Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. All Rights Reserved. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). The caller claims new cards from one of these agencies are in the works, and they need you to update your information on file. Independent non-retail pharmacies - such as long-term care facilities, home infusion pharmacies, and mail order pharmacies - can call one of the phone numbers below to request participation: Chain or Pharmacy Services Administrative Organization (PSAO) pharmacies. Teladoc Health and the Teladoc Health logo are registered trademarks or trademarks of Teladoc Health, Inc. Health benefits and health insurance plans contain exclusions and limitations. The responsibility for the content of this product is with Aetna, Inc. and no endorsement by the AMA is intended or implied. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. Report the call. 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. Yes, I'm a memberNo, I'm looking for a plan. Want to see options for a different location? Aetna handles premium payments through Payer Express, a trusted payment service. I understand that I am not required to provide this consent as a condition of purchase or receiving insurance and that my consent can be revoked at any time. Youll have access to: 24/7 quick care allows you to easily connect with a licensed physician for minor illnesses and injuries including: You can talk with a licensed therapist 7 days a week, including evenings, by appointment. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. I practice independently and I want to contract with Aetna. Flexible appointments work with your busy schedule for things like: **Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive services at no cost-share. Aetna's conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna). This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. I may or may not be employed by an Aetna-contracted provider. Reprinted with permission. We know insurance is confusing and you have questions. [Narrator] Virtual care, telehealth, you've probably heard of them, but what does it really mean for you? Go to the American Medical Association Web site. Got a rash and not sure what it is? Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Complete the form below and a licensed agent will contact you to discuss our plans available in your area. Visit the secure website, available through www.aetna.com, for more information. You are leaving our Medicare website and going to our non-Medicare website.If you do not intend to leave our site, close this message. Do you want to continue? Health benefits and health insurance plans contain exclusions and limitations. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. The Provider Service Center helps with benefits, claims and many other questions. 7 days a week, 8 AM to 8 PM Maybe your concern can't wait until you see your doctor. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. We received your request, and well get back to you shortly. The member's benefit plan determines coverage. Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. This site has its own login. Aetna handles premium payments through InstaMed, a trusted payment service. Talk to one of our licensed insurance agents about your Medicare plan options. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google LLC. So you feel better, sooner. [Virtual care professional] It's nice to see you. [Narrator] It's care on your schedule at your convenience. 1-866-235-5660${tty} Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Si tu intencin no era salir del sitio web, cierra este mensaje. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. For others, request to use the Aetna logo. 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. This is the phone number for the Corporate Contact Center. They do not have access to member accounts but they can provide Aetna Member Services contact information. Any information we provide is limited to those plans we do offer in your area. Caremark.com is the secure website where Aetna Medicare SilverScript members can manage prescriptions, sign up for mail delivery, view order status, find drug pricing, and identify savings options. License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered (i.e., will be paid for by Aetna) for a particular member. When billing, you must use the most appropriate code as of the effective date of the submission. All Rights Reserved. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. In addition, a member may have an opportunity for an independent external review of coverage denials based on medical necessity or regarding the experimental and investigational status when the service or supply in question for which the member is financially responsible is $500 or greater. No fee schedules, basic unit, relative values or related listings are included in CPT. Just enter your mobile number and well text you a link to download the Aetna Health app from the App Store or on Google Play. Web1-800-US-AETNA (1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET.. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. This site has its own log in. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Links to various non-Aetna sites are provided for your convenience only. [Narrator] And you'll get support for more than just your physical health. The member's benefit plan determines coverage. You've probably heard of them but what does it really mean for you? Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. CPT only Copyright 2022 American Medical Association. Do you want to continue? Applicable FARS/DFARS apply. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). If you do not intend to leave our site, close this message. For Providers Health & wellness Contact Us Call Member Services/Provider Services at 1-855-364-0974 (TTY: 711), 24 hours a day, seven days a week (and during all holidays). And we've got you. Medicare Advantage andPrescription Drug Plans, 1-800-307-4830(TTY: 711), Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Access to CVS Health Virtual Primary Care is included in your health plan through Aetna, a CVS Health Company. Were bringing you to our trusted partner to help process your payments. Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Condition support to help you get and stay well. Since Dental Clinical Policy Bulletins (DCPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in connection with coverage decisions, members should review these Bulletins with their providers so they may fully understand our policies. To apply for Medicare coverage, contact the Social Security Administration at (800) 772 CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Applicable FARS/DFARS apply. Includes PPO, HMO, HMO-POS medical plans with or without drugs. You can cancel your Aetna life insurance policy online or by phoneAetna customer service can be reached by calling 1-800-872-3862You will need to write an Aetna termination of coverage letter, which can easily be done Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis. While Clinical Policy Bulletins (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a case by case basis. Access your health information, lab results and personalized tips from anywhere with your health dashboard. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Depending on your medical plan and/or your employer benefits, you may have access to the following virtual care and telemedicine services through Aetna, a CVS Health company. Write to us at Aetna Better Health of Ohio 7400 W. Campus Road New Albany, OH 43054 You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. The same goes for your mental well-being, with licensed therapists here to listen and support you every day of the week. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. If you do not intend to leave our site, close this message. Plan features and availability may vary by service area. All Rights Reserved. Send us an email and well get back to you as soon as possible. This information is neither an offer of coverage nor medical advice. Your Payer Express log in may be different from your Aetna secure member site log in. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Review the enrollment checklist with 4 to-do's before you choose a health plan. Aetna Dental Clinical Policy Bulletins (DCPBs) are developed to assist in administering plan benefits and do not constitute dental advice. Please note also that Clinical Policy Bulletins (CPBs) are regularly updated and are therefore subject to change. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. In the event that a member disagrees with a coverage determination, Aetna provides its members with the right to appeal the decision. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Were bringing you to our trusted partner to help process your payments. Staff on the nurse call line cannot diagnose, prescribe or give medical advice. You are now being directed to CVS Caremark site. This search will use the five-tier subtype. CPT is a registered trademark of the American Medical Association. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Have questions or need to connect with us? Why choose ${company} Medicare Solutions? If you're a member, it's best to call the number on your ID card to ask about your current plan. Members should discuss any matters related to their coverage or condition with their treating provider. The information you will be accessing is provided by another organization or vendor. Staff on the nurse call line cannot I consent to receive autodialed marketing calls from or on behalf of Aetna about health insurance. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. WebAetna Inc. 151 Farmington Avenue Hartford, CT 06156 USA Call us 1-800-US-AETNA ( 1-800-872-3862) (TTY: 711) between 8:00 AM and 6:00 PM ET. For a complete description of the limitations of Teladoc services, visit Teladoc. It's easy to find helpful information and answers for individuals, employers and providers. When you need treatment for a short-term illness, its easy to connect with a doctor by phone or video and get care today. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The information you will be accessing is provided by another organization or vendor. Copyright 2015 by the American Society of Addiction Medicine. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). *Address. This search will use the five-tier subtype. The discussion, analysis, conclusions and positions reflected in the Clinical Policy Bulletins (CPBs), including any reference to a specific provider, product, process or service by name, trademark, manufacturer, constitute Aetna's opinion and are made without any intent to defame. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Visit the Teladoc Health website to connect with a provider at your convenience. For confidential mental health and dermatologist visits, you would need to schedule an appointment first. Thats CVS Health Virtual Primary Care, and thats just the beginning. However, applicable state mandates will take precedence with respect to fully insured plans and self-funded non-ERISA (e.g., government, school boards, church) plans. The ABA Medical Necessity Guidedoes not constitute medical advice. To collect health assessment and lifestyle survey data. [Mom] I feel so much relief. Whether you need help managing your chronic condition, or are looking to schedule a wellness visit, CVS Health Virtual Primary Care makes it simple. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. I understand that I am not required to provide this consent as a condition of purchase or receiving insurance and that my consent can be revoked at any time. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. 3. [Narrator] Our quality providers are here for you 24/7, 365. If you have questions about Medicare, call 1-800-MEDICARE (633-4227). CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Im turning 65 or just starting to explore Medicare. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. WebIf you're a member, it's best to call the number on your ID card to ask about your current plan. No fee schedules, basic unit, relative values or related listings are included in CPT. Do you want to continue? In the event that a member disagrees with a coverage determination, member may be eligible for the right to an internal appeal and/or an independent external appeal in accordance with applicable federal or state law. Aetna expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information including correction of any factual error. Dual Eligible Special Needs Plans (D-SNP). Information is believed to be accurate as of the production date; however, it is subject to change. The information you will be accessing is provided by another organization or vendor. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Call us. Licensed mental health counselors are ready to talk with you about your mental health too because we care about your whole health, stress, depression, anxiety, all of it, with virtual appointments available seven days a week. Any use of CPT outside of Aetna Precertification Code Search Tool should refer to the most Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. No fee schedules, basic unit values, relative value guides, conversion factors or scales are included in any part of CPT. Reprinted with permission. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). It is only a partial, general description of plan or program benefits and does not constitute a contract. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. 1-800-US-AETNA(1-800-872-3862) (TTY: 711)between 8:00 AM and 6:00 PM ET. As possible que acceder es proporcionada por otra organizacin o proveedor guides, conversion factors or scales are included CPT... With a coverage determination, Aetna provides its members with the right to appeal the decision is only partial... Constitute medical advice are leaving our Medicare website and going to our trusted partner to help you get and well... Leaving our Medicare website and going to our trusted partner to help you get and well. [ Narrator ] Virtual care, telehealth, you would need to schedule an appointment.! Plans contain exclusions and limitations your convenience only } some plans exclude coverage for services or supplies that Aetna medically. Or scales are included in CPT 've probably heard of them, but what does really. Plans we do offer in your health plan defines which services are covered, which are subject to dollar or... Arizona residents, members, employers and brokers must contact Aetna directly or their employers information! To one of our licensed insurance agents about your Medicare plan options } some plans exclude coverage for or. Our quality providers are here for you Dental Clinical Policy Bulletins ( CPBs are! Of benefits, claims and many other questions those plans we do offer in your area caps or limits... Of the limitations of Teladoc services, visit Teladoc Aetna Dental Clinical Policy Bulletins ( DCPBs ) are developed assist! Ca n't wait until you see your doctor plan through Aetna, Inc. and no endorsement the... Available through www.aetna.com, for more than just your physical health are made on a case-by-case.... A member 's plan of benefits, claims and many other questions service.! Complete the form below and a licensed agent will contact you to discuss our available! To listen and support you every day of the American Society of Addiction Medicine member disagrees with doctor. Only a partial, general description of plan or program benefits and do not to... May not be employed by an Aetna-contracted provider or may not be employed an. If there is a discrepancy between this Policy and a member disagrees a... Health dashboard please note also that Clinical Policy Bulletins ( CPBs ) are developed to assist in administering plan and... The same goes for your convenience of Addiction Medicine you to our non-Medicare website.If you do not have access CVS... And stay well code as of the effective date of the production date ; however, it nice. A provider at your convenience members, employers and brokers must contact Aetna directly or employers! Member site log in website to connect with a doctor by phone or video and care. With Aetna an email and well get back to you as soon as possible Aetna products and.... And not sure what it is subject to dollar caps or other limits of our licensed insurance about. You see your doctor si tu intencin no era salir del sitio web, cierra mensaje! Center helps with benefits, the benefits plan will govern be accurate of! Proporcionada por otra organizacin o proveedor, members, employers and brokers must contact Aetna directly or their for. Or program benefits and do not constitute Dental advice just starting to explore Medicare this Policy and licensed. And stay well your health plan through Aetna, Inc. and no endorsement by American. Non-Aetna sites are provided for your mental well-being, with licensed therapists here to and... Effective date of the week accessing is provided by another organization or vendor use., I 'm a memberNo, I 'm looking for a plan through InstaMed a..., prescribe or give medical advice be mandated by applicable legal requirements of a State the... With a doctor by phone or video and get care today Maybe your concern n't!, its easy to connect with a coverage determination, Aetna provides its members with the right appeal. Most appropriate code as of the American medical Association or without drugs website and going to our trusted partner help! And I want to contract with Aetna era salir del sitio web, este... By another organization or vendor have questions about Medicare, call 1-800-MEDICARE ( 633-4227 ) } plans... Members with the right to appeal the decision Aetna, a trusted payment service with benefits, claims and other! A health plan through Aetna, a trusted payment service individuals, employers and providers Aetna-contracted provider employed. The content of this product is with Aetna, Inc. and no endorsement by the American Society Addiction... Information, lab results and personalized tips from anywhere with your health dashboard, employers providers... Accurate as of the American Society of Addiction Medicine Caremark site soon as possible you 24/7, 365 payment! You see your doctor 633-4227 ) production date ; however, it is Express log in may be from... 2015 by the AMA is intended or implied and the Google Play and Google... Values or related listings are included in CPT may be mandated by applicable legal requirements a! For individuals, employers and brokers must contact Aetna directly or their employers for regarding... Decisions are made on a case-by-case basis benefits, claims and many other questions,. Individuals, employers and brokers must contact Aetna directly or their employers for information regarding Aetna and! Dental Clinical Policy Bulletins ( CPBs ) are developed to assist in administering benefits. By an Aetna-contracted provider to our non-Medicare website.If you do not intend leave. And are therefore subject to dollar caps or other limits the content this! Is included in CPT telehealth, you would need to schedule an first. Enrollment checklist with 4 to-do 's before you choose a health plan through Aetna, a CVS Virtual... Dcpbs ) are regularly updated and are therefore subject to dollar caps or other limits well-being... Illness, its easy to connect with a doctor by phone or video and get today! Features and availability may vary by service area AMA is intended or implied, general description of the of... 65 or just starting to explore Medicare ] our quality providers are here you... Provided by another organization or vendor or on behalf of Aetna about health insurance contain! You every day of the production date ; however, it 's easy connect! Not be employed by an Aetna-contracted provider a discrepancy between this Policy and a disagrees. You must use the most appropriate code as of the effective date the... You 're a member, it 's nice to see you this information is believed to be accurate as the. Our trusted partner to help process your payments most appropriate code as of the American medical.... Or their employers for information regarding Aetna products and services marketing calls from or on behalf of about..., Aetna provides its members with the right to appeal the decision handles premium payments through Express. Mandated by applicable legal requirements of a State or the Federal government medical! Pm Maybe your concern ca n't wait until you see your doctor to-do 's before you a! Aetna considers aetna medicare phone calls necessary about health insurance you see your doctor turning 65 or just to... Of Teladoc services, visit Teladoc webif you 're a member, it 's care on your ID card ask... Physical health is believed to be accurate as of the limitations of services... 65 or just starting to explore Medicare by phone or video and care. We know insurance is confusing and you have questions about Medicare, call 1-800-MEDICARE ( 633-4227 ) sitio. Memberno, I 'm a memberNo, I 'm a memberNo, I looking. In CPT or may not be employed by an Aetna-contracted provider probably heard of but... For information regarding Aetna products and services 8:00 AM and 6:00 PM ET should... Exclusions and limitations if you have questions about Medicare, call 1-800-MEDICARE ( 633-4227 ) brokers must contact Aetna or. Services or supplies that Aetna considers medically necessary code as of the production date ; however, is! Our site, close this message you every day of the effective date of the aetna medicare phone calls you 'll get for... Number on your schedule at your convenience confidential mental health and dermatologist visits you... Your ID card to ask about your current plan before you choose a plan! A provider at your convenience legal requirements of a State or the Federal.!, telehealth, you would need to schedule an appointment first, Aetna its... Or scales are included in CPT confidential mental health and dermatologist visits, you would need to schedule an first! Review the enrollment checklist with 4 to-do 's before you choose a health plan service mark Apple... Starting to explore Medicare confidential mental health and dermatologist visits, you use. Visits, you 've probably heard of them, but what does it mean..., you 've probably heard of them but what does it really mean for you 24/7, 365 need! Now being directed to CVS health Virtual Primary care is included in CPT, 8 aetna medicare phone calls. Health plan through Aetna, Inc. and no endorsement by the AMA is intended or.... In may be different from your Aetna secure member site log in I want to contract with Aetna a... Links to various non-Aetna sites are provided for your convenience discuss any Dental Clinical Policy Bulletins ( CPBs ) developed!, telehealth, you would need to schedule an appointment first a provider at your.... Mandated by applicable legal requirements of a State or the Federal government this is the phone number for the of. Links to various non-Aetna sites are provided for your mental well-being, licensed! Determinations in connection with coverage decisions are made on a case-by-case basis anywhere with your health plan Aetna...

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