Instructions for Tricare East Region Online Registration

Claim Submission:

Provider needs to enroll online with the payer at: https://edi.wpsic.com/fv/r/6547261688/7455# Select the appropriate division for your line of business.

BELOW IS THE CLEARINGHOUSE INFORMATION: (This information must be put in the clearing house sections of the online form.)

Submitter name: RelayHealth Submitter ID: 19886

***An email agreement request will be emailed to the email address given in the Provider EDI Self- Registration. The email will contain a unique tracking ID for each request. Once the email is received, the following steps must be completed:

1. The agreement form must be signed by the provider listed in the registration request.
2. The signed agreement form must be named using the unique tracking ID as the file name.
3. The signed agreement must be uploaded to: www.wpshi.com/agreementupload.

Clearinghouse Name: RelayHealth

Clearinghouse Contact Name :Registration Team

Telephone Number: 800-527-8133 option 1

Email Address: DBQTSHEnrollments@RelayHealth.com

Remittance:

Provider needs to enroll online with the payer at: https://edi.wpsic.com/fv/r/6715601400/7596

Select the appropriate division for your line of business.

BELOW IS THE CLEARINGHOUSE INFORMATION: (This information must be put in the clearing house sections of the online form.)

Submitter name: RelayHealth

Submitter ID: 19886

***An email agreement request will be emailed to the email address given in the Provider EDI Self-Registration. The email will contain a unique tracking ID for each request. Once the email is received, the following steps must be completed:

1. The agreement form must be signed by the provider listed in the registration request.
2. The signed agreement form must be named using the unique tracking ID as the file name.
3. The signed agreement must be uploaded to: www.wpshi.com/agreementupload.

Clearinghouse Name: RelayHealth

Clearinghouse Contact Name: Registration Team

Telephone Number: 800-527-8133 option 1

Email Address: DBQTSHEnrollments@RelayHealth.com