Harnessing the POWER OF DATA to improve injury outcomes
Medical Bill Review
This is the backbone of operation. Our advanced analytics drive efficiency and reliability in handling claims.
Other Clinical Services
Our toolkit includes everything from utilization review to independent medical exam, and it lets us meet any contingency.
Case Management
Our telephonic and field nurses offer the expertise and support that injured workers need to attain the best outcomes.
Data Analytics
Information is our lifeblood. We use machine learning and robust algorithms to lay out the most successful path forward.
Our Services
Medical Bill Review
Berkley Medical Management Solutions’ medical bill-review system deploys advanced analytic technologies to deliver the most reliable and efficient handling of claims
Telephonic Case Management
Our telephonic case management service brings to bear a team of expert nurses to help workers achieve the most efficient and effective recovery and return to work
Field Case Management
When a case manager’s ability to remotely oversee a case is stretched, Berkley Medical Management Solutions’ field case managers are available to direct the best possible outcomes for the most complex cases
Utilization Review
Monitoring the clinical appropriateness of an injured worker’s treatment is key not only to a speedy and successful recovery but also to holding down medical spending
Independent Medical Exam
Our independent medical exams are foundational to ensuring injured workers are properly diagnosed and treated
Peer Review
We provide a comprehensive peer review program that matches like-to-like providers where required by a particular jurisdiction
Physician Advisory Review
Through our Physician Advisory Review solution, we harness the power of combined expertise to ensure thorough consideration is given the diagnosis and treatment of an injured or ill worker
Radiology Review
One important service is a review of radiology readings to ensure a proper diagnosis of an injured worker's condition
Hospital Review
An audit of a hospital or similar medical care facility is an important part of ensuring workers can obtain the best quality care that will speed their recovery
Berkley Care Network
We maintain a network unrivaled in its quality because we believe giving those who are injured access to the most skilled clinicians is the surest way to allow for a speedy and successful recovery
Panel Posting
Clear information is critical to better understanding and to a solid recovery so we make a point to provide relevant information through our work-site panels even when they’re not required
Medicare Set Aside
WeScoping out proper and accurate forecasts to ensure proper payment of future medical services is critical not only to the wellbeing of the injured worker but also to safeguarding the Medicare program
Pharmacy Benefit Management
Our PBM program improves patient safety by flagging improper, duplicative or high-risk prescriptions and it also works to reduce unnecessary spending in one of the biggest drivers of overall medical costs