Posts tagged: Reference

Medicare A B Reference Manual 2019

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By , November 14, 2019 3:00 am

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Medicare A B Reference Manual 2019

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Medicare and You Handbook 2019 –

see Section 1, which starts on page 15. If you don't have.

2018 Choosing A Medigap Policy: A Guide to Health … –

This official government guide has important information about: … Step-by-step
guide to buying a Medigap policy 49. Section 5: If … These plans are like HMOs
or PPOs, and incluxe Part A, …… contact our Customer Accessibility Resource

MDS 3.0 RAI Manual v1.16_October 2018 –

Oct 16, 2018 … maintenance of the MDS 3.0 RAI Manual, MDS 3.0 Data Item Set, and MDS …..
into similar resource usage categories for the purposes of reimbursement. …… If
the resident is eligible for Medicare Part A benefits, a Medicare …

CMS Manual System –

Feb 21, 2019 … Transmittal 862, February 8, 2019, is being rescinded and replaced by …. A B
HHH. FISS MCS VMS CWF currently exists in the provider's file, …… the shared
systems, PECOS or their provider files as a resource to determine.

Medicare Claims Processing Manual –

Dec 5, 2009 … 50 – Fee Schedules Used by Medicare A/B MACs (A) and (HHH) …… publications
containing CPT are used on the Internet, an end user …

CMS Manual System

Feb 12, 2019 … February 12, 2019, to include changes to the updates in Chapter 13 of the …. A/B
MAC D. ME. M. AC. Shared-System. Maintainers. Oth er. A B HH …… shall cite the
reference (e.g. publication number, Medicare title of manual, …

Your Medicare Coverage Choices –

Oct 25, 2018 … If a person does not want to be enrolled into Medicare Part B, they should follow
….. Reference: 2019 Final Call Letter, …
Until the policy manual is updated with the new standards, the …

2018 SHICK Handbook – KDADS

REFERENCE HANDBOOK. SHICK Hotline ….. funding to promote preventive
services covered by Medicare Part B. In the state of …… Between April 1, 2018
and April 1, 2019, CMS be removing Social Security numbers from Medicare

Kansas LHD Clinical Services Coding Resource Guide – KDHE

Feb 1, 2019 … The Public Health Billing Resource Manual provides policy … Updated products
and codes for 2018-2019 season … 6.5 Medicare Part B.

revenue reference manual – Nevada Legislature

Jan 1, 2017 … Property Tax Abatements (A.B. 489 and S.B. 509 of the 2005 Session) . ….. FY
2016 AND FORECAST: FY 2017 THROUGH FY 2019 …… of this manual. …… o
From Medicaid, Medicare, the Children's Health Insurance Program …

8-D Resources – Iowa Department of Human Services –

Revised April 19, 2019. Medicaid … Iowa Department of Human Services
Employees' Manual ….. Eligibility While Trying to Sell a Nonliquid Resource . ……
Medicare cost-sharing benefits include Medicaid payments for Medicare Part A

Medical Policy Manual –

Medical Policy. Manual. Version 2.14. March 2019 … 28, 2019. Anesthesia
Services. This information has been incorporated into the Anesthesia Services
provider reference module. ….. Medicare National Coverage Determinations
Manual, Section 310 …… The member must present with findings from both a and
b: a.

The Medicare prescription drug program (Part D): Status … – MedPAC

Mar 30, 2019 … Report to the Congress: Medicare Payment Policy | March 2019 … necessary—
for Part B drugs under certain circumstances. However, other …

2018 Health Care Services Manual – State of Michigan

Items 5 – 11 … SERVICES MANUAL. Effective January 8, 2019 … the rules. Any reference in the
manual to “MCL418” relates to Michigan Workers' … The 2018 October release
CMS Physicians Fee Schedule is the underlying data source for all …… Item 34 –
Diagnosis Code List Qualifier (B for ICD-9-CM; AB for ICD-10-CM).

Budget – The White House

2019 contains the Budget Message of the President, information …… current
payment incentive structure in Medicare Part D and Part B, and foster greater
competition …… ward, agencies would use this information to guide resource
requests, …

ASTC/ODC Data System User Manual (November 2018) –

ASTC/ODC Data System User Manual (November 2018) …. Both CMS-1500
claims data and UB-04 claims data will be collected. Each type of claim data
should be … submit NPI with starting first quarter 2019. However, they may ……
including those items contained in 45 C.F.R. § 164.514 (a) and (b) (2) (i). (5) Any
agency of …

CDL Handbook – Texas Department of Public Safety –

reference to the Texas Commercial Driver License Law. … CDL. However, the
driver is required to have a Class A, B, or ….. SSN) and Medicare or Medicaid

General Policy Manual – Delaware Medical Assistance Portal …

Added reference to the new DMMA prior Authorization. Forms. ….. ordination of
Medicare Part A and B benefits. …. Added DPAP language, effective 01/01/2019.

2013 LIS Reference Sheet 2018

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By , December 10, 2018 1:58 am

AARP health insurance plans (PDF download)

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AARP MedicareRx Plans United Healthcare (PDF download)

AARP life insurance (PDF download)

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medicare part b (PDF download)

2013 LIS Reference Sheet 2018

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Appendix A –

Dec 31, 2013 … from CMS, Social Security, & plans in 2013/2014 … Extra Help will get an LIS
rider from their plan … Keep the handbook as a reference guide.

Medicare 2018 Part C & D Star Rating Technical Notes –

Sep 6, 2017 … 08/03/2017 Measures C28/D04 formula in metric updated to be …
RATINGS . ….. Table 12: Categorization of Contract's Members into LIS/DE Initial
Groups for the Overall Rating . …… HOS 2014-2016 Cohort 17 Case-Mix
Adjustment .

2019 Medicare Advantage Capitation Rates and … –

Apr 2, 2018 … The Bipartisan Budget Act of 2018 enacted changes to the Part D … as published
in the Medical Loss Ratio final rule (CMS-4173-F), 78 FR 31284 (May 23, 2013).
…… included in the Fact Sheet and the FFS growth percentage included …. only”,
noting that this language does not include a reference to “Part …

2018 SHICK Handbook – Kansas Attorney General Derek Schmidt

Law 110-275. In 2013, KDADS received a grant to promote outreach and
assistance for ….. through a low-income subsidy (LIS), or “Extra Help” program.
Medicare …. Coverage Determinations” that guide Medicare coverage decisions
throughout the country on …… o Reference to the plan's customer service phone

Medicare & You 2018 –

Sep 30, 2018 … We've been mailing new Medicare cards since April 2018. Your new card has a
Medicare Number that's unique to you, instead of your.

2018 SHICK Handbook – Kansas Attorney General Derek Schmidt

Apr 1, 2018 … In 2013, KDADS received a grant to promote outreach and assistance for …..
through a low-income subsidy (LIS), or “Extra Help” program. …… o Reference to
the plan's customer service phone number …… source/Consumers/benefits-and-

Publication 463 –

Oct 1, 2017 … You don't satisfy any of the three factors lis- ted earlier. You are ….. rates from the
2018 fiscal year tables, but you must consistently …… any amount figured by
reference to any other property held by ….. $3,360 for 2013 and 2012, $3,260 for
2011, $3,160 for 2010 …… Guide, for information on employee pay.

2018 ESA Evidence of Coverage (PDF) –

2018 Evidence of Coverage for Aetna Medicare Plan (PPO) i. Table of ….. Drugs”
(also known as the “Low Income Subsidy Rider” or the “LIS Rider”), which tells
you about your drug …… Administration or supported by certain reference books.
….. getting approval in advance helps guide appropriate use of certain drugs.

Publication 946, How to Depreciate Property –

Apr 15, 1976 … erty you placed in service in tax years beginning in 2018 is. $1,000,000. …..
mined by reference to the basis in the hands of the pur- ……
40_IRB/ar14.html, Revenue Proce- …… Percentage Table Guide, which is
designed to help you …… You cannot claim a depreciation deduction for lis-.

FY 2019 ACL Congressional Justification – Administration for …

Physicians' Comparability Allowance Worksheet . … Data from the 2013 Medicare
Current Beneficiary Survey. … maintains the majority of ACL's programs at the FY
…… $4,000 annually in LIS savings (per SSA estimates) and/or $411 per month in

2013 Agency Financial Report –

Dec 16, 2013 … I am pleased to present the FY 2013 Agency Financial Report for the Department
of …… audit the HHS (1) consolidated balance sheet as of September 30, … The
Medicare Board of Trustees, in their annual report to Congress, references an ……
Market-Based Bonds pay 9.125 percent through FY 2018.

Submission – Summary Package Header … – Mississippi Medicaid

2018. $0. Second. 2019. $0. Federal Statute / Regulation Citation. 42 C.F.R. §§
431.10 …… ~!lis plan. Home and Community Care for Func:.ional~y. Disabled
Elder~y …… 2013, converted to a MAGI-equivalent percent of FPL or amounts by
…… X Provided: ldentified on attached sheet with description of limitations, if any.

County Clerk Manual, 2013 Edition – Texas Courts

The County Clerk Procedure Manual is a reference guide covering the …… The
County Clerk may record the notice in a lis pendens record or in the official.

Infrastructure Design Manual – – City of Houston

*Bold chapters have been revised 07-01-2018. ….. The following references
should be reviewed in conjunction with this manual: A. ….. monuments shall
submit sealed City of Houston monument sheets, with necessary supporting data,
to the …… lis h L o c a l Rate. (re fe r to C ha pter 4. ) Yes. Yes. No. No. (
encourage) 3-5.

2013 Community Needs Assessment – Charlotte County

References . …… Figure 1.S: 2013 Income Limits by Family/Household: Charlotte
County . …… County IT Department and the LIS team from the Charlotte County
Community …… National School Lunch Program (NSLP) Program Fact Sheet.,
2012. ….. University of South Florida, Charlotte County FY 2009/2010-FY2018/

2015 Preferred Provider Organization Medicare Advantage … – KDHE

Jun 30, 2017 … 2018 Evidence of Coverage for Coventry Medicare Advantage (PPO). 2 …. The
Provider and Pharmacy Directory: Your guide to all providers and ….. Drugs” (
also known as the “Low Income Subsidy Rider” or the “LIS Rider”), which tells
you …… reference books, then our plan cannot cover its “off-label use.”.

Division of TennCare Eligibility Policy Consolidated –

Jun 5, 2015 … First Published 12.03.2014. Revision … January 3, 2018. Division of …… Use the
following formula to determine a property's real value: ….. Guide Book (or web
site) to establish the CMV of a car or truck. …… Eligibility begins the date a
TennCare application or LIS application is filed or the date all eligibility.

Violence & Injury Prevention – Prevention and Health Promotion …

We hope that this guide will be a useful tool to help move injury prevention
forward, …. REFERENCES. 1. Alcohol and Public …. nine fold; from 35 deaths in
1982 to 319 deaths in 2013.2. • In 2013 …
vwLegislation/SB+69/$file/legis.html?open. Maryland: …… prevention, 2013 to

anti marketing state regarding reference lab billing for california

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By , December 2, 2017 8:35 am

AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

AARP MedicareRx Plans United Healthcare (PDF download)

AARP life insurance (PDF download)

medicare benefits (PDF download)

medicare part b (PDF download)

anti marketing state regarding reference lab billing for california

PDF download:

Special Fraud Alert: Laboratory Payments to Referring Physicians

Jun 25, 2014 … Fraud Alert on Arrangements for the Provision of Clinical Laboratory Services, the
OIG … One purpose of the anti-kickback statute is to protect patients from
inappropriate medical …. indirectly (such as through an arrangement with a
marketing or … Medicare allows the person who collects a specimen to bill …

Compliance Program Guidance for Clinical Laboratories – Office of …

laboratory compliance plan focused on the billing of … other requirements of
Federal, State and …. marketing schemes, CPT/HCPCs coding issues …..
Services'' that addresses how the anti-kickback ….. investigation, including a

Meeting Materials – California State Board of Pharmacy

Sep 16, 2014 … Assembly Bill 1136 (Levine), signed by the Governor on September 9, ….
Sections 11164.5(a) and section 11164 which is reference by … anti-diversion
technology or features in use in California. … approved for the marketing for the
treatment of pain and for cough …… and the role of laboratory analyses in.

Independent Diagnostic Testing Facility (IDTF) –

Effective for diagnostic procedures performed on or after March 15, 1999,
Medicare … Multi-State Independent Diagnostic Testing Facilities …. If an IDTF
wants to bill for an interpretation performed by a physician who does not … (PC)
of a diagnostic test (excluding clinical diagnostic laboratory tests), it would not be


Medical Supply Products (List) in accordance to California Welfare and
Institutions. Code (W&I … marketing approval and is currently available on the

2013 National Training Program Training Module 10 … –

preventing and detecting fraud, and limiting the burden on provider community. L
e … Medicare or Medicaid is billed for services you never received, equipment
you … Requiring a cross-termination among Federal and state health programs,
….. national Medicare and anti-fraud publications that reference the SMP program

MM8871 –

Apr 28, 2016 … online Medicare information with further details about these services. … Change
Request (CR) 8871 states, effective June 2, 2014, the Centers for Medicare & …
sure your billing staffs are aware of these changes. … FDA-approved labeling
and in compliance with the Clinical Laboratory Improvement Act.

Balance Billing: How Are States Protecting Consumers from …

Balance Bill (n): An unexpected bill sent by a hospital, doctor, or clinic for an
amount beyond that paid by the … How seven states—California, Colorado,
Florida, Maryland, New Mexico, New York, … marketing and products, as well as
the complex and developing … provider and on state laws regulating these

Business Reviews – Department of Justice

Jan 16, 2013 … York and several nearby states, proposed a voluntary gainsharing program …
California; and (3) distribute these index scores to hospitals, payors, and group
…. Based on this analysis, the proposed marketing and sales …… usually not time
sensitive), they compete with reference labs throughout the country.


By notice to the Court on December 19, 2014, the United States of America pru.
iially … For example, Millennium billed and received from Medicare more than
$15 … and for testing referred in violation of the Stark Law and the Anti-Kickback
… known as Millennium Laboratories of California, Inc.), is a private corporation …

Section I – GSA Vendor Support Center

Jun 9, 2014 … As part of the vendor on-boarding process, GSA will work with (VENDOR …
Specifically, at a minimum, GSA will use the Reference Number (REF) …. City,
state, and zip (35 A/N; all 35 required to be visible). 8. Marketing message (120 A
/N; all 120 must be visible, may be blank; ….. Tracy, California 95304.

Public Employees Insurance Agency – PEIA – State of West Virginia

Apr 2, 2016 … Retiree Reference Guide … is provided for you on the back of this reference
guide. The State of West …. month following your retirement and you will be billed
….. and anti-reflective coating. …. Information from hospitals, doctors, laboratories
and other … personal health information for marketing purposes.

H1N1 Influenza Support Products

To support those efforts, and perhaps parallel responses by state and local …
GSA has prepared a brief reference document that summarizes available
products and services, … This overview begins with a primer on “How to Order”
directly from GSA Global … billing using an Activity Address Code (AAC) or its


May 1, 2014 … Complaint Counsel retained Mr. Kam to provide expert testimony on the …
identity theft; and (3) LabMD's security failures are likely to cause …. analysis of
the disclosed CPT codes. … 51 F.T.C. 369, 374 (1954) ("[M]atters in reference to
bias or ….. Workshop on GENI and Security, University California, Davis, …

Annual Report 1988 – Federal Trade Commission

May 16, 1990 … Commission continued its participation, together with state and local law …
government regulation on competition and consumer welfare. … Notification
Sourcebook, a reference document that compiles in a single volume ….. The
California-based "marketing research" firm is charged with allegedly promising.

Crystal Reports – COP07_CondensedReport_NoTBD.rpt – Pepfar

Feb 7, 2010 … Jason. Heffner. PEPFAR Country Coordinator …. Prime
Partner: Association of Public Health Laboratories. New Partner: No.

user's guide to democracy, human rights and governance … – usaid

Feb 27, 2012 … An Overview: The Center of Excellence on Democracy, Human Rights and … has
been crafted to serve as a fundamental reference tool for USAID ….. developing
state-of-the-art programming for children outside family ….. July of 2015,
Madeline worked in the U.S. Global Development Lab on innovation and …

US Food and Drug Administration Notice: Archived Document – FDA

Oct 4, 2010 … continued marketing of IV phenytoin, given the well-known capacity of IV …. in
California compared patients who received either oral phenytoin, … a billing code
for IV phenytoin or fosphenytoin, there were about ….. Post-Marketing Section of
the fosphenytoin label to state, “Reports … Reference ID: 2845555.

16111 Staffing Services RFP – US Communities

state of the art ordering and delivery systems; … Los Angeles County, CA …
Marketing Support …. employees all of County's safety, drug/alcohol, work
policies, anti- …. Contractor shall seek County approval before billing for.

Life Sciences – City of Portland, Maine

side diagnostic tests, point-of-care instruments, reference laboratory services, ….
Brunswick landing boasts outstanding infrastructure, on-site life sciences …
concentration of life science companies and institutions in the state; IDEXX …
transcription, debt collection and EMS dispatch and billing, medical equipment

reference for providers healthnet medicare advantage az

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By , July 25, 2016 12:58 am

AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

AARP MedicareRx Plans United Healthcare (PDF download)

AARP life insurance (PDF download)

medicare benefits (PDF download)

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National Medical Policy – Health Net

Oct 11, 2012 … coverage criteria and benefit guidelines prior to applying Health Net Medical.
Policies … For Medicare Advantage members please refer to the following for
coverage guidelines first: …. Arizona and Washington (January 2016) … The
codes listed in this policy are for reference purposes only. Listing of a code …..

Broker Medicare Advertising Material Review Checklist – Health Net

2016 MMG-V4. Page 1 of 5. Broker Medicare Advertising Material Review
Checklist … Yes If “Yes,” you must designate one of the health plans listed in your

Latest 10-K – Investor Relations Solutions

Feb 27, 2015 … Part III of this Form 10-K incorporates by reference certain information from the …..
business conducted by Health Net of California, Inc., now our HMO ….. We
provide Medicare Advantage plans in select counties in Arizona, California … For
the 2015 Star rating (calculated in 2014 for the 2016 payment year), ….

Health Insurance Companies and Plan Rates for 2016 – Covered …

Jul 27, 2015 … affordable for those not covered by Medicare, employer-based health insurance,
or other types of health … Covered California Health Insurance Plans 2016. 2 …..
Health Net, Kaiser and L.A. Care — are among only nine nationwide … Kaiser,
Sharp and Western Health Advantage — offer integrated delivery …

Healthnet National Medical Policy – Gender Reassignment Surgery

For Medicare Advantage members please refer to the following for coverage …
specific region, select the link provided under “Reference/Website” and follow the

Entire Annual Report 2012 PDF

Apr 8, 2013 … For the full year 2012, Health Net earned $1.47 per diluted share on a GAAP
basis and $1.01 per … Medicare Advantage enrollment rebounded in 2012, ….
Part III of this Form 10-K incorporates by reference certain information from the …..
provider partners in California, Arizona, Oregon and Washington.

2016 Retiree Benefits Guide – Los Angeles Unified School District

Nov 1, 2015 … This LAUSD 2016 Annual Benefits and Enrollment Guide contains …. use it as a
reference guide during the Open Enrollment period as … As of January 1, 2016,
prescription drug coverage provider for Medicare … Advantage (HMO) or Anthem
Blue Cross EPO Plans. …. the Health Net Seniority Plus network.

OptumInsight Medical Payer List (01/07/2016) – Electronic Network …

3 days ago … AARP Medicare Supplement Plans insured by … Abrazo Advantage Health Plan.
03443 …. Alameda Alliance for Health (Provider must contact payer ….. Ancillary
Benefits/Arizona Foundation for Medical Care …. Asuris Northwest/
MedAdvantage (REF*1B*Provider ID in ….. Boston Medical Center Healthnet.

Health Care for Veterans – Federation of American Scientists

Apr 30, 2015 … reimburses non-VA providers or facilities for their medical care. … The VA is
statutorily prohibited from receiving Medicare payments ….. It is intended to serve
as a quick reference to provide easy access to … 2 Department of Veterans
Affairs, FY2016 Budget Submission, …… Flagstaff, AZ; and Billings, MT.

HealtHcare reform Hits arizona – State Refor(u)

Oct 1, 2010 … So far, Arizona has done little to take advantage of the many … approving more
generic biologic agents, eliminating subsidies to Medicare Advantage plans, ….
references …. December 31, 2016), and to provide medicaid payments to insti-
…… 13 Health Net Life Insurance Co . or Health Net of Arizona, Inc .

June 2013 – American College of Radiology

Jun 19, 2013 … and CMS policy changes under the Medicare Physician Fee … ablation zone with
imaging has been reported by authors to be an advantage of cryoablation …
vertebroplasty) and how to proceed for 2016 with the most recent … payers and
providers will be unburdened of 10's of millions of ….. 6/14 Arizona.

Download Publication (pdf) – macpac

This number is growing as states implement the expansion of coverage to adults
at or …. submit budget and expenditure reports to the Centers for medicare ….
advantage of opportunities to evolve and expand. …. earlier than 2011 and no
later than 2016 ….. has contracted with the Arizona Medicaid program …..

2013 SEC Form 10-K (PDF file) – Berkshire Hathaway, Inc.

Oct 1, 2013 … information statements incorporated by reference in Part III of this Form 10-K or
any amendment to this …. coverage for all or a portion of a specified class of risks
ceded by the …. approximately 42% of life/health net premiums were written in
the …. recently began writing Medicare Supplement insurance.

2014 SEC Form 10-K (PDF file) – Berkshire Hathaway, Inc.

Feb 27, 2015 … information statements incorporated by reference in Part III of this Form 10-K or
any amendment to this ….. trigger coverage under TRIA will increase to $120
million in 2016 …. approximately 34% of life/health net premiums were written in
the …. writes Medicare Supplement insurance and credit insurance.

View PDF Magazine – Palomar Health

Jan 1, 2014 … with other medical providers to help deliver the best possible care for patients. it's
a … Health team visit to Mayo clinic in Arizona and, later, several Mayo …
reference materials. …… Shield, Molina and Health Net. … more. in 2015, the
percentage goes to 2 percent or $325. in 2016 … Medicare supplement.

The Market Impact of the Supreme Court Decision Regarding … – wriec

response for Medicare and Medicaid service providers on the date of the
Supreme Court ruling. … of $695 or 2.5% of income over the filing minimum by

California Commission Says Uber Driver Is Employee – The Notice

Jun 6, 2015 … network providers provide medical services with the …. mall event if a $10,000
donation was made to an Arizona …. Cal MediConnect on January 1, 2016 and
will … Dual Plan, Health Net Seniority … Advantage Medicare Medi-Cal Plan. …
Wenke was once said to the Los Angeles Times, in reference to his.

2014-2015 Benefits Summary – East Baton Rouge Sheriff's Office

Baton Rouge General—They are in-network providers through a direct … Baton
Rouge General Medical Center Direct Program Providers …. Verity HealthNet.
Page 1 ….. You have the freedom to choose any provider or take advantage of
discounts …. Please keep this listing as a reference of contacts you … ARIZONA –

Semper Fidelis Vol 59 No 2 – Marine Corps

Nov 5, 2015 … and government health plans, like Medicare. Getting prior … North Region:
Health Net Federal Services, 1-877-874-2273 …. Transitioning service members
and veterans can take advantage of … materials for use in exhibits, as reference
….. 13. During January 2016, DFAS will … MCAS Yuma Arizona.

Golden Rain News – Seal Beach!

Nov 5, 2015 … States Presidental Unit Citation …. Arizona Congresswoman Gabby. Giffords, the
program … able until March 2016. … Be sure to visit with our Medical Providers to
discuss results or …… Medicare Advantage Plans … Healthnet.

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