MSA Fee Form

  • I agree that this non-refundable advance fee is reasonable and equitable based on the initial work associated with intake, verification, evaluation, and mandatory reporting involved in lien resolution. In addition, I agree to pay the remaining balance of the fee for Medicare Secondary Payer/Medicare Set Aside services upon receipt of an invoice from Synergy Settlement Services. I, individually and on behalf of my law firm, hereby release and agree to hold Synergy Settlement Services, its employees, officers, directors, agents and affiliates harmless from any costs, expenses, penalties, fees, damages and other liabilities resulting from, arising out of, or in connection with any claims, actions, agency actions or other judicial or administrative actions relating to Medicare Secondary Payer / Medicare Set Aside Services if such action is predicated upon inaccurate or incorrect information provided to Synergy in relation to lien resolution functions requested by me or my law firm.

TESTIMONIALS

"Synergy is an invaluable partner in the mediation process. They have extensive expertise in Medicare, Medicaid and Structured Settlements and the ability to explain the impact of these complex concepts to my clients in simple, clear and understandable language. This allows me to focus on obtaining the best possible result in the settlement process."

Michael J. Winer, Esq.
President Florida Workers Advocates (FWA)

I wanted to pass my highest recommendation to Synergy who we routinely get involved in cases when Medicare issues come up, especially when dealing with Medicare Set Asides. Synergy went beyond the call of duty in a recent case that was settled and dealt one-on-one with our clients and their family. They spent time on the phone with them to be sure they got all their questions answered and did a fantastic job dealing with Medicare.

J. Daniel Clark
Clark Martino, P.A.

Premier Clients

    ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>
  • ?>

Ready to schedule a consultation?

The Synergy Settlements team will work diligently to ensure your case gets the attention it deserves. Contact one of our legal experts and get a professional review of your case today.

Request Consultation
WordPress Image Lightbox