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Enterprise Layer Intelligence
Categories/Healthcare & Life Sciences/Yuzu
Yuzu

Yuzu

Founded 2022

Design, launch, and administer custom self-funded health insurance plans for employer groups

You can use Yuzu Health to design, launch, and manage custom health benefit plans for self-funded employers. The system allows administrators to configure benefit tiers, accumulators, and coverage rules through a visual builder. You can connect third-party vendors such as pharmacy benefit managers and stop-loss carriers, auto-generate compliance documents like Summary Plan Descriptions, and issue branded member cards. In addition, you can process health insurance claims with an automated adjudication engine, track payments in real time, and oversee employer and member communications.

What Yuzu does

Configure custom health benefit tiers and deductiblesAdjudicate medical claims against plan rulesGenerate Summary Plan Description documentsOnboard new employer groups and member eligibility listsTrack health benefit expenditures in a real-time ledgerRoute member support calls and track open casesIssue branded digital member ID cardsVisual benefits builder to configure custom tiers, deductibles, and accumulatorsIn-house claims adjudication engine built according to custom plan rulesAutomated ledger system that tracks payment flows and remittances in real timeAutomated document creation for Summary Plan Descriptions and SBCs with eSignWhite-labeled portals for employers, members, and healthcare vendorsPre-built integrations for pharmacy benefit managers and stop-loss partnersBuilt-in member support features including custom call routing and case management

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Yuzu Health, health plan administration, third party administrator, self funded health, claims adjudication, benefits builder, stop loss integration, PBM integration, insurance ledger, healthcare payments, summary plan descriptions, member portal, white label benefits