Check Benefits and Eligibility

Find benefits information for patients without logging in.  You can even see which services require authorization. 

Find Web Portal: No Login Necessary

See Provider Web Access Guide to figure out how to view the provider portal. Short answer: https://yuzu.health/providers.

Signed in: the Eligibility page

If you have a portal account, click Eligibility in the left menu (or Check eligibility on your Home page).

  • Billed patients – patients your office has already billed. Type a name to search, then click the patient to check their coverage. No extra details needed.

  • Search for a member – for a patient you have not billed yet. Enter their date of birth and either their member ID number (the first 7 digits) or SSN. If you want to check coverage on a specific date, enter it under Coverage was active on this date. Click Check eligibility.

What you'll see

  • Coverage status – Active, Pending, Inactive, or COBRA – with effective dates

  • Member ID, subscriber, and relationship to subscriber

  • Plan name, plan type, and employer

  • Send claims to – the payer ID and mailing address for this plan. Always use this (it matches the member's ID card). See Submitting Claims.

  • ID Card – download the front and back of the member's card

  • Accumulators – how much of the deductible and out-of-pocket maximum has been used, for the individual and the family

  • Benefits – search for a service to see what the plan covers, the patient's cost share, and whether prior authorization is required

If we can't find a match you will see "No coverage found" - check the date of birth and ID and try again.

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