There are two types of DPC payments: Membership and Ancillaries. For details on how each works see Recurring monthly sends and Ad-hoc invoicing (invoices for the TPA to pay), respectively.
For membership, Yuzu must be the source of truth for enrollment since we are pulling total premium from the group. Employers demand they receive one invoice which forces Yuzu to be the source of truth. Therefore, DPC enrollment must be downstream of Yuzu enrollment for that month’s invoice.
When membership is paid to you (typically on the 2nd of each month for that month of service), you will get an email subject line “Payment for [Employer Name] - [Month Year]” with amount paid, member count per tier, and a link to the portal.
To ensure you update membership based on ours (so you can see all active members in your clinic 🙂) click the link to the portal. You can also sign in at https://portal.yuzu.health/signin, click “Invoices” on the lefthand toolbar, and click into the employer group you want to view — summarized additions and subtractions will be presented to you.
The only remaining gap in your invoice and ours may be due to Retro-Additions and Retro-Terminations (i.e. Retro-Adds and Retro-Terms). Meaning the employer / broker / or health plan added or terminated a member with a Start Date or End Date in previous months. Examples include:
Retro-Add: Employer Ann adds a New Member Mary on 11/15/2025 with a Start Date = 11/1/2025. On the next invoice, December 2025’s invoice, the employer will pay for Mary’s coverage for November AND December. So the DPC will get paid for the bonus month of November.
Retro-Term: Employer Ann terminated a Old Member Mark on 11/15/2025 with a End Date = 10/31/2025. On the next invoice, December 2025’s invoice, the employer will get credited for Mark’s coverage in November. So the DPC will get paid membership minus Mark’s November coverage.
More details on how to read an invoice HERE
Relevant Tidbit: Yuzu, Stoploss, Brokers, Plan Designers, and all other PEPM based vendors in the plan get paid in this manner. We all accept retro changes on behalf of the employer.
The bottom line on Retro-Adds and Retro-Terms is: this is very frustrating as it BUT it almost always evens out as we all get paid Retro-Adds as well as being deducted for Retro-Terms. This is just something that employers demand in health insurance and we must accept as reality 🙃.