiums, and settlement-dictated living expenses.
• All-In-One: The MSA & MCA Combo Account Combined Medicare Set-Aside and Medical Custodial Account administration providing uninterrupted care if MSA funds temporarily exhaust, with bundled pricing discounts on annual fees.

Quantifiable outcome

• No co-pays, deductibles or out-of-pocket expenses for injury-related treatment when using Medivest's professional administration services.
• +4 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Two partnerships are on record, tiered core and minor.

• Physicians Life Care Planning (PLCP)coreStrategic or Co-development Partner · 26 February 2026Medivest was acquired by Physicians Life Care Planning (PLCP), the nation's leading provider of damages valuation services. The acquisition combines Medivest's MSP compliance expertise and professional administration services with PLCP's national scale and technology investments. Medivest will continue operating under its own brand while benefiting from PLCP's expanded resources. The integration is designed to be deliberate and culture-focused, ensuring continuity for clients in the legal and insurance communities. The transaction was advised by healthcare investment banking firm Bailey & Company.
• Bailey & CompanyminorOthersHealthcare-focused investment banking firm that served as the exclusive advisor to Medivest on the strategic acquisition by Physicians Life Care Planning.

Scale indicators3 records

Expansion highlights4 records

Emerging players

• MAZFAR: Niche MSA allocation and administration provider serving attorneys and claimants; overlaps with Medivest's MSA reports and lien resolution offerings at the smaller end of the market.
• The Reimagine Group: Specialized MSA and Medicare compliance services firm offering allocation reports and administration; competes in similar channels with a narrower product footprint than Medivest.

Others

• MSACalc: Technology and training provider for MSA allocation methodology used by attorneys, payers, and other MSA administrators; serves as a software/ecosystem participant adjacent to Medivest's professional administration services.
• Physicians Life Care Planning (PLCP): Parent company of Medivest following the February 2026 acquisition and the nation's leading provider of damages valuation services; complementary rather than competitive, but relevant for understanding scale and resources now backing Medivest.
• AMAC (American Association of Medicare Set-Aside): Industry association and MSA services organization providing training, certification, and member services for MSA professionals; serves as a standards and ecosystem body within Medivest's regulatory environment.

Direct peers

• Tower MSA Partners: Direct competitor offering Medicare Set-Aside professional administration, allocation reports, and lien resolution services to attorneys, payers, and claimants nationwide; closest functional analog to Medivest's core MSA business.
• Genex Services: National provider of workers' compensation managed care services including MSA administration, utilization review, and case management; competes directly with Medivest's MSA and lien resolution offerings through WC payer channels.

Broad incumbents

• ISO Claims Partners (Verisk): Verisk-owned provider of MSA allocation reports and Medicare compliance services, embedded within a much broader insurance analytics platform; competes on MSA allocation reports and compliance analytics while leveraging Verisk's payer relationships.
• Sedgwick: Large global claims and managed care services firm handling workers' compensation claims; offers MSA-adjacent services and can bundle MSA administration into broader WC claim management contracts.
• Enlyte (Coventry): Workers' compensation managed care and MSA services provider formed from the merger of Coventry and Mitchell; competes with Medivest through payer-side bundling of MSA administration with utilization review and bill review.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/Medivest
• Facebookfacebook.com/Medivest

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Medivest