Claims Overview

384 words | 2 minute read


Healthcare claims are formal requests submitted by healthcare providers or members to insurance companies for reimbursement of medical expenses.
If you use GoodRx, CostPlusDrugs, GoodRx Care, or other healthcare services (which we encourage 🙂), you need to submit a claim to get potential coverage and reimbursement.
If you use HealthSmart or SmithRx, there is no need to submit a claim. Yuzu will handle it for you!

What are claims?

Healthcare claims are formal requests that provider and/or patients (you) submit to Yuzu Health for reimbursement of eligible healthcare expenses.
Claims allow you to seek financial coverage for medical treatments, prescriptions, or other qualified healthcare services you receive.

How to use claims

Depending on the type of care you receive, the process for healthcare claims may vary, as detailed here:

For HealthSmart & PHCS visits and SmithRx prescriptions:

You don't need to worry about submitting claims
These providers are already part of our network, and we handle the reimbursement process for you
No additional steps required!

For non-HealthSmart, PHCS, and SmithRx care: (i.e. GoodRx Telehealth visits, Cost Plus Drugs and GoodRx prescriptions, and other care locations in which you pay cash for care)

To seek reimbursement, you will need to follow these steps:
pay for the healthcare service or expense upfront
keep the itemized receipt or invoice you receive from the provider
upload your receipt via “+Submit a Claim” or by emailing the receipt to
See Submitting Claims for further instructions
await reimbursement, typically occurs in a matter of days

Receiving reimbursement

Once your healthcare claim is submitted, Yuzu Health will review it and determine the eligible reimbursement amount based on your plan's coverage and any applicable deductibles or co-pays.

If and when approved, Yuzu will send you reimbursement in the form of a check.


Again, what you have to do regarding claims differs based on where you receive care, as detailed below:

Care through HealthSmart, PHCS, or SmithRx: we'll take care of the reimbursement process for you
Care through GoodRx Care, CostPlusDrugs, GoodRx Drug Savings, or other “full access” care locations: you'll need to follow the steps outlined above to initiate reimbursement

Contact us

If you have questions, call us at ‪203-208-9898‬ or email us at We respond ASAP, in most cases within minutes.