Claims appeals process

If you believe a claim was denied in error or disagree with a payment determination, you may submit an appeal for further review. The claims appeals process allows providers to request reconsideration and provide additional information to support their request. Luminare Health will handle all new appeals whether for 2026 or 2027 dates of service.

Timeframe

Appeals must be submitted within 180 days of the Explanation of Provider Payment (EPP).

Submission process

Fax: 877-411-5964

Mail:
Luminare Health Appeals Department
PO Box 2905
Clinton, IA 52733-2905

Necessary information

Member name and ID number
Claim number and date(s) of service
Reason for appeal
Supporting clinical documentation
Signed authorized representative form from the member

4600 Edmundson Road

St. Louis, MO 63134