Regal Medical Group 2026: Doctors, Referrals & Urgent Care

Southern California member guide · Doctors, authorizations, urgent care and appeals

Move From Your Primary Doctor to Approved Specialty Care Without Losing the Referral

Regal Medical Group is the physician network between many Southern California HMO members and their participating doctors, specialists, hospitals, urgent-care centers and laboratories. Regal coordinates care, but the health plan still controls benefits such as copays and deductibles.

This guide explains what most members actually need to do: select or change a primary doctor, prepare for the first visit, request specialty care, track an authorization, find in-network urgent care, fix an unexpected bill, request health information and challenge a denial.

Medical emergency? Call 911 for severe chest pain or pressure, major breathing difficulty, stroke signs, severe bleeding, loss of consciousness, major trauma or another condition where delay could threaten life or permanent function.
Regal is a medical group, not your insurance company. Regal coordinates participating providers and reviews many authorization requests. Your health plan defines covered benefits, copays, deductibles, out-of-pocket limits, pharmacy coverage and formal appeal rights.
Customer Service

818-357-5000

Toll-free help

866-654-3471

Published hours

Monday-Friday, 8 a.m.-5 p.m.

Authorization timing

Most requests are handled within 3-10 business days.

Information review

Official details checked July 16, 2026.

Start with the correct organization

Who should solve your Regal Medical Group problem?

PRIMARY CARE PHYSICIAN Symptoms, regular care and referrals

Contact your primary care physician first for routine illness, chronic-condition care, medication questions, preventive visits and most new specialist referrals.

Ask the PCP office for the referral date, requested specialty and authorization tracking number.
REGAL MEDICAL GROUP Network and authorization help

Contact Regal for help finding or changing a PCP, checking authorization status, locating participating providers and fixing coordination problems.

Customer Service: 818-357-5000 or 866-654-3471.
YOUR HEALTH PLAN Benefits, copays and appeals

Contact the health plan for benefit coverage, member eligibility, copay amounts, claims submitted by the patient and formal appeals or grievances.

Use the member-services number printed on the insurance card.
Fastest problem-solving order: Contact the PCP for medical direction, Regal for network or authorization coordination, and the health plan for benefit or appeal decisions.

Go directly to the member task you need

The useful rules are explained below so you only leave the page to complete a live search, tracker check or official form.

Understand the care system

How Regal Medical Group works with your health plan and doctor

Your health plan
  • Determines covered benefits
  • Sets copays and deductibles
  • Issues the member ID card
  • Handles formal benefit appeals
  • Processes member-submitted claims
Regal Medical Group
  • Coordinates network care
  • Reviews many authorizations
  • Connects PCPs and specialists
  • Maintains provider directories
  • Offers care-support programs
Your primary doctor
  • Evaluates new medical problems
  • Manages routine and preventive care
  • Submits many specialist referrals
  • Coordinates follow-up treatment
  • Maintains the main clinical record
Common misunderstanding: Calling the insurance plan about a referral may send you back to Regal, while calling Regal about a copay may send you back to the plan. Start with the organization responsible for that task.

Southern California service area

Regal describes itself as one of Southern California’s largest physician-led networks. California’s medical-group report card identifies service areas that include Los Angeles, the San Fernando and San Gabriel valleys, Torrance and South Bay, Riverside, San Bernardino and Ventura, with neighboring areas also served through participating providers.

Primary-care access

How to find, confirm or change a Regal primary care doctor

Search the official physician directory Search by ZIP code, city, specialty, language and other available filters.
Confirm that the physician is accepting patients A listed doctor may have limited new-patient availability or may practice at several offices.
Verify your exact health-plan product Give the office the health-plan name, plan type and network printed on the card.
Check the PCP assignment An HMO member may need the selected physician to appear as the assigned PCP before non-emergency services are covered.
Call Regal when a change is needed Customer Service can help identify participating PCPs and explain the change process.
Confirm the effective date with the plan Do not assume that a requested PCP change becomes active immediately.
PCP-change call script
“I am a Regal Medical Group member with [health plan]. I need a primary doctor near ZIP code [ZIP] who speaks [language, if needed] and is accepting new patients. Please confirm the doctor’s address, phone number and the effective date of my assignment.”
Get more from the visit

What to prepare for a Regal primary care appointment

Health-plan membership card
Government-issued photo identification
List of symptoms and when they began
Current prescription medications
Over-the-counter medicines and supplements
Medication allergies and reactions
Caregiver and emergency-contact details
Outside laboratory and imaging results
Written questions in priority order
Advance directive or power of attorney
1
Explain the main problem first

Start with the issue most important to address during the available appointment time.

2
Ask for the next step

Confirm whether you need medicine, testing, follow-up, a specialist or urgent reassessment.

3
Record referral details

Ask which specialty was requested and when to follow up if no authorization arrives.

24/7 PCP-access help: Regal’s appointment-preparation page publishes 844-878-0888 for questions about a primary-care physician. TTY or TDD users may dial 711.
PCP to specialist workflow

How a Regal Medical Group specialist referral moves from request to appointment

The primary doctor evaluates the problem The PCP decides whether specialty care, imaging, surgery or another service is medically appropriate.
The office submits an authorization request The request should identify the diagnosis, requested service, supporting records and clinical reason.
Regal reviews the request Regal applies applicable benefit, network and medical-necessity rules.
A formal decision is issued Regal says the member receives a mailed letter when a decision is made.
The approved provider is identified An approval normally includes the provider name, phone number and information needed to schedule.
The member schedules directly Call the approved specialist or facility instead of assuming the specialist will contact you.
Published processing benchmark: Regal says 97% of requests are approved within 10 business days. Its welcome guidance describes many requests as taking about 3-10 business days after submission.
Referral follow-up script for the PCP office
“My referral for [specialty or test] was requested on [date]. Has it been submitted to Regal? Please give me the authorization tracking number, requested provider or facility, urgency level and the records sent with the request.”
Live authorization status

How to use the Regal Medical Services Authorization Status Tracker

Get the tracking number Ask the PCP, referring specialist or Regal Customer Service. A published example looks like 2018-0421-P010-0111.
Open the official tracker Use Regal’s patient-resource page rather than a provider-only portal or an unofficial lookup site.
Enter every section accurately The tracking number is divided into multiple groups. Match the printed or spoken number exactly.
Read the status as preliminary information Regal says the tracker provides general status information, not the complete formal determination.
Wait for or request the decision letter The mailed notice controls the official approval, denial, provider and appeal information.
Call when the status is unclear Contact Customer Service when the tracker does not recognize the number or the status has not moved.
An approval status is not enough by itself. Before receiving care, confirm the authorized provider, location, service, number of visits and expiration date shown in the formal notice.
Authorization result decoder

What common authorization stages mean and what to do next

Authorization stage, likely meaning and next action
Status or situation What it may mean Best next action
No tracking number The request may not have been submitted, or the office has not given you the number. Call the referring office and ask for the submission date and tracking number.
Not found The number may be mistyped, newly submitted or associated with another format. Compare every digit and call Customer Service if it remains unavailable.
Pending or in review Regal may be reviewing benefits, network availability or medical documentation. Ask whether clinical records or test results are missing.
Additional information needed The reviewing team may need notes, prior treatment, imaging or another document. Call the referring office and ask what was requested and when it was sent.
Approved The requested or modified service has been authorized. Use the formal letter to confirm provider, service, visits and expiration.
Modified A different provider, facility, quantity or service may have been approved. Read the letter before scheduling and ask the PCP whether the change meets the medical need.
Denied The request was not approved under the stated criteria or available information. Read the reason, deadline and appeal instructions; contact the doctor about supporting records.
Expired The approved service was not completed within the authorization period. Ask whether a new authorization must be submitted.
Missing-information call script
“My authorization number is [number] for [service]. The tracker shows [status]. Is anything missing from the referring office, when was it requested, and what is the deadline for the office to respond?”
Care that may bypass full authorization

Regal self-referral and direct-referral services

Regal’s member FAQ identifies selected services that may be accessed without a standard authorization when the member uses a participating provider.

Well-woman examination

A participating women’s-health provider may be available through self-referral rules.

Obstetric care

Pregnancy-related access may use a self-referral pathway with participating providers.

Well-child visits

Preventive child care may have direct-access options.

First visits

Regal’s FAQ includes first visits among its listed self-referral services.

Confirm before scheduling. A self-referral rule does not mean every provider, test or follow-up procedure is automatically covered. Verify the participating provider and benefit with Regal and the health plan.
Direct referral is different: Regal also offers services where the PCP can send a member directly to a contracted specialist without the longer standard process. Ask Customer Service which direct-referral services apply to your plan.
Non-life-threatening same-day care

How to find and use in-network Regal urgent care

Regal’s urgent-care network includes locations with evening or weekend hours, walk-in access and, at many centers, on-site blood collection or X-ray equipment.

Common illnesses

Fever, sore throat, cough, cold symptoms, earache, rash, nausea, vomiting, diarrhea, urinary symptoms and mild dehydration.

Minor injuries

Cuts, scrapes, minor burns, bruises, sprains, selected fractures, mild head or face injury and joint pain.

Possible testing

Many locations provide blood draws or X-rays, but services and equipment differ by center.

Search by current ZIP code Use the official finder because the nearest participating center may differ from the nearest public listing.
Check the live office hours Evening, weekend and holiday schedules can change.
Call about the required service Confirm patient age, X-ray availability, blood testing and treatment for the specific problem.
Bring the health-plan card and ID Incomplete member information can create delayed claims or unexpected bills.
Tell the PCP about the visit Send the urgent-care report to the primary doctor when follow-up is needed.
Chest pain requires caution. New, severe, pressure-like or unexplained chest pain—especially with sweating, nausea, weakness, shortness of breath or pain spreading to the arm, jaw or back—may be an emergency. Call 911.
Emergency access

When Regal members can use the nearest emergency department

Regal states that emergency care may be received at an in-network or out-of-network hospital when needed. Do not delay emergency treatment to search for a contracted hospital.
Severe chest pain or heart-attack symptoms
Stroke signs or sudden one-sided weakness
Major breathing difficulty
Severe bleeding or serious burns
Loss of consciousness or seizure emergency
Major head, neck or spine injury
Severe abdominal pain with danger signs
Another rapidly worsening serious condition

After emergency treatment

Keep the discharge instructions Save medication changes, diagnosis, testing and follow-up recommendations.
Contact the primary doctor Arrange follow-up so the PCP can coordinate continued care.
Check pending referrals or equipment Hospital discharge may create needs for specialists, home health, therapy or medical equipment.
Review every bill and EOB Emergency claims may arrive from the hospital, physician, radiologist, laboratory or ambulance separately.
Testing and imaging workflow

How Regal laboratory, Quest and imaging referrals work

Regal’s new-member guidance says most laboratory testing is completed through its partner Quest Diagnostics. Imaging, radiology and other tests may require authorization and must be completed at the approved facility.

Get the complete order Confirm the test name, diagnosis, ordering doctor and whether fasting or other preparation is required.
Ask whether authorization is needed Do not assume that the doctor’s order is the same as insurance authorization.
Confirm the approved location Use the laboratory or imaging center shown on the authorization or supplied by the medical office.
Schedule when required Imaging and selected laboratory services may not accept walk-ins.
Bring the order and authorization Carry the health-plan card, photo ID and approved paperwork.
Ask how results will be delivered Confirm whether the ordering physician will call, mail, post results or schedule a follow-up visit.
Bill-prevention tip: Before testing, confirm the facility name and address—not only the company name. One imaging or laboratory company may have both participating and non-participating locations.
Testing-verification script
“My doctor ordered [test]. Does it require Regal authorization? Which exact facility is approved, is an appointment needed, and should I bring a printed order or authorization letter?”
Participating plan categories

Health plans currently displayed by Regal Medical Group

Regal works with Medicare Advantage, commercial, Medi-Cal, Special Needs Plan, EPO, PPO and POS products through participating health plans.

Health-plan organizations displayed by Regal
Plan group Organizations shown What members must verify
Major commercial and Medicare plans Aetna, Anthem Blue Cross or CaliforniaCare, Blue Shield, Cigna, Health Net, Humana and UnitedHealthcare. Exact product, county, medical-group assignment and provider participation.
Senior-focused plans Alignment, Astiva, Central Health Plan, Imperial, SCAN and selected products from other listed insurers. Medicare Advantage network, PCP assignment and specialist referral rules.
Medi-Cal and public programs Blue Shield Promise, CalOptima, Inland Empire Health Plan, Molina and OneCare. County eligibility, assigned network and covered provider.
Additional listed organization Wellcare. Specific plan type and current Regal participation.
A plan logo does not prove that every product is accepted. Verify the exact plan, provider, location and service with both Regal and the health plan.
Coverage-verification script
“My health plan is [full product name], member ID [number]. Is Regal Medical Group my assigned medical group, and is [doctor or facility] participating for [service]? Do I need a referral or prior authorization?”
Avoid the wrong login

Regal member tools versus the provider-only REA portal

Member-facing tools
  • Doctor Finder
  • Urgent Care Finder
  • Authorization Status Tracker
  • Patient-resource pages
  • Individual doctor or health-plan portals
Regal Express Access
  • Designed for contracted providers
  • Shows provider eligibility data
  • Includes claims and authorization status
  • Handles referral requests
  • Is not a general patient login
Where are your test results? Results may appear through the individual doctor, Quest, imaging facility or health-plan portal. Ask the ordering office which system it uses.
Do not enter member credentials into a provider portal. Use only the login named by your doctor, laboratory or health plan.
Unexpected statement workflow

What to do when a Regal member receives a medical bill

Regal says members with a valid authorization—or a properly used self-referral service—generally should not receive an unexpected bill for the authorized care. Laboratory and radiology bills can still occur when complete information was missing.

Do not ignore or immediately pay the bill Check whether it is a bill, an explanation of benefits or a request for information.
Match the service details Compare the patient, provider, service date, facility and amount.
Find the authorization Confirm that the billed provider and service match the authorization letter.
Compare the health-plan EOB Review the denial reason, adjustment and stated patient responsibility.
Contact Regal Customer Service Ask whether missing insurance, authorization or referral data caused the bill.
Call the billing provider Ask the provider to place the account on hold while coverage information is corrected.
Copay rule: The health plan determines the copay. The member pays it to the provider at the time the service is received.
Unexpected-bill call script
“I received a bill from [provider] for [service date]. I had Regal authorization number [number] or used an approved self-referral service. Please confirm whether the claim had the correct member, referral and authorization information and what must be corrected.”
Vacation and out-of-area care

What Regal members should do when they become ill while traveling

Routine or urgent illness

Contact the health plan when possible and use an appropriate doctor or urgent-care center. You may need to pay first.

Life-threatening emergency

Go to the nearest emergency department or call 911. Do not delay care to find a network facility.

After returning home

Tell the PCP about the illness, treatment, new medication and recommended follow-up.

Keep all itemized receipts Save physician, urgent-care, emergency, laboratory and pharmacy receipts.
Ask the health plan for a claim form Out-of-state providers and cruise-ship medical services may not bill the plan directly.
Submit prescriptions when eligible Keep the pharmacy receipt and medication information.
Do not claim ordinary over-the-counter products Regal’s FAQ says over-the-counter medicines are not reimbursable through this travel process.
Update the home medical record Give discharge papers and test results to the PCP.
Before a long trip: Save your health-plan member-services number, PCP number, medication list and nearest emergency contact offline on your phone.
Authorization to disclose health information

How to complete the Regal Medical Group records-release form

Regal publishes a two-page Authorization for Use or Disclosure of Health Information. An incomplete form may be invalid.

Identify the patient Enter the patient’s name and date of birth.
Name the authorized recipient Write the person or organization permitted to receive the information.
Select the record category Choose general health information or psychotherapy notes. Psychotherapy notes require a separate authorization.
Add date limitations Specify the treatment or record period when only selected information is needed.
State the purpose Select patient request or explain another permitted purpose.
Choose the requested format The form lists paper, verbal, secure email or another requested format.
Add an expiration date The authorization remains active until the stated date unless revoked earlier.
Sign and provide representative proof A legal representative must identify the relationship and attach documentation showing authority.
Important rights stated on Regal’s disclosure form
Right What it means
Refuse to sign Refusal does not affect treatment, payment or benefit eligibility.
Inspect or obtain a copy The patient may inspect or obtain the information covered by the request.
Revoke in writing Revocation applies after Regal receives it and does not reverse disclosures already made in reliance on the authorization.
Receive a copy The signer has the right to keep a copy of the completed authorization.
Written revocation address on the form:
Attention: Customer Service
8510 Balboa Boulevard, Suite 150
Northridge, CA 91325
Before sending the initial request: Call Customer Service and confirm the current submission method, recipient department and whether the records are held by Regal or by the individual doctor or facility.
Denied care or service complaint

How to handle Regal authorization appeals and grievances

Appeal

An appeal challenges a denial or adverse decision involving a service or payment.

  • Read the denial notice
  • Check the Evidence of Coverage
  • Follow the plan’s deadline
  • Include supporting medical records
  • Ask about expedited review when medically urgent
Grievance

A grievance reports dissatisfaction with service, access, communication or quality of care.

  • Record the date and provider
  • Explain what occurred
  • State the requested resolution
  • File with the health plan
  • Keep the confirmation number
Read the reason for denial Determine whether the problem involves missing records, medical necessity, network rules or benefit coverage.
Contact the requesting physician Ask whether additional clinical notes, prior treatment or test results can support the request.
Follow the health plan’s appeal instructions The Evidence of Coverage and denial notice contain the controlling process and deadline.
Ask for urgent review when appropriate Explain why waiting through the standard timeline could seriously harm health or recovery.
Save every record Keep the denial, appeal, fax confirmation, reference number and decision.
Authorization-denial call script
“Authorization [number] for [service] was denied or modified. What is the exact reason, which clinical criteria were used, what information was reviewed, and what is the deadline and process for a standard or expedited appeal?”
Do not wait for an appeal during an emergency. Use 911 or the nearest emergency department for a life-threatening condition.
Post-hospital support

Regal Member Advocate help after a hospital stay

Regal’s Member Advocate Program is available to selected recently hospitalized members with Medicare, Medicare Special Needs Plan or Medi-Cal SPD coverage. Availability depends on eligibility and location.

DC
Discharge review

A Member Advocate may review hospital instructions and follow-up needs.

Rx
Medication support

The program may connect the member with a pharmacist for medication review.

A
Appointments

Advocates may help arrange primary and specialty follow-up visits.

T
Transportation

Eligible members may receive help coordinating rides to appointments.

H
Home support

The program may connect members to home health, equipment and community services.

CM
Case management

Members may be connected with a nurse case manager for clinical coordination.

Member Advocate information line: 844-734-2563, Monday-Friday, 10 a.m.-4 p.m. TTY users may dial 711.
Senior member support

Regal senior concierge phone numbers

Published senior concierge lines by health plan
Member group Telephone Best use
SCAN members 833-416-7101 Routine and complex Regal coordination for eligible SCAN senior members.
Anthem Blue Cross senior members 888-705-0196 Regal senior concierge help aligned with Anthem coverage.
Health Net senior members 888-722-0413 Regal senior concierge help aligned with Health Net coverage.
Other Medicare members 818-357-5000 Press option 1 and then option 6 for the general senior concierge route.
Language and communication access

How to request language or accessibility assistance

Spoken-language assistance

Tell the doctor or Regal which language is needed when scheduling.

TTY and TDD

English: 800-735-2929
Spanish: 800-855-3000

Accessible appointment

Request mobility, hearing, vision or communication accommodations before arrival.

Do not rely on a child as the medical interpreter. Request qualified language assistance for diagnoses, treatment choices, consent and medication instructions.
Southern California practical tips

Local Regal member tips that can prevent delays and extra bills

01
Photograph the authorization letter

Keep the provider, service, visits and expiration available on your phone.

02
Save the tracking number immediately

Do not wait until the PCP office is closed to look for it.

03
Confirm the exact facility

Southern California medical campuses can contain participating and non-participating offices nearby.

04
Check traffic before leaving

Plan extra travel time for Los Angeles, San Gabriel Valley and Inland Empire appointments.

05
Ask about parking

Hospital-based specialists may use paid parking or a separate medical-office entrance.

06
Call the specialist yourself

An approval letter does not always mean that an appointment was scheduled automatically.

07
Check expiration before treatment

An authorization can expire while a distant specialist appointment is pending.

08
Bring both cards

Carry the health-plan card and photo ID to urgent care, laboratories and specialists.

09
Report outside care to the PCP

Emergency and travel records may not reach the primary doctor automatically.

Contact the correct department

Regal Medical Group phone and contact directory

Member task and correct starting point
Need Contact Best use
Customer Service 818-357-5000 PCP changes, authorization help, provider search and member coordination.
Toll-free Customer Service 866-654-3471 General member assistance during published business hours.
Customer-service email customerservice@regalmed.com Non-urgent general questions without confidential medical details.
Corporate office 818-654-3400 Corporate routing rather than ordinary member-benefit questions.
Primary-care access help 844-878-0888 Published 24/7 number for questions concerning a primary-care physician.
Member Advocate Program 844-734-2563 Eligibility questions for selected recently hospitalized members.
Mail Regal Medical Group, P.O. Box 371330, Reseda, CA 91337 General mailed correspondence after confirming the correct department.
Emergency 911 Potentially life-threatening symptoms or serious injury.
Email is not a secure place for urgent or sensitive health information. Do not send passwords, Social Security numbers, emergency symptoms or unnecessary medical details through ordinary email.
Selected Regal and Lakeside clinics

Published primary-care and urgent-care location examples

Selected directly published medical-group locations
Service Address Phone
Arcadia primary and urgent care 117 E. Live Oak Avenue, Arcadia, CA 91006 626-446-8492
Burbank primary care 191 S. Buena Vista Street, Burbank, CA 91505 818-557-2671
Burbank urgent care 191 S. Buena Vista Street, Burbank, CA 91505 818-295-5920
Glendale primary care 1500 S. Central Avenue, Glendale, CA 91204 818-254-1500
Santa Clarita primary care 24355 Lyons Avenue, Santa Clarita, CA 91321 661-222-9381
West Covina primary care 1500 W. West Covina Parkway, West Covina, CA 91790 626-960-9414
West Covina urgent care 1500 W. West Covina Parkway, West Covina, CA 91790 626-856-2248
Thousand Oaks primary care 612 E. Janss Road, Thousand Oaks, CA 91360 805-373-0725
These are examples, not the complete network. Use the live doctor and urgent-care finders to confirm a participating location for your health plan and ZIP code.
Location example

Regal Medical Group Arcadia clinic map

Regal Medical Group – Arcadia
117 E. Live Oak Avenue
Arcadia, CA 91006
Phone: 626-446-8492
Do not assume this is your assigned clinic. The Arcadia address is a published primary and urgent-care location. Confirm your doctor, network and appointment address before traveling.
Member questions answered

Regal Medical Group frequently asked questions

What is Regal Medical Group?

Regal is a Southern California medical group that coordinates participating primary doctors, specialists, hospitals, urgent care and support programs.

Is Regal my insurance company?

No. The health plan controls benefits and copays. Regal coordinates the provider network and reviews many authorizations.

What is the customer-service number?

Call 818-357-5000 or 866-654-3471, Monday-Friday from 8 a.m. to 5 p.m.

How do I find a Regal doctor?

Use the official doctor finder and confirm that the provider accepts your exact plan and new patients.

How do I change my primary doctor?

Call Regal Customer Service and confirm the effective date of the change with the health plan.

How does a specialist referral work?

The PCP submits the request to Regal. When approved, the formal notice identifies the authorized specialist or facility.

How long does authorization take?

Regal says 97% are approved within 10 business days and describes many requests as taking about 3-10 business days.

How do I track authorization?

Get the tracking number from the doctor or Customer Service and enter it in Regal’s official authorization tracker.

Which services may be self-referred?

Regal’s FAQ lists participating-provider well-woman examinations, obstetric care, well-child visits and first visits. Confirm current plan rules first.

Does Regal have a patient portal?

Regal provides member finders and an authorization tracker. Regal Express Access is for contracted providers, not general patient use.

When should I use urgent care?

Use in-network urgent care for a non-life-threatening condition that cannot wait for a regular appointment.

Can I use any emergency room?

Regal says members may use an in-network or out-of-network hospital during an emergency.

Who determines my copay?

The health plan determines it. The copay is paid to the provider when care is received.

What should I do with an unexpected bill?

Compare the authorization and EOB, then call Regal Customer Service and the billing provider before paying.

How do I request health records?

Complete Regal’s disclosure authorization and call Customer Service for the current submission instructions.

How do I appeal a denial?

Follow the denial notice and health plan Evidence of Coverage. Ask the treating doctor to provide supporting medical records.

Final live actions

Official Regal Medical Group member tools

The main rules and workflows are explained above. Use these official tools when you are ready to complete the live search, tracking check or document request.

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