Ease of Setup. HealthLink is a provider advocate and we strive to maintain high levels of provider satisfaction. Our physical therapists work with a wide variety of patients who have suffered an injury, are recovering from a surgical procedure or require geriatric care from brief check-ins to round the clock coverage. These services may . 250 0 obj <>stream Great Personal Professionalism and my Therapist Brian is Thorough, Friendly and Caring!!!! *, Q2: Choose the primary task you came to the website to complete:*, Q3: Please rate the following statement: * Ann joined Carol at Health Link PT in 2021 and brings her years of . All Rights Reserved. HealthLink has no control or right of control over the professional, medical . Physical/Occupational Therapy Precertification Review . Sub-Acute requests for subscribers residing in all other states should be directed to UHCC by calling 877-585-9643. Fill out this form to request that HealthLink restrict its use or disclosure of PHI. of authorization request(s). Physical Therapy/Occupational Therapy . Request a Consultation with a Clinical Peer Reviewer, Check Status Of Existing Prior Authorization, Check Status of Existing Prior Authorization. Copyright 2022 eviCore healthcare. picture_as_pdf Referral Request for Maternal Opioid Use Disorder (MOUD) Treatment. You can also fax your authorization request to 1-844-241-2495. Jobs. HealthLink was founded more than 30 years ago by a consortium of hospitals located in Illinois and Missouri. Date(s) of Service Procedure CPT/HCPCS # of . By following each patients primary physicians prescribed plan of care in unison with proper educative methods, prevention of further deterioration is accomplished. Medical Social Workers. Ethics & Compliance | The benefits of precertification. Physical Therapists Accepting Horizon NJ Health Insurance NJ. Healthlink Physical Therapy - Stone Oak is located at 525 Oak Centre Dr #450 in San Antonio, Texas 78258. Please return to the address listed at the end of the form. %%EOF All Rights Reserved. The Physical Therapy Department consists of three areas: Acute Care, Rehabilitation, and Outpatient Services. We are currently in the process of enhancing this forms library. 0 Health (4 days ago) As a health care consumer, and HealthLink member, you have certain rights and responsibilities when it comes to the quality of care you receive from providers, your health plan benefits and your private health information (PHI). We also provide video/audio telehealth services with Physiapp . HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. HEALTH LINK SF & PENINSULA. Northeast Orthopaedics & Sports Medicine. Therapist Facility Address: Enter address of facility where physical therapy is to be performed, include city and state. Priority Partners Forms. Hospice. Thank you for using eviCores website today! San Antonio, TX 78258. 83 customer reviews of Healthlink Stone Oak. For all other services, please reference the inpatient and outpatient requests to complete your request online or call 800-523-0023. We have compiled all of the most important information and health care forms you may need as . Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). Health (9 days ago) Healthlink Pediatric Clinic. HealthLink, Inc., is an Illinois corporation. Member Rights Policy | Her experience also includes 7 years in the medical field as a Registered Medical Assistant. Go see Dr. Dominguez. (An additional form can be completed if extra space is required.) 20821 Us Highway 281 N Ste 122. The facility is great as well!!! At HealthLink, we work very hard to ensure that each of our patients, their families, and their physicians are very satisfied with the care they . We have compiled all of the most important information and health care forms you may need as you utilize your health . As a provider-driven corporation, HealthLink remains true to its roots by working with doctors, hospitals and other health care facilities to deliver value in medical services to employer groups and their health plan members. Medical Admission or Procedure Authorization Request (not for medical injectable requests) PLEASE NOTE: All forms are required to . Phone: 1-866-805-4589. This Web site is intended for use by participating OptumHealth Physical Health providers. Use this form when requesting prior authorization of therapy services for Healthfirst members. Rehab/Physical Therapy. which is displayed after the textbox contains characters matching the beginning of the suggested search terms. https://www.baptisthealthsystem.com/services/physical-therapy/healthlink-outpatient-rehab, Health (1 days ago) Several members have contacted the Illinois Chiropractic Society regarding recent physical therapy denials from HealthLink. Select . Home Health Aide. 525 Oak Centre Suite 450, Remington Oaks Bldg., San Antonio, TX 78258. , https://www.health-improve.org/healthlink-physical-therapy-pre-auth/, Health (3 days ago) Restriction Request Form. Whether youre looking to confirm a prior authorization , https://www.harvardpilgrim.org/provider/prior-authorization/, Health (9 days ago) Physical therapy doesnt just relieve your pain. 2 reviews of HealthLink Stone Oak "When I was in college, I had an economic professor who had a favorite saying - there is no such thing as a free lunch. We've moved across the street into the same building as the LifeFit Wellness Center!HealthLink for Children is an outpatient center specializing in pe Beaufort Memorial HealthLink for Children | Occupational Therapy, Pediatric Care, Physical Therapy, Speech Therapy | Beaufort, SC Q1: Overall, how satisfied are you with eviCores website? View Location. Pre-certification serves as a utilization management tool, allowing payment for services and procedures that are medically necessary, appropriate and cost-effective without compromising the quality of care to MO HealthNet participants. Specialties: HealthLink Hausman is a health care center that services clients in the San Antonio area. Please contact GEHA at 1-800-821-6136 for any additional details of coverage and any prior . 2. Skip to main content and our Accessibility Statement may be found in the footer of our website. Health Link HHA document.write(new Date().getFullYear()). Handy tips for filling out Aim prior authorization form pdf online. Pharmacy and Formulary. icon_smart_forms02 Improve efficiency Reduces the time the costs involved with paper handling, distribution . When you request prior authorization for a member, we'll review it and get back to you according to the following timeframes: Health Fact. Address: 134 Main Street Butte, MT 59702 Phone: 406-782-4956 Fax: 406-782-4956 Cell: 406-310-0296 Email: carol@healthlinkptbutte.com, ann@healthlinkptbutte.com, healthlinkpt@gmail.com Hours: By Appointment To discuss any medical symptoms or conditions contact your physician or other healthcare professional. Access key UM resources such as pre-cert fax forms, IVR phone access and vendor contact information. Healthlink physical therapy san antonio, Baptist healthlink physical therapy northeast, Health (8 days ago) Healthlink Outpatient Rehab San Antonio Baptist Health. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Request an Appointment from HealthLink. Getting pre-authorization means you're getting the care approved by your regional contractor before you go to an appointment and get the care. CHL Service Locations. Healthlink Physical Therapy - Stone Oak is located at the following address: United States, San Antonio, TX 78258, 525 Oak Centre Dr #450. . Remington Oaks Bldg. Aquatic (water) therapy for conditions such as arthritis, Parkinson's . As a valued user of our website, wed appreciate your feedback to help us improve your website experience. San Antonio, TX 78258. 2.Please complete and Fax this request form along with all supporting clinical documentation to OrthoNet at 1-844-888-2823. CHL Adult Services. 10. % Drizalma Sprinkle. 868 Brannan Street,Suite 307San Francisco, CA 94103P:415.664.5500F:415.664.4003, 1280 Civic Drive, Suite 105Walnut Creek, CA 94595P: 925.905.1200F: 844.965.9462. (210) 297-4210. HUKo0Wh#/T qX-n[-~=c'flrHlx3go Submit Continued Stay and Discharge Request Form. 210 likes. Restriction Request Form. ID: 32039. ODM Health Insurance Fact Request Form. In these cases, , Health (2 days ago) Prior Authorization. All rights reserved | Email: [emailprotected], Baptist healthlink physical therapy northeast, Department of environmental health georgia, Healthy food that doesn't need refrigeration, Health e arizona plus application for nutrients. We specialize in physical therapy, phase 3 cardiac rehab, general orthopedics, manual therapy, vestibular/balance training, and kinesiotaping. Dojolvi. Your insurance company may or may not pay for telehealth services so please call them and let them know it is important to you. Go digital and save time with signNow, the best solution for electronic signatures.Use its powerful functionality with a simple-to-use intuitive interface to fill out Aim authorization online, design them, and quickly share them without jumping tabs. Therapy for chronic pain problems. We welcome your comments, questions, and suggestions. Use this cover sheet when uploading clinical/medical record information through Horizon BCBSNJ's online utilization management tool to support an Authorization request. %PDF-1.5 % Whether it's making exercise a part of your life, improving your overall health, treating a medical condition, or recovering from an injury, our staff and state-of-the-art facilities make it possible. Remington Oaks Bldg. We are an established institution consistent in providing personal one-on-one patient care in a safe and healing environment. 72 Jaques Avenue, Worcester - 508-860-1000. DocHub User Ratings on G2. How to modify Consent Form - Southern Tier HealthLink online With DocHub, making changes to your documentation requires only some simple clicks. endstream endobj startxref For information on how to submit a preauthorization for frequently requested services/procedures for your patients with Humana commercial or Medicare coverage, please use the drop-down function below. Healthlink Stone Oak. Q4: How can eviCore make it easier for you to use this website? (210) 297-4210. Ohio Urine Drug Screen Prior Authorization (PA) Request Form. MHD and Conduent have introduced an electronic health record program. If you have a referral, then your provider gets pre-authorization at the same time. 525 Oak Centre Dr, Suite 440. Kinnser Login. DocHub User Ratings on G2. For HealthLink Reviews 877-284-0102 800-510-2162 (fax) Phone Hours: 7:00 a.m. to 5:00 p.m. CST Page 2 HealthLink, Inc., is an Illinois corporation. We view our time with you as a new beginning and our goal is to ensure the longevity in your quality of life. Are you up-to-date on your preventive screenings? Third Party Designee Appointment / Acceptance. (210) 297-4210. Website Services. Nevada Step Therapy Prior Authorization form (PDF) New Jersey Claims Determination Appeal application. Priority Partners provides immediate access to required forms and documents to assist our providers in expediting claims processing, prior authorizations, referrals, credentialing and more. Review up-to-date claims status and eligibility information on the go, access your digital ID card 24 hours a day, seven days a week and contact customer service at the touch of a button. We cannot give you medical advice via e - mail. Amerigroup Iowa, Inc. wishes to update and remind our behavioral health (BH) provider network of the importance of including the rendering therapist detail on the CMS-1500 Claims Form when submitting for a member who is dually enrolled with Medicare and Medicaid. 525 Oak Centre Dr, Suite 440. Healthlink Physical Therapy is a health, wellness and fitness company based out of 3058 Metropolitan Pkwy # 207, Sterling Heights, Michigan, United States. San Antonio, TX 78258. In the . ABOUT US; MEMBERS; . Request for External Wheelchair Assessment Form. Ease of Use. The patients Care Program may gradually increase as they begin to improve. She is one of the best, if not the best, Primary Care Providers I have ever seen in nearly 30 years with the military medical. The Health Link Physical Therapy team fosters patient wellness, healthy lifestyle choices as well as injury and motion loss prevention. Initial admission notifications and all other . From our front . You may restrict what type of information is utilized and supplied to an organization as , https://www.healthlink.com/member/restriction-and-authorization, Health (Just Now) Benefits depend upon the eligibility of the patient at the time of admission, subject to all other Plan limitations, pre-admission review requirement and prior related claims. , http://www.hannibal-mo.gov/files/document/file/62-MM%20Pre-Cert%20List%201-1-22.pdf, Health (5 days ago) Please follow JHHC's policies and procedures. picture_as_pdf Quality of Care/Quality of Service Concern External Reporting Form. In Tucson, she managed a fixed-based operator at Tucson International Airport and earned her private pilot's license. picture_as_pdf Provider Complaint Forms. Diethylpropion. As the leading specialty benefits management partner for today's health care organizations, we help improve the quality of care and reduce costs for today's most complex tests and treatments. Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). View Location. H|UKo0WhC~&0i0`;Kb+lGR.L#)EpN#|,`cOz,\d r?Z-!Mb? Access key information for participating in our network. HealthLink Smart Forms HealthLink Smart Forms enable any healthcare provider to electronically refer a patient to any other healthcare provider or related service. Check Prior Authorization Status As part of our continued effort to provide a high quality user experience while also ensuring the integrity of the information of those that we service is protected, we will be implementing changes to evicore.com in the near future. Healthlink Pediatric Clinic. Service code if available (HCPCS/CPT) To better serve our providers, business partners, and patients, the Cigna Coverage Review Department is transitioning from PromptPA, fax, and phone coverage reviews (also called prior authorizations) to Electronic Prior Authorizations (ePAs). Type any search term in the textbox or use the arrow keys chose an item from a list of suggested search terms, We provide a protocol-led care plan administered by highly qualified health partners at the. Please click here to register for an account. Visit the Community Healthlink website. , http://ccphysicaltherapy.com/insurance_accept.asp?ins=Horizon%20NJ%20Health, Molina healthcare of utah claims address, Department of environmental health georgia, Healthy food that doesn't need refrigeration, Health e arizona plus application for nutrients, 2021 health-improve.org. Doryx/Doxycycline Hyclate. Hospital Notification for Chimeric Antigen Receptor T-cell (CAR-T) Therapies Until further notice, please be advised that the Benefit Funds require pre-authorization for CAR-T immunotherapy (including Kymriah, Yescarta and other FDA-approved CAR-T Therapies) and/or related services, including outpatient or inpatient evaluation and the CAR-T outpatient or inpatient episode. Services include, but are not limited to: Recommendation and use of assistive devices, prosthetics and orthotics, Instruction in gait, transfer and other mobility skills, Exercises to improve balance and coordination, Muscle re-education and muscle spasm relief. 11. Submit a Prescription Drug Benefit Appeal Form. 64 P. Gregorio Street extension Lingunan, 1446 Valenzuela,. View Location. An increase in prior authorization (PA) requirements from health insurance companies is placing administrative and financial burdens on primary care offices across the United States. A review can NOT be completed without the necessary information. Forms and Manuals. Physical Therapists Rehabilitation Services Physical Therapy Clinics. 1-844-583-3072 (TTY 711) Beginning on 3/15/21, web users will be required to log in to evicore.com in order to check the status (210) 297-4525. Annual Utilization Statistics | Verification of eligibility , https://www.healthlink.com/documents/physical%20&%20occupational%20therapy%20precertification%20review.pdf. Contact. In addition, the Team assists patients in the maintenance of their physical state and self-awareness to help them achieve independent and functional mobility. Whether you're looking to confirm a prior authorization requirement, request authorization for a medication covered under the medical or pharmacy benefit, or determine which third-party vendor performs clinical review and utilization management for a particular . Consult your healthcare provider! Behavioral health (outpatient): 1-844-430-1703. Health Link Home Health Agency, 1000 Brannan Street Suite 205, San Francisco, CA, 94103, United States. The Health Link Physical Therapy team fosters patient wellness, healthy lifestyle choices as well as injury and motion loss prevention. (This completed form should be page 1 of the Fax.) Submit a Home Infusion Therapy Request Form. We are proactive in our physical therapy approach and prioritize client education to reduce the risk of hospitalizations, nursing facility admissions and rising healthcare costs. You and our members (and their appointed representatives) will know coverage decisions before procedures, services or supplies are provided. 9.5. Fax this form with all applicable information documented to: 205-402-9369. Fill . 2022 Provider Manual (PDF) Also see: Claims Manual (PDF) Billing Manual (PDF) hk0=n,RHf+,mY:(}/1s`&IfmC}t:0"ED/X/IX"DeWz*Jfq3S4zcAL}2?iQgx0jxGWry5FO3ZfqIOSZqfe(1Y>_4HQgOGE:gx*`p,66!&e^h'M5;n&-i"xd/r |*_7 At Healthlink, you don't need to be a patient at a Baptist hospital to receive physical therapy and care for vertigo, dizziness, imbalance and other symptoms of an inner ear disorder. Also be advised that effective August 1, 2021, OrthoNet no longer reviews spinal surgery or pain management services for GEHA. ePAs save time and help patients receive their medications faster. endstream endobj 224 0 obj <>/Metadata 6 0 R/PageLayout/OneColumn/Pages 221 0 R/StructTreeRoot 10 0 R/Type/Catalog>> endobj 225 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 226 0 obj <>stream AboutHealthlink Physical Therapy - Stone Oak. The online tool called CyberAccess sm is . PAC Provider Intake Form. Forms. Doxycycline Monohydrate 40mg IR/DR. 25625 Us Highway 281 N. San Antonio, TX 78258. New Mexico Uniform Prior Authorization form (PDF) This site includes general plan information, current news and updates specific to the USFHP provider network. The Health Link Physical Therapy team fosters patient wellness, healthy lifestyle choices as well as injury and motion loss prevention. Printing and scanning is no longer the best way to manage documents. The information on this page is for informational purposes only, and does not substitute medical advice. The Health Link Geriatric Care Managers evaluate, plan, oversee and manage patient healthcare and quality-of-life. Services include: Orthopedic assessments of musculoskeletal problems. Speech Therapy. 0 Clinical Information Cover Sheet - Authorization Request. They were all wonderful and really . Experience the ease of MyAmeriBen.com from the convenience of your mobile device with the MyAmeriBen Mobile App. (CPT/HCPCS) codes may be entered. E-Verify and IER Right to Work. "UAA_r_7r>}Zo`=Pe"n!! "(]}zb Toll-free 1-877-284-0102 Recorded messages after 5:00 p.m. CST FAX: 1-800-510-2162 Occupational Therapy. Find Reviews, Ratings, Directions, Business Hours, Contact Information and book online appointment. Submit a Home Health & Hospice Authorization Request Form. . dS{n@kBL{}>0]Fh$yRU=m/. We can identify members and get them into specialty programs, such as case management and disease management, behavioral health, the National Medical Excellence Program. Follow these fast steps to modify the PDF . 525 Oak Centre Dr, Suite 440. All Rights Reserved. Submit a Prescription Drug Prior Authorization Request . The EOBs indicate the following: This service has been , https://ilchiro.org/healthlink-requires-pt-pre-certification/, Health (7 days ago) Physical Therapy. Non-Medicare recognized therapists billing for dual members. As risk factors lessen and the patients condition improves, therapy routines will be expanded in order to achieve the greatest possible amount of independent mobility. Together we tackle a patients health challenges as we work toward regaining the greatest possible level of independence both in and out of the home. Rehab/Physical Therapy. US Family Health Plan Overview. 223 0 obj <> endobj Stone Oak, please let us know by using the feedback form. Submit a Medicare request. Community Healthlink - Administration. San Antonio, TX 78258. {{ limitBy===6? Healthlink Physical Therapy - Stone Oak can be contacted via phone at (210) 297-4525 for pricing, hours and directions. I had the pleasure of working with 4 different therapist - Olivia, 2 different Jessica's, and Becky. reCAPTCHA is not valid; Please try again! ID: 32316. Submit an Inpatient Precertification Request Form. CLOSED NOW. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's . From the online Utilization Management Request , https://www.horizonblue.com/sites/default/files/2018-08/PTOT_How_to_submit.pdf, Health (5 days ago) Our physical therapy practice is owned and operated by dedicated physical therapists who have been practicing since 1996. Remington Oaks Bldg. By following each patient's . Fill out this form to request that HealthLink restrict its use or disclosure of PHI. 14. Easily find and download forms, guides, and other related documentation that you need to do business with Anthem all in one convenient location! Provider Forms & Guides. As a health care consumer, and HealthLink member, you have certain rights and responsibilities when it comes to the quality of care you receive from providers, your health plan benefits and your private health information (PHI). For specialist referral authorization, certification of hospitalizations and outpatient procedures: HealthLink Medical Management Hours: 7:00 a.m. to 5:00 p.m. CST Open business days. State Pre-authorization Forms California: Prescription Drug Prior Authorization or Step Therapy Exception Form CA CODE #19367, 10 CCR 2218.30(d) Texas Standard Prior Authorization Request Form TX CODE 13275, 28 TAC 19.1810(d) Texas Prescription Drugs Prior Authorization Request Form TX CODE 14099, 28 TAC 19. . Privacy Policy | You may also be evaluated and treated by a vestibular therapist even without a physician referral. At AIM Specialty Health (AIM), it's our mission to promote appropriate, safe, and affordable health care. I went in for physical therapy on my right elbow. HCM Authorization Request. WebTPA is actively monitoring the COVID-19 situation as it relates to our clients, members, partners and employees. Please refer to the CDC for the most current updates on the coronavirus status, and we will continue to share updates as situations evolve and change. ACN Group IPA of New York, Inc. . Important facts about coronavirus COVID-19 for providers Learn more . Date: Reference #: (provided after initial review) A Utilization Management representative will fax you a reference number by the next business day after receiving this completed form. endstream endobj 228 0 obj <>stream Gait (manner of walking) analysis for walking problems. 12 Queen Street, Worcester - 508-860-1000. Provider Manual. A#_. With the MyAmeriBen Mobile App, your account . JPAL may indicate more than one status for a procedure (Authorization Required/Authorization Not Required). Forms. We are here to listen to patient concerns, make home visits and provide recommendations to further every patients quality of life and regain their independence. We understand that having us in your home, especially due to aging related issues, can feel like the end of independence or the loss of privacy, but this doesnt have to be an ending. icon_smart_froms01 Easy, fast referrals Electronically refer a patient to any other healthcare provider or related service. Plan Benefits. 1831 Chestnut Street St. Louis, MO 63103-2225 www.healthlink.com 1-877-284-0101 Administrative Manual Utilization Management Chapter 7 eviCore made it easy to complete my primary task online. 9.0. Therapy Authorization Forms | Medical Mutual. Healthlink Outpatient Rehab San Antonio Baptist Health. Doptelet. Interactive Care Reviewer ; Access the Interactive Care Reviewer ; Pre-Certification List with AIM - Effective 01/01/2022; UM Contact Information Health Link Home Health Agency, 1000 Brannan Street Suite 205, San Francisco, CA, 94103, United States (415) 664-5500 info@healthlinkhha.com. Healthlink Physical Therapy | 15 . Ann is a Tucson, AZ native who has lived in Butte since 2001. Your regional contractor sends you an authorization letter with specific instructions. Diflorasone Diacetate 0.05% Cream. During this time, you can still find all forms and guides on our legacy site. Bring the form with you on the date of your appointment, along with your insurance card and a copy of any test results which may be pertinent to your visit. Healthlink Physical Therapy, Sterling Heights, Michigan. How to edit Consent Form - Southern Tier HealthLink with DocHub. Physical Therapy. Standard Policies. we will be implementing changes to evicore.com in the near future. Report Fraud & Abuse | One of the best Physical Therapy, Wellness business at 525 Oak Centre Dr #450, San Antonio TX, 78258 United States. The overarching goal is to be in control of symptoms and eliminate their cause rather than being led by them. Fax # 1-800-215-4901 Authorization Request-PT OT Effective 10-1-2015 All Prior Authorization requests must either be faxed on this template or be submitted . hbbd``b`$[@D"`$X V# E I $@ EF< h?#w Doryx MPC. We. As time allocation for these cases continues to grow, physicians are concerned with additional workload and inefficiency in the workplace. ]:*Q!d>*}%UmS7 M'UEgR%C$C5TU-T) 5amcl|dG{c Healthlink Outpatient Rehabilitation. Download Your Patient Packet Please note: The following supplemental forms should also be completed for each specialty listed below: Click the link below to view or save a copy. GEHA covers in-network annual preventive screenings, including mammograms and cholesterol screenings, at 100%. 3.Please ensure that this form is a DIRECT COPY from the MASTER. endstream endobj 227 0 obj <>stream Thank you for protecting yourself and your loved ones during this trying time. Enter name of facility where physical therapy is to be performed. :)ZjBiERuqHL* l!+z~qJSu~(VP`gH3$gIarq%:V0Vpj~HZM)+9?sENqtQ/5'8?h:`K?y8_ex+?tg,B/ v=,MvUcbu0Qo mhZfiOuK$E8s~" rqB9; C=HR>M:HpN[jxI6f%3$UN ac=NC?KS0^.2L'.J0xEsfp:m?Vy6*H>BS 2nw:K*[~_o1=ot.vj 4wmv#Rx X#?-iz!m;'P,&r>nh3AvyH9aE4-?"1W5_P16"^zY2y| F*9=:jk+t0[Z+WH/(GOW QS In addition, the Team assists , https://www.healthlinkhha.com/physical-therapy/, Health (3 days ago) HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not liable for any acts or failures to act, by contracted providers.
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