FEI Referral Packet
*In order to process payment, claim forms must be completed and returned to FEI's claim department via fax: 414-359-6717. Claims must be submitted within 30 days of the authorization end date. All sessions must be pre authorized by FEI Behavioral Health.
Joining FEI's Provider Network
If you would like to join our provider network or add clinicians to an existing FEI-approved clinic, please complete an EAP Affiliate Application and submit along with a copy of the clinicians license, liability insurance, resume and W9. Completed applications and supporting documents can be submitted via email or fax: 414-359-6519. If you have any questions, contact the Network Operations Department at (800) 782-1948 option 2.
*Please verify that all information is saved on forms before submitting.
Required Application Forms
Information Update Forms