Cattie & Gonzalez

What Cattie & Gonzalez does

Cattie & Gonzalez, PLLC is a Charlotte, North Carolina-based law firm founded in 2016 that provides legal services exclusively around Medicare Secondary Payer (MSP) compliance, with a particular focus on workers' compensation, liability, auto, and no-fault settlements. The firm serves insurance carriers, self-insured employers, third-party administrators, plaintiff and defense attorneys, claims professionals, Responsible Reporting Entities, mass-tort defendants, and Medicare/Medicaid beneficiaries, offering services that span record and bill review, Verification of Entitlement, Mandatory Insurer Reporting, conditional payment reimbursement, lien resolution across all 50 states, Workers' Compensation and Liability Medicare Set-Aside allocations, Special Needs Trusts, Qualified Settlement Funds, and judicial allocations on the merits. Its core technical asset is the proprietary Veloci-Docs document review software, which the firm uses for medical record summarization, duplicate-charge detection, treatment-gap identification, and pre-existing condition flagging, complemented by a portal-only pre-settlement conditional payment process and CMS submission/appeals workflows that include ALJ hearings and federal court action. Revenue is generated on a fee-for-service basis through professional services fees for case-level engagements, with acquisition driven by attorney and adjuster referrals, industry conference speaking (including NCAJ lien seminars), the "Deconstructing Comp" podcast, the MSA Today newsletter, and a structured intake channel via phone (844-546-3500), fax, email, and a "Refer a New Case" web form. The firm added a new MSA MIR Legal Opinion service in April 2025 to address new mandatory reporting requirements, and operates an adjacent Camp Lejeune lien resolution practice through a dedicated site.

Name

Cattie & Gonzalez

Legal name

Cattie & Gonzalez, PLLC

Website

https://cattielaw.com

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

Cattie & Gonzalez, PLLC is a Charlotte, NC-based law firm specializing in Medicare Secondary Payer compliance, serving insurance carriers, employers, TPAs, attorneys, and beneficiaries with MSA allocations, lien resolution, conditional payment reimbursement, and mandatory reporting services nationwide.

Ownership category

akta.pro rank

Product category

Medicare Compliance Legal Services

NAICS

Management Consulting Services (54161), Health and Welfare Funds (525120)

SIC

Services-Legal Services (8111)

akta.pro primary industry

Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)

akta.pro secondary industries

Medigap Fraud, Waste & Abuse (FWA) & Payment Integrity (HLAEADAI), Payment Integrity, Audit, Appeals & Grievance Support (BPAAAFAJ), Eligibility, Coverage Verification & Policy Administration Support (BPAAAFAC), Medigap Marketing, Lead Gen & Compliance (CMS/Do-Not-Call/TPMO) (HLAEADAE)

Keywords

• Medicare compliance services
• Lien resolution services
• Medicare set aside allocation
• Workers compensation law
• Conditional payment resolution

Headquarters

HQ city

Charlotte

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Legal Services - Professional Fees: Cattie & Gonzalez generates revenue through billable legal services including MSA allocations, lien resolution, conditional payment reimbursement, mandatory reporting, and related legal opinions. Services are provided to insurance companies, attorneys, and self-insured employers on a fee-for-service basis.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Cattie & Gonzalez is a law firm that delivers Medicare Secondary Payer (MSP) compliance and lien resolution services for workers' compensation, liability, and no-fault claims. Its core offerings include Record & Bill Review, Verification of Entitlement (VOE), Mandatory Insurer Reporting (MIR), Conditional Payment Reimbursement, and Lien Resolution across all 50 states, supported by proprietary Veloci-Docs document review software and CMS portal workflows. The firm also provides Future Medical Care services such as Medical Cost Projections, Workers' Compensation and Liability Medicare Set Asides (WCMSA/LMSA), MSA 2nd Opinions, MSA Legal Opinions, Special Needs Trusts, and predictive settlement tools including Qualified Settlement Funds and judicial allocations on the merits.

Product overview

Cattie & Gonzalez is a law firm offering a comprehensive suite of Medicare compliance and lien resolution services for the legal and insurance industries. The core offerings include Record & Bill Review (utilizing proprietary Veloci-Docs software), Verification of Entitlement (VOE), Mandatory Insurer Reporting (MIR), Conditional Payment Reimbursement, and Lien Resolution services across all 50 states. The firm's Future Medical Care portfolio includes Medical Cost Projections (MCP), Workers' Compensation Medicare Set Asides (WCMSA), Liability Medicare Set Asides (LMSA), MSA 2nd Opinions, and MSA Legal Opinions. Predictive Settlement services encompass Qualified Settlement Funds (QSFs) and Judicial Allocations on the Merits. Additional services cover Special Needs Trusts (SNT), CMS WCMSA Submission for review, and representation for unrepresented claimants in single event and mass tort cases. The firm also produces educational content through the Deconstructing Comp podcast and MSA Today newsletter.

Differentiator

Problem solved

Functional benefit

Products and services

• Record & Bill Review Medical record summary and bill review service that organizes records chronologically, distinguishes claim-related from unrelated charges, and identifies duplicate charges using proprietary Veloci-Docs document review software. Used by attorneys, insurers, and self-insured employers to support MSA allocations and lien defense.
• Verification of Entitlement (VOE) Sequential evaluation analysis that verifies whether plaintiffs are entitled to Medicare, Medicaid, VA, or Tricare benefits and produces detailed reports on coverage types, dates, and specific plans to identify potential lien obligations.
• Mandatory Insurer Reporting (MIR) Compliance service including MIR Direct Data Entry, Query/ORM/ICD/TPOC reporting, MIR Audit, and MIR Legal Opinion that helps Responsible Reporting Entities comply with Medicare reporting mandates and avoid civil money penalties.
• Conditional Payment Reimbursement Service covering Medicare Parts A, B, C, and D conditional payment resolution, BCRC/CRC handling, portal-only pre-settlement final conditional payment resolution, and final demand and appeal services.
• Lien Resolution Resolution services for Medicaid liens, military liens (VA/Tricare/CHAMPVA), private/ERISA liens, FEHBA liens, workers' compensation liens, and Indian Health Services claims across all 50 states.
• Medical Cost Projection (MCP) Comprehensive snapshot of potential future medical expenses for liability, no-fault, or workers' compensation claims, contemplating both Medicare and non-Medicare care including prescriptions priced using nationally accepted fee schedules.
• Workers' Compensation Medicare Set Aside (WCMSA) Allocation service predicting what portion of settlement may need to be set aside for future medical care related to workers' compensation claims, adhering to CMS pricing methodology.
• Liability Medicare Set Aside (LMSA) Medically-based allocation providing a snapshot of the maximum amount CMS may claim for future medicals in liability cases, protecting the Medicare beneficiary's future entitlement to benefits.
• MSA 2nd Opinion Review service for older MSA allocation reports that may have outdated amounts preventing settlement, bringing MSAs current with current laws and regulations with a fee guarantee.
• MSA Legal Opinion Legal opinion advising whether a future medical obligation exists based on case facts, presenting potential vehicles (MSAs, Medical Savings Accounts), funding options, and paths to judicial allocation on the merits, in response to the latest mandatory MSA reporting requirements.
• Special Needs Trust (SNT) Legal service guiding claimants through Special Needs Trust establishment to protect future needs-based benefits like Medicaid when receiving settlement proceeds.
• CMS WCMSA Submission Service to submit MSA allocations to CMS for review, maintaining control of the approval process and ensuring compliance with CMS rules and requirements.
• Qualified Settlement Funds (QSFs) Settlement tool that shields settling defendants from Medicare and lienholder exposure while providing plaintiffs time to ensure proper steps for minimizing conditional payment and lien obligations.
• Judicial Allocations on the Merits

Quantifiable outcome

• Saved client over $70,000 on repayment of a lien through expert lien resolution services
• +1 more outcomes

Named customers19 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Margaret L. Shaw & Associates: Long-tenured MSA allocation and Medicare compliance practice competing directly for WCMSA and LMSA allocations. Similar niche focus on settlement-stage Medicare planning.
• Tower MSA Partners: Established MSA allocation, conditional payment, and Medicare compliance firm serving insurers, TPAs, and attorneys nationwide. Directly comparable service mix and target customer base to Cattie & Gonzalez.
• Dahl (Medicare Set-Aside): Boutique MSA allocation and Medicare compliance firm serving plaintiff attorneys, insurance carriers, and self-insureds. Competes for the same WCMSA and conditional payment workflow.
• Synergy Settlements: Specialist in Medicare Set-Aside allocations, conditional payment negotiation, and structured settlement services for plaintiff and defense attorneys. Closely comparable niche focus and service offering.
• Garretson Resolution Group: Long-standing MSA allocation and Medicare lien resolution firm and prior employer of Cattie & Gonzalez's Managing Member. Competes head-to-head for WCMSA, conditional payment, and lien resolution engagements across workers' compensation matters.

Broad incumbents

• Allsup: National provider of Social Security Disability Insurance representation and Medicare-related services. Overlaps with Cattie & Gonzalez on Medicare beneficiary-side services and conditional payment recovery.
• ExamWorks (Gould & Lamb / ISO Claims Partners): Acquired Gould & Lamb and operates ISO Claims Partners, providing MSA allocation and Medicare compliance services as part of a broader medical review and claims services platform. Competes for enterprise insurance carrier and TPA mandates.
• Optum Settlement Solutions: UnitedHealth Group's Medicare Set-Aside and settlement solutions arm and prior employer of Partner Rafael Gonzalez. Provides MSA, conditional payment, and lien resolution at much greater scale as part of Optum's broader healthcare services portfolio.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/CattieGonzalez
• LinkedInlinkedin.com/company/cattie-gonzalez

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Cattie & Gonzalez