Submitting Claims

Where to Submit Claims

Providers should always submit claims based on the information shown on the member’s ID card. The ID card is the source of truth for claims routing, regardless of whether the provider is in-network or out-of-network.

The card lists:

  1. Payer ID - for electronic claims

  2. Mailing address - for paper claims

    sample id card with claims address highlighted

What if I incorrectly submit claims to the wrong address?

For e.g., if a provider submits a claim directly to Yuzu Health using Payer ID IHS15 or mails it to: P.O. Box 824, Arnold, MD 21012 (and this is not the claims address listed on the member’s ID card), the claim will be rejected with a remark code instructing the provider to resubmit the claim to the correct payer.

Common FAQs

  • I thought I was supposed to submit claims to the TPA responsible for eligibility and benefits?

    • No, claims must be submitted to the payer ID or mailing address listed on the back of the member ID card

    • For all questions related to eligibility & benefits or claims status:

      • call the respective number on the ID card OR

      • view them on the provider portal: guide here

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