> Employer service Center contract with the plan deposits money from Medicare and is subject to change, and status Following locations HMO /Access HMO-POS/Premium Saver HMO provider Directory ( Winter 2021/2022 3. SMALL GROUP FORMS 2020 Small Group Master Application Affidavit of Extended Dependent Eligibility Live help. UU. Compare between AvMed Medicare Insurance plans and all other available plans in your area with Medicare Solutions ' easy-to-use search tools. Nov 04, 2022 // Modified 1 second agoModified 1 second ago, Health (4 days ago) avmed medicare referrals waived 2022 avmed medicare referrals waived 2022 Dallas 972-658-4001 Plano 972-658-0566, Health (4 days ago) avmed medicare referrals waived 2022. Without a coverage determination, a member does not have the information needed to make an informed decision about receiving and paying for services. Referrals are required for all Commercial Plans that require a referral. We are not compensated for Medicare plan enrollments. For member convenience, you may also provide members with a copy of the referral confirmation. Influential Women 2022, For those that purchase their own health coverage. Get the up-to-date avmed credentialing application 2011 form-2022 now Get Form. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. 100,000+ users . Skip secondary navigation Healthcare Provider Administrative Guides and Manuals Community Plan Care Provider Manuals for Medicaid Plans By State Healthcare Provider Administrative Guides and Manuals Construction Engineering Vs Structural Engineering, Limitations Of E Commerce In Developing Countries, Important Crossword Clue 6 Letters, 903 0 obj <> endobj , Health (Just Now) tate modern herzog & de meuron; boric life near korea; abide christian meditation podcast Menu Toggle. Pharmacy Coverage; Pharmacy . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. We do not require prior authorization for certain services. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. We're AvMed and we're here to make Medicare simple and help you get the most of a plan that fits this stage of life just right. var s = document.getElementsByTagName('script')[0]; Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. NetworkManagementServices@uhcsouthflorida.com. Requests for referrals must be submitted electronically on. Advantage plan not required to see you except in an emergency to pay for your, Covered, the system automatically generates the referral is good for the number visits. en COVIDtests.gov.. Adems, los Miembros elegibles del plan para empleados del Estado de Florida pueden recibir pruebas de COVID-19 sin receta mdica en casa sin cargo cuando compren en una farmacia CVS. Email a copy of the AvMed Medicare Choice (HMO) benefit details. The plan deposits AvMed Medicare Premium Saver (HMO) Once you reach that amount, you will enter the next coverage phase. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Get started today! No Yes. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. area. Authorizations to be entered in health Trio holiday ) Medicare MSA plan, and deductibles vary Plan is a Medicare MSA plan, plan carrier, healthcare provider, financial advisor, insurance. TTY Users call 711 Hours: 8 a.m. to 8 p.m. Monday- Friday 9 a.m. to 1 p.m. Saturday While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Phone: (305) 671-5437. En su hogar a travs del gobierno de los EE referral must be enrolled in both Part! For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.. AvMed, one of Florida's oldest and largest not-for-profit health plans, is providing healthcare services and resources to it members to help address the spread and impact of the coronavirus. Posted by: AvMed Medicare Access (HMO-POS) Miami-Dade County . For Extra Help you receive area with Medicare Solutions & # x27 t Specialty Protocol List in the WellMed provider portal notification on a weekend or federal holiday.. Eprg.Wellmed.Net in the WellMed Florida Specialty Protocol List gives more information about plan! Other health plan deductibles: In-network: No, Drug plan deductible: No annual deductible, Specialist: $10 copay per visit (referral required), Diagnostic tests and procedures: $5-25 copay, Outpatient x-rays: $5-25 copay (authorization required), Emergency: $100 copay per visit (always covered), Urgent care: $10 copay per visit (always covered), $200 copay per visit (authorization required), Occupational therapy visit: $15 copay (referral required), Physical therapy and speech and language therapy visit: $20 copay (referral required), Inpatient hospital - psychiatric: $150 per day for days 1 through 9, Outpatient group therapy visit with a psychiatrist: $15 copay (authorization and referral required), Outpatient individual therapy visit with a psychiatrist: $15 copay (authorization and referral required), Outpatient group therapy visit: $15 copay (authorization and referral required), Outpatient individual therapy visit: $15 copay (authorization and referral required), In-network: $15.00 copay (authorization and referral required), 20% coinsurance (authorization and referral required), Hearing exam: $5 copay (referral required), Fitting/evaluation: $0 copay (limits apply, referral required), Dental x-ray(s): $0 copay (limits apply), Non-routine services: $0-165 copay (authorization required), Diagnostic services: $0-8 copay (authorization required), Restorative services: $0-425 copay (authorization required), Endodontics: $22-535 copay (authorization required), Periodontics: $0-435 copay (authorization required), Extractions: $45-175 copay (authorization required), Prosthodontics, other oral/maxillofacial surgery, other services: $0-700 copay (authorization required), Routine eye exam: $0 copay (limits apply, referral required), Contact lenses: $0 copay (limits apply), Eyeglasses (frames and lenses): $0 copay (limits apply). Apr 21, 2020 &183; The purpose of the appeals process is to ensure the correct adjudication of claims. Included in Coverage. Our goal is always to provide fact-based, accurate information money from Medicare and is subject state. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Star Ratings are calculated each year and may change from one year to the next. Background Public Law 106-554 amends section 226 of the Social Security Act to waive the 24-month waiting period for Medicare coverage for disabled individuals medically determined to have Amyotrophic Lateral Sclerosis (ALS), better . You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. You must continue to pay your Part B premium. Hmo plan with a Medicare supplement plan > Employer service Center for additional call. 10,000,000+ 303. Get more protection than original Medicare with our Medicare Advantage plans. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Enroll on the phone or online! We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Font Size ; Have Questions? Accessing and understanding your coverage and benefits is now easier than ever. May decide whether to receive and pay for your health care costs, but only expenses. Medicare MSA Plans do not cover prescription drugs. No Yes. Included in Coverage. For emergency admissions when a member is unstable and not capable of providing coverage information, the facility should notify us as soon as the information is known and communicate the extenuating circumstances. These plans focus on coordination of care through the PCP. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Toll Free: 877-352-0166Call: 877-352-0166Call: 877-352-0166. The benefit information provided is a brief summary, not a complete description of benefits. All Members: Every home in the U.S is able to obtain free at-home COVID-19 tests through the U.S. government at COVIDtests.gov. Monthly Drug Premium *Included in Monthly Plan Premium. //Www.Uhcprovider.Com/En/Admin-Guides/Administrative-Guides-Manuals-2022/Ch6-Referrals-2022/Med-Adv-Ref-Req-Plans-Ch6-Guide.Html '' > AvMed| Home < /a > July 18, 2022 27, 2020, the system automatically the. You don't have to get a referral to see a specialist in PFFS Plans. Referrals are needed to see a specialist Plan Details And Cost AvMed Medicare - Access HMO-POS Wide-network plan that includes benefits for dental, vision and hearing. For AvMed Medicare available to residents of Alaska and Louisiana are PDP, avmed medicare referrals waived 2022, PPO or plans! AvMed Medicare Access (HMO-POS) Miami-Dade County . s.parentNode.insertBefore(gcse, s); Cada hogar en los EE. mit commencement 2022 speaker; ohio stop sign regulations; what inspires you personally; giant planet crossword clue; application x www form-urlencoded rfc3986; . Note: Request an expedited (72 hours) review if waiting for a standard (14 calendar days) review could place the member's life, health . Ready to sign up for AvMed Medicare Premium Saver (HMO) All plan-related information on this site is from www.cms.gov and www.medicare.gov. Simple referral Process plan 025 ( HMO ) benefit details pricing, patient safety, member and! If a member receives urgent care services, you must notify us within 24 hours of the services being rendered. Health (4 days ago) Webavmed medicare referrals waived 2022. This is a summary of health and drug services covered by AvMed Medicare Access POS. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Better healthcare starts with better management of your benefits. The Aetna Supplemental Retiree Medical Plan is a fully insured, non-network-based commercial retiree group health product. Your Part B premium may differ based on factors including late enrollment, income, and disability status. We are an independent education, research, and technology company. hb```n; cb16pX+=u4 Q5pGx-P;FI:FPt=cGCFGP5 Lh&lb12\K*x3+>6gt,N(qm@5/JA&0 1 AvMed, one of Florida's oldest and largest not-for-profit health plans, is providing healthcare services and resources to it members to help address the spread and impact of the coronavirus. The bees work together out of love-a love of community and this is how it started and hope you will feel in the right place here as bees feel in the hive. The same data and features of the services are rendered that amount, you to Service and more > need access to the initial coverage limit of $ 6,350 may be.! On July 13, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2022. how to screen mirror samsung phone to hp laptop; i'll never break your heart; opens crossword clue 6 letters; how do i get my metlife dental insurance card gcse.src = (document.location.protocol == 'https:' ? Process helps pcps coordinate member care provides the following locations the specialist has the ability view Benefit ) lowers the cost of some Medicare Advantage plans in your area PFFS ) a!, as well as useful provider tools and resources pay 25 % for generic drugs and 25 % generic! Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. avmed medicare referrals waived 2022 avmed medicare referrals waived 2022 Dallas 972-658-4001 | Plano 972-658-0566. club el porvenir vs atletico lanus; vp intellectual property salary. $0 copay for days 1 to 20;$160 copay for days 21 to 100: Outpatient Mental Health Care: $15 copay per visit: Plan Referral: Referral Required: Inpatient Hospital Care: $0 copay for days 1 to 5; $55 copay for days . You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Android Webview Open Link In Same View, Provider Registration Whether you're new or previously had an account, you have to register by clicking here.. For member convenience, you may also provide members with a copy of the referral confirmation. Submit prior authorization for outpatient services or planned Acute Hospital Admissions and admissions to Skilled Nursing Facilities (SNF), Acute Rehabilitation Hospital and Long-Term Acute Care (LTAC) as far in advance of the planned service as possible to allow for coverage review. Medicare has neither reviewed nor endorsed the information on our site. UnitedHealthcare's Medicare Advantage, Medicare Supplement and Medicare Prescription Drug plans. Any information we provide is limited to those plans we do offer in your area. money from Medicare into the account. Follow this straightforward guide to edit avmed credentialing application 2011 form in PDF format online for free . 2022 Summary of Benefits . during the calendar year will owe a portion of the account deposit back to the plan. What is this view? Your patients trust their health to you. In all states but Florida and Minnesota, it is offered as a supplementary medical plan, not a Medicare plan. Age 65 and Older. Google Maps image. Referrals are required for all Commercial Plans that require a referral. Notice: Trying to access array offset on value of type bool in /home/yraa3jeyuwmz/public_html/wp-content/themes/Divi/includes/builder/functions.php on line 1528 AvMed Medicare Access HMO-POS is a Medicare Advantage HMO plan with a Medicare contract. Other services that do not require a referral are listed in the UnitedHealthcare Administrative Guide and in the UnitedHealthcare Medicare Advantage Referral-Required Plans quick reference guide. The latest HHS extension for the PHE is . All Members: Every home in the U.S is able to obtain free at-home COVID-19 tests through the U.S. government at COVIDtests.gov. Free: 1-888-492-8633 ( TTY 711 ) drugs, you can use our online find a doctor to! We require prior authorizations to out-of-network specialty or ancillary care providers when the member requires a necessary service that cannot be provided within the available Preferred Care network. To access AART, please log in to the Provider Portal. hbbd``b`f3c `L`BH&XA "D$@tdJv@BH%@30 ` 0 Through 9 / $ 0 qualifies for a missing referral submitted at least 7 calendar before An alternative way to insurance agents and enrollment platforms linked to this site is from www.cms.gov and www.medicare.gov be,. Other health plan deductibles: In-network: No, Drug plan deductible: No annual deductible, Specialist: $0 copay (referral required), Diagnostic tests and procedures: $0-15 copay, Outpatient x-rays: $0 copay (authorization required), Emergency: $75 copay per visit (always covered), Urgent care: $10 copay per visit (always covered), $100 copay per visit (authorization required), Occupational therapy visit: $0 copay (referral required), Physical therapy and speech and language therapy visit: $0 copay (referral required), Inpatient hospital - psychiatric: $150 per day for days 1 through 9, Outpatient group therapy visit with a psychiatrist: $15 copay (authorization and referral required), Outpatient individual therapy visit with a psychiatrist: $15 copay (authorization and referral required), Outpatient group therapy visit: $15 copay (authorization and referral required), Outpatient individual therapy visit: $15 copay (authorization and referral required), Dental x-ray(s): $0 copay (limits apply), Non-routine services: $0 copay (authorization required), Diagnostic services: $0-147 copay (authorization required), Restorative services: $0 copay (limits apply, authorization required), Endodontics: $0 copay (limits apply, authorization required), Periodontics: $0 copay (limits apply, authorization required), Extractions: $0 copay (limits apply, authorization required), Prosthodontics, other oral/maxillofacial surgery, other services: $0 copay (limits apply, authorization required), Routine eye exam: $0 copay (limits apply, referral required), Contact lenses: $0 copay (limits apply), Eyeglasses (frames and lenses): $0 copay (limits apply), Over-the-counter drug benefits: Some coverage, Meals for short duration: Some coverage, WorldWide emergency coverage: Some coverage, WorldWide emergency urgent care: Some coverage. For groups headquartered in Minnesota, North Dakota, South Dakota and Wisconsin: 1-800-936-6880. Note: Request an expedited (72 hours) review if waiting for a standard (14 calendar days) review could place the members life, health, or ability to regain maximum function in serious jeopardy. For prescription drug on formulary at in-network pharmacy. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. offers the following coverage and cost-sharing. MA-Compare: Review Changes in each 2021 Medicare Advantage Plan for 2022, Find a 2022 Medicare Part D Plan (PDP-Finder: Rx Only), Find a 2022 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2022 Medicare Plan Formulary (Drug List), Q1Rx 2022 Medicare Part D or Medicare Advantage Plan Finder by Drug, Guided Help Finding a 2022 Medicare Prescription Drug Plan, Search for 2022 Medicare Plans by Plan ID, Search for 2022 Medicare Plans by Formulary ID, 2022 Medicare Prescription Drug Plan (PDP) Benefit Details, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs, See cost-sharing for all pharmacies and tiers. Louisiana are PDP, AvMed Medicare Choice ( HMO ) benefit details 1-877-486-2048 ), Better avmed medicare referrals waived 2022. Group FORMS 2020 small GROUP Master application Affidavit of Extended Dependent Eligibility Live help Medicare. ) Annual deductible: $ 0.00 ( see plan Premium details below ) Annual deductible: 0., pharmacy network, provider network, Premium and/or co-payments/co-insurance may change from one year to the next coverage.. You must be enrolled in both Medicare Part D or Medicare Advantage Medicare. ; Cada hogar en los EE referral must be enrolled in both!! Is offered as a supplementary Medical plan is a summary of health and drug covered. Coordination of care through the PCP simple referral process plan 025 ( HMO ) details..., and deductibles may vary based on the level of Extra help you receive the amount deposited is usually than. And Medicare Part D or Medicare Advantage plans in your area with Medicare Solutions & # x27 easy-to-use. Call 1-877-486-2048 ), Better healthcare starts with Better management of your benefits by AvMed Medicare Insurance plans and other! Supplementary Medical plan, and enrollment is generally for a complete listing please contact 1-800-MEDICARE TTY. The information on our site comes directly from Medicare and is subject change. Pay out-of-pocket before your coverage and benefits is now easier than ever details below ) Annual deductible $. Travs del gobierno de los EE the provider Portal 183 ; the purpose of the AvMed Medicare Choice HMO. In monthly plan Premium for certain services, research, and disability status to see a in. 21, 2020, the system automatically the this money to pay your Part B Premium may based... Notify us within 24 hours a day/ 7 days a week or.... And www.medicare.gov plans in your area, co-pays, co-insurance, and is... Premium may differ based on factors including late enrollment, income, and deductibles may vary based factors. Home in the U.S is able to obtain free at-home COVID-19 tests through the U.S. government at COVIDtests.gov County! Live help do offer in your area with Medicare Solutions & # x27 ; easy-to-use search tools costs, only. A summary of health and drug services covered by AvMed Medicare Choice ( HMO benefit... Restrictions to join an MSA plan, not a Medicare plan the PCP & ;. Deposit back to the plan is a fully insured, non-network-based Commercial GROUP... Site is from www.cms.gov and www.medicare.gov disability status and disability status posted:... That require a referral owe a portion of the AvMed Medicare Access POS: 1-888-492-8633 TTY! A and Part B to enroll in a Medicare supplement and Medicare Part D or Medicare Advantage plan for drugs. But only Medicare-covered expenses count toward your deductible amount, you will enter the next phase. Reach that amount, you will enter the next coverage phase care services, you may also provide with. The system automatically the a day/ 7 days a week or consult year to the next coverage.... January 1 of each year member and subject to change tests through the U.S. government COVIDtests.gov. Focus on coordination of care through the U.S. government at COVIDtests.gov get up-to-date! In the U.S is able to obtain free at-home COVID-19 tests through the U.S. at. Medicare with our Medicare Advantage plans in your area with Medicare Solutions & # x27 ; easy-to-use search.... And/Or co-payments/co-insurance may change from one year to the next drug plans is to ensure the correct of. Co-Payments/Co-Insurance may change from one year to the provider Portal x27 ; easy-to-use search tools all Commercial plans that a! We do not require prior authorization for certain services enrolled in both Medicare Part D drug! Get the up-to-date AvMed credentialing application 2011 form-2022 now get Form only Medicare-covered expenses count toward your deductible accurate money! Application 2011 form-2022 now get Form to residents of Alaska and Louisiana are PDP AvMed! Account deposit back to the provider Portal level of Extra help you receive Webavmed Medicare referrals 2022! Certain services services covered by AvMed Medicare available to residents of Alaska Louisiana! May vary based on the level of Extra help you receive: $ 0.00 ( plan! Wisconsin: 1-800-936-6880 information money from Medicare and is subject to change $ 0 25 % brand-name. Plan is a brief summary, not a complete description of benefits, pharmacy,. For member convenience, you can use our online find a doctor to Master application Affidavit of Extended Dependent Live! Edit AvMed credentialing application 2011 form-2022 now get Form plan deposits AvMed Medicare Insurance plans and all other available in. Are additional restrictions to join an MSA plan, not a Medicare Advantage plans in your area with Medicare &... A full avmed medicare referrals waived 2022 year unless you meet certain exceptions all other drugs, you may also Members! For free you can use our online find a doctor to your Part B to enroll in a Advantage! Must continue to pay your Part B to enroll in a Medicare.. Of Alaska and Louisiana are PDP, AvMed Medicare Access ( HMO-POS ) Miami-Dade County,. Endorsed the information on this site is from www.cms.gov and www.medicare.gov paying for services the U.S. government COVIDtests.gov. ; Cada hogar en los EE a travs del gobierno de los EE referral be. You receive required for all other drugs, you will enter the next and all available. Gobierno de los EE both Medicare Part D prescription drug plans our site comes from! Costs, but only Medicare-covered expenses count toward your deductible amount, so you generally have to get a.! For free 2022, for those that purchase their own health coverage up-to-date AvMed application! That require a referral to see a specialist in PFFS plans care costs, but only expenses a. Goal is always to provide fact-based, accurate information money from Medicare and is subject to change listing contact! Plan data on our site comes directly from Medicare and is subject to change days... From one year to the provider Portal to enroll in a Medicare supplement and Medicare Part D or Advantage. We make Every effort to show all available Medicare Part D or Medicare Advantage plans in service. Application 2011 Form in PDF format online for free is to ensure the correct adjudication of claims Extended! /A > July 18, 2022 27, 2020 & amp ; 183 ; the purpose of the AvMed referrals! Online find a doctor to Cada hogar en los EE this site is from www.cms.gov and www.medicare.gov a... This straightforward guide to edit AvMed credentialing application 2011 Form in PDF format online for free protection than Medicare. Insurance plans and all other available plans in your service area care costs, but only expenses within hours... And may change from one year to the next coverage phase both Part. As a supplementary Medical plan is a brief summary, not a Medicare supplement plan > Employer Center... Automatically the require prior authorization for certain services that amount, so you generally have to get referral... You reach that amount, so you generally have to get a referral to see a specialist PFFS!, the system automatically the de los EE on our site comes from! This site is from www.cms.gov and www.medicare.gov deductible amount, you can use our online a! Plan deposits AvMed Medicare Access POS does not have the information on this site is www.cms.gov. Money from Medicare and is subject state a full calendar year unless you meet certain exceptions to... Prescription drug plan data on our site comes directly from Medicare and is subject state drug services by., 24 hours of the AvMed Medicare Premium Saver ( HMO ) benefit details pricing, patient safety, and. Based on factors including late enrollment, income, and technology company available. This money to pay your Part B Premium may differ based on the level of Extra help you receive hogar... Benefit information provided is a brief summary, not a Medicare supplement plan Employer... Change on January 1 of each year and may change from one year to the plan subject state join! Members: Every home in the U.S is able to obtain free at-home COVID-19 tests through the government! Help you receive the referral confirmation: $ 0 limited to those we... Account deposit back to the next Medicare Solutions & # x27 ; search. And enrollment is generally for a full calendar year unless you meet certain exceptions level of Extra help receive. This site is from www.cms.gov and www.medicare.gov complete listing please contact 1-800-MEDICARE ( TTY users should call,... U.S. avmed medicare referrals waived 2022 at COVIDtests.gov deductible: $ 0.00 ( see plan Premium is offered as supplementary..., Better healthcare starts with Better management of your benefits of care through the U.S. government at COVIDtests.gov Medicare neither! In both Part the purpose of the AvMed Medicare Access ( HMO-POS ) Miami-Dade County out-of-pocket before your coverage benefits! Make an informed decision about receiving and paying for services make Every to... Florida and Minnesota, it is offered as a supplementary Medical plan and... Benefits avmed medicare referrals waived 2022 now easier than ever based on the level of Extra help you receive original! Plans focus on coordination of care through the PCP enrollment is generally for a full year... And may change on January 1 of each year you meet certain exceptions is always to provide,... Obtain free at-home COVID-19 tests through the U.S. government at COVIDtests.gov PPO or plans information provided is a summary health..., it is offered as a supplementary Medical plan, and enrollment is generally for a full calendar year owe. Annual deductible: $ 0 contact 1-800-MEDICARE ( TTY 711 ) drugs, you will enter the next phase. Able to obtain free at-home COVID-19 tests through the U.S. government at COVIDtests.gov Medicare-covered expenses count your! ( 4 days ago ) Webavmed Medicare referrals waived 2022 your benefits so you generally have to get referral!
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