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.
Monday-Friday, 8 a.m.-5 p.m.
Most requests are handled within 3-10 business days.
Official details checked July 16, 2026.
Who should solve your Regal Medical Group problem?
Contact your primary care physician first for routine illness, chronic-condition care, medication questions, preventive visits and most new specialist referrals.
Contact Regal for help finding or changing a PCP, checking authorization status, locating participating providers and fixing coordination problems.
Contact the health plan for benefit coverage, member eligibility, copay amounts, claims submitted by the patient and formal appeals or grievances.
How Regal Medical Group works with your health plan and doctor
- Determines covered benefits
- Sets copays and deductibles
- Issues the member ID card
- Handles formal benefit appeals
- Processes member-submitted claims
- Coordinates network care
- Reviews many authorizations
- Connects PCPs and specialists
- Maintains provider directories
- Offers care-support programs
- Evaluates new medical problems
- Manages routine and preventive care
- Submits many specialist referrals
- Coordinates follow-up treatment
- Maintains the main clinical record
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.
How to find, confirm or change a Regal primary care doctor
What to prepare for a Regal primary care appointment
Start with the issue most important to address during the available appointment time.
Confirm whether you need medicine, testing, follow-up, a specialist or urgent reassessment.
Ask which specialty was requested and when to follow up if no authorization arrives.
How a Regal Medical Group specialist referral moves from request to appointment
How to use the Regal Medical Services Authorization Status Tracker
What common authorization stages mean and what to do next
| 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. |
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.
A participating women’s-health provider may be available through self-referral rules.
Pregnancy-related access may use a self-referral pathway with participating providers.
Preventive child care may have direct-access options.
Regal’s FAQ includes first visits among its listed self-referral services.
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.
Fever, sore throat, cough, cold symptoms, earache, rash, nausea, vomiting, diarrhea, urinary symptoms and mild dehydration.
Cuts, scrapes, minor burns, bruises, sprains, selected fractures, mild head or face injury and joint pain.
Many locations provide blood draws or X-rays, but services and equipment differ by center.
When Regal members can use the nearest emergency department
After emergency treatment
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.
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.
| 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. |
Regal member tools versus the provider-only REA portal
- Doctor Finder
- Urgent Care Finder
- Authorization Status Tracker
- Patient-resource pages
- Individual doctor or health-plan portals
- Designed for contracted providers
- Shows provider eligibility data
- Includes claims and authorization status
- Handles referral requests
- Is not a general patient login
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.
What Regal members should do when they become ill while traveling
Contact the health plan when possible and use an appropriate doctor or urgent-care center. You may need to pay first.
Go to the nearest emergency department or call 911. Do not delay care to find a network facility.
Tell the PCP about the illness, treatment, new medication and recommended follow-up.
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.
| 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. |
Attention: Customer Service
8510 Balboa Boulevard, Suite 150
Northridge, CA 91325
How to handle Regal authorization appeals and grievances
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
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
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.
A Member Advocate may review hospital instructions and follow-up needs.
The program may connect the member with a pharmacist for medication review.
Advocates may help arrange primary and specialty follow-up visits.
Eligible members may receive help coordinating rides to appointments.
The program may connect members to home health, equipment and community services.
Members may be connected with a nurse case manager for clinical coordination.
Regal senior concierge phone numbers
| 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. |
How to request language or accessibility assistance
Tell the doctor or Regal which language is needed when scheduling.
English: 800-735-2929
Spanish: 800-855-3000
Request mobility, hearing, vision or communication accommodations before arrival.
Local Regal member tips that can prevent delays and extra bills
Keep the provider, service, visits and expiration available on your phone.
Do not wait until the PCP office is closed to look for it.
Southern California medical campuses can contain participating and non-participating offices nearby.
Plan extra travel time for Los Angeles, San Gabriel Valley and Inland Empire appointments.
Hospital-based specialists may use paid parking or a separate medical-office entrance.
An approval letter does not always mean that an appointment was scheduled automatically.
An authorization can expire while a distant specialist appointment is pending.
Carry the health-plan card and photo ID to urgent care, laboratories and specialists.
Emergency and travel records may not reach the primary doctor automatically.
Regal Medical Group phone and contact directory
| 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. |
| 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. |
Published primary-care and urgent-care location examples
| 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 |
Regal Medical Group Arcadia clinic map
Regal Medical Group – Arcadia117 E. Live Oak Avenue
Arcadia, CA 91006
Phone: 626-446-8492
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.
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.