Members can use Anthems Sydney Health mobile app for a quick and easy way to evaluate symptoms and see a doctor from home. O|bW7{}OH>d_O }N]1W#oFPt#Qg: zM/_5+kL#w9>!:Oy}QqywW}?7yAy}<7G4b0HR=DY7p#K7mw.p'E++PJ"1%uOt_{;t:GU/6q 7+n[Vg tTsk9EEML2`S2UJbpzGoKQ""J_/RkGx\&!^xY?Ej Vf!Yf \GE,w y-sML5/792d.6NL-8zRT-]B[t-Z9zMK.% 5zOeGOOZ.5,f.kvVdQ[ehY0$h People with COVID-19 have had a wide range of reported symptoms, ranging from mild symptoms to severe illness. At-home test kits are available to eligible Anthem members for a limited time. For members who arent feeling well, telehealth services are available so you can get care at home. Ordering at-home test kits from Anthem. Here are some tips: Older adults, people with disabilities, and people with diabetes orwho have severe chronic medical conditions like heart, lung or kidney disease seem to be at higher risk for more serious COVID-19 illness. Visit COVIDtests.gov to order your free test kits. A few things to know: Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is coveredunder certain conditions. In Colorado, is Anthem covering remote monitoring services in addition to telehealth via video + audio and telephonic-only visits? Please review the Medicare and Medicaid specific sites noted below for details about these plans. They include fever, cough, and shortness of breath. Antibody testing, which can potentially indicate whether someone has had a COVID-19 infection, is covered under certain conditions. 2023 Blue Cross Blue Shield Association. The waivers apply to members who have individual, employer-sponsored, Medicare and Medicaid plans. cost sharing for visits where the purpose of the visit is to be screened and/or tested for COVID-19, regardless of whether test is administered, beginning March 18, 2020, for members of our employer-sponsored, individual, Medicare and Medicaid plans. They also are for people who have no symptoms but know or suspect that they have recently been exposed to someone who has COVID-19. Does Anthem require use of a contracted provider for the COVID-19 lab test in order for waiver of the members cost share to apply? Members can also talk with your in-network doctor or get care through telemedicine services without incurring any out-of-pocket costs. No cost share for diagnostic tests or treatment. 155 0 obj <>stream div.treatment-testing-cont div.motif-icon.motif-syringe:before, Please note that the above information applies to Anthems Commercial health plans. Waiving all prior authorization requirements for COVID-19 testing and related covered . font-size: 50px; Johns Hopkins University has resources to help you learn more about the disease. COVID-19 vaccine administration and certain monoclonal antibody treatments: cost-sharing, coding, and billing No, prior authorization is not required for diagnostic services related to COVID-19 testing. Anthem is committed to working with and supporting our contracted providers. Taking care of your emotional health is important during this stressful time. Download the v-safe app for personalized health check-ins after you receive your first COVID-19 vaccine. Based on standard AMA and HCPCS coding guidelines, for participating hospitals with a lab fee schedule, Anthem will recognize the codes 87635 and U0002, and will reimburse drive thru COVID-19 tests according to the lab fee schedule inclusive of member cost-share amounts waived by Anthem. If you're not sure whether your plan covers COVID-19 screening, please call the Member Services number on your ID card. Providers do not need to notify Anthem of temporary addresses for providing healthcare services during the COVID-19 emergency. endstream endobj 112 0 obj <>/Metadata 8 0 R/Pages 109 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences 133 0 R>> endobj 113 0 obj <>/MediaBox[0 0 612 792]/Parent 109 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 114 0 obj <>stream Cost share waiver extends to the end of the public health emergency. No prior authorizations for diagnostic tests and covered services. If your doctor recommended you get tested, find a nearby COVID-19 testing site. The expansion covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020. Providers who request to enroll with Nevada Medicaid to administer the COVID-19 vaccine must submit an initial application using the following resources. The State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) have also agreed to administer benefits consistent with these changes. %%EOF Cost sharing will be waived for members using Anthems telemedicine service, LiveHealth Online, as well as care received from other providers delivering virtual care through internet video + audio services. Effective April 19, 2021, the following COVID-19 monoclonal antibody codes and corresponding administration codes were added to the Medicaid Management Information System (MMIS) and can be billed with the dates of service indicated in this document to Nevada Medicaid by the provider types listed. This modifier should be used for COVID-19 evaluation and testing services in any place of service. What codes would be appropriate to consider for telehealth (audio and video) for physical, occupational, and speech therapies? Providers may submit the COVID-19 Vaccination Roster Billing Form to Availity at https://www.availity.com/ by signing in and submitting the form electronically to the Anthem health plan. 111 0 obj <> endobj .treatment-testing-cont:nth-child(2) { Anthems fully-insured commercial plans issued in Colorado cover telehealth as required by applicable law. Reimbursement for over-the-counter tests. You should try to see your PCP or a doctor in your plan. To help address providers questions, Anthem has developed the following FAQ list: Get the answers to these questions and more in our Talking Points PDF: The latest updates regarding prior authorization requirements will be posted: We look forward to working with you to provide quality services to our members. Anthem is a registered trademark. In addition, Anthems telehealth provider, LiveHealth Online, is another safe and effective way for members to see a physician to receive health guidance related to COVID-19 from home via a mobile device or computer with a webcam. Call 911 if you see emergency warning signs like the below. That includes older adults, people living with disabilities, and those with chronic medical conditions like diabetes, and heart, lung or kidney disease. Anthems affiliated health plans are committed to help provide increased access to care, while eliminating costs and help alleviate the added stress on individuals, families and the nations healthcare system. FEP will increase access to prescription medications by waiving early medication refill limits on 30-day prescription maintenance medications. Claims for COVID-19 diagnostic testing procedure code 87426 (Infectious agent antigen detection by immunoassay technique) are not required to be billed with procedure code 87301. Serving California. You do not need a doctors order for the over-the-counter diagnostictest. All encounter-based providers (including but not limited to: Federally Qualified Health Centers, Rural Health Clinics, Indian Health Services and Tribal Clinics, etc.) They are for people who have no symptoms of COVID-19 and no known or suspected exposure to people who have COVID-19. Please review the terms of use and privacy policies of the new site you will be visiting. In Connecticut: Anthem Health Plans, Inc. Get the latest news and information from the CDC at The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. If you have employer coverage, or an individual or family plan, you can get over-the-counter COVID-19 tests for diagnosing COVID-19 through your BCBSIL/Prime Therapeutics pharmacy benefits. Medicare Advantage and Medicare GRS plans are waived through February 28, 2021. cost sharing for telehealth services not related to the treatment of COVID-19 from Anthem's telehealth provider, LiveHealth Online, from March 17, 2020, through May 31, 2021, for our fully-insured employer, individual, and where permissible, Medicaid plans. Anthem will waive associated cost shares for in-network providers only except where a broader waiver is required by law. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. All Rights Reserved. Through May 31, all BCBS companies including the BCBS Federal Employee Program (FEP)are: Waiving cost-sharing for COVID-19 testing and treatment. Will Anthem allow Roster Billing for the COVID-19 vaccine? See the Allowed Virtual Services document located on anthem.com/For Providers/Provider Resources/Forms & Guides/Select a State/Allowed Virtual Services (Telehealth/Telemedicine) for allowable codes for telehealth visitsfor physical, occupational and speech therapies for visits coded with place of service (POS) 02 and modifier 95 or GT for our fully-insured employer, individual, Individual, Medicare Advantage plans and Medicaid plans, where permissible. Do you have medicines you take regularly? Your member ID card is your key to using your medical plan benefits. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. You may have to pay out of pocket at the time of purchase, but keep your receipt to submit a claim online. margin-bottom: 40px; When are COVID-19 tests covered? Anthem is closely monitoring COVID-19 developments and what it means for our customers and our healthcare provider partners. Youve probably heard about coronavirus disease 2019 (COVID-19) and might be concerned. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. https://nvhealthresponse.nv.gov for important updates related to COVID-19 and its impact on Nevada Medicaid recipients and providers. This modifier should be used for evaluation and testing services in any place of service including a physicians office, urgent care, ER or even drive-thru testing once available. independent licensees of the Blue Cross and Blue Shield Association. When member cost sharing has been waived (where permissible) by Anthem as outlined in this FAQ for COVID-19 testing and visits associated screening and/or tested for COVID-19, telehealth (video + audio) services, and in-network telephonic-only services, how does that impact provider reimbursement? Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Horizon Blue Cross Blue Shield of New Jersey, Your Guide to No-Cost Testing and Treatment as COVID-19 Surges, COVID-19 Information Hub section on testing, Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years, Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule, Blue Cross Blue Shield Association Policy Solutions Could Lower Health Care Costs by $767 Billion, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. The Act expands existing federal loan programs, creates new tax credits, postpones employment tax payments, and includes additional tax relief. The following Medicaid Services Manual (MSM) chapter has been updated and posted to the Division of Health Care Financing and Policy (DHCFP) website. No. Page one is in English and page two is in Spanish for each flyer. Diagnostic tests are for people who have symptoms of COVID-19. Administration for Community Living: COVID-19 and what you need to know, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), You can still use in-person diagnostic COVID-19 testing sites. Tell them if youve been in close contact with a person who has COVID-19, or if you live in or have been to an area where the virus has spread. COVID-19 vaccines are safe and effective. How is Anthem reimbursing participating hospitals that perform COVID-19 diagnostic testing in an emergency room or inpatient setting? Our coverage commitment is to ensure our members can quickly access the right care at the right time. FEP will also encourage members to use the 90-day mail order benefit, if available through your health plan.If you are having difficulty paying for your treatment, contact the retail pharmacy phone number on the back of your ID card for assistance. Washing your hands is the best way to avoid getting sick: Wash often with soap and water for at least 20 seconds. Future updates regarding COVID-19 will appear in the monthly Provider News publication. A Guide to Improving the Patient Experience, A Guide to Screening, Brief Intervention, and Referral to Treatment, Early and Periodic Screening, Diagnostic and Treatment, COVID-19 vaccines for youth toolkit available, Monoclonal Antibodies Approved for Treatment of COVID-19 Infection (June 7, 2021), New COVID-19 Vaccine Codes and Vaccine Administration Codes, Medicaid Services Manual Chapter 400 Updated (April 29, 2021), Attention All Providers Performing COVID-19 Diagnostic Testing with Procedure Code 87426 (April 28, 2021), Maximizing efficient, high quality COVID-19 screenings (April 4, 2021), Encounter-Based Providers and COVID-19 Vaccine Billing (March 8, 2021), DHCFP COVID-19 covered services, vaccines, and vaccination prioritization lanes information for members (February 18, 2021), Rate Change for COVID-19 Testing Codes U0003 and U0004 (February 18, 2021), Attention Providers Who Wish to Enroll with Nevada Medicaid to Administer the COVID-19 Vaccine (January 5, 2020), COVID-19 Vaccine Administration Coverage and Billing (January 5, 2020). Heres what the CDC says about COVID-19 vaccine safety. Right now, medical experts think that COVID-19 spreads from person-to-person through a cough, sneeze or kiss. color: #ffffff; Anthem will cover the administration of COVID-19 vaccines with no cost share for in- and out-of-network providers, during the national public health emergency, and providers are not permitted under the federal mandate to balance-bill members. Check out our frequently asked questions about COVID-19, our benefit changes, financial assistance and more. Anthem has a business continuity plan for serious communicable disease outbreaks, inclusive of pandemics, and will be ready to deploy the plan if necessary. This will ensure that Medicare Advantage members will not have cost sharing for the administration of the vaccine. At-home test kits from Anthem: Are FDA-authorized. Anthems affiliated health plans are committed to help our members gain timely access to care and services in a way that places the least burden on the healthcare system. If youd like additional support, please call the Member Services number on your member ID and ask for an Anthem Case Management Nurse. Can I visit the emergency room for a test? HHS is also announcing an additional distribution of Provider Relief Funds to safety net hospitals: Anthem is closely monitoring COVID-19 developments and what it means for our customers and our health care provider partners. What is the best way that providers can get information to Anthems members on Anthems alternative virtual care offerings? Anthem members have access to telehealth 24/7 through LiveHealth Online. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. By continuing to use this website, you consent to these cookies. Member Discounts Take advantage of member-only discounts on health-related products and services. Anthem announced that effective April 1, 2020, we will expand coverage for our members undergoing treatment related to COVID-19 diagnosis. The electronic process is the quickest way to get the claims to Anthem. Members can talk to licensed nurses who can assist them with symptoms that are consistent with suspected COVID-19 infection. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. padding: 0.6rem; The visit and test are covered whether you get care in a doctors office, urgent care center or emergency department. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Members can access LiveHealth Online at https://livehealthonline.com/ or download the LiveHealth Online app from the App Store or Google Play. COVID-19 vaccines for youth toolkit available. The CDC has provided coding guidelines related to COVID-19: Error! This is also for . Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. For additional services, members will pay any cost shares their plan requires, unless otherwise determined by state law or regulation. COVID-19 is a new strain of coronavirus that causes a highly contagious infection. If you have questions or would like help finding testing, please call the Member Services number on your ID card. Our clinical team is actively monitoring external queries and reports from the Centers for Disease Control and Prevention (CDC) to help us determine what action is necessary on our part. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 3. Who can order a test? www.cdc.gov/coronavirus. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Steps you can take to protect yourself and others from COVID-19: Its best to follow the CDCs recommendations for using a facemask. Anthem members also can call the Anthem 24/7 NurseLine at the number listed on their Anthem ID card to speak with a registered nurse about health questions. FEP knows many of you have serious concerns and questions regarding COVID-19 (coronavirus), especially as it continues to significantly impact our daily lives. ET. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Payment for COVID-19 testing services on or after January 1, 2022. Anthem Blue Cross and Blue Shield Healthcare Solutions Member. Blue Cross and Blue Shield Companies Cover COVID-19 Testing and Treatment, I listened: A nurse case manager on addressing vaccine hesitancy, Meeting the challenge - BCBS companies are supporting Americans during COVID-19, COVID-19 vaccines: six ways were part of the solution, Blue Cross and Blue Shield of Kansas City, Horizon Blue CrossBlue Shield of New Jersey, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Dakota. Members can call the number on the back of their identification card to confirm coverage. Stay informed by checking these resources for up-to-date information about COVID-19, especially if youre thinking about traveling. LiveHealth Online is a 24/7 telehealth service that's free with Medicare Advantage plans. Anthem.com and Anthems COVID-19 site (https://www.anthem.com/blog/member-news/how-to-protect/) are great resources for members with questions and are being updated regularly. Additionally, members who have a pharmacy plan that includes a 90-day mail-order benefit should talk to their doctor about whether changing from a 30-day supply to a 90-day supply of their prescriptions is appropriate. In general, it is recommended people get tested if they have symptoms including fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Schedule a COVID-19 test with your doctor. These may include your doctor's office, a pharmacy or health clinic, or an urgent care center. Do a video or phone visit with a doctor or therapist from home. A diagnostic test is used to determine if a person has COVID-19. The most common early symptoms appear between 2 and 14 days after being infected. Here is what the CDC recommends. We encourage our self-funded customers to participate, and these plans will have an opportunity to opt in. Hyperlink reference not valid. Thats why we are committed to ensuring our members who are dealing with a diagnosis of COVID-19 can easily access the care they need.. Clean and disinfect frequently touched objects and surfaces like phones, keyboards, and doorknobs. Anthem is committed to making sure you can get the care you need. Are there any prescription drugs that can be used to treat COVID-19? What you need to know about the disease and our coverage commitment. Arrive in 2 to 5 business days. To help reduce the burden on the states health care facilities and ensure members get the care they need when they need it, the cost-sharing waiver also applies totelemedicine visits, includingtelephonic visits. For the Health of America. If you are traveling, visit cdc.govfor the CDCs most current travel guidelines. cost sharing for telehealth in-network visits for COVID-19 treatment from March 17, 2020, through January 31, 2021, including visits for behavioral health, for our fully-insured employer, individual plans, and where permissible, Medicaid. Anthem will process the claim as if there is no member cost sharing, as it does, for example, with preventive health services. Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Anthem members wont have out-of-pocket costs for the vaccine during this national public health emergency. If youre in the same room, car or doctors office with someone who is sick, both of you should cover your nose, mouth and chin with a. Identifying the most appropriate COVID-19 testing codes, testing sites and type of test to use can be confusing. Effective from March 19, 2020, through May 31, 2021, unless a longer period is required by law, Anthem will cover telephone-only medical and behavioral health services from in-network providers and out-of-network providers when required by state. Are you aware of any limitations in coverage for treatment of an illness/virus/disease that is part of a pandemic? Your plan will pay for telehealth visits with your doctor through June 15. Wash your hands thoroughly and use hand sanitizer before and after touching or feeding someone, or touching any mobility devices or equipment. Leading the way in health insurance since 1929. People who are diagnosed with COVID-19 may have long-term symptoms. If you have any questions, please contact the Provider Service number on the back of the members ID card, or your Provider Solutions contact on our Escalation Contact List. We have resources and partners to help you handle not just everyday needs, but extra ones you may be facing in this outbreak. cost sharing for U. S. Preventive Services Task Force (USPSTF) or CDC approved vaccines as they become available. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Good health habits can also help prevent and fight COVID-19. The waiver of member out-of-pocket costs for COVID-19 treatment, which is not required by law, has been extended for an additional three months through March 31, 2021. Anthem looks for the CS modifier to identify visits and services leading to COVID-19 testing. The CARES Act provides financial relief to lessen the impact of the COVID-19 crisis. People at most risk of contracting COVID-19 or developing complications of illness are scheduled to receive vaccinations first. For members of Medicare Advantage plans, CMS issued guidance that the COVID-19 vaccine administration should be billed by providers to the CMS Medicare Administrative Contractor (MAC) using product-specific codes for each vaccine approved. If you can't use soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. We use cookies on this website to give you the best experience and measure website usage. What Are Your Thoughts On The Vaccines Against Covid-19? Other self-insured health plans are responsible for the specific plan designs they choose to offer to their employees, and we will continue to work with them to administer their plan designs as directed. Mention they have COVID-19 (or symptoms of it). Call your doctor if you develop a fever, have a cough, or have difficulty breathing. Every day, use household cleaner to wipe the surfaces of frequently-used equipment or devices. What is Anthem Doing to Help with Access to Care, Telehealth, and Cost Sharing? If you are, youll be able to place an order. Through May 31, all BCBS companiesincluding the BCBS Federal Employee Program (FEP)are: It is important that our members feel safe and secure during these unprecedented times, said Scott P. Serota, current president and CEO of the Blue Cross Blue Shield Association. To ensure you have access to the right care at the right time, FEP is waiving cost shares and prior authorization to support members care for COVID-19. Visit your member website for information on how your health plan covers COVID-19 testing. The cost of COVID-19 FDA-approved vaccines will initially be paid for by the government. These products are restricted from coverage through the pharmacy point-of-sale (POS) system. Navigate COVID-19 challenges like social isolation and job loss with a free mental health resource hub, powered by Psych Hub and supported by Anthem. CMS has provided coding guidelines related to COVID-19 vaccines:https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies. Wash your hands and use hand sanitizer before and after touching someone or any mobility devices (canes, a walker) or other equipment. Cover a cough or sneeze with a tissue, throw the tissue in the trash, and wash your hands. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Independent licensees of the Blue Cross and Blue Shield Association. If you receive care from a doctor or healthcare provider not in your plan's network, your share of the costs may be higher. cdc.gov/coronavirus/2019-ncov/about/index.html. You can even get them through home delivery pharmacy. If it doesnt, we can talk about your options. At-home diagnostic tests can be purchased over the counter online, at a local pharmacy, or from a big-box store. The Nevada Department of Health and Human Services (DHHS) and its Divisions, including the Division of Health Care Financing and Policy (DHCFP), are concerned about the effect of the pandemic on rates of anxiety, depression and suicide among youth. California Department of Public Health COVID-19 Updates, State of California Coronavirus (COVID-19) Response, (CDC) - People at Risk for Serious Illness from COVID-19, U.S. Department of State, Travel Advisories, World Health Organization (WHO), Coronavirus, Members with Cal MediConnect plans (Los Angeles County), Members with Cal MediConnect plans (Santa Clara County), vaccination prevents severe illness, hospitalizations, and death, cdc.gov/coronavirus/2019-ncov/about/index.html. You can be reimbursed for over-the-counter COVID-19 diagnostic tests starting on January 15, 2022. Will appear in the trash, and speech therapies been exposed to someone who COVID-19. 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You consent to these cookies to using your medical plan benefits every day, use an alcohol-based hand sanitizer at! That providers can get care at home members for a limited time 24/7 telehealth service that 's free with Advantage! Insights, information and powerful stories on how Blue Cross Blue Shield companies behind.... New strain of coronavirus that causes a highly contagious infection to eligible anthem members have access to medications! Doctor in your plan covers COVID-19 testing services on or after January 1, 2022 vaccine during stressful. The surfaces of frequently-used equipment or devices contracted providers CDCs most current guidelines... Sydney health mobile app for personalized health check-ins after you receive your first COVID-19?! # oFPt # Qg: zM/_5+kL # w9 > anthem covering remote monitoring services in addition to telehealth video.
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