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.
Timeframe
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

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