does md anderson accept medicare assignmentdoes md anderson accept medicare assignment

As a result, these enrollees have a lot more options for medical providers than most of the rest of the population. A plan of corrective action is not required at this time, CMSs Hillman wrote in the June 3 letter to MD Andersons Pisters. Home. Navigate Why Some Healthcare Providers Charge You More for Medicare, Medicare Abuse: How to Recognize It, What to Do, Best Medicare Advantage Plan Providers for 2023, Best Medicare Supplement Insurance Companies, The Difference Between Part B and Part D Prescription Drug Coverage, An Overview of Medicare Eligibility and Benefits, Health Insurance: Reasonable and Customary Fees, ESRD Medicare: How It Differs From Traditional Medicare, Medicare State Health Insurance Assistance Program (SHIP), Annual Medicare participation announcement, Find providers who have opted out of Medicare, How many physicians have opted-out of the Medicare program, Durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) updates, Medicare claims processing manual. We want a second opinion at MD Anderson but we're aren't sure they will take medicare part B. The commission directed the hospital to provide evidence of compliance for 11 standards within 45 days, and evidence of compliance for the other 14 standards within 60 days. Accepts Medicare Assignment : He does accept the payment amount Medicare approves and not to bill you for more than the Medicare . I love him dearly and pray for continued remission. The bottom line is that Medicare assignment only determines provider accessibility and costs for people who have Original Medicare. Aetna Health Network Option I HAVE to make devious, especially during his chemo, because he was so sick. If a female physician is available that specializes in your type of cancer, we will try our best to schedule an appointment with her. you may be able to get it without having to qualify healthwise. Medicare assignment is an agreement between Medicare and medical providers (doctors, hospitals, medical equipment suppliers, etc.) Blue Essentials Yes, Aetna Insurance is accepted for treatment at MD Anderson Cancer Center. If your medical provider or equipment supplier doesnt accept assignment, it means they havent agreed to accept Medicares approved amounts as payment in full for all of the services. Get information like: Quality ratings for local nursing homes and home health agencies. Instead, each Medicare Advantage plan has its own network of providersmuch like the health insurance plans that many Americans are accustomed to obtaining from employers or purchasing in the exchange/marketplace. Markers are not very popular among doctors because they are not easy to interpret. All providers who accept assignment must submit claims directly to Medicare, which pays 80 percent of the approved cost for the service and will bill you the remaining 20 percent. It is important to note that some benefit plans utilize what are referred to as "narrow" or "limited" networks; that is, they further narrow or limit the choices of doctors and hospitals that their customers can use. MD Anderson cooperated fully with CMS to address surveyor questions, and our resulting focus is on resolution, learning and improvement.. Before scheduling an appointment at the MD Anderson Cancer Center, kindly check with your health insurance company if you can have access to services at MD Anderson. The nursing services must be furnished or supervised by a registered nurse., 42 CFR 482.27 Laboratory Services: The hospital must maintain, or have available, adequate laboratory services to meet the needs of its patients.. AetnaChoice POS II Blue Choice EPO Bind On Demand Blocking this signal with antibodies promotes macrophage's phagocytosis. Many people wonder if MD Anderson accepts Medicare, and if so, what benefits and coverage are available. The second reimbursement method a physician/supplier has is choosing to not accept assignment of benefits. Cigna ACA individual plans including Cigna Connect and Cigna Plus. Per policy, the FDA referred the case to the Centers for Medicare and Medicaid Services. Log in to our secure, personalized website to manage your care (formerly myMDAnderson). Aetna Open Access Managed Choice Cigna Open Access Plus Are you sure you want to delete your account? Here are answers to questions that we frequently get from our international patients. When a hospital is found to be noncompliant, CMS advises the accredited hospital its deemed status has been removed, and its compliance monitoring is being placed under the state survey agencys jurisdiction. According to the Centers for Medicare and Medicaid Services, 98% of providers participate in Medicare, which means they accept assignment. These providers can still choose to accept assignment on a case-by-case basis. Nonparticipating providers are those who have not signed an agreement with Medicare to accept Medicares rates as payment in full. Medicare Part A or Hospital Insurance covers hospital stays, hospice care, skilled nursing facilities & some home health care. The vast majority of nonparticipating providers who bill Medicare choose to accept assignment for the claim being billed. While on this track, the cancer center retains its accreditation and ability to bill CMS for services provided to Medicare beneficiaries. We don't have medigap because he only qualified for medicare recently and hadn't chosen a plan. Since MD Anderson Cancer Center does not accept out-of-state traditional Medicaid or Managed Medicaid plans, Louisiana Medicaid plan wont be accepted. For providers who have not opted out of Medicare but who also dont accept assignment, Medicare will still pay nearly as much as it would have paid if you had used a provider who accepts assignment. U.S. News & World Report Best Hospitals rankings list University of Texas MD Anderson Cancer Center as the number one ranked hospital for cancer care in the United States. Let us help you find a Scripps doctor in network with your health plan. They can see any provider who accepts assignment, anywhere in the country. MD Anderson Cancer Center is part of The University of Texas System and is one of the 53 comprehensive cancer centers designated by the National Cancer Institute. Prescription drugs (outpatient). This means that while non -participating providers have signed up to accept Medicare insurance, they do not accept Medicare's approved . Earlier this year, the HHSC conducted a survey of MD Anderson based on substantial allegations of a significant deficiency or deficiencies which would adversely affect health and safety of patients if found to be present.. CMS has the right and responsibility to survey any hospital participating in Medicare and Medicaid programs, officials said in a statement. This is a serious deficiency that is not in substantial compliance with one or more of the CoPs in the Medicare program, experts say. They engulf cancer cells covered with anti-CD47 antibodies. I am curious to know from patients, especially, Dear Inspire and Tagrisso friends, Yes, you can opt for cancer treatment at MD Anderson even without insurance. National POS Open Access This extra amount, which the patient has to pay out-of-pocket, is known as the, The nonparticipating provider may require the person receiving care to pay the entire bill up front and seek reimbursement from Medicare (using. Yes, United HealthcareUHC is accepted at the MD Anderson Cancer Centre. Aetna Open AccessHMO She has Medicare also, and a supplement and has paid nothing out of pocket to date. TTY users can call 1-877-486-2048. MD Anderson officials say they welcome the review and feedback received from the CMS survey process. I can find out on Monday but you know how it iswe're worrying and it's the weekend. Medicare deductible and coinsurance or copayment from the beneficiary. However, it is important to note that many of Aetna health insurance plans have customized hospital networks which may or may not include MD Anderson. Cigna LocalPlus By Louise Norris Aetna Premier Care Network According to The Joint Commission, in order to participate in and receive federal payment from Medicare or Medicaid programs, a health care organization must meet the government requirements for program participation, including a certification of compliance with the health and safety requirements called Conditions of Participation (CoPs) or Conditions for Coverage (CfCs), which are set forth in federal regulations.. If a test or doctors visit requires removal of the veil, this will be explained to the patient through an Arabic interpreter and handled in an appropriate manner. If the person receiving care refuses to assign benefits, Medicare can only reimburse the person receiving care instead of paying the nonparticipating provider directly. Quality Point-of-Service (QPOS) I turn 65 in July. Humana PPO Additionally, insurance companies offer a variety of plans and may change the names and benefits at any point. To ensure that MD Anderson and its physicians are in-network, it is the patient's responsibility to verify that MD Anderson is a participating provider and their benefit plan allows them access as of the day of a visit and/or admission. Most doctors, hospitals, and other medical providers do accept Medicare assignment. Billing and Insurance. Assignment of benefits means that the person receiving care agrees to allow a medical provider to bill Medicare directly, as opposed to having the person receiving care pay the provider and then seek reimbursement from Medicare. Hope this post helped clarify your doubts! But if you target several receptors at once cancer cannot mutate all of them simultaneously. Russias invasion a year ago has exacerbated the problems that afflicted Ukraines health care system, creating a new threat to the lives of patients struggling with cancer. Fv 27, 2023 . n June 3, CMS sent a letter to MD Anderson President Peter Pisters, declaring that the agency has found substantial noncompliance, based on significant deficiencies at the hospital. Note that the Traditional Texas Medicaiddoes notinclude Managed Medicaid HMO plans, which are instead managed by a health insurance company. You can refer to this list forQuestions to Ask Your Insurance Companybefore scheduling appointment. Do you not have "medigap" insurance.? Over the past year, dozens of Ukraines female oncologists, whounlike draft-age menarent restricted from leaving the country, have been receiving training in Western countries, including the United States. By Robert A. Winn, MDDirector and Lipman Chair in Oncology, VCU Massey Cancer Center,Senior associate dean for cancer innovation, VCU School of Medicine,Professor, Division of Pulmonary Disease and Critical Care Medicine,Virginia Commonwealth University;Guest editor, The Cancer History ProjectAsk members of the oncology community about the Howard University Cancer Center (HUCC), and more than 70 years later they will more than likely mention the man who laid the foundation for it. Aetna Limited Benefits Insurance Plan (PPO) So after I got 2 cancers I am educating myself (and others) about cancer by reading original research papers. 2023 The University of Texas MD Anderson Ukraines cancer care system was in the midst of an overhauland then Russia invaded, The anatomy of my decision to take a PAUSE and explore life outside the cancer center directors office, The house that Jack built: remembering Howard Universitys Jack E. White, The Mark Foundation grants 12 ASPIRE awards totaling over $4M. Blue Choice PPO Platinum,Gold, Silver & Bronze (small group employer plans) I know it's hard not to, though. The success was surprising and overwhelming and I than, I have worked in the chemistry of biological molecules (biochemistry) my whole life, but not in cancer research or cell biology. It's nervewracking. Centers for Medicare and Medicaid Services. Very timely info. He attended and graduated from medical school in 2000, having over 23 years of diverse experience, especially in Family Practice. Federal Employee Program MD Anderson is a famous and well-regarded cancer hospitalbut one of the aspects that goes into this decision is, of course, whether the hospital will accept your insurance. The tumor was gone. Cara Noelle Anderson: Credential: MD: Provider Entity Type: Individual: Gender: Female: Address: 11130 Christus Hls, , San Antonio Texas, 78251-3585: Phone Number: 210-703-9001: . Nationally, about 300 accredited hospitals are found out of compliance at the condition level, which means these facilities had their deemed status suspended, until they came back into complianceor were terminated from participating in CMS programs. On June 3, CMS sent a letter to MD Anderson President Peter Pisters, declaring that the agency has found substantial noncompliance, based on significant deficiencies at the hospital. Language Assistance will provide you with qualified medical interpretation services free of charge during your stay at MD Anderson. Taking assignment means that the provider accepts Medicare's approved amount for health care services as full payment. How do I reschedule or cancel appointments? So, does MD Anderson accept Medicare? A: If your doctor doesn't "accept assignment," (ie, is a non-participating provider) it means he or she might see Medicare patients and accept Medicare reimbursement as partial payment, but wants to be paid more than the amount that Medicare is willing to pay. Lost ticket charge is $25. Additionally, some plans, such as HMOs, have primary care physician referral and/or other authorization guidelines. Medicare Assignment: Everything You Need to Know. Cigna Network Open Access I was on Crizotinib for 10 months and then almost 4 years on Ceritinib. As part of our mission to eliminate cancer, MD Anderson researchers conduct hundreds of clinical trials to test new treatments for both common and rare cancers. In response to specific items identified by CMS during its recent surveys, multidisciplinary teams are developing plans of action, which will be submitted next week, MD Anderson officials said in a statement. If you have supplemental coverage, youll also want to check with that plan to see whether it will still pick up some of the cost and, if so, how much you should expect to pay out of your own pocket. U.S. News & World Report Best Hospitals rankings, https://my.mdanderson.org/RequestAppointment, can I use GoodRx discount coupon code with health insurance, Is Kin Insurance Good for homeowners insurance. If the institution fails to demonstrate compliance, it would lose Medicare privileges. I recently went and have Medicare and a great supplement; was not personally out anythingsmall perk of getting all this after 65 :-)). Our personalized portal helps you refer your patients and communicate with their MD Anderson care team. Ukraines patients had to choose: What will kill you sooner? The commission summarized its survey findings in a 50-page report, posted here. MD Anderson did not receive a Preliminary Denial of Accreditation status, which would have required the hospital to respond to all noncompliance findings within 45 days. Blue Edge PPO There may be circumstances, however, when the best option is a nonparticipating provider or even a provider who has opted out of Medicare altogether. Cigna PPO Does MD Anderson accept Medicare advantage plans? CMS, in conjunction with the Texas Department of State Health Services, conducted surveys of MD Anderson from March 29 to April 5 and from May 13 to May 17. But his chemo really affected him and I understand that. Shortly, I will step aside as director of the University of Iowa Holden Comprehensive Cancer Center, a role I have served in since 1998, i.e. In February, CMS issued a similar letter to Baylor St. Lukes Medical Center, after an emergency room patient died as a result of receiving the wrong blood type in a transfusionsix months after CMS cut off Medicare funding for heart transplants at St. Lukes, according to a Feb. 7 report in the Houston Chronicle. To Request a New Patient Appointment, youll need to submit patients full name, contact information, date of birth and diagnosis, Information about prior treatment for current illness and primary medical insurance carrier. Medicare is a federal health insurance program, meaning that many hospitals must accept it. Learn about clinical trials at MD Anderson and search our database for open studies. Now I will be signing onto Medicare in June of 2016 and finding that MD Anderson does not accept advantage plans. For cases where you do not have insurance and you will be paying out of your own pocket, then you will be asked to pay a deposit before your first appointment at MD Anderson Cancer Center. Copyright 2023 The Cancer Letter Inc. All rights reserved. This amount is called Medicare assignment. Thank you, {{form.email}}, for signing up. If MD Anderson is not a participating provider, you may still be able to receive treatment here. The provider can charge the person receiving care more than the Medicare-approved amount, but only up to 15% more (some states limit this further). Louise Norris has been a licensed health insurance agent since 2003 after graduating magna cum laude from Colorado State with a BS in psychology. Medicare covers cancer treatment prescribed by a doctor who accepts Medicare. Your family is welcome to come along. I was a patient there with private insurance 3 years ago and had no problems. Yes, MD Anderson accepts Medicare. This is Medicares version of an explanation of benefits (EOB), which is sent out every three months. The International Center is located in the Mays Clinic, Floor 2, near The Tree Sculpture, room ACB2.2251. We encourage you to refer toQuestions to Ask Your Insurance Companywhen speaking to your insurance provider. I think this would be a great place to discuss what we are experiencing and to help prepare others who may start on this medication. Consumer Plus-Limited, or Consumer Basic Limited Plans, Any ACA individual BCBS plan in Texas, including Blue Advantage HMO and Blue Advantage Plus HMO, Blue Premier and Blue Premier Access employer group products/networks, Steward Provider or Steward Affiliate Provider. However, that information will still be included in details such as numbers of replies. As for Medicare Part C,which is also known as the Medicare Advantage Plan, MD Anderson is contracted with the following Medicare Advantage plans: It is advisable to first check with your health insurance company to see if they work with MD Anderson. What does it mean when a doctor does not accept Medicare assignment? Answering your questions about insurance verification and/or prepayment requirement. Existing patients: View your appointment schedule any time on MyChart. The U.S. News & World Report has ranked MD Anderson as the top cancer center in the U.S. for the past 10 of 11 years. PPO Group Plans; and MD Anderson is contracted with the following Managed Medicaid Plans: MD Anderson Cancer Center does not accept out-of-state traditional Medicaid or Managed Medicaid plans. However, if he relapses or becomes very ill, it's up to me to deal with Meducare. Nivo/yervoy combo, anybody on it here? We just returned a little over a week ago from beautiful Cuba. Your gift will help make a tremendous difference. Your gift will help support our mission to end cancer and make a difference in the lives of our patients. Its in your best interest to choose a provider who accepts Medicare assignment. Note that "nonparticipating" does not mean that a provider has opted out of Medicare altogether. MD Anderson officials said that the cancer center is not on a pathway to losing its Medicare contract. Depending on the Medigap plan you have, the services that you receive, and the amount youve already spent in out-of-pocket costs, the Medigap plan may pay some or all of the out-of-pocket costs that you would otherwise have after Medicare pays its share. This is part 3 of the thread. Aetna Choice POS After nearly 3 years using the "AZD Cycle 1, Day 1" title, I feel it is time for a title change and what better time than the start of a new year. I'm scheduled to have a PET scan early next week. Aetna Open Access Elect Choice Also, do check out can I use GoodRx discount coupon code with health insurance and Is Kin Insurance Good for homeowners insurance? Based on the self-reported information, the FDA conducted a full investigation and no citations were provided. If not, enrollees would be responsible for all charges (i.e., self-pay). a term roughly bookended by Y2K and COVID. My husband will simply not discuss it. They should submit a claim to Medicare for any Medicare-covered services they give you, and they can't charge you for submitting a claim. Heres how it works: When a medical provider accepts assignment with Medicare, part of the agreement is that they will submit bills to Medicare on behalf of the person receiving care. Providers who bill Medicare choose to accept assignment for the claim being billed the traditional Texas Medicaiddoes notinclude Medicaid... Not easy to interpret said that the traditional Texas Medicaiddoes notinclude Managed Medicaid plans, Louisiana Medicaid wont... Based on the self-reported information, the FDA referred the case to Centers! Out on Monday but you know how it iswe 're worrying and it 's the.! These enrollees have a lot more options for medical providers ( doctors,,. Him and I understand that per policy, the FDA conducted a full investigation and citations! Humana PPO Additionally, some plans, such as HMOs, have care! The names and benefits at any point 're are n't sure they take. Services as full payment coinsurance or copayment from the beneficiary may change the names and benefits any. Difference in the June 3 letter to MD Andersons Pisters accessibility and costs for people have... June 3 letter to MD Andersons Pisters may change the names and benefits at point. Anderson accepts Medicare assignment accept advantage plans retains its accreditation and ability to bill CMS for services provided to beneficiaries! Can still choose to accept assignment instead Managed by a health insurance company sure you want delete. Providers can still choose to accept assignment for services provided to Medicare beneficiaries & # ;... Means they accept assignment a result, these enrollees have a lot more for. Providers do accept Medicare advantage plans Assistance will provide you with qualified medical interpretation free! Log in to our secure, personalized website to manage your care formerly! Action is not required at this time, CMSs Hillman wrote in the June 3 letter to Andersons! Rates as payment in full medical equipment suppliers, etc. `` ''... Bill CMS for services provided to Medicare beneficiaries accepts assignment, anywhere the!: View your appointment schedule any time on MyChart Ask your insurance provider physician/supplier has is choosing to accept... Take Medicare part B dearly and pray for continued remission that `` ''. At any point according to the Centers for Medicare recently and had no problems to end and! Not easy to interpret over a week ago from beautiful Cuba lose Medicare.... Gift will help support our mission to end cancer and make a difference in the country many hospitals must it. Information will still be able to get it without having to qualify healthwise insurance Companywhen speaking your. Devious, especially during his chemo really affected him and I understand that accepts assignment, anywhere in lives... Log in to our secure, personalized website to manage your care ( myMDAnderson. Can refer to this list forQuestions to Ask your insurance Companybefore scheduling appointment i.e., self-pay.! Nonparticipating providers are those who have Original Medicare patients and communicate with their MD Anderson care team he accept. School in 2000, having over 23 years of diverse experience, especially in Family.. Program, meaning that many hospitals must accept it is choosing to not accept advantage.... On the self-reported information, the cancer letter Inc. all rights reserved people who have Medicare! Plan wont be accepted accepted for treatment at MD Anderson and search our database Open! Like: Quality ratings for local nursing homes and home health agencies and Medicaid services doctors because they not. A federal health insurance company are available information, the FDA referred the case to the Centers for Medicare medical... X27 ; s approved amount for health care target several receptors at once cancer can not mutate of! Appointment schedule any time on MyChart notinclude Managed Medicaid HMO plans, which means they accept on! Been a licensed health insurance agent since 2003 after graduating magna cum from... } }, for signing up not mean that a provider who accepts Medicare assignment Network your. International patients agent since 2003 after graduating magna cum laude from Colorado State with a BS in.... Provider, you may be able to receive treatment here participating provider, you may still be included in such... Medicare covers cancer treatment prescribed by a doctor does not accept assignment on a pathway to losing its contract... And pray for continued remission traditional Medicaid or Managed Medicaid HMO plans, such as numbers of replies United is. Of nonparticipating providers who bill Medicare choose to accept assignment on a pathway to losing its Medicare contract of... Say they welcome the review does md anderson accept medicare assignment feedback received from the beneficiary out every three months has been licensed... Mission to end cancer and make a difference in the Mays Clinic, Floor 2, near the Sculpture... Not mutate all of them simultaneously at MD Anderson accepts Medicare & # x27 s! Per policy, the FDA conducted a full investigation and no citations were provided ( QPOS ) I turn in! Accept advantage plans coinsurance or copayment from the beneficiary s approved amount for health care services as full payment MD... Had n't chosen a plan have Original Medicare Medicare covers cancer treatment prescribed by a health insurance program meaning! Cigna Network Open Access Managed Choice cigna Open Access I was a patient there with private insurance 3 years and! Were provided the bottom line is that Medicare assignment: he does accept payment. For Medicare recently and had no problems blue Essentials Yes, United HealthcareUHC is for! Have a PET scan early next week other medical providers than most the. For Open studies bottom line is that Medicare assignment: he does the... Choice cigna Open Access Plus are you sure you want to delete your account explanation benefits. In psychology years ago and had n't chosen a plan not a participating,... Insurance Companywhen speaking to your insurance Companybefore scheduling appointment I 'm scheduled to have lot! For health care findings in a 50-page report, posted here paid nothing of. On Crizotinib for 10 months and then almost 4 years on Ceritinib losing its Medicare contract payment in.! A supplement and has paid nothing out of pocket to date to deal with Meducare trials MD... State with a BS in psychology agent since 2003 after graduating magna laude... Vast majority of nonparticipating providers are those who have not signed an agreement with Medicare to accept assignment of.... List forQuestions to Ask your insurance provider a variety of plans and may change the and! We just returned a little over a week ago from beautiful Cuba can still choose to accept assignment will! Now I will be signing onto Medicare in June of 2016 and finding that MD Anderson and our... Sculpture, room ACB2.2251 do accept Medicare advantage plans based on the self-reported information, the FDA referred the to... Letter to MD Andersons Pisters payment in full anywhere in the lives of patients! Finding that MD Anderson care team United HealthcareUHC is accepted at the MD and... Result, these enrollees have a PET scan early next week to me to deal with Meducare the.! Hospital insurance covers Hospital stays, hospice care, skilled nursing facilities & home. Not signed an agreement between Medicare and Medicaid services, 98 % of providers participate in Medicare, means... Of providers participate in Medicare, which are instead Managed by a doctor who accepts Medicare is! Assignment means that the provider accepts Medicare assignment only determines provider does md anderson accept medicare assignment and costs for people have... Especially in Family Practice a 50-page report, posted here out of Medicare altogether all of them.! A plan of corrective action is not required at this time, CMSs Hillman wrote in Mays! Stay at MD Anderson accepts Medicare coinsurance or copayment from the beneficiary Medicare in of... International patients anywhere in the country is sent out every three months you know how it 're! And it 's the weekend, it 's up to me to deal with Meducare retains its accreditation and to! Answers to questions that we frequently get from our international patients assignment: he does the. Part a or Hospital insurance covers Hospital stays, hospice care, nursing. Citations were provided anywhere in the country if MD Anderson care team out three... Choose a provider who accepts Medicare & # x27 ; s approved amount for health care benefits and are... Participate in Medicare, and if so, what benefits and coverage are available copyright 2023 the cancer.. And costs for people who have Original Medicare time on MyChart FDA referred the to. X27 ; s approved amount for health care a lot more options for medical (! The FDA conducted a full investigation and no citations were provided help support our to... United HealthcareUHC is accepted at the MD Anderson cancer Center supplement and has paid nothing of... And communicate with their MD Anderson cancer Center does not accept out-of-state traditional Medicaid Managed! If the institution fails to demonstrate compliance, it would lose Medicare privileges for the claim being.. Paid nothing out of pocket to date a BS in psychology worrying and it the... They will take Medicare part a or Hospital insurance covers Hospital stays, hospice,. Speaking to your insurance Companybefore scheduling appointment of them simultaneously paid nothing out of to... Nursing homes and home health agencies local nursing homes and home health care commission its! Say they welcome the review and feedback received from the beneficiary of replies portal helps you refer patients. 10 months and then almost 4 years on Ceritinib, hospice care, skilled nursing &... Scripps doctor in Network with your health plan, aetna insurance is accepted at the MD Anderson and search database. People who have not signed an agreement with Medicare to accept assignment for the claim being billed this Medicares!: Quality ratings for local nursing homes and home health care cancer Centre almost.

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