We deliver client-focused innovative solutions with proven results

Only PMSI delivers a unique, total-care solution—mitigating risk, controlling costs and achieving greater operational efficiencies across the injured worker continuum and throughout the entire lifecycle of the claim. Not only are we the industry pioneer, but with a deep understanding and core focus on workers’ compensation, we are uniquely qualified to provide programs and solutions designed specifically for the challenges of the industry as well as the individual needs of each of our clients.

  • Our program is clinically driven—with utilization control and quality care at the core
  • We have an aggressive portfolio of integrated solutions, including Tmesys® retail pharmacies and billing services, to address and optimize out-of-network transactions
  • Our account management approach is one-on-one—consultative—with in-depth reporting and continuous improvement
  • Our regulatory expertise is unparalleled and we have introduced innovative solutions on both state and national levels
  • We own our proprietary and innovative technology infrastructure—eliminating the need for outsourcing and allowing us to make immediate changes with ongoing enhancements to meet customer and industry demand

PMSI is committed to serving the industry with clinically based Pharmacy, Critical Care, and Settlement Solutions innovations for the workers’ compensation and liability markets. Through technology and insightful data that address our customers’ most critical business needs, we augment traditional cost containment efforts and meet evolving state and federal regulatory requirements.

Top Differentiators

Clinical Oversight – integrated within each service area, PMSI’s MedAssess™ program assesses and addresses issues and concerns with a claimant’s medicine, medical and Medicare needs. The clinically sound and evidence-based programs help to manage costs and coordinate care throughout the injury lifecycle to achieve optimal health outcomes.

Network Penetration and Utilization Control Solutions – proprietary, comprehensive solutions that address high-cost, out-of-network bills throughout the lifecycle of a claim for Pharmacy, DME, and Home Health Care services. Innovative network conversion programs capture transactions, providing increased opportunities for utilization control to ensure appropriate care through clinical oversight.Tmesys billing, bill review and consulting services round out our service offerings.

Data-Driven Support – the premier informatics team in workers' compensation manages the largest data warehouse of industry-specific transactions, driving business intelligence and reporting integrity. This dedicated team analyzes data on industry and client levels to identify trends, benchmarks and opportunities

Flexible Technology – plug-and-play, integrated and real-time technology infrastructure designed to align with and meet the evolving and unique environments and needs of our customers. A combination of state-of-the-art technology and innovative thinking drives the development of our groundbreaking programs, including setting industry standards for electronic billing, developing solutions to meet government compliance reporting requirements, introducing mobile computing solutions, and building electronic interfaces with customers to reduce administrative burdens and increase adjuster productivity.

Government Affairs – a dedicated team who operates as an advocate for our clients, providing education, communication and compliance programs around the latest legislative and regulatory initiatives

Industry Thought Leader – industry experts share leading insights, data and information through relevant and timely annual, quarterly and as-needed publications

Dedicated Associates – account management teams and customer care centers with strong business and industry knowledge and certifications

Quality Account Management – quality-driven multi-functional teams of experienced professionals dedicated to handle our clients’ unique needs

Program Training – client-focused programs from management to adjuster, customized to specific organization needs

Pledge of Commitment – our pledge of commitment to our clients is to deliver unrivaled care and savings

Industry-Experienced Management Team – a well-respected team of industry leaders who drive outstanding outcomes for clients

PMSI Evolution – over three decades of pioneering innovative solutions for workers’ compensation