What Is Enrollment Auditing and How Do I Use It?

Enrollment auditing is the process of reviewing and reconciling your census data and member enrollments to ensure that the eligibility, billing, and plan records all align correctly. Mistakes in enrollment (e.g. missing dependents, outdated terminations, or misclassifications) can lead to misbilling, coverage gaps, or compliance issues.

You can find full guidance here:

Enrollment Auditing (Yuzu Docs)

This guide walks you through:

• Running audit reports to spot discrepancies
• Matching enrollment data with payroll or HR records
• Resolving flagged issues and corrections
• Best practices to audit regularly (monthly or quarterly)

Why it matters: Regular enrollment audits help prevent over- or underpayments, make sure members aren’t incorrectly billed or denied care, and maintain clean data integrity across the plan.