800-480-6658: Luminare Health Healthcare Management Department
Quick answer
(800) 480-6658 reaches Luminare Health (healthcare management department). It is answered by automated phone menu → hold queue → voicemail → live person. From the greeting, press 1 for specific nurse or case manager extension; press 2 for maternity admission; press 3 for pre-certification; press 4 for fax team outreach response.
Line at a glance
| Health plan | Luminare Health |
|---|---|
| Department | Healthcare Management Department |
| Purpose | Luminare Health healthcare management line for pre-certification, maternity admission certification, nurse and case manager extensions, and replies to fax team and charges-to-date requests. |
| Answered by | Automated phone menu → Hold queue → Voicemail → Live person |
| How to respond | Keypad |
| Supported languages | English |
| Hours | Not stated in the greeting |
| Have ready | Subscriber group name, Group number |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Specific nurse or case manager extension | 1 | |
| Maternity admission | 2 | Hold for an agentExplains that maternity pre-certification is needed only when the stay exceeds the federally mandated length, then holds for a representative. |
| Pre-certification | 3 | Hold for an agentPlays certification disclaimers, then offers a callback (press 1) or a hold for the next representative. |
| Hold place in line for a callback | 3 then 1 | Live personAn intake coordinator in the healthcare management department came on the line. |
| Fax team outreach response | 4 | VoicemailAsks for your name, contact number, patient name and spelling, date of birth, authorization number and the requested information. |
| Charges to date response | 5 | VoicemailAsks for the authorization number, admission date and total hospital charges since admission; no itemized list is needed. |
| Repeat options | 9 | Opens a menuRepeats the menu. |
Shortcuts and conditional instructions
- If you are calling to verify covered services, claim status, payment or eligibility Call the customer service number on the member's enrollment card
- If you want a specific registered nurse or case manager and know the extension 1 Press 1
- If you are certifying a maternity admission 2 Press 2
- If you need pre-certification 3 Press 3
- If you are responding to outreach from the fax team 4 Press 4
- If you are responding to a charges to date request 5 Press 5
Questions about (800) 480-6658
When is a maternity admission pre-certification needed?
The message says it is required only if the mother or child stays longer than the federally mandated length of stay: 2 days after a vaginal delivery or 4 days after a cesarean.
How fast is clinical information due for a review?
Within 48 hours of an urgent request, or 45 days after a non-urgent or retrospective request. Otherwise an administrative non-certification may be issued.
When are after-hours faxes considered received?
Faxes received on a weekend, holiday, or after 7 PM Central are treated as received at 7 AM Central the next business day.
What should I leave when replying to a charges to date request?
The authorization number, the admission date, and the total hospital charges from the admission date. An itemized list is not needed.