Helpful information when sending Berkley Industrial Comp documents for processing:
- All billing questions can be submitted to [email protected]
- Due to name differences on your document/vs our claim system + the fact claimants may have more than one claim/injury, having a claim number for each claimant and assuring this is on the face of any document before submitting to us, is vital. Complete claim numbers are in either of these three formats: AMIG WC ############, BIN######### or CL##LLLL######
- Providers can obtain claim numbers, adjuster name and contact information via our Virtual Attendant on our website. It does not require a login: www.berkleyindustrial.com click on the green circle, bottom right of website.
- If you have a question about how a medical bill was processed, please contact the Medical Bill Review team at 800-732-0153.
- Medical providers can check bill status 24/7 via the MedBill lookup tool. It does not require a login. You can search by SSN + DOB or claim number + DOB. You can obtain date of receipt, paid amount, payment ID number and view an EOB. The direct link is (use in Chrome) https://portal.berkleyindustrialcomp.com/wps/portal/MBRBillLookup/bin
- Medical 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. They can be submitted two ways:
- Electronic billing via Jopari, payer ID is J1524
- Mail to PO Box 14817, Lexington, KY 40512
- Reconsiderations must be sent following the instructions found on the EOB: “When submitting a corrected claim or reconsideration, include the following information: The bill and/or cover letter labeled with “RECONSIDERATION”, a copy of the EOR and any supporting documentation. Mail to Berkley Industrial Comp, PO Box 14817, Lexington, KY 40512. ” If a reconsideration is sent without the face of the bill labeled reconsideration or a letter stating the reason for the reconsideration, the bill is auto denied as a duplicate. A reconsideration can be submitted two ways:
- Electronic billing via Jopari, payer ID is J1524
- Mail to PO Box 14817, Lexington, KY 40512
- All medical bill payments are issued via Jopari. Each provider elects to receive payments either via; virtual card, EFT/ACH or Paper Check. Payments will be sent via virtual card if another option has not been selected. Please contact Jopari at 1-800-630-3060 or https://rg.jopari.net to select an option. You will need your tax ID number and our payer ID of J1524. You can access EOBs through the portal.
- If medical bills are submitted without medical records/notes the bill will be denied requesting medical records/notes be sent. When submitting a second time, follow reconsideration instructions
- If your medical bill payment was issued to Triton Healthcare/LF & FP LLC this is related to a PPO network agreement. If you have questions about the payment or EOB please contact Triton Healthcare helpdesk at 833-615-1888, fax 727-485-1206 or email [email protected]
- Dental bills must be submitted on an ADA Dental Claim Form. Diagnosis codes must be listed that correlate with the injury. Medical records are required. They can be submitted two ways:
- Electronic billing via Jopari, payer ID is J1524
- Mail to PO Box 14817, Lexington, KY 40512
- Pre-authorizations should be faxed to the adjuster’s direct fax line. Please reference the complete claim number, if you have it. You can obtain the adjuster’s fax number via the Virtual Attendant on our website. It does not require a login: www.berkleyindustrial.com. Click on the green circle, bottom right of website.
- Return to work slips should be faxed to the adjuster’s direct fax line. Please reference the complete claim number, if you have it. You can obtain the adjuster’s fax number via the Virtual Attendant on our website. It does not require a login: www.berkleyindustrial.com. Click on the green circle, bottom right of website.
- Progress reports and nurse case management reports should be faxed to 205-874-8292 or emailed to [email protected]. Please reference the complete claim number, if you have it.
- Durable Medical Equipment (DME) bills must be sent with medical records. Provide the script, the invoice or the email approving the order.
- Bills sent with diagnosis code T14 will be denied. The diagnosis code must correlate with the injury.
- Vendors who submit on an invoice (including IMEs) must be submitted to the name Berkley Industrial Comp with the claimant name, complete claim number, vendor name, vendor address, invoice number and vendor tax ID. Include description of services provided and dates of service. Please avoid highlighting due to scanning capabilities. Invoices can be sent via fax 205-874-8292 or email [email protected] or mail PO Box 14817, Lexington, KY 40512.
- IMEs should be billed on an invoice. Please submit to the name Berkley Industrial Comp with the claimant name, complete claim number, vendor name, vendor address, invoice number and vendor tax ID. Include description of services provided and dates of service. Please avoid highlighting due to scanning capabilities. Invoices can be sent via fax 205-874-8292 or email [email protected] or mail PO Box 14817, Lexington, KY 40512.
- W-9s should be sent via email: [email protected] or fax: 336-605-1233
- Refunds should be sent to Berkley Industrial Comp, Attention: Finance, PO Box 660847, Birmingham, AL 35266. Please place the complete claim number on the refund check.
- Berkley Industrial Comp, formerly American Mining Ins Co (name changed 4/4/2019) FEIN 47-0574325
If you have any more questions, please contact Luella Alcorn at 859-300-8021 or email [email protected]