Prospect Health
  • History
  • Find Physicians
    • Services Locations
      • Urgent Care
      • Hospitals
      • Labs and Imaging
      • Prospect Health Network
    • Physician Directory
  • Programs
    • Population Health Programs
      • Diabetes Care Program
      • Heart Care Program
      • Protect Your Kidneys Program
      • COPD Care Program
      • Asthma Care Program
    • Outpatient Care Management Program
    • Healthcare Management Services
  • Providers
    • For Providers
    • CalCare IPA/LAMC IPA/Vantage Providers
    • eApply User Guide
    • Health Education
    • Provider Resources
      • HEDIS Measure Resources
    • Plans and Coverage
  • Members
    • Member Form
    • How to Select a PCP
    • Just for Seniors / Senior Benefits
    • Complaints, Grievances & Appeals
    • Rolling Out the Red Carpet for Disney Employees
      • Your Red Carpet Usher
      • How to Select a PCP
      •  FAQs
    • Daehan
    • Patient Neighborhood
  • Agents and Brokers
    •  Inland Empire
    • Los Angeles
    • Orange County
    • San Diego
(855) 522-2134
Prospect Health / Provider Resources

Provider Resources

Astrana Prospect Support Tickets

Aerial Quick Reference Guide

Bulletin 2.2 – Annual Reminders

Bulletin 3.4 – Access Standards Reminder

Bulletin 9.5 – New Online Service Request Form

Case Management Referral Form

Claim Provider Dispute Resolution Form

Direct Deposit Request Agreement – Prospect Medical.

Eligibility Capitation Discrepancy Form

OA ERA Instructions QRG

Office Ally ERA-Transfer Request

Request for Transfer-Disenrollment of Member from Provider

United States Preventive Service Taskforce

W9 2018

600 City Parkway West, Suite 1000, Orange, CA 92868 | (855) 522-2134
  • Contact Us
  • Resources
  • About Us
  • Careers
  • MSO Clients
© 2026 Prospect Health
  • Privacy Statement
  • Terms of Use
  • UM Criteria
  • Compliance
  • Sitemap