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Home providers
Network application

The WEA Provider Network includes medical, chiropractic, mental health, medical supply, and dental providers. There are several advantages to joining the WEA Provider Network:
  • Faster claims payment.
  • No reasonable and customary (R & C) cutbacks to collect from members.
  • Dispute resolution handled between the provider and the Trust. Members do not need to be involved.
  • Publication of provider information in our Find a Doctor and Find a Dentist sections of our Web site and in our provider directories.
To apply, simply download and complete the appropriate application form and the W-9 Tax Form below:

WEA provider network application
WEA dental provider network application
W-9 tax form

Return the application via fax or mail to Danielle Schueller.




Products & Services
Preauthorization
Claims & Payment
Network Application
Network Information
Forms & HIPAA Guides
Provider Directory



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Return your application by fax or mail
The fax number is:
(608) 276-9119.

The address is:
WEA Trust
P.O. Box 7338
Madison, WI 53707-7338


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