Southern California member guide · PCPs, referrals, urgent care and Patient Neighborhood
Understand the Prospect Care Network Before Choosing a Doctor, Opening a Portal or Following a Referral
Prospect Medical Group is not one clinic with one front desk. It is part of Prospect Health, a coordinated network of independent primary-care doctors, specialists, urgent-care centers, hospitals, laboratories, imaging providers and health plans.
This guide shows you how the network fits together, where to find your assigned PCP, which online system is meant for patients, how long referrals may take, how to check urgent care and laboratory access, and who handles transportation, bills, records, complaints and authorization problems.
Medical or psychiatric emergency: Call 911 or go to the nearest emergency department for severe chest pain, stroke warning signs, serious breathing difficulty, major trauma, uncontrolled bleeding, unconsciousness, drug overdose or danger of immediate harm.
Identity warning: This guide covers the United States Prospect Health and Prospect Medical Group network. It does not cover the separate NHS general practice named Prospect Medical Group in Newcastle upon Tyne, England.
Current public brand
Prospect Health, formerly Prospect Medical.
Current ownership
Astrana Health acquisition closed July 1, 2025.
Member Services
Senior VIP Line
TTY support
Dial 711 for California Relay.
Which Prospect Medical Group service should you use?
YOUR ASSIGNED PCP
Routine care and care coordination
Your primary-care provider handles checkups, preventive care, common medical problems, chronic-condition follow-up and most specialist-referral requests.
Start here for: annual visits, ongoing medicines, diabetes, blood pressure, routine tests, equipment requests and referrals.
CONTRACTED URGENT CARE
Prompt non-life-threatening problem
Use a contracted urgent-care center for a problem that should be treated within about 24 hours but does not appear dangerous enough for an emergency department.
Examples: fever, earache, rash, minor injury, urinary symptoms, minor fracture, vomiting or sports injury.
911 OR EMERGENCY DEPARTMENT
Potentially dangerous condition
Do not wait for a PCP callback, referral authorization, member-service response or online record when delay could cause serious harm.
Use now for: severe chest pain, stroke signs, major burns, severe bleeding, unconsciousness, overdose or psychiatric emergency.
Fast decision rule: Use the PCP for coordinated and ongoing care, a contracted urgent-care center for a prompt non-emergency problem, and 911 or the emergency department for danger signs.
How Prospect Medical Group works with your health plan and doctor
| Organization | Main responsibility | Contact this organization when |
|---|---|---|
| Your health plan | Benefits, premium, member card, network rules, copays, deductibles, grievances and formal appeals. | You need benefit details, an official PCP assignment, a replacement plan card or an appeal of a denial. |
| Prospect Health or Prospect Medical Group | Care coordination, network support, referrals, authorization processing, member assistance and contracted-provider access. | You need help finding a PCP, checking a referral, finding urgent care, arranging transportation or navigating the network. |
| Your primary-care office | Appointments, examinations, prescriptions, routine care, test orders and initiating specialist referrals. | You need medical advice, a visit, refill, test order, work note or referral request. |
| Specialist or facility | Specialty evaluation, procedures, facility-specific records and its own appointment or billing process. | You need appointment preparation, result follow-up, records or an explanation of that provider’s statement. |
Ownership update: Astrana Health completed its acquisition of Prospect Health on July 1, 2025. Prospect Health continues to operate its member-service, physician-directory and care-coordination resources.
Do not call the corporate office for a medical symptom. Contact the treating physician, contracted urgent care or emergency services based on the urgency.
Prospect Health includes more than one medical-group name
The exact group shown on your health-plan card matters. Prospect Health manages numerous independent physician associations and provider networks.
| Service area | Examples currently listed | What the member should verify |
|---|---|---|
| Los Angeles County | Prospect Medical Group Los Angeles, CalCare IPA, Daehan Prospect, Nuestra Familia, Prospect Health Source and related networks. | The exact IPA printed on the health-plan card and referral. |
| Orange County | Prospect Medical Group, AMVI/Prospect, Prospect Gateway, Prospect Genesis, Prospect Latino and related networks. | Which hospitals, urgent-care centers, specialists and laboratories belong to your assigned group. |
| Riverside and San Bernardino | Prospect Medical Group Inland Empire, Pomona Valley, Upland and Vantage-related networks. | County, assigned PCP, medical-group name and authorization destination. |
| San Diego County | Prospect Medical Group – San Diego and other participating networks. | That the provider directory result belongs to your exact plan product. |
| Other states | Prospect or provider-group networks are also listed in Arizona, Texas, Connecticut, New Jersey and Rhode Island. | Use the state and medical-group filters instead of assuming California rules apply. |
Local shortcut: Photograph the front and back of the insurance card. When calling, read the complete medical-group and product names rather than saying only “Prospect.”
How to find the right Prospect Medical Group doctor
Identify your exact medical group
Read the Prospect, AMVI, Daehan, Gateway, Genesis, Inland Empire or other IPA name shown on the health-plan information.
Select primary care or specialist
Use primary care when establishing regular care. Search for a specialist only when you know the required specialty or have a referral.
Enter your city or ZIP code
Search near home, work or a reliable transportation route.
Check language and age needs
Confirm the provider’s language, pediatric or adult age range and accessibility.
Call the office before selecting
Verify that the address, telephone number and new-patient availability remain current.
Ask for the provider identification number
Some health plans require a provider or medical-group identification number to complete PCP assignment.
Confirm with the health plan
A provider-directory result does not guarantee that the doctor participates in your exact product.
Save the assignment effective date
Ask when the PCP selection becomes active before receiving non-emergency care.
Doctor-selection call script
“My health-plan card lists [complete plan and medical-group name]. I need a [family medicine, internal medicine or pediatric] PCP near [ZIP code]. Which doctors are accepting new patients, speak [language if needed], and can be assigned to my exact plan?”
How to change your Prospect primary-care provider
Choose an eligible PCP
Confirm that the doctor accepts new patients and your exact health-plan product.
Call Prospect Member Services
Ask whether the provider belongs to the correct Prospect medical group and request assistance with the change.
Contact the health plan
The insurer may need to make the official PCP assignment.
Ask for the effective date
The change may begin immediately, on the first day of the next month or under another plan rule.
Save the confirmation
Record the representative, date and reference number.
Transfer useful records
Send medication history, recent laboratory results and important specialist notes to the new PCP.
Two-system rule: Telling the doctor or Prospect may not automatically update the health plan. Confirm the assignment in the insurer’s system.
What to do after joining Prospect Medical Group
Read the health-plan welcome packet
Review benefits, network rules, copays, referral requirements, nurse-line access and grievance information.
Verify the assigned PCP
Make sure the health plan, Prospect and doctor’s office show the same physician.
Schedule an initial appointment
Establish care even when you feel well so the PCP can review your history and ongoing needs.
Bring medicine and treatment information
Include prescription medicines, supplements, allergies, specialists and recent hospital care.
Continue existing services safely
Tell the PCP about active referrals, scheduled procedures, home health, equipment and medicines that cannot be interrupted.
Ask how the office communicates
Independent PCP offices may use different appointment and patient-portal systems.
Government-issued photo identification
Current health-plan card
Medication bottles or complete list
Medication and food allergies
Recent hospital or specialist records
Home blood-pressure or glucose readings
Preferred pharmacy and address
Questions arranged by priority
Continuity-of-care tip: Do not wait until a prescription, therapy authorization or medical-supply order expires. Discuss active treatment during the first PCP appointment.
Prospect Patient Neighborhood versus Aerial Care
| Online system | Who uses it | What it may show |
|---|---|---|
| Patient Neighborhood | Eligible Prospect members. | Referral information, previous provider visits, laboratory results and prescription history. |
| Individual PCP portal | Patients of that independent doctor’s office. | Appointments, clinical messages, refills and office-specific records depending on the practice. |
| Health-plan portal | Members enrolled in the insurance plan. | Benefits, claims, plan documents, member-card tools, copays and PCP assignment. |
| Aerial Care | Prospect physicians and authorized provider staff. | Eligibility, referrals, authorization changes, claims status and provider resources. |
Aerial Care is not the patient login. Do not try to create a member account through the provider portal.
No universal appointment portal: Because Prospect contracts with independent medical practices, your PCP may use a separate portal for messages, refills and appointments.
What to check when Prospect online access does not work
You opened Aerial Care
Return to the official member page and use Patient Neighborhood or your doctor’s patient portal.
Your referral does not appear
Confirm that the PCP actually submitted it and that it was sent to your correct medical group.
Your laboratory result is missing
It may still be processing, held by an outside laboratory or attached to the independent doctor’s portal.
Your PCP appointment cannot be scheduled
Call the doctor’s office directly. Patient Neighborhood is not necessarily the office’s scheduling system.
Your prescription list is incomplete
Contact the prescribing office and pharmacy; the member view may not show every current medicine immediately.
Your health-plan claim is missing
Use the health-plan portal or member-services line rather than the Prospect patient application.
Your personal information changed
Update the health plan, Prospect Member Services and the doctor’s office because their systems may not update simultaneously.
You need another person’s information
Submit the authorized personal-representative documentation instead of sharing passwords.
Access-help script
“My health-plan card lists [plan and medical group]. I am trying to view [referral, laboratory result or visit]. Please confirm whether I should use Patient Neighborhood, my PCP’s portal or the health-plan portal.”
How a Prospect specialist referral moves from PCP to appointment
Discuss the need with your PCP
The doctor may need to examine you, review previous care or order initial testing.
The PCP creates the referral
The request identifies the specialty, diagnosis, service and preferred contracted provider or facility.
Direct Referral or Utilization Management review
Direct Referral services may be authorized when submitted. Other requests go through medical-necessity and network review.
Authorization decision
Prospect states that many requests can be approved the same day and most are returned within five business days.
Confirm the specialist received it
Do not assume an approval automatically created an appointment.
Check dates, visits and procedure
An authorization may limit the provider, facility, number of visits, procedure and valid date range.
Referral-status script
“My PCP requested [specialty or service] on [date]. Has Prospect received the request? Is anything missing? Which provider and facility are approved, what are the valid dates and how many visits are authorized?”
Approval is not an appointment: Call the authorized specialist and verify that the office has the referral, records and correct insurance information.
What to do when a referral cannot safely wait five business days
Tell the PCP why the condition is urgent
Describe worsening symptoms, recent emergency care, functional loss or other medical concerns.
Ask whether a STAT request is medically appropriate
The PCP must communicate the medical urgency to Prospect’s Utilization Management team.
Confirm submission time
Ask when the urgent request was sent and whether supporting records were included.
Check within the urgent timeframe
Prospect states that medically urgent requests are generally processed within 24–48 hours.
Escalate worsening symptoms
Do not wait for authorization when emergency symptoms develop.
Authorization urgency is not emergency care. A STAT referral still takes administrative and clinical processing time. Use 911 or the emergency department for immediate danger.
How to find a Prospect urgent-care center that accepts your group
Open the official urgent-care directory
Filter by city and review the directory’s latest update date.
Read member restrictions
Some centers accept only selected Prospect groups, commercial members or Medicare Advantage members.
Call before traveling
Confirm hours, age limits, imaging, current capacity and your exact insurance product.
Bring your insurance card
The center must identify the correct health plan and medical group.
Arrange PCP follow-up
Make sure the urgent-care note and results reach your regular doctor.
Often appropriate
Fever, sore throat, earache, sinus problems, rash, urinary discomfort and persistent vomiting.
Minor injury care
Small burns, lacerations, sports injuries, back pain, bites and selected minor fractures.
Emergency instead
Severe chest pain, stroke signs, serious breathing trouble, major trauma, severe bleeding or unconsciousness.
Use your health plan’s 24-hour nurse consultation line
Prospect Health advises members with a non-emergency problem after the PCP office closes to call their health plan’s nurse line when available.
| Health plan | Nurse-line number | Use it for |
|---|---|---|
| Aetna | 800-556-1555 | After-hours direction for a non-emergency medical concern. |
| Anthem Blue Cross | 800-700-9186 | Help deciding between home care, urgent care and follow-up. |
| Blue Shield of California | 877-304-0504 | Clinical guidance when the regular doctor’s office is closed. |
| Blue Shield Promise | 800-776-4466 | Member nurse advice and direction. |
| Cigna | 800-564-9286 | After-hours non-emergency guidance. |
| CalOptima | 844-447-8441 | Nurse advice for eligible CalOptima members. |
| Health Net | 800-223-7691 | Help selecting the appropriate care level. |
| L.A. Care | 800-249-3619 | After-hours medical advice for eligible members. |
| Molina Healthcare | 888-275-8750 | Nurse direction for non-emergency symptoms. |
| UnitedHealthcare | 877-842-3210 | Clinical advice and care-setting guidance. |
Verify the number on your card: Health-plan telephone numbers can change or differ by product. The number printed on the member card should be treated as the primary contact.
How Prospect laboratory and imaging services work
Laboratory partner
Prospect Health identifies Labcorp as a laboratory partner. Walk-ins may be accepted, but appointments can reduce delays.
California imaging
Prospect Health identifies RadNet as a California diagnostic-imaging partner.
Arizona services
Prospect identifies SimonMed and Sonora Quest for selected Arizona imaging and laboratory access.
Confirm the order
Ask the PCP or specialist whether the laboratory or imaging order has been completed and sent.
Verify authorization
Advanced imaging may require approval for an exact facility, procedure and date range.
Use the contracted location
Do not choose a convenient laboratory or imaging center before checking the health-plan and medical-group rules.
Ask about preparation
Confirm fasting, medication timing, contrast, hydration and arrival instructions.
Bring the order and authorization
Carry the information even when the provider says it was sent electronically.
Ask who will explain the result
The testing facility performs the study, but the ordering clinician usually provides interpretation and next steps.
Published scheduling contacts: Prospect lists 855-277-8669 for Labcorp scheduling assistance and 800-272-9698 for RadNet location assistance.
Health plans affiliated with Prospect Medical Group
Prospect Health contracts with numerous commercial, Medicare, Medicare Advantage, Medi-Cal, Covered California, POS and dual-eligible products.
Commercial and POS
Examples include selected Aetna, Blue Shield of California, UnitedHealthcare and other employer or individual products.
Medicare
Prospect works with selected Medicare Advantage, Medicare and dual-eligible plans.
Medi-Cal and Covered California
Selected Medi-Cal, D-SNP and exchange products are listed, depending on county and medical group.
Read the complete product name
The insurer’s name alone does not confirm participation.
Confirm the Prospect medical group
Ask whether your plan assigns you to Prospect Medical Group, AMVI, Daehan, Gateway, Inland Empire or another affiliated IPA.
Verify the provider and location
Network status can differ between offices used by the same doctor.
Check the planned service
A PCP visit, specialist, laboratory, imaging procedure and hospital service may each use different authorization rules.
Save the verification
Record the insurer representative, date, reference number and estimated patient responsibility.
Contract list is not a coverage guarantee. Call the health-plan member number before non-emergency care.
How to request transportation to a medical appointment
Check your health-plan transportation benefit
Find out whether the plan includes rides and whether trip limits apply.
Call Prospect early
Prospect asks members to contact Member Services at least 48 hours before the appointment.
Provide exact appointment information
Have the provider, address, suite, appointment time, pickup address and return-trip need ready.
Explain mobility needs
State whether you use a wheelchair, walker, oxygen or require an escort.
Confirm the pickup window
Ask when to be ready and how to contact the transportation company on the day of travel.
General members
Monday-Friday, 8 a.m.-5 p.m. Pacific Time.
Medicare-eligible members
Senior VIP and Concierge Connection assistance.
Local scheduling tip: Ask whether the ride includes the return trip automatically. Some services require you to call when the appointment ends.
Request language, ASL or alternative-format assistance
Tell Member Services your preferred spoken language
Request an onsite interpreter before the appointment
Ask for American Sign Language support
Request Braille, audio or large-print information
Confirm the interpreter for specialty appointments
Use California Relay 711 for TTY assistance
Privacy tip: Request a qualified interpreter instead of relying on a child or untrained family member for complicated medical discussions.
How to solve a Prospect Medical Group billing problem
| Statement source | Who to contact first | What to ask |
|---|---|---|
| PCP office | The doctor’s billing or front-office team. | Which visit, copay or procedure created the balance? |
| Specialist | The specialist’s independent billing office. | Was the referral and authorization attached to the claim? |
| Urgent care or hospital | The facility billing department. | Does the statement include professional and facility charges? |
| Labcorp or imaging center | The laboratory or imaging billing office. | Was the correct plan, medical group and authorization used? |
| Prospect-related statement | Prospect patient billing at 844-523-5126. | Which provider, service date and claim does the account represent? |
Match the patient and service date
Make sure the bill belongs to the correct family member and appointment.
Compare the explanation of benefits
Review the billed amount, allowed amount, insurer payment, adjustment and patient responsibility.
Check referral and authorization
A missing or incorrect authorization can cause a denial.
Ask whether a corrected claim is needed
Do not pay a denied amount before confirming that the provider used the correct information.
Save the resolution details
Record the representative, reference number and expected adjustment timeframe.
Billing-question script
“I am calling about the statement for [patient] and service date [date]. Please identify the provider and service, explain the insurance processing and confirm whether the correct health plan, Prospect medical group and authorization were used.”
Prospect patient billing: 844-523-5126, Monday-Friday from 8 a.m.-5 p.m., excluding holidays.
How to request Prospect Medical Group medical records
Prospect Health coordinates independent providers. The organization that created the record generally controls its release.
| Record needed | Request it from | Useful details to include |
|---|---|---|
| Primary-care notes and medication history | The PCP office. | Patient name, date of birth, date range and recipient. |
| Specialist consultation or procedure | The specialist’s practice. | Specialty, visit dates, procedure and receiving provider. |
| Laboratory result | The ordering clinician or laboratory. | Test name, collection date and ordering provider. |
| Imaging report or images | The imaging center. | Study type, date and whether you need the report, images or both. |
| Hospital record | The hospital’s Health Information Management department. | Admission dates, department and record types. |
| Referral or authorization | The PCP, Patient Neighborhood or Prospect Member Services. | Request date, specialty, approved provider and authorization number. |
Decide whether the online view is enough
Patient Neighborhood may show selected results, visits and prescription history.
Use a formal authorization for complete records
Identify the exact provider or facility holding the chart.
Request a specific date range
This can speed processing and reduce unnecessary information.
Ask for actual images when needed
A radiology report alone may not be enough for a specialist.
Keep proof of submission
Save the authorization, fax confirmation, email or request number.
Transfer tip: When moving to a new PCP, ask the previous office to send records directly to the new provider through a secure clinical channel.
Use the correct escalation path when care is delayed or denied
| Issue type | What it means | Where to start |
|---|---|---|
| Inquiry | A request for information, clarification or assistance. | PCP office, Prospect Member Services or the health plan depending on the subject. |
| Complaint | An expression of concern that may be resolved informally. | Member Services or the health plan. |
| Grievance | A formal expression of dissatisfaction with care or service. | The assigned health plan by telephone or in writing. |
| Appeal | A request to reconsider a denied service, authorization or claim. | The health plan using the denial notice and appeal instructions. |
Collect the documents
Keep the denial notice, authorization number, referral, relevant medical records and call references.
Use the health-plan deadline
Appeal and grievance time limits can differ by plan and urgency.
Explain the requested resolution
State whether you want a different specialist, faster review, corrected claim or reconsideration of medical necessity.
Request expedited review when medically justified
Ask the treating provider to document why waiting could seriously harm health.
Keep submission proof
Save the case number, date, representative and delivery confirmation.
Forwarding rule: Prospect states that when it receives a grievance directly, its Quality Improvement Department forwards it to the member’s health plan within 24 hours.
How to designate a personal representative
A member may authorize another person to help make healthcare-related decisions and access information through the official representative process.
Download the official member-designee form
Identify the member and representative
Review the amount of access being granted
Sign and date the authorization
Include legal-authority documents when required
Keep a copy of the completed form
Minor or incapacitated member: A parent, guardian or legal representative must sign and may need to submit documents proving authority.
Do not share passwords. Formal representative access creates a documented and safer way to help manage care.
Extra navigation help for Medicare-eligible members
Doctor selection
The Senior VIP team can help identify PCPs and navigate plan assignment.
Referral status
Members can receive assistance understanding authorizations and approved providers.
Transportation
Eligible rides can be coordinated when requested at least 48 hours ahead.
Home support
Prospect describes homebound, palliative and care-management programs for qualifying members.
Medical equipment
The PCP submits the equipment or supply referral for authorization and contracted fulfillment.
Preventive care
Members are encouraged to schedule annual wellness visits and recommended screenings.
Senior VIP and Concierge Connection: 877-619-5900, Monday-Friday from 8 a.m.-5 p.m.
What to do when something goes wrong
The doctor says you are not assigned there
Contact the health plan and Prospect to confirm the PCP and effective date.
A referral has been pending longer than five business days
Confirm the submission date, missing records and authorization destination with the PCP and Member Services.
The specialist is too far away
Ask whether another contracted specialist can provide the authorized service closer to home.
An urgent-care center refuses the plan
Show the current card, confirm the medical group and call Member Services for a contracted alternative.
The laboratory cannot find the order
Contact the ordering office and verify the approved laboratory and electronic destination.
Patient Neighborhood lacks the full chart
Request records directly from the provider or facility that created them.
A claim denied for no authorization
Ask the provider whether an authorization existed and whether a corrected claim or appeal is appropriate.
Transportation has not arrived
Call the transportation dispatcher, then Prospect or the health plan using the confirmation details.
Practical tips that prevent delays and wrong-network care
Read the complete IPA name
“Prospect” alone may not identify the correct medical group or referral network.
Verify PCP effective date
A newly selected doctor may not be active immediately.
Call urgent care first
Some centers accept only selected Prospect groups or insurance products.
Save referral details
Record the approved doctor, facility, visits, procedure and expiration date.
Book transportation early
Request rides at least 48 hours before the appointment.
Use the correct portal
Patient Neighborhood is for eligible members; Aerial Care is for providers.
Request qualified interpretation
Language and ASL assistance should be arranged before the visit.
Identify the bill sender
Doctor, specialist, hospital, lab and medical group bills use different support offices.
Request images and reports
A new specialist may need both the radiology report and the actual study.
Prospect Medical Group contact directory
| Patient need | Contact | Best use |
|---|---|---|
| Member and prospective-member help | 855-522-2134 | PCP search, PCP changes, referrals, urgent care, transportation, eligibility and network guidance. |
| Senior VIP and Concierge Connection | 877-619-5900 | Medicare-eligible member navigation, transportation and authorization assistance. |
| Patient billing | 844-523-5126 | Questions about a Prospect-related patient statement. |
| TTY and relay | 711 | California Relay assistance for hearing or speech disabilities. |
| Disney Red Carpet Usher | 844-757-7999 | Eligible Disney employee plan support, doctor selection, referrals and billing navigation. |
| Labcorp scheduling assistance | 855-277-8669 | Laboratory location and appointment assistance after verifying the approved lab. |
| RadNet California imaging | 800-272-9698 | Imaging-center location help after authorization is confirmed. |
| Compliance hotline | 1-844-763-8442 | Anonymous or confidential reporting of a compliance concern. |
Do not use administrative lines for emergency care. Call 911 for an immediate medical or psychiatric emergency.
Map of Prospect Health’s Orange, California office
Prospect Health600 City Parkway West, Suite 1000
Orange, CA 92868
Member Services: 855-522-2134
This is an administrative address, not your default doctor office. Use the address shown on the PCP, specialist, urgent-care or testing appointment confirmation.
Prospect Medical Group frequently asked questions
What is Prospect Medical Group?
It is part of the Prospect Health coordinated network of independent PCPs, specialists, urgent-care centers, hospitals, laboratories, imaging providers and health plans.
Is Prospect Medical Group now Prospect Health?
Prospect Health is the current public-facing brand formerly known as Prospect Medical. Prospect Medical Group names may still appear in insurance and referral systems.
Who owns Prospect Health?
Astrana Health completed its acquisition of Prospect Health on July 1, 2025.
What is the member-services number?
Call 855-522-2134 Monday-Friday from 8 a.m.-5 p.m. Pacific Time.
How do I find a doctor?
Use the official physician directory, then verify new-patient status, medical group, location and health-plan participation.
How do I change my PCP?
Call Prospect Member Services and your health plan. Ask when the new assignment becomes effective.
Does Prospect have a patient portal?
Eligible members may use Patient Neighborhood. Your independent PCP may use a different portal for appointments, messages and refills.
Is Aerial Care for patients?
No. Aerial Care is the provider portal for eligibility, referrals, authorizations and claims information.
How long does a referral take?
Many requests can be approved the same day, and Prospect states that most are returned within five business days.
How long does an urgent authorization take?
A medically justified STAT or urgent request is generally processed within 24–48 hours.
How do I check referral status?
Contact the PCP office, check Patient Neighborhood when eligible or call Member Services.
Can I request another specialist?
Yes. Contact Member Services or the Senior VIP Line to ask about another contracted provider or facility.
How do I find urgent care?
Use Prospect’s city-based urgent-care directory and call the center to verify your exact medical group before traveling.
Which laboratory does Prospect use?
Prospect identifies Labcorp as a laboratory partner, but the approved laboratory depends on your plan, medical group and order.
Which imaging network does Prospect use in California?
Prospect identifies RadNet as a California imaging partner. Confirm authorization for the exact location and study.
Can Prospect arrange transportation?
Prospect can help eligible members coordinate transportation. Call at least 48 hours before the appointment.
Does Prospect offer interpreter services?
Yes. Member Services can help arrange language interpretation, ASL and alternative-format materials.
How do I request medical records?
Request records from the PCP, specialist, laboratory, imaging center or hospital that created them.
Who handles my bill?
Identify who sent the statement. Prospect lists 844-523-5126 for Prospect-related patient billing questions.
How do I file an appeal?
Follow the appeal instructions from your assigned health plan and include the denial, medical documentation and requested resolution.
Official Prospect Health patient tools
The important network rules and patient workflows are explained above. Use these official tools when you are ready to complete a live physician search, member login, urgent-care lookup or formal submission.