Submitting DocumentsMedical bills must be submitted to the name Berkley Industrial Comp on CMS 1500 or UB04 forms. Include claimant name, complete claim number, provider name, provider billing address, provider tax ID, and supporting medical records.Non-medical invoices must be submitted to the name Berkley Industrial Comp with the claimant name, complete claim number, vendor name, vendor address, and vendor tax ID.Submit all medical bills/supporting documentation and non-medical invoices to:Email[email protected] Please note: The subject line must be the complete claim number. Nothing in the body of the email is recognized, only the subject line and attachment. Bill/medical notes must be in one attachment, not separate attachments. Excel is not an acceptable attachment type. Encrypted emails are not accepted.Fax205-874-8292 Bill/medical notes must be in one attachment, not separate attachments.MailBerkley Industrial Comp PO Box 26008 Daphne, AL 36526Click here to view medical bill submission information for Minnesota. Medical Bill Review QuestionsMedical bill review is handled by Berkley Mitchell International Bill Review.Questions?For questions regarding bill review status or re-pricing, contact the Mitchel International Bill Support Line at 800-732-0153.Want Faster Service?Have your claim number or claimant name, date of injury, date of service, and charge amount for prompt and efficient service.Additional RequestsStatus requests on multiple bills or claims should be emailed to [email protected].Email MBRMedical Bill Reconsideration or AppealTo submit a corrected claim or reconsideration, the bill must be labeled “RECONSIDERATION” with a copy of the original Explanation of Review (EOR) and any supporting documentation.Submit all medical bill reconsiderations to:MailBerkley Industrial Comp PO Box 26008 Daphne, AL 36526 Frequently Asked QuestionsWhere do I send a pre-authorization request?Please fax pre-authorization requests to 205-874-8292. Please use a fax cover sheet and place the complete claim number with the claimant name on the coversheet.I have a question about how my bill was processed.Please refer to your EOR and the paragraph at the bottom which reads:MEDICAL BILL REVIEW IS HANDLED BY BERKLEY MEDICAL MANAGEMENT SOLUTIONS. For questions contact the Medical Bill Review team at 800-732-0153 or e-mail [email protected]. For prompt and efficient service, have the following information available: claim number or claimant name, date of injury, date of service, and charge amount.Berkley Industrial Comp recommends contacting Mitchell first either via the phone or email listed on the EOR. If there are additional questions, please contact us at 800-448-5621.I need a copy of my Explanation of Review (EOR).You need to speak with a claims representative to obtain a copy of the Explanation of Review. Call 800-448-5621.Can I email my bill/medical notes?You may email your bill/medical notes to [email protected], however, the subject line must be the complete claim number. Please note: Nothing in the body of the email is recognized, only the subject line and attachment. Bill/medical notes must be in one attachment, not separate attachments. Attachments in excel format are not acceptable. All dates of service must be sent in separate emails.Can I fax my bill/medical notes?You may fax bill/medical notes to Berkley Industrial Comp at 205-874-8292, however, we then forward to email address [email protected].I need a copy of the front and back of my check.You need to speak with a claims representative to obtain a copy of the front and back of your check. Call 800-448-5621.Where do I send a W9?You can fax your W9 to 205-874-8292 or email it to [email protected]. If the W9 is related to a specific claim and bill, please provide claim number, date of service, and total amount billed.Do I have to speak with the adjuster for questions regarding bill processing?No. Please allow support staff to assist with billing questions and answers. You can reach support staff by calling 800-448-5621, option 3.