Submitting Documents
All medical bills must be submitted on CMS 1500 or UB04 forms with supporting medical documentation.
Submit all medical bills/supporting documentation and non-medical invoices to:
Medical Bill Review Questions
Medical 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 Requests
Status requests on multiple bills or claims should be emailed to [email protected].
Medical Bill Reconsideration or Appeal
To 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:
Berkley Industrial Comp
PO Box 26008
Daphne, AL 36526
Frequently Asked Questions
If you don’t see your question answered here, fill out the contact form and we’ll get back to you!
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.
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.
You need to speak with a claims representative to obtain a copy of the Explanation of Review. Call 800-448-5621.
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.
We do not receive medical bill/notes via fax. They should be mailed to Berkley Industrial Comp, PO Box 26008, Daphne, AL 36526.
You need to speak with a claims representative to obtain a copy of the front and back of your check. Call 800-448-5621.
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.