855-845-5440: Luminare Health Healthcare Management Department
Quick answer
(855) 845-5440 reaches Luminare Health (healthcare management department). It is answered by automated phone menu → hold queue → live person. From the greeting, press 1 for registered nurse or case manager extension; press 2 for certify a maternity admission; press 3 for pre-certification; press 4 for response to fax team outreach.
Line at a glance
| Health plan | Luminare Health |
|---|---|
| Department | Healthcare Management Department |
| Purpose | Luminare Health healthcare management line for pre-certification, maternity admissions, case managers and responses to fax team and charges-to-date requests. |
| Answered by | Automated phone menu → Hold queue → Live person |
| How to respond | Keypad |
| Supported languages | English |
| Hours | Not stated in the greeting |
| Have ready | Subscriber's group name, Group number |
How to reach each option
| To reach | Do this | What happens |
|---|---|---|
| Registered nurse or case manager extension | 1 | |
| Certify a maternity admission | 2 | Hold for an agentExplains federal maternity length-of-stay rules, then offers a callback or hold for a representative. |
| Representative | 2 then 1 | Live personConnects to an intake coordinator in healthcare management. |
| Pre-certification | 3 | Hold for an agentPlays notices about certification and clinical review deadlines, then offers a callback (press 1) or hold for a representative. |
| Representative | 3 then 1 | Live personConnects to an intake coordinator in healthcare management. |
| Response to fax team outreach | 4 | VoicemailAsks for name, contact number, patient name and date of birth, authorization number and the requested information. |
| Response to a charges-to-date request | 5 | VoicemailAsks for the authorization number, date of admission and total hospital charges; no itemized list needed. |
| Repeat options | 9 |
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 know the extension of a registered nurse or case manager 1 Press 1
Questions about (855) 845-5440
Where should I call for benefits, eligibility or claim status?
The greeting says to call the customer service number on the member's enrollment card.
Is pre-certification required for maternity admissions?
The line says it is only required if mother or child stays longer than the federally mandated length of stay: 2 days for vaginal delivery or 4 days for cesarean.
When is clinical information due?
Within 48 hours of an urgent request, or 45 days after a non-urgent or retrospective request.
What should I have ready?
The subscriber's group name and group number.