INSURER FILING GUIDE
Luminare
Use this public information to prepare your packet, then confirm the route on the insurer's own page.
AT A GLANCE
Claim facts
| Member form | Employer-plan member claim form Not published by the insurer Number: Not published by the insurer Revision: Not published by the insurer |
|---|---|
| Portal upload | Not published by the insurer |
| Portal path | Not published by the insurer universally; OhioHealthy publishes Messages > New Message > General Inquiry > subject Member Claim Submission > attach documents > Send |
| Mail address | PLAN-DEPENDENT: Use the mailing address for claims submission on the back of your member ID card; card information may vary by plan. |
| Fax | Not published by the insurer |
| Attachments | Not published by the insurer universally; the OhioHealthy route names an itemized statement, proof of payment, and medical records when applicable |
| Deadline | Not published by the insurer |
| Outcome and status | MyLuminareHealth claims tracker or employer white-label portal |
| Processing time | Not published by the insurer |
| Caveats | Luminare is a third-party administrator. Claim form, out-of-network benefits, filing route, deadline, payment, appeal, and behavioral carve-out are employer-plan specific. OhioHealthy is a documented example, not a universal rule. Medicare Advantage and Medicaid are outside this read. |
STEP BY STEP
Filing steps
Read date: 10-09-2026
Research steps
- Identify the employer plan, payor, and any behavioral administrator on the member ID card and summary plan description. Luminare administers self-funded plans, so no universal out-of-network claim route is published. https://www.luminarehealth.com/contact-us?bu=health-benefits
- NOT PUBLISHED: a universal member claim form or portal-upload control. The signed-in myLuminareHealth and employer white-label controls are UNREADABLE. https://www.luminarehealth.com/what-we-do/consumer-engagement-and-digital-tools/myluminarehealth-member-portal
- For the documented OhioHealthy plan only, open Messages, New Message, General Inquiry, use subject Member Claim Submission, identify the member, services, provider, and payee in the message, attach the claim form, itemized statement, proof of payment, and medical records when applicable, then select Send. https://www.luminarehealth.com/site/media/white-label-materials/OhioHealthy/files/LH-2200-OHy-general-portal-member-user-guide-0724-V8.pdf
- The OhioHealthy guide states a 5 MB per-file limit and email notice when a response is available. NOT PUBLISHED: file types, maximum file count, and universal confirmation behavior. https://www.luminarehealth.com/site/media/white-label-materials/OhioHealthy/files/LH-2200-OHy-general-portal-member-user-guide-0724-V8.pdf
- Use the plan's signed-in claims tracker for status. NOT PUBLISHED: a universal filing deadline or processing time. https://www.luminarehealth.com/What-We-Do/Consumer-Engagement-and-Digital-Tools/Enhanced-Portal-Coming-Soon
Filing facts
- Portal upload: NOT PUBLISHED
- Portal: myLuminareHealth or employer white-label member portal
- Portal path: NOT PUBLISHED universally; OhioHealthy publishes Messages > New Message > General Inquiry > subject Member Claim Submission > attach documents > Send
- Mail address: PLAN-DEPENDENT: Use the mailing address for claims submission on the back of your member ID card; card information may vary by plan.
- Fax: NOT PUBLISHED
- Attach: NOT PUBLISHED universally; the OhioHealthy route names an itemized statement, proof of payment, and medical records when applicable
- File types: NOT PUBLISHED
- File size limit: 5 MB per file for the documented OhioHealthy route; universal limit NOT PUBLISHED
- Maximum files: NOT PUBLISHED
- One file or separate files: OhioHealthy publishes claim form, itemized statement, proof of payment, and medical records when applicable; universal packaging NOT PUBLISHED
- Confirmation: OhioHealthy publishes an email when a response is available; universal claim-submission confirmation NOT PUBLISHED
- Status check: myLuminareHealth claims tracker or employer white-label portal
- Processing time: NOT PUBLISHED
- Member deadline: NOT PUBLISHED
- Deadline basis: Employer summary plan description and EOB control because Luminare administers self-funded plans
- Mental health route: Employer plan or named behavioral vendor controls
Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.
Read on 10-09-2026 from https://www.luminarehealth.com/what-we-do/consumer-engagement-and-digital-tools/myluminarehealth-member-portal;https://www.luminarehealth.com/wellstarhealthplan/navigatingidcard. Confirm the address, fax number or portal path on the insurer's own claims page before you send.