Posts tagged: A/B

A/B Mac Jurisdictions Map 2018

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By , November 25, 2018 3:00 am


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A/B Mac Jurisdictions Map 2018

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A/B MAC Jurisdiction Map Oct 2017 – CMS.gov

Page 1. A/B MAC Jurisdictions as of October 2017.

A/B Jurisdiction Map – CMS.gov

Page 1. A/B Jurisdiction Map as of December 2015.

A/B MAC Jurisdiction F Award Fact Sheet – CMS.gov

Jurisdiction F. On July 12, 2018, the Centers for Medicare & Medicaid Services (
CMS) announced that. Noridian … These states are depicted in gray shading in
the map below. … The A/B MAC Jurisdiction F contract provides Medicare
services …

DME Jurisdiction Map – CMS.gov

JA awarded to Noridian December 2015; implementation in progress. * JB
awarded to CGS in September 2015; implementation in progress. DME
Jurisdiction …

Home Health and Hospice (HH+H) Jurisdictions … – CMS.gov

Home Health and Hospice (HH+H) Areas. (Administered by A/B MACs) as of
April 2015. NGS. JK. CGS. J15. NGS. J6. Palmetto. JM.

MAC – CMS.gov

Mar 19, 2014 … In essence, CMS's plan called for consolidating 10 of the A/B MAC contract areas
to 5 … consolidating three pairs of A/B MAC contract areas (six A/B MACs) into
three jurisdictions: Jurisdiction F … In the following map, the affected MAC
contract states … four (4) years following their award (i.e., approx. 2018).

CMS-1691-P – Amazon S3

Federal Register on 07/19/2018 and available online at ….. increase from $47.79
to $47.88 and the MAP amount would …… We solicit comment on the proposed
revisions to § 413.234(a), (b), and (c). e. ….. timeframe provides 60 days for a
MAC to verify that an ESRD facility meets the LVPA …… governmental
jurisdictions.

Compounded Drugs Under Medicare Part B – OIG .HHS .gov

produce these drugs prevents CMS and MACs from taking steps to stop …. 7
CMS originally proposed 15 A/B MAC jurisdictions, but as of December 2013 the
…. http://www.cdc.gov/hai/outbreaks/meningitis-map-large.html on December 31,
 …

MLN Guided Pathways to Medicare Resources – IN.gov

Jun 30, 2012 … The jurisdiction for processing a request for payment for services paid …… 80.3.
2.1.2: Conditional Data Element Requirements for A/B MACs …… Table A:
Publications of the Bureau of the Census – Maps Displaying Urbanized Areas;
…… 2018: Reinstatement Following Termination of Swing-Bed – Approval;.

Overview of the 2017 High Opportunity Areas File Synopsis The …

for Fannie Mae and Freddie Mac (the Enterprises) to serve the housing needs ….
mapped and/or includes a list(s) or map(s) of such high opportunity areas. ….
specific market areas (Delaware Market Areas A, B, and C, or Wilmington Market
Areas A and … FHFA's analysis of the jurisdictions composite scoring system,
FHFA …

DATE ISSUED: April 19, 2018 REPORT NO. PC-18-014 HEARING …

Apr 26, 2018 … use map applies a land use designation of Community Commercial ……
jurisdiction of the San Diego Unified Port District have been revised to clarify the
relationship …… P(A, B, C) = peak parking demand for Uses A, B and C.

2018 Regional Transportation Plan Final public … – Oregon Metro

Sep 17, 2018 … Subject: Request Revision to Regional Freight Network Map. Hi, Tim: The ….
Projects that go through more than one jurisdiction need to be coordinated
among the …. Karen Pickering karenpickering©mac.com …… The RTP project
lists in Appendix A, B and C identify projects that intersect with the Regional.

Potential displacement of commercial fisheries by … – Parks Australia

Table 2: Spatial resolution of fisheries data for each jurisdiction. 4. Table 3: …
Map 3: Detail of South Australian area of the 2018 zoning for the marine park …..
Adapted from ABARES 2012(a, b, c, d, e). ….. MAC = Mackerel Managed Fishery.

Final Report – California Natural Resources Agency – State of …

Segments A – E possess extraordinary recreational values; Segments A, B, ……
month extension until March 31, 2018, to submit this study to the Governor and
Legislature. ….. The Mokelumne-Amador-Calaveras (MAC) IRWM region was
formed by ….. literature, maps, videos, photographs, and relevant websites for the
five …

ocT 2 6 2017 – Medicaid.gov

Oct 2, 2017 … Medicaid Alternative Care (MAC) will provide support for unpaid ….. detailed
project-specific mapping of demonstration hypotheses …. Medicare Parts A, B,
and D integration for persons dually enrolled in Medicaid and Medicare; and …
staff, ACHs, MCOs, provider organizations, local health jurisdictions,.

Vol. 83 Thursday, No. 164 August 23, 2018 Pages 42585–42770

Aug 23, 2018 … 83, No. 164/Thursday, August 23, 2018/Contents ….. Class A, B, C, D, and E
airspace areas, …… directing the MACs to reopen and revise …. location on a
map, and distance (in road …… jurisdiction are found at 50 CFR part.

mortgage program policy and procedures for participating lenders

FOR PARTICIPATING LENDERS. Revised: June 2018 /Effective June 5, 2018 …..
States of America, New Jersey, and/or any other jurisdiction that regulate the
issuance of Mortgage ….. Freddie Mac procedures must be followed for NJHMFA
conventional loans …… ratios in the above Sections A., B., and C. are exceeded.
1.

Electromagnetic Field (EMF) – BOEM

Hutchison, Z. L., P. Sigray, H. He, A. B. Gill, J. King, and C. Gibson, 2018. ……
Survey map of the Cross Sound Cable outside New Haven. …… during the lobster
study was within 1.54 to 1.79 cm (A, B) in the x dimension, 1.05 to 1.15 cm (A, B)
in …… Download the Protocol, Mac and iOS Users, open the file using Adobe …

cms medicare a/b reference manual

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By , April 26, 2016 5:18 am


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cms medicare a/b reference manual

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CMS Manual System – Centers for Medicare & Medicaid Services

Nov 20, 2015 … IMPLEMENTATION DATE: April 4, 2016. Disclaimer for manual changes only:
The revision date and … http://www.wpc-edi.com/reference/codelists/healthcare/
claim-status- … "Shall" denotes a mandatory requirement, and "should" denotes
an optional requirement. Number Requirement. Responsibility. A/B.

CMS Manual System – Centers for Medicare & Medicaid Services

Oct 16, 2015 … effective for hospice dates of service on and after January 1, 2016 and for home
health … PROVIDER EDUCATION TABLE. Number Requirement. Responsibility.
A/B. MAC. D … needed for association and reference purposes.

2016-Medicare-Marketing-Guidelines-Updated – UCare

Jul 2, 2015 … Medicare Marketing Guidelines. For Medicare Advantage Plans1, Medicare
Advantage Prescription … Submission of Materials for CMS Review . …… (HPMS).
Plans/Part D Sponsors should reference the HPMS bid user's manual …. 42 CFR
422.2268(a),(b), and (d), 423.2268(a),(b), and (d). The following …

CMS Manual System – Centers for Medicare & Medicaid Services

Nov 20, 2015 … CMS Manual System … reference files as part of the CEM software utilized by the
A/B MACs. … IMPLEMENTATION DATE: April 4, 2016.

MEDICARE – Avera Health Plans

Oct 1, 2015 … REFERENCE MANUAL. CMS NCDs … CMS Manual System, Pub 100-04,
Medicare Claims Processing Manual, Chapter 9, §100 General Billing ….
available to the A/B MAC upon request. … Cardiol 2014;63:2016-25. 15.

February 2015 J11 Part A Medicare Advisory – Palmetto GBA

Feb 16, 2015 … Incorporation of Certain Provider Enrollment Policies in CMS-4159-F into Pub.
100-08 …. 2015 Update of the Medicare Benefit Policy Manual, Chapter 13 –
Rural Health. Clinic (RHC) and …. J11 Part A/B Medicare Administrative
Contractor (MAC) …. January 1, 2016 …. Review the IACS Reference Guide.

October 2015 Medicare Advisory for Part B – Palmetto GBA

Oct 16, 2015 … January 2016 Quarterly Average Sales Price (ASP) Medicare Part B … 100-03,
National Coverage Determination Manual, Chapter 1, Part … Services (CMS) and
is current at the time of publication. ….. claims to Medicare contractors (carriers
and Medicare Administrative Contractors (A/B MACs) for services.

December 2015 Part A Medicare Advisory – Palmetto GBA

Dec 10, 2015 … Ambulance Inflation Factor for CY 2016 and Productivity Adjustment . …. Part A/B
Medicare Administrative Contractor (MAC) Local Coverage …. CMS has revised
the “Medicare Claims Processing Manual” to …. The AHFS-DI was the only
remaining statutorily-named compendia available for CMS reference;.

April 2015 J11 Part A Medicare Advisory – Palmetto GBA

Apr 13, 2015 … CMS Conducts Successful Medicare FFS ICD-10 End-to-End …. J11 Part A/B
Medicare Administrative Contractor (MAC) Local Coverage … Updates to the
Medicare Internet-Only Manual Chapters for Skilled Nursing …. January 1, 2016
….. In the article, we replaced the reference to 42 CFR § 405.879 on …

Medicare Bulletin – January 2014 – CGS

Jan 15, 2014 … Medicare Administrative Contractor (A/B MAC) … Medicare Benefit Policy Manual
: … Centers for Medicare & Medicaid Services (CMS) allows the provider contact
….. Reference: Medicare Claims Processing Manual (Pub. …. 1, 2016. The statute
waives budget neutrality related to this provision, as the statute.

CMS-1621-P – American Hospital Association

Sep 25, 2015 … Medicare Program: Medicare Clinical Diagnostic Laboratory Tests Payment …
2015 with the data reported to CMS by March 31, 2016. … of one or more
hospitals, physician offices, and reference laboratories.) … Medicare program,
which would include fee-for-service payments under Medicare Parts A, B,.

Clinical Trial Services

Jul 16, 2014 … Next Review: July, 2016 … participates in a qualified Medicare clinical trial that is
listed at …. coverage policy in the CMS Coverage Issues Manual and is the focus
of a …. New reference added to policy. … Category A/B according to Medicare
Claims Manual; Chapter 32; Section 68; ICD 10 code added.

See common Medicare Advantage Special Enrollment Periods

Oct 1, 2015 … Medicare Advantage “Trial Period” Special Enrollment Period (SEP) … sale, they
are allowed to buy Medigap plans A, B, C, F, K, or L from any insurance …. she
will be moving on July 6, 2016. … Reference … Medicare & Medicaid Services (
CMS) Medicare Managed Care Manual, Chapter 2 – Medicare.

Medicare Bulletin – January 2014 – CGS

Jan 15, 2014 … Medicare Administrative Contractor (A/B MAC) … Medicare Benefit Policy Manual
: … Centers for Medicare & Medicaid Services (CMS) allows the provider contact
….. Reference: Medicare Claims Processing Manual (Pub. …. 1, 2016. The statute
waives budget neutrality related to this provision, as the statute.

Medicare Basics – Integrated Care Resource Center

The Centers for Medicare & Medicaid Services (CMS) is … Part A, B, and
sometimes Part D benefits through private managed care ….. Medicare Benefit
Policy Manual, Chapter 15 – Covered Medical and Other Health Services. …..
areas of the country will be subject to competitively bid rates or adjustments by
2016.s.

OptumRx

Network Pharmacy Providers are hereby incorporated by reference into this PM,
which is incorporated into the Agreement. Contents. Back. Next … Incorporates
Catamaran Provider Manual (PM) requirements ….. B. Medicare Part A/B/D
coordination of benefits (COB) . ….. Centers for Medicare and Medicaid Services (
CMS):.

Release Notes v5.0b – Joint Commission

Oct 13, 2015 … as a reference and is not intended to be used to program abstraction tools.
Please refer to the. Specifications Manual for National Hospital Inpatient Quality
….. https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs …..
All three criteria (a, b, and c) must be met in order to choose Value “1.

March 2015 Medicare A Connection – First Coast Service Options, Inc.

Mar 2, 2015 … for ICD-10: CMS conducts successful ICD-10 end-to-end testing week ….
Medicare Benefit Policy Manual and the Medicare Claims. Processing …

Next Generation Sequencing and Genetic Panel Testing

Jan 1, 2016 … Section: Medicare Manual – Genetic Testing Approval Date: December 2015 ….
In some instances, one Medicare A/B MAC processes all.

(PQRS) Implementation Guide – American College of Surgeons

Dec 13, 2013 … 2016 PQRS payment adjustment. … PQRS website at http://www.cms.gov/
Medicare/Quality-Initiatives- …. Refer to the IACS Quick Reference Guides
document on the Portal home page …. Measure Specifications Manual for Claims
and Registry Reporting of ….. Submission through Carriers or A/B MACs.

chapter 9 medicare a/b reference manual

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By , January 7, 2016 9:58 pm


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chapter 9 medicare a/b reference manual

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CMS Manual System – Centers for Medicare & Medicaid Services

Oct 21, 2014 … billing anti-markup and reference laboratory claims. Physicians and …
EFFECTIVE DATE: January 1, 2015 – For Analysis, Design, and Programming.
April 1 … 1/80.3.2.1.2/ Conditional Data Element Requirements for A/B MACs (B)
and. DMEMACs ….. (See §30.2.9 of this chapter for additional information.).

Medicare Claims Processing Manual, Chapter 32 – Centers for …

70.4 – Special Billing and Payment Requirements for A/B MACs (A). 70.5 –
Special Billing and … 90.2 – HCPCS and Diagnosis Coding – ICD-9-CM
Applicable.

Medicare Bulletin – June 2014 – CGS

Sep 2, 2014 … Hospice Policy Chapter of the Benefit Policy Manual. 8 … In the March 2014 CGS
Home Health & Hospice Medicare Bulletin, ….. Chapter 9, to incorporate policy
language from existing regulations, ….. September 30, 2015. … intermediaries (
RHHIs) and A/B Medicare administrative contractors (A/B MACs)).

Supplier Manual Chapter 6 Claim Submission – CGS

Items 14 – 33 … 100-04, Medicare Claims Processing Manual, Chapter 1, §30.3.9 ….. Summer
2015. DME MAC Jurisdiction C Supplier Manual. Page 9 … in the NAIC Model
Regulation that is incorporated by reference to the statute. …… appropriate “FI/A/B
MAC Update” (whichever year in which the service took place), and then …

Physician Services – UnitedHealthcareOnline.com

Mar 24, 2015 … This information is being distributed to you for personal reference. The
information belongs … See the Medicare Benefits Manual, Chapter 15, Section
30 Physician Services at … (Accessed February 9, 2015) …. When all these
criteria are met, Medicare contractors (carriers and A/B MACs) will pay for critical.

CY 2015 Service Category Report – MA Benefits Mailbox

42 CFR Part 409 Subparts A, B, E and F and the Medicare. Benefit Policy ….
Manual, Chapter 15, section 231, as well as the Medicare … Reference: …. Page
9 …

IHCP Provider Manual Chapter 11 – indianamedicaid.com

Sep 14, 2010 … Indiana Health Coverage Programs Provider Manual ….. Library Reference
Number: PRPR10004. 11-9. Published: January 8, 2015 … the Crossover A, B,
and C designations on the adjustment forms merit further explanation …
Crossover B is the term used to designate a CMS-1500 Medicare Part B claim.

Chapter 17 Maryland Provider Billing Manual – ValueOptions …

NOTE: Information contained in this manual may be periodically updated or
further explained … reason the provider must submit claims to Medicare within
Medicare's timely filing limits and submit … Medicare. COMAR 10.09.36.06 B (2)
a -b …. 9 diagnosis code, coding to the highest level of specificity (include fourth
and fifth …

Medicare 101: “Basics of CPT” – Cahaba GBA

February 11, 2015 … Providers can find quick reference guides for: o Symbols
used in the CPT … “T”. *Based on the CPT-4 Standard Edition. CPT Manual. 9 …

NGS CMS Updates – Hospice and Palliative Care Association of …

May 21, 2015 … informational reference for providers furnishing services in our contract
jurisdiction. … Medicare information is error-free and will bear no responsibility or
…. CMS IOM Publication 100-04 Claims Processing Manual Chapter 11 … 5/21/
2015. 9. Hospice. ▫ NOEs shall be filed within 5 calendar days after.

2015 Select IOMs – Coding Updates from Elsevier and the American …

Dec 11, 2009 … Blood must be furnished on a Medicare covered day in a hospital or SNF to be ….
Processing Manual, Publication 100-04, chapter 9, section 60.

(FIDA) Demonstration – New York State Department of Health

FIDA includes all the drug coverage guaranteed by Medicare Parts A, B, and D,
the … automatically enrolled into a FIDA Plan starting as soon as April 1, 2015 in
…. Please see Chapter 6 of the Medicare Prescription Drug Benefit Manual for …
read Chapter 9 of the Participant Handbook to learn how to appeal a decision.

Novitas Solutions Medicare Part A and B Presents: Medicare Updates

Mar 19, 2015 … compilation of Medicare information is error-free and will bear no responsibility or
liability for the results or … Reference … 100-08,. Program Integrity Manual (PIM),
Chapter 15 ….. o A/B REBILLING ….. Effective April 9, 2015.

Pharmacy Billing Manual – Nevada Medicaid and Nevada Check Up …

The most current version of the manual can be found by following the links on the
Nevada. Department of … Effective 03/20/2015 (previous version 11/25/2014) …

4/14/2015 1 The Medicare Hospice Program: New Billing …

Apr 14, 2015 … informational reference for providers furnishing services in our contract
jurisdiction. National … Medicare Program is constantly changing, and it is the
responsibility of ….. A joint collaboration of the A/B MACs to communicate
national issues of … Publication 100-02, Medicare Benefit Policy Manual,
Chapter 9.

CEDI 5010 Companion Guide June 2015

100-04 Medicare Claims Processing Manual, Chapter 24 on General EDI and … [
Medicare FFS COMPANION GUIDE]. [June 2015 ○ 005010]. 9. Resource. Web
Address …. For a complete reference to security requirements see section. 4.4
below and … A/B MAC, and/or CEDI with whom they exchange EDI transactions
to.

Medicare Drugs: A Pharmacist's Guide to Filing Claims – Michigan …

coordinator, Medicare Pharmacy Services, Blue Cross Blue Shield of Michigan,
Detroit, Mich. …. Drugs That Can be Covered Under Part A, B or D. For most …

Quarterly Release Training – Noridian Medicare

Jan 1, 2015 … special editions (SEs) or MLN Matters. January 2015. 9 … Part A/B Provider
Contact Center …. Medicare Benefit Policy Manual, IOM 100-. 02, Chapter 6
Section 10. January …. edi.com/reference/codelists/healthcare/claim-.

medicare a/b reference manual

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By , August 2, 2015 5:09 am


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AARP life insurance (PDF download)

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medicare a/b reference manual

Medicare Claims Processing Manual, Chapter 24 – Centers for …
40.2.2.3 – Security-Related Requirements for A/B MACs, and …. therefore
incorporates by reference any errata documents by the original mandated
regulation …

Medicare Claims Processing Manual, chapter 22 – Centers for …
A/B Medicare Administrative Contractors (A/B MACs), and Durable Medical
Equipment …. edi.com/reference for implementation guides, record formats, and
data …

Rural Medicare Billing Chart_36
or A/B MAC. Medicare Claims Processing Manual … A/B MAC for all services that
are not specifically excluded. Services that … CMS MANUAL REFERENCE.

SE1333 – Centers for Medicare & Medicaid Services
Oct 23, 2013 … This article may contain references or links to … contractors (Fiscal Intermediaries
(FIs and A/B Medicare Administrative Contractors (MACs)) for.

Medicare Billing: 837P and Form CMS-1500 – American Academy of …
A/B Medicare Administrative … The “Medicare Claims Processing Manual” (
Internet-Only Manual Publication ….. provided within the document for your
reference.

Medicare Made Clear – AARP Health
Learn how to enroll in Medicare if you plan on working past 65. Getting started …
prescription drug plans (Part D), this guide breaks it all down for you . Medicare …

Part D Reference Guide for Pharmacists – Medicaid.alabama.gov
Feb 12, 2008 … See page 23 of our Medicare Part D Manual–Chapter 6 –. Part D …. something
may be covered under Parts A, B or D, if all other coverage …

Medicare Claim Review Programs – American College of Physicians
by Fiscal Intermediaries and Carriers will be replaced by the new A/B MACs by
2011. … (HCPCS) Manual, national and local Medicare policies and edits, coding
 …

Medicare Physician Guide – Graduate Medical Education – Housestaff
Medicare policy changes frequently so links to the source documents have been
provided within the document for your reference. This guide was prepared as a …

Quick Reference Billing Guide – Noridian Home
When sending Medicare Part A written correspondence to Noridian, such as …. is
an independent, re-examination of the claim file by the FI, A/B MAC and made.

Jurisdiction H Medicare Part A and Part B Presents … – nmhfma.org
Feb 22, 2013 … compilation of Medicare information is error-free and will bear no …
consequences of the use of this guide. ….. A/B Reference Manual. • Appeals …

Medicare Monthly Review (MMR) November 2013-11 – National …
Nov 11, 2013 … Home Health – Clarification to Benefit Policy Manual Language on “Confined to …
Post-Acute Transfer Processing Of CWF A/B Crossover Edit 7272 …. Providers
should reference the Centers for Medicare & Medicaid Services.

Part A/B Outpatient Therapy Claims-Based Data Collection … – CGS
May 23, 2013 … and Manual Medical Review Ask-the-Contractor Teleconference … Affected
Applies to all claims for services furnished under the Medicare Part.

2013 Instructions for Form 1040-ALL – Internal Revenue Service
The new law was enacted after the 2013 forms, instructions, and publications had
….. Tax applies to Medicare wages, railroad retirement …. Use Chart A, B, or C to
see if you must ….. Section references are to the Internal Revenue Code.

Power Mobility Devices – Centers for Medicare & Medicaid Services
and related medical records for compliance with Medicare coverage, …
configured manual wheelchair in the home to perform MRADLs during a typical
day; ….. DME MACs serving Jurisdictions A, B, C, and D provide detailed
education in a variety of …. documents have been provided within the document
for your reference.

Predicting Healthcare Fraud in Medicaid: A Multidimensional Data …
Dec 31, 2013 … Medicare A/B Reference Manual – Chapter 21 – Benefit Integrity and Program
Safeguard Contractors; 1998. Retrieved 21.2.2013, from …

SE1412 – National Uniform Billing Committee
This article may contain references or links to … (OPPS) providers submitting
claims to Medicare A/B Medicare Administrative Contractors (MACs) for … In
accordance with Medicare manual instructions, CMS assumed that a hospital
functions …

Medicare Learning Network Guided Pathways-Provider … – Quadax
Medicare & Medicaid Services (CMS) manuals and transmittals, participation,
contacts, … that must enroll with the A/B Medicare Administrative Contractor (
MAC) …. Chapter 1, “Coverage Determinations,” includes reference to a
laboratory in a …

Provider Reference Guide – Providers – Keystone First
PROVIDER REFERENCE GUIDE. Provider Services … Medicare-covered
services for members with Medicare. A/B. • Chiropractic initial visits. • Diagnostic
tests.

2014 Payroll Reference Manual – Baden, Gage and Schroeder
Nov 20, 2013 … Payroll. Reference. Manual. 2013 – 2014 ….. (a) – (b). Medicare Tax. Withheld.
Form W-3, box 6. Form W-3, box 5 multiplied by current Medicare …



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