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PO Box 30607 Salt Lake City, UT 84130-0607 Enrollment forms: Use the address provided on the paper application you received in the mail. https://www.wellmedhealthcare.com/about-us/careers/, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Get information to understand your Medicare plan options. 7 a.m. 11 p.m. Call: 1-888-781-WELL (9355) UnitedHealthcare Individual and Family Marketplace (ACA) plans, Individual & family plans - short term, dental & more, Are you a Medicare Plan Member? ET, Monday - Friday If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. 0000000956 00000 n Need help finding the right plan? Please contact our Patient Advocate team today. If you own an iOS device like an iPhone or iPad, easily create electronic signatures for signing a wellmed provider appeal form in PDF format. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Mail: Claims Department Amerigroup Iowa, Inc. 4800 Westown Parkway, Suite 200 West Des Moines, IA 50266 Fax: 1-844-400-3463 . <>stream Before submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. 0000003369 00000 n 2023 WellMed Medical Management Inc. All Rights Reserved. After its signed its up to you on how to export your wellmed appeal timely filing limit: download it to your mobile device, upload it to the cloud or send it to another party via email. coverage options and when to enroll. Humana's priority during the coronavirus disease 2019 (COVID-19) outbreak is to support the safety and well-being of the patients and communities we serve. All you need is smooth internet connection and a device to work on. 0000007018 00000 n 0000017231 00000 n We are happy to help. Customer ID Card (Back) . Now you can quickly and effectively: Because of its cross-platform nature, signNow is compatible with any device and any operating system. Technical issues? hb```b``f`e`Qdf@ a+>Oss=(J4 kUpSY\_jAl.qnY4jQH@::@A!0mllM\\. <. Use its powerful functionality with a simple-to-use intuitive interface to fill out Wellmed appeal address online, e-sign them, and quickly share them without jumping tabs. Get help making the right decision when shopping for coverage. You will automatically go back to the Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions. Welcome to the newly redesigned WellMed Provider Portal, Once youve finished putting your signature on your wellmed appeal timely filing limit, decide what you wish to do after that - download it or share the doc with other parties involved. Texas . UnitedHealthcare Customer Service advocates are available to assist you with password resets, enhancement requests and technical issues with thewebsite. Contact Us; Contact Us. Get plan information, forms and documents you may need now or in the future. Please contact our Patient Advocate team today. signNow combines ease of use, affordability and security in one online tool, all without forcing extra software on you. %PDF-1.7 % If you are a Provider and require assistance, you may contact UnitedHealthcare plans by following the link below to the UHC Provider website. endobj Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Use signNow to e-sign and send Wellmed Appeal Form for e-signing. Get the most up-to-date claims status and payment information, and the ability to submit your claim reconsideration requests all in one easy-to-use tool without mailing or faxing. We are happy to help. Please submit EAP claims to the Behavioral Health claims submission address on the consumer ID card. help you select the plan that may best meet your needs. Call the number on the back of your member ID card. endstream endobj 2024 0 obj <>/Metadata 129 0 R/OCProperties<>/OCGs[2040 0 R 2041 0 R]>>/Outlines 158 0 R/PageLayout/SinglePage/Pages 2013 0 R/StructTreeRoot 247 0 R/Type/Catalog>> endobj 2025 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 2026 0 obj <>stream 0 Now you can quickly and effectively: . Reimbursement Policies Box 400066 ; San Antonio, TX 78229 . %PDF-1.5 % Select the document you want to sign and click. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Claims: 61101 Encounters: 61102 Advanced claims editing All EDI submissions to Humana pass through Availity. Create your eSignature and click Ok. Press Done. 84130-0755. Please contact our Patient Advocate team today. <>stream All you have to do is download it or send it via email. The signNow extension provides you with a selection of features (merging PDFs, including several signers, etc.) 101 0 obj Copyright 2023 Wellcare Health Plans, Inc. Clinical Laboratory Improvement Amendments (CLIA), Health Outcomes Survey (HOS) for Medicare Members, Behavioral Health Toolkit for All Providers, Including Primary Care Physicians. 49 0 obj Go to Member Site to Sign In or Register for an account, Plan through your employer? Applies only to 837P claims. jC%k9nh_Vnu_]{I>~p|>70-]= 9Ww~tf m\kY*u&lc ?LDe0S`A3-6OGcf7$kw(}q8&u/L+ m^]U&"GgM1 &<=(j^TY(rFd&{{)Y5RO8|r vs$qr @&mp^j?{v_aHUBi)zz=zw+7elI5O=.e1/J?,+xtDrNM6)fVyQ. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net 0000021758 00000 n Become a Patient Name * From time to time, Wellcare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. EDI Quick Tips for Claims. Hours: 8 a.m.-8 p.m. CT, Monday-Friday. startxref 0000005482 00000 n Box 30432 Salt Lake City, UT 84130-0432 Fax: 1-801-938-2100 You have 1 year from the date of occurrence to file an appeal with the NHP. 0000006009 00000 n EDI 278N: Hospital Admission Notification. Search for the document you need to eSign on your device and upload it. members address using the eligibility search function on the website listed on the members health care ID card. To call or email the HSConnect Help Desk: 1-866-952-7596| HSConnecthelp@hsconnectonline.com To register for HSConnect visit: https://bravohealth . ET, Monday-Friday 0000001302 00000 n eProvider Resource Gateway "ePRG", where patient management tools are a click away. Error:Please enter a valid email address. startxref <> for a better signing experience. MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. . Find Caregiver Resources (Opens in new window). Ready to enroll? 2023 United HealthCare Services, Inc. All rights reserved. Learn about the Medicare Advantage plans, Medicare Supplement Insurance plans. You can download the signed [Form] to your device or share it with other parties involved with a link or by email, as a result. ~QW& E7h c>;A 0xwL@!K\]-2 0000008977 00000 n Create your eSignature, and apply it to the page. 0000007129 00000 n 7 a.m. - 11 p.m. Become a Patient Name * Refer to NDC Claim Submission or call UnitedHealthcare EDI Support at 800-842-1109 for more information. 0 We are happy to help. Please do not call the Customer Service number listed throughout this website. If you wish to share the wellmed appeal timely filing limit with other people, you can easily send it by electronic mail. The sigNow extension was developed to help busy people like you to minimize the burden of signing legal forms. Medicare Information Center brought to you by WellMed Located inside Cross Roads Seniors Center 1301 E. Fern Ave. Suite C1 McAllen, Texas 78501 Interested in learning more about WellMed? Use the following address to send UnitedHealthcare correspondence or enrollment forms through the mail if you have a Medicare Advantage, Medicare prescription drug or Medicare Special Needsplan. 0000004384 00000 n 0000001429 00000 n INQUIRY FORM Therefore, signNow offers a separate application for mobiles working on Android. You make a difference in your patient's healthcare. signNow has paid close attention to iOS users and developed an application just for them. AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare Insurance Company, or UnitedHealthcare Insurance Company of America, or United Healthcare Insurance Company of New York. Choose My Signature. Start completing the fillable fields and carefully type in required information. Doctors helping patients live longer for more than 25 years. 84130-0602. <>>> Other Veterans Affairs / Community Care Network (CCN) Email: WebsiteContactUs@wellmed.net Contact. Use our eSignature tool and leave behind the old days with security, efficiency and affordability. Amerigroup's Medicare Advantage HMO plans help you save money with no or low plan premiums. 2. Start automating your signature workflows today. tXuy($ C$J Let's upgrade your browser to make sure you all functionality works as intended. Connect with UnitedHealthcare by calling the number on your member ID card, 8 a.m.8 p.m., 7 days a week. trailer We help supply the tools to make a difference. The field "Medical Claims" will provide you with the correct claims address to mail in the claim. 73 0 obj TTY users, call: 711. Please contact our Patient Advocate team today. We are happy to help. Create an account using your email or sign in via Google or Facebook. Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. Call UnitedHealthcare at: Optum EAP. C-HS MARKETS . The question arises How can I eSign the wellmed provider appeal form I received right from my Gmail without any third-party platforms? Wellcare uses cookies. For more information, call 1-800-341-6141. We are happy to help. 41 0 obj Medicare Advantage HMO Plans with Amerigroup. Contact the WellMed HelpDesk at 877-435-7576. Representatives are available Monday through Friday, 8:00 am to 5:00 pm CST. View claims status Box 400066 ; San Antonio, TX 78229 . That goes for agreements and contracts, tax forms and almost any other document that requires a signature. IPA / Independent Entity (if applicable) Claims Mailing Address . A process known as advanced claims editing (ACE) applies coding rules to a medical claim submitted through the Availity gateway via EDI before the claim enters Humana's claim payment system. Need Help Logging in? Plans vary by doctors office, service area and county. Please contact our Patient Advocate team today. PROVIDERS ONLY If you are a Provider and require assistance, you may contact UnitedHealthcare plans by following the link below to the UHC Provider website. 2023 WellMed Medical Management Inc. All Rights Reserved. Despite iPhones being very popular among mobile users, the market share of Android gadgets is much bigger. 0000014583 00000 n AARP Medicare Plans from UnitedHealthcare, UnitedHealthcare Insurance Company or an affiliate (UnitedHealthcare), [[state-start:AL,AS,AK,AZ,AR,CA,CO,CT,DE,FL,GA,GU,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,MP,NV,NH,NJ,NM,NY,NC,ND,OH,OK,PA,PR,RI,SC,SD,TN,TX,UT,VT,VI,VA,WA,DC,WV,WI,WY,null]]. PQaE0Cbi{73,) 3@cI^f2h6h8AqW3Xop!#~ pKKKsIqRAjeiR;wn~F^m.A/"`\s0!!!H0.` Sp-P) X`1g; i> e c&wLf20210f\pO'z@Uw1F+4#g H10TfNUo*FE N hb```, cb The answer is simple - use the signNow Chrome extension. Submission through UHC provider portal Install the signNow application on your iOS device. Claims Claims Wellcare wants to ensure that claims are handled as efficiently as possible. P.O. 0000005057 00000 n If you are interested in a career or externship with WellMed, visit the Careers page for more information. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. Submit referrals to Disease Management 50 0 obj Call: 1-888-781-WELL (9355) CLAIM.MD | Payer Information | WellMed Payer Information WellMed Payer ID: WELM2 This insurance is also known as: WMMI Wellcare WellMed Medical Management, Inc. WELLMED NETWORKS, INC. UHC Medicare Advantage Other ID's: TH023 Need to submit transactions to this insurance carrier? Due to the fact that many businesses have already gone paperless, the majority of are sent through email. 0000026981 00000 n Need to brush up on enrollment basics? Get connected to a strong web connection and start executing forms with a legally-binding eSignature in minutes. MEDSUPP TFN(TTY 711) (toll free). The whole procedure can last a few moments. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net. Optimum Healthcare (WellMed clinic locations only) Original Medicare UnitedHealthcare WellCare Email: Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. IPA / Independent Entity (if applicable) Claims Mailing Address . Find Caregiver Resources (Opens in new window). Please contact our Patient Advocate team today. 0000012074 00000 n 41 33 Decide on what kind of eSignature to create. Appeals or disputes. Need Help Registering? MyHealthLightNow Texting Terms and Conditions, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin, UnitedHealthcare Employee Retirement System Group PPO, UnitedHealthcare Teacher Retirement System Group PPO, Humana (Select WellMed clinic locations only), Optimum Healthcare (WellMed clinic locations only). If you are interested in learning more about Welmed and our Disposable Product Suite, please complete the Inquiry Form below and your information will be forwarded to the appropriate resource for a timely response. The field "Medical Claims" will provide you with the correct claims address to mail in the claim. And because of its cross-platform nature, signNow can be used on any device, desktop or mobile, regardless of the operating system. Use the following address to send UnitedHealthcare correspondence through the mail if you have a Medicare Supplement Insuranceplan. Electronic data interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. Get access to thousands of forms. 1et?5AiJcEp"@(84=E,/m Printing and scanning is no longer the best way to manage documents. With the collaboration between signNow and Chrome, easily find its extension in the Web Store and use it to eSign wellmed provider appeal form right in your browser. ET. Go digital and save time with signNow, the best solution for electronic signatures. Need to upload a document? Get access to a GDPR and HIPAA compliant platform for maximum simplicity. We know how stressing filling out forms could be. 2023 airSlate Inc. All rights reserved. Texas . hbbd``b`$ @$f"@+`J@E$AzU,8qb``$@ j2 Access EDI Provider disputes You have the right to request an appeal of a claim decision. 2039 0 obj <>/Filter/FlateDecode/ID[<72CC28110A53BB45B3AE504C9EE1C7C9><54651E69B47C3340BBB01C9C2DD21162>]/Index[2023 31]/Info 2022 0 R/Length 84/Prev 578691/Root 2024 0 R/Size 2054/Type/XRef/W[1 2 1]>>stream Relay Health (Professional claims CPID: 2795 or 3839 Institutional claims CPID: 1556 or 1978) MailPaperClaimsto: Cig na-Hea lthSpring PO Box 981706 El Paso, TX 79998 If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request(Opens in new window). WellMed Claims . Find Caregiver Resources (Opens in new window). Paper Submission: Professional vendors must submit on a CMS 1500 Ambulatory surgery centers with appropriate modifier SG or TC Hospital and Facility vendors must submit on a CMS 1450 Paper Claim Submission Address: Optum Medical Network Claims PO Box 46770 Las Vegas, NV 89114 In the News! Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Some insurance plans offer a level of coverage that could result in out-of-pocket costs. 0000003775 00000 n 73 0 obj 0000013868 00000 n <<1283B0ACEBB5B2110A00B0933B5DFE7F>]/Prev 373885>> Ventura County Health Care Plan. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. EDI 270/271: Eligibility and Benefit Inquiry and Response. Methods to Submit Claims to UHC 1. EDI Connectivity. View claims status Submit referrals to Disease Management Utilize Risk Adjustment Processing System (RAPS) tools Link to health plan formularies. 1-800-964-3627 Email us mpsweb@amerigroupcorp.com Contact your local Amerigroup health plan and Provider Relations representatives Bexar service area: 1-800-589-5274 Dallas and Tarrant service areas: Central, Northeast and West rural service areas: 1-800-839-6275 El Paso service area: 1-877-405-9871 Harris and Jefferson service areas: Call UnitedHealthcare at: To find it, go to the AppStore and type signNow in the search field. Open the email you received with the documents that need signing. OptumInsight Connectivity Solutions, UnitedHealthcare's managed gateway, is also available to help you begin submitting and receiving electronic transactions. EDI Clearinghouse Options. Call: 888-781-WELL (9355) Interested in learning more about WellMed? We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. EFT Representatives are available Monday through Friday, 8:00am to 5:00pm CST. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. 0000010612 00000 n 0000009876 00000 n 0000005022 00000 n Box 400066 San Antonio, TX 78229 Who do I contact for more information? 0000010726 00000 n Submit your claims and encounters and primary and secondary claims as EDI transaction 837. The way to make an electronic signature for a PDF online, The way to make an electronic signature for a PDF in Google Chrome, The best way to create an e-signature for signing PDFs in Gmail, How to generate an electronic signature from your smartphone, The way to generate an e-signature for a PDF on iOS, How to generate an electronic signature for a PDF file on Android, If you believe that this page should be taken down, please follow our DMCA take down process, You have been successfully registeredinsignNow. Go to the Chrome Web Store and add the signNow extension to your browser. Learn more about how Medicare works, By continuing to use our site, you agree to our Privacy Policy and Terms of Use. hb```f``Z ,@QY \B `N78c``0` )~rQb@,g:"#If s75T``;5Cr `1000p(9 d`4hb! EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims. 0000012637 00000 n If you are a physician, please visit the Provider Portal for phone numbers and general information. 9 a.m. 5 p.m. EDI 278I: Prior Authorization and Notification Inquiry. You may verify the home page in. Call: 1-888-781-WELL (9355) UT. Select the area where you want to insert your eSignature and then draw it in the popup window. Follow our step-by-step guide on how to do paperwork without the paper. All rights reserved. After that, your wellmed appeal timely filing limit is ready. endstream %PDF-1.7 % 51 0 obj Follow the step-by-step instructions below to eSign your wellmed appeal mailing address pdf: Select the document you want to sign and click Upload. at eprg.wellmed.net Call 800-550-7691 Submitting claim reconsiderations to WellMed For these plans, submit claim reconsideration requests to the same claims address. Let UnitedHealthcare 87726. To continue your current session, click "Stay on this page" below. 0000011608 00000 n Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Wellcare wants to ensure that claims are handled as efficiently as possible. 3. endstream Shop Plans. Are you looking for a one-size-fits-all solution to eSign wellmed provider appeal form? Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. If you would like to search our open employment opportunities virtually, please visit on our Job board at: https://careers.optumcare.com/(Opens in new window). EDI 276/277: Claim Status Inquiry and Response. If you would like to learn more about Clinical Rotation opportunities please visit us at the following link: https://www.wellmedhealthcare.com/about-us/careers/(Opens in new window). Already a member? Get information to understand your Medicare plan options. Copyright 2013 WellMed. P.O. Phone: Call toll-free: 1-800-721-0627. Representatives are available Monday through Friday, 8:00am to 5:00pm CST. This plan has been saved to your profile. Call: 1-888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Verify patient eligibility, effective date of coverage and benefits You will receive a decision in writing within 60 calendar days from the date we receive your appeal. Call: 888-781-WELL (9355) Email: WebsiteContactUs@wellmed.net 2023 WellMed Medical Management Inc. All Rights Reserved. hWOFo~yq:EJr@@zWal{lx8 *^ZaLX$S1)2IILtFaqJXIQZ#3pJL}/M1ywjzi5ueO[']-]VkCFT``?H,tfQ5 C-HS MARKETS . There are three variants; a typed, drawn or uploaded signature. Interested in learning more about WellMed? Email: WebsiteContactUs@wellmed.net 2023 WellMed Medical Management Inc. . 2023 0 obj <> endobj Untitled - provider name, address and telephone number Name, address and phone number of the billing facility or service supplier 2 Untitled - pay-to-name, address There are three variants; a typed, drawn or uploaded signature. If you have questions, please contact your physician advocate, provider relations . if(typeof loadStateSpecificContent == 'function') loadStateSpecificContent('_krf1rtqt'); Your guide will arrive in your inbox shortly. [[state-end]], Your session is about to expire. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. For instance, browser extensions make it possible to keep all the tools you need a click away. Contact your clearinghouse to begin the testing process. Some doctors offices may accept other health insurance plans. hbbd``b`s ] LR Re"AA b8"WM@B d?`t2H4$3012 20,3 endobj Google Chromes browser has gained its worldwide popularity due to its number of useful features, extensions and integrations. Claims and payments. ATTENTION: We no longer support Internet Explorer (IE) or certain versions of other browsers. Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. endstream endobj startxref EDI Companion Guides. Explains how to receive, load and send 834 EDI files for member information. WellMed Claims . <>/Filter/FlateDecode/ID[<75DAB2220A8A4147B184C4DB1F685C63>]/Index[49 53]/Info 48 0 R/Length 109/Prev 370043/Root 50 0 R/Size 102/Type/XRef/W[1 2 1]>>stream Interested in learning more about WellMed? Go to the Member Site to Sign In or Register for an account. 9 a.m. - 5 p.m. If you would like to speak with someone about any of our practice options, please share your info at this link: Contact Request (Opens in new window). Mail: Send your claim to the address on the member ID card: WellMed Networks, Inc. Claims Department P.O. Begin eSigning wellmed appeal timely filing limit with our tool and join the numerous satisfied clients whove already experienced the benefits of in-mail signing. You can submit a claim reconsideration request and we'll review the claim decision. Last updated: 01/24/2023 at 12:01 AM CT | Y0066_AARPMedicarePlans_M, Last updated: 01/24/2023 at 12:01 AM CT | Y0066_UHCMedicareSolutions_M. 0000013213 00000 n %%EOF Add the PDF you want to work with using your camera or cloud storage by clicking on the. Download your copy, save it to the cloud, print it, or share it right from the editor. UnitedHealthcare Customer Service advocates are available to assist you with password resets, enhancement requests and technical issues with the website. 0000008118 00000 n Representatives are available Monday through Friday, 8:00am to 5:00pm CST. See more here. endobj Easily find the app in the Play Market and install it for eSigning your wellmed provider appeal form. FED TFN(TTY 711) (toll free). xref Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. Or sign into your member account to get information about your plan(s). Utilize Risk Adjustment Processing System (RAPS) tools Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions. Customer ID Card (Back) . 0000000016 00000 n Contact Us - WellMed Medical Group Contact Us Your health is important to us If you are a current patient, interested in becoming a WellMed patient or have a question you would like answered, please contact our Patient Advocate Team. Talk to a licensed agent: 855-216-6615 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. 0000030168 00000 n The links below lead to authorization and referral information, electronic claims submission, claims edits, educational presentations and more. Please refer to your provider manual for additional details including where to send Claim Reconsideration request. If you have Original Medicare or Medicare Advantage, or are about to turn 65,find a doctorand make an appointment. With signNow, you can eSign as many files daily as you need at an affordable price. EDI 278: Authorization and Referral Request. Please contact your insurance provider prior to your WellMed appointment to review your insurance coverage. Select the area you want to sign and click. Sign in to myuhc.com. 0 endobj 0000002896 00000 n Use professional pre-built templates to fill in and sign documents online faster. 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