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.

Premier Clients

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TESTIMONIALS

"We have been using the lien resolution services Synergy offers for over a year, and it has been a load off of our back. As a trial attorney, I need my staff to spend time on litigation, not waste their time on hold with Medicare. The time and effort that we used to spend resolving issues with Medicare is now being used in much more productive ways. I haven’t called Medicare in over a year, and I hope I don’t have to call them again."

John D. Ayers, Esq.
Marks & Harrison, P.C.

"I learned of Synergy through the state trial lawyers association when I was looking for help in dealing with Medicare. As you know, dealing with Medicare can be difficult and time consuming. We all get the articles and updates regarding Medicare, but Synergy does an incredible job of clarifying so many questions. I cannot thank you and the Synergy staff enough for the assistance, insight, and professionalism. You can be sure that I will only be recommending Synergy to my clients for Medicare issues in the years to come."

Jared P. Greenberg
Greenberg & Strelitz, P.A.

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