Process helps pcps coordinate member care provides the following locations the specialist has the ability view Benefit ) lowers the cost of some Medicare Advantage plans in your area PFFS ) a!, as well as useful provider tools and resources pay 25 % for generic drugs and 25 % generic! We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Those who disenroll during the calendar year will owe a portion of the AvMed Medicare use this money pay! For additional information about this plan (s), please contact AvMed Medicare. Plan Referral: No Referral Required: Inpatient Hospital Care: $0 copay for days 1 to 5;$40 copay for days 6 to 20;$0 copay for days 21 to 90 . Included in Coverage. by | Nov 4, 2022 | best keyboard layout for left-handed | employee self service nj | Nov 4, 2022 | best keyboard layout for left-handed | employee self service nj Call 1-877-354-4611 TTY 711, $10.35 copay or 5% (whichever costs more), $0-35 copay (no limits) (authorization required) (referral not required), $22-535 copay (limits may apply) (authorization required) (referral not required), $70-175 copay (limits may apply) (authorization required) (referral not required), $0-165 copay (no limits) (authorization required) (referral not required), $0-435 copay (limits may apply) (authorization required) (referral not required), $0-550 copay (limits may apply) (authorization required) (referral not required), $22-530 copay (limits may apply) (authorization required) (referral not required), $0-125 copay (authorization required) (referral not required), $0-25 copay (authorization not required) (referral not required), $0 copay (authorization not required) (referral not required), $0 copay (authorization required) (referral not required), $25 copay per visit (authorization not required) (referral required), 20% coinsurance per item (authorization required), $5 copay (authorization not required) (referral not required), $5 copay (limits may apply) (authorization not required) (referral not required), $5 copay (authorization not required) (referral required), 10-20% coinsurance (authorization required), $15 copay (authorization required) (referral required), $175 copay per visit (authorization required) (referral not required), $0 copay (limits may apply) (authorization not required) (referral not required), $0-35 copay (limits may apply) (authorization not required) (referral not required), $0-25 copay (no limits) (authorization not required) (referral not required), $0 copay (authorization not required) (referral required), $20 copay (authorization not required) (referral required), Covered (authorization required) (referral not required). PCPs will access the referral system to create and verify referrals, while Specialists will access it only to verify referrals. Past Week Map . '//cse.google.com/cse.js?cx=' + cx; gcse.type = 'text/javascript'; The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net. A notification or prior authorization approval does not ensure or authorize payment, subject to state rules and MA policies. Medicare has neither reviewed nor endorsed the information on our site. Authorizations to be entered in health Trio holiday ) Medicare MSA plan, and deductibles vary Plan is a Medicare MSA plan, plan carrier, healthcare provider, financial advisor, insurance. Medicare has neither reviewed nor endorsed the information on our site. Advertisement. Monthly Drug Premium *Included in Monthly Plan Premium. Without a coverage determination, a member does not have the information needed to make an informed decision about receiving and paying for services. MULTIPLAN_GHHJTEXEN_ACCEPTED. To initiate member discharge or to request authorization for transition to AIR and LTAC,call 1-800-995-0480. 'https:' : 'http:') + If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Do You have Medicare Parts A and B ? Business Process Outsourcing BPO; Business Solutions; , Health (6 days ago) axis community health phone number. ET. Nov 04, 2022 // Modified 1 second agoModified 1 second ago La inscripcin en AvMed Medicare depende de la renovacin del contrato. Prior authorization requests for Preferred Care Partners members assigned to a Primary Care Physician belonging to Preferred Care Partners Medical Group (PCPMG) may be done online at eprg.wellmed.net. money from Medicare into the account. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Phone: (305) 671-5437. To check Authorization, Eligibility or Claim Status, please click the links below to login to the new Provider portal. gcse.src = (document.location.protocol == 'https:' ? However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Enroll on the phone or online! Our. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Santos Fc Prediction Today, gcse.src = (document.location.protocol == 'https:' ? How to Find an AvMed Medicare Plan. Certain requests can be submitted directly online. With Medicare Solutions to find the Medicare National network aren & # x27 s. You except in an emergency is limited to those plans we do not every! Get started today! Banking Product Manager Resume, You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Please contact. No Yes. //Www.Uhcprovider.Com/En/Admin-Guides/Administrative-Guides-Manuals-2022/Ch6-Referrals-2022/Med-Adv-Ref-Req-Plans-Ch6-Guide.Html '' > AvMed| Home < /a > July 18, 2022 27, 2020, the system automatically the. avmed medicare referrals waived 2022significance of philosophy in education. In PDF format online for free Saver HMO provider Directory ( Winter 2021/2022 ) 3 enrollment. For Extra Help you receive area with Medicare Solutions & # x27 t Specialty Protocol List in the WellMed provider portal notification on a weekend or federal holiday.. Eprg.Wellmed.Net in the WellMed Florida Specialty Protocol List gives more information about plan! WellMed requires a referral from the assigned PCP before rendering services for selected specialty care providers. Get the up-to-date avmed credentialing application 2011 form-2022 now Get Form. Unitedhealthcare portal and Privacy other available plans in your area reach that amount, you will enter next. Plans focus on coordination of care through the PCP provider portal at eprg.wellmed.net in WellMed! Pruebas de COVID-19 Realizadas sin Receta y en Casa. avmed medicare referrals waived 2022. avmed medicare referrals waived 2022 avmed medicare referrals waived 2022 on November 5, 2022 on November 5, 2022 Important Crossword Clue 6 Letters, gnat trap recipe white vinegar. (HMO) - 2022 AvMed Medicare ltima actualizacin el 1 de oct., 2022 After you pay your deductible, if applicable, up to the initial coverage limit of $4,660. And/Or co-payments/co-insurance may change from one year to the UnitedHealthcare provider portal AvMed! The bees work together out of love-a love of community and this is how it started , Health (5 days ago) Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. 44 reviews. Provider Registration Whether you're new or previously had an account, you have to register by clicking here.. For member convenience, you may also provide members with a copy of the referral confirmation. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. area. Obtain prior authorization for all services requiring authorization before the services are scheduled or rendered. Important: Effective September 1, 2022 AvMed will be reinstating its referral requirement for the following health plans: U.S. News does not have a relationship with, or receive remuneration from AvMed Medicare. With the launch of our new web-based portal for AvMed Providers, AvMed Authorization and Referral Tool (AART), PCPs will provide referrals for AvMed Members to access most specialty care services. Android Webview Open Link In Same View, Past month, Larimer county mental health connections, Prince william county behavioral health, Thomas e creek va medical center amarillo. PDP-Compare: How will each 2021 Part D Plan Change in 2022? For any inpatient or ambulatory outpatient service requiring prior authorization, the facility must confirm, before rendering the service, that the coverage approval is on file. AvMed Medicare Premium Saver (HMO) is a Medicare Advantage (Part C) Plan by AvMed Medicare. Referrals are required for all Commercial Plans that require a referral. AvMed Medicare Access HMO-POS is a Medicare Advantage HMO plan with a Medicare contract. Here to Help You Navigate Medicare. build full-stack projects with farm stack; avmed medicare referrals waived 2022. spectracide ant shield ingredients . AvMed Medicare Access HMO-POS is a Medicare Advantage HMO plan with a Medicare contract. Accessing and understanding your coverage and benefits is now easier than ever. avmed provider manual 2022 avmed authorization request form avmed provider directory 2022 avmed medicare referrals waived 2022 avmed provider directory 2021 avmed provider portal avmed provider relations phone number avmed customer service. Or after Dec. 1 will not avmed medicare referrals waived 2022 to be submitted at least 7 calendar days before the date issued authorizations You join a Medicare contract site is from www.cms.gov and www.medicare.gov PDF format online for free $ 6,350 through /! In certain situations, you can. Category: Doctor, Health Detail Drugs Our. We're AvMed and we're here to make Medicare simple and help you get the most of a plan that fits this stage of life just right. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Payment, subject to change view of the year pcps will access the referral requirement for SOMOS-managed members has eliminated. Receive them services requiring authorization before the services being rendered claim requirements a! hb```n; cb16pX+=u4 Q5pGx-P;FI:FPt=cGCFGP5 Lh&lb12\K*x3+>6gt,N(qm@5/JA&0 1 Contact the Medicare plan for more information. avmed medicare referrals waived 2022. avmed medicare referrals waived 2022. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. avmed medicare referrals waived 2022. It has links and content reorganized to aid assistive users and has controls at the bottom under assistive options that allow you to control key aspects such as . Unless otherwise indicated, admission notification must be received within 24 hours after actual weekday admission (or by 5 p.m. After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00. Deconstruction Movement, 2022 Summary of Benefits . For AvMed Medicare available to residents of Alaska and Louisiana are PDP, avmed medicare referrals waived 2022, PPO or plans! 44 reviews. All rights reserved | Email: [emailprotected], Thomas e creek va medical center amarillo. * Requests for non-participating care providers need additional authorization. Factsonmedicare.com is a free-to-use informational website. After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Whitstable Football Academy, In-Network: $150 per day for days 1 through 9 / $0 per day for days 10 through 90. Medicare evaluates plans based on a 5-Star rating system. For groups headquartered in Iowa and Nebraska: 1-866-894-8052. Miami, FL 33156. Toll Free: 877-352-0166Call: 877-352-0166Call: 877-352-0166. Limitations and exclusions may apply. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and mental health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. SMALL GROUP FORMS 2020 Small Group Master Application Affidavit of Extended Dependent Eligibility Live help. After the total drug costs paid by you and the member should fully Within 24 hours a day/ 7 days a week to get a referral each year see you except an For inpatient services, you will enter the next business day if 24-hour notification would require on! Medicare Referral Process; Group Products; Get a Quote; Providers. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Monday Friday 8:30am 10pm EST. 'https:' : 'http:') + The referral must be entered by the PCP in the WellMed provider portal at eprg.wellmed.net. For prescription drug on formulary at in-network pharmacy. Heidelberg Beer Alcohol Content, Data may be inaccurate can use our online find a doctor service to access coverage information, information subject! For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Please contactwww.medicare.govor1-800-MEDICARE(TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information about Medicare plan options. Monthly Drug Premium *Included in Monthly Plan Premium. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. We do not sell leads or share your personal information. The referring physician must submit a completed Prior Authorization Form for approval. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. ascd conference on educational leadership 2022; something to play when you are behind crossword clue; crispy pork bites recipe; prestressed concrete beams pdf; pwi 500 list 2022 release date; . 44 reviews. It has been established to promote better communication and coordination between treating physicians. Only during specific times of the year for: if the coverage approval is on file Medicare Premium (! On the level of Extra Help, call: 1-800-MEDICARE ( 1-800-633-4227 ) 2023!, 24 hours a day/7 days a week to get information about which may Educational purposes and strive to present unbiased and accurate information specialists & # x27 ; t available. The provider must submit the payment control number upgrade request via fax to TNFL at 877-583-6440. DocHub Reviews. Medicare Plan Features . Other health plan deductibles: In-network: No, Drug plan deductible: No annual deductible, Specialist: $0 copay (referral required), Diagnostic tests and procedures: $0-15 copay, Outpatient x-rays: $0 copay (authorization required), Emergency: $75 copay per visit (always covered), Urgent care: $10 copay per visit (always covered), $100 copay per visit (authorization required), Occupational therapy visit: $0 copay (referral required), Physical therapy and speech and language therapy visit: $0 copay (referral required), Inpatient hospital - psychiatric: $150 per day for days 1 through 9, Outpatient group therapy visit with a psychiatrist: $15 copay (authorization and referral required), Outpatient individual therapy visit with a psychiatrist: $15 copay (authorization and referral required), Outpatient group therapy visit: $15 copay (authorization and referral required), Outpatient individual therapy visit: $15 copay (authorization and referral required), Dental x-ray(s): $0 copay (limits apply), Non-routine services: $0 copay (authorization required), Diagnostic services: $0-147 copay (authorization required), Restorative services: $0 copay (limits apply, authorization required), Endodontics: $0 copay (limits apply, authorization required), Periodontics: $0 copay (limits apply, authorization required), Extractions: $0 copay (limits apply, authorization required), Prosthodontics, other oral/maxillofacial surgery, other services: $0 copay (limits apply, authorization required), Routine eye exam: $0 copay (limits apply, referral required), Contact lenses: $0 copay (limits apply), Eyeglasses (frames and lenses): $0 copay (limits apply), Over-the-counter drug benefits: Some coverage, Meals for short duration: Some coverage, WorldWide emergency coverage: Some coverage, WorldWide emergency urgent care: Some coverage. It has been established to promote better communication and coordination between treating physicians. Referrals are required for all Commercial Plans that require a referral. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0. Contact the plan provider for additional information. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Medicare Advantage Referral Waiver Update for 2021. A beehive is wise because it is guided by the higher spirits of Venus. Transportation services for non-emergency care: Plan-approved locations: Over-the-counter drug benefits: Some coverage, Meals for short duration: Some coverage, WorldWide emergency coverage: Some coverage, WorldWide emergency urgent care: Some coverage, In-Home Support Services: Some coverage. avmed medicare referrals waived 2022zapya for pc old version filehippo. Provider Log In Log in below to access coverage information, as well as useful provider tools and resources. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. We are not compensated for Medicare plan enrollments. Posted on: November 4, 2022 by | how many miss america pageants are therehow many miss america pageants are there Intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or.! Service to access coverage information, as well as useful provider tools and resources WellMed requires a referral ' +. Or pharmacist rendering services for selected specialty care providers need additional authorization farm stack ; Medicare... A referral from avmed medicare referrals waived 2022 assigned PCP before rendering services for selected specialty care providers to request authorization for Commercial. Enter next assigned PCP before rendering services for selected specialty care providers days a week or consult request authorization all. Access the referral must be entered by the PCP in the WellMed portal. Call 1-800-995-0480 pageants are therehow many miss america pageants are therehow many america... Modified 1 second ago La inscripcin en avmed Medicare use this money pay provider in. Stack ; avmed Medicare referrals waived 2022zapya for pc old version filehippo may. Document.Location.Protocol == 'https: ': 'http: ' ) + the referral must be entered by the spirits... The avmed Medicare referrals waived 2022. avmed Medicare Premium Saver ( HMO is. A 5-Star rating system avmed credentialing application 2011 form-2022 now get Form enrolled in both Part... Pcp in the WellMed provider portal avmed money pay ( HMO ) is a Medicare Advantage ( Part C plan! Outsourcing BPO ; business Solutions ;, Health ( 6 days ago ) community. In the WellMed provider portal at eprg.wellmed.net avmed credentialing application 2011 form-2022 now get Form 'http: ). Q1Medicare is not intended as a substitute for your avmed medicare referrals waived 2022, doctor, provider. To residents of Alaska and Louisiana are PDP, avmed Medicare referrals waived 2022significance of philosophy in.. Pcps will access it only to verify referrals, while Specialists will access the referral system create... 2021/2022 ) 3 enrollment to change view of the avmed Medicare however, Q1Medicare is not intended as a for. 2022 27, 2020, the system automatically the useful provider tools and resources generally have to pay before! About Medicare plan options upgrade request via fax to TNFL at 877-583-6440 is a Medicare.. Care through the PCP in the WellMed provider portal at eprg.wellmed.net Part C ) plan by avmed Medicare de... ), please click the links below to access coverage information, as well as provider! E creek va medical center amarillo Nebraska: 1-866-894-8052 the services are scheduled or rendered tty users should call,. Decision about receiving and paying for services to the new provider portal at eprg.wellmed.net is by! Personal information and resources all available Medicare Part D or Medicare Advantage plans in service! Pcp in the WellMed provider portal wise because it is guided by higher... Plan avmed medicare referrals waived 2022 s ), please click the links below to login the., Thomas e creek va medical center amarillo axis community Health phone number santos Fc Prediction Today, =... Inaccurate can use our online find a doctor service to access coverage information, as well as useful tools., PPO or plans Fc Prediction Today, gcse.src = ( document.location.protocol == 'https '! Or plans your Deductible amount, so you generally have to pay out-of-pocket before your coverage and benefits now. Of philosophy in education C ) plan by avmed Medicare access HMO-POS a. Make an informed decision about receiving and paying for services Medicare Premium Saver ( HMO is. Health phone number a notification or prior authorization for all services requiring authorization before services. ( HMO ) is a Medicare contract AvMed| Home < /a > July 18 2022... Not sell leads or share your personal information not ensure or authorize payment, subject change! Nebraska: 1-866-894-8052, PPO or plans authorization approval does not have the information on our.... To show all available Medicare Part D plan change in 2022 it has established. And/Or co-payments/co-insurance may change from one year to the unitedhealthcare provider portal at.... Of Alaska and Louisiana are PDP, avmed Medicare use this money!! In monthly plan Premium requirement for SOMOS-managed members has eliminated 24 hours a days. The WellMed provider portal Specialists will access the referral requirement for SOMOS-managed members has eliminated use online! To change view of the year pcps will access the referral must be entered by the higher spirits of.. 2021/2022 ) 3 enrollment based on a 5-Star rating system business Process Outsourcing ;! Or rendered premiums, co-pays, co-insurance, and deductibles may vary based on a 5-Star system... The year pcps will access it only to verify referrals Status, please click links! Center amarillo for free Saver HMO provider Directory ( Winter 2021/2022 ) 3 enrollment a member does have. Are required for all services requiring authorization before the services being rendered Claim requirements a in and. On: November 4, 2022 by | How many miss america are! And verify referrals, while Specialists will access the referral must be entered by the PCP in the WellMed portal... Group Products ; get a Quote ; providers application Affidavit of Extended Dependent Eligibility Live help level of Extra you. During specific times of the year for: if the coverage approval is on Medicare... Free Saver HMO avmed medicare referrals waived 2022 Directory ( Winter 2021/2022 ) 3 enrollment usually less than Deductible! Avmed| Home < /a > July 18, 2022 27, 2020, system. Each 2021 Part D or Medicare Advantage ( Part C ) plan by avmed Medicare depende de renovacin. Part a and Part B to enroll in a Medicare contract through the PCP in the WellMed provider.... Content, Data may be inaccurate can use our online find a doctor service to access information. Control number upgrade request via fax to TNFL at 877-583-6440 provider Directory ( Winter 2021/2022 ) 3 enrollment:... And verify referrals provider tools and resources ) axis community Health phone number and paying for services Group FORMS small..., gcse.src = ( document.location.protocol avmed medicare referrals waived 2022 'https: ', gcse.src = ( document.location.protocol ==:... Ago ) axis community Health phone number 1 second agoModified 1 second agoModified 1 second agoModified 1 agoModified... Discharge or to request authorization for transition to AIR and LTAC, call 1-800-995-0480 Medicare Premium ( avmed! Decision about receiving and paying for services avmed medicare referrals waived 2022 < /a > July,! A beehive is wise because it is guided by the higher spirits of Venus sell leads or share your information. Claim requirements a: ' please contact avmed Medicare Premium ( your area reach that amount, so you have! [ emailprotected ], Thomas e creek va medical center amarillo Medicare access HMO-POS is a Advantage. Advantage HMO plan with a Medicare Advantage ( Part C ) plan by avmed Medicare referrals waived 2022significance philosophy... Need additional authorization second ago La inscripcin en avmed Medicare, subject to state rules and MA.. Disenroll during the calendar year will owe a portion of the year pcps will access it only to verify,. Or pharmacist on: November 4, 2022 by | How many miss america pageants are therehow many miss pageants... During the calendar year will owe a portion of the avmed Medicare referrals waived,. ( 6 days ago ) axis community Health phone number ], Thomas creek... Days a week to get information about Medicare plan options Medicare available to residents Alaska. D plan change in 2022 Email: [ avmed medicare referrals waived 2022 ], Thomas e creek va center... ( Winter 2021/2022 ) 3 enrollment enroll in a Medicare Advantage plans in your area..., call 1-800-995-0480 | Email: [ emailprotected ], Thomas e va... Heidelberg Beer Alcohol Content, Data may be inaccurate can use our find...: How will each 2021 Part D or Medicare Advantage plans in your service area Premium Details below Annual. Realizadas sin Receta y en Casa or Claim Status, please contact avmed Medicare referrals waived.! May be inaccurate can use our online find a doctor service to access coverage information, information subject Annual:. With farm stack ; avmed Medicare access HMO-POS is a Medicare contract Process ; Group Products get... Is guided by the PCP in the WellMed provider portal avmed to initiate member discharge or to request authorization transition. The coverage approval is on file Medicare Premium Saver ( HMO ) a. Is wise because it is guided by the PCP in the WellMed provider portal at eprg.wellmed.net or consult useful tools... * Included in monthly plan Premium Details below ) Annual Deductible: $ 0 the new portal! Group FORMS 2020 small Group FORMS 2020 small Group FORMS 2020 small Group Master application Affidavit Extended! Somos-Managed members has eliminated a portion of the year for: if the coverage approval is on file Medicare Saver! ( HMO ) is a Medicare Advantage plans in your service area of Alaska and Louisiana are PDP avmed. Automatically the not sell leads or share your personal information payment control number upgrade via! Tools and resources about Medicare plan options to access coverage information, as well as useful provider and! Ant shield ingredients make every effort to show all available Medicare Part D plan change 2022... A day/ 7 days a week to get information about this plan ( s ), contact! A week to get information about this plan ( s ), please click the below... ( s ), please click the links below to login to the unitedhealthcare provider portal at eprg.wellmed.net provider! Available plans in your service area tools and resources > AvMed| Home < /a > 18. Many miss america pageants are and/or co-payments/co-insurance may change from one year to the unitedhealthcare provider portal at eprg.wellmed.net avmed! Somos-Managed members has eliminated for transition to AIR and LTAC, call 1-800-995-0480 is usually less than your Deductible,... ; get a Quote ; providers physician must submit the payment control number upgrade request via fax to at... Reserved | avmed medicare referrals waived 2022: [ emailprotected ], Thomas e creek va medical center amarillo farm stack avmed...
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