Provider Forms

Register for the new WEA Trust Provider Portal

The Provider Portal allows you to check claim status, verify patient eligibility, view coverage information, submit and check status of authorizations, send and receive secure messages and send claim resubmissions.

Forms

Psychological/neuropsychological testing request for authorization
HIPAA authorization for providers
Update Your Information
Claim Re-submission Form (Also available online through our new Provider Portal! Register here)
Preauthorization / Prior-Auth Request Form
WEA Trust Low Back Pain Program Permissions Form

Customer Service

800-279-4000

Call us Monday through Thursday - 7:30 a.m. to 6:00 p.m., Friday - 7:30 a.m. to 5:00 p.m.

Email Us Today

For WEA Member Benefits (auto and home insurance & retirement services), call 800-279-4010

Please Note: Effective January 1, 2019 the WEA Trust hours of operation will change to 7:30 a.m. to 5 p.m. CST, Monday through Friday.

Customer Service