Llame al 888-781-WELL (9355). Enter your One Healthcare ID or email address and password. WellMed Medical Management, Inc. is a Managed Services Organization that supports doctors and their journey to care for patients with Medicare Advantage. Call Directions. Bests Rating Reports are copyright A.M. Best Company and may not be reproduced or distributed without the express written permission of A.M. Best Company. If you have a Medicare plan, start your search here. Do you know about our live agent chat feature? 1, Chronic diseases such as diabetes, COPD and heart disease can lead to a loss of independence and result in the need for institutional care or other long-term services and supports, according to the Centers for Disease Control. Find a dentist or dental specialist near you. We're innovators in preventative health care, striving to change the face of health care for seniors. Submit prior authorizations for home health and home infusion services, durable medical equipment (DME), and medical supply items to MedCare Home Health at 1-305-883-2940 and Infusion/DME at 1-800-819-0751. How does your mental and physical health compare to one year ago? Additionally, you'll want to keep up with your vaccinations, including those for COVID-19. Note: Request an expedited (72 hours) review if waiting for a standard (14 calendar days) review could place the members life, health, or ability to regain maximum function in serious jeopardy. Founded in 1990, they started off as one clinic in Texas and quickly grew across Texas and Florida. A notification or prior authorization approval does not ensure or authorize payment, subject to state rules and MA policies. After launching the provider online search tool, make sure the product network (STAR, CHIP, STAR+PLUS, STAR Health, STAR Kids, Ambetter, Medicare, MMP) is the network you want to search for providers. We require prior authorizations to out-of-network specialty or ancillary care providers when the member requires a necessary service that cannot be provided within the available Preferred Care network. Learn more WellMed While all Blue Distinction Centers provide the highest quality care, not all have a quality designation for every type of care. If you provide the service before the coverage decision is rendered, and we determine the service was not a covered benefit, we may deny the claim. Note: When selecting a Blue Distinction Center, please confirm the Blue Distinction Center facility or provider is in your health plan network. Reset Lookup. We will not apply any notification-related reimbursement deductions. We have a vast array of locations suitable for a family . We are happy to help. This tool helps WellCare of Florida members find a provider, physician, specialist, hospital or pharmacy. 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 behavioral 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. There are three variants; a typed, drawn or uploaded signature. Create your signature and click Ok. Press Done. Make sure the doctors give you the time to ask the questions you have and answer patiently. It acquired WellMed in 2011. The network will automatically default to the last product network you selected. WellMed Medical Management, Inc. aarp.org/research/topics/community/info-2018/2018-home-communitypreference.html. Referrals are necessary for most participating specialists. Find a doctor Dental Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. The State of Aging and Health in America 2013. Copyright 2023 Wellcare Health Plans, Inc. Find a WellMed Doctor or Clinic Search Now Explore Plan Options Learn more about your health care options. For more information about WellMed, visit wellmedfindadoctor.com/bettercare or call 888-868-8727 (toll free). WellMed is a medical group practice located in Austin, TX that specializes in Internal Medicine and Nursing (Nurse Practitioner). Access important resources and get helpful information when you register. Find a hospital, facility or other service. {services} on behalf of Wellmark. Family Medicine, Physician Assistant (PA) 3 Providers. Payment is dependent upon the members coverage, the care providers eligibility, and Agreement and claim requirements. Stock photos used. With a Humana healthcare plan, you'll enjoy access to a broad selection of in-network healthcare providers and facilities. The provider portal allows you to: You can also keep up to date with the latest applications, resources and news from us. 1685 Gulf To Bay Blvd, Clearwater FL, 33755. To learn more about WellMed or to search for a WellMed doctor near you, click below. To find it, go to the App Store and type signNow in the search field. 2 6 2 3 6 7 6 -- a licensed insurance agency that explains Medicare Advantage and Medicare supplement insurance drug options to Medicare enrollees. Receipt of an admission notification does not guarantee or authorize payment. 2023 Optum, Inc. All rights reserved. WellMed Medical Group (part of UnitedHealth Group) is a physician-owned healthcare network of doctors, specialists, and professionals based in Texas that focuses on health care for Medicare-eligible patients. Make an Appointment. If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. By providing your email address to WellMed, you are agreeing to the terms and conditions (Opens in new window) on Subscribing to Online Communications in our privacy policy (Opens PDF in new window). You may request a referral for one or multiple visits. The content on Healthgrades does not provide medical advice. Be sure to check your coverage manual to find out if you must go to a Blue Distinction Center for certain procedures to be covered. Providers may view the WellMed Specialty Protocol List in the WellMed Provider portal at eprg.wellmed.net in the Provider Resource Tab. signNow has paid close attention to iOS users and developed an application just for them. Some links on this page may take you to Humana non-Medicare product or service pages or to a different website. 2023 WellMed Medical Management Inc. All Rights Reserved. Select. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment. In the last step click on "Sign in" button to log in and manage your account Copyright 2023 Wellcare Health Plans, Inc. You can search by provider name, city and state or specialty. Payment of covered services is contingent upon coverage within an individual members benefit plan, the facility being eligible for payment, any claim processing requirements, and the facilitys Agreement with us. The WellMed provider portal helps you spend less time on administration so you can focus more on patient care. 2023 Wellmark Inc. All rights reserved. They provide additional support to people with multiple chronic conditions such as diabetes and heart disease and empower patients to live healthier lives through the support of an entire medical team working together to provide the best possible care. WellMed is part of Optum, a UnitedHealth Group company, The Way2go Card Arizona login is an online payment system that lets you link your debit card or checking, Read More Way2go Card Arizona Login, Electronic Payment Card & Child SupportContinue, Bank of Dawson online banking loginallows customers to access their account information and make transactions online. Planned Outage Alert. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. Provider Bulletins The latest updates and information for providers. It takes a team to keep you healthy. The WellMed provider portal helps you spend less time on administration so you can focus more on patient care. Find a Blue Distinction Center External Site. Avesis Vision is an independent vision insurance company that does not provide Wellmark Blue Cross and Blue Shield products and services. Third Party materials included herein protected under copyright law. Without a coverage determination, a member does not have the information needed to make an informed decision about receiving and paying for services. Contact us with changes to your phone number, office address, or panel status. Find a dental care provider in your area, no matter where you are. Our post-acute network has been proven to deliver quality care while delivering cost efficiencies. Providers Overview Location Reviews Providers Dr. Yamama Alkourbah, MD Internal Medicine 1 Rating Dr. Maria Famatigan, MD Internal Medicine 3 Ratings Lisa Hendrix, NP Nursing (Nurse Practitioner) 0 Ratings Office environment. We're innovators in preventative health care, striving to change the face of health care for seniors. To access the WellMed provider portal, you must register and have an account with them. All Rights Reserved. Wellcare uses cookies. The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in its health programs and activities. Visitors to this web site are authorized to print a single copy of the Bests Rating Report(s) displayed here for their own personal use. Follow the step-by-step instructions below to design your wellmed provider appeal form: Select the document you want to sign and click Upload. The referral is good for the number of visits approved, valid for 6 months from the date issued. Every day, we focus on offering the personalized care you deserve. About WellMed. We're impacting 240,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. You and the member should be fully aware of coverage decisions before services are rendered. Our Stories: Patient Bernice Hurse (play video in new window after showing disclaimer), Online visits may be available.Learn more. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. WellMed is a team of medical professionals dedicated to helping patients live healthier lives through preventive care. Using an in-network healthcare provider may mean paying a lower share of the costs for covered services. Overview & Resources. text-transform:none; Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Wellcare of Florida partners with providers to develop and deliver high-quality, cost-effective health care solutions. Wellmark Blue Cross and Blue Shield of Iowa, Wellmark Health Plan of Iowa, Inc., Wellmark Blue Cross and Blue Shield of South Dakota, Wellmark Advantage Health Plan and Wellmark Administrators, Inc. are independent licensees of the Blue Cross and Blue Shield Association. We're innovators in preventative health care, striving to change the face of health care for seniors. 61 W Brandon Blvd, Brandon FL 33511. Palm Beach Members: The Simple Referral Process helps PCPs coordinate member care. Show Phone Number. We understand that maintaining a healthy community starts with providing care to those who need it most. As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. Calling this number will direct you to SimplyEnroll, a licensed insurance agency.*. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal. You must register and have an account with them. UnitedHealth Group is the nations largest health insurer and is a major operator of Medicare-administered health insurance. Monday through Friday, 8:00 am to 5:00 pm CST. 7,752,060 and 8,719,052. Need access to the UnitedHealthcare Provider Portal? If you need more than one medical procedure, please be sure the hospital you select has a quality designation for all the care you need. Contact your local Amerigroup health plan and Provider Relations representatives. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. At WellMed, we believe in convenient, coordinated compassionate care that is focused on YOU. Chronic diseases such as diabetes, COPD and heart disease can lead to a loss of independence and result in the need for institutional care or other long-term services and support. Today our greatest saturation is in Texas and Florida with opportunities for providers in small towns to large metroplexes to desert destinations and beachfront locales. Search for a Medicare-Medicaid Provider. Wellmark is not responsible Notice Regarding Your Rights and Protections Against Surprise Medical Bills, If you have an Affordable Care Act plan, search for a. We require prior authorizations to be submitted at least 7 calendar days before the date of service. The overwhelming majority of older Americans want to remain in their home as they age. The WellMed provider portal provides you with the information, tools and resources you need to support the day-to-day needs of your patients and office. Choose My Signature. Medicare uses these questions to rate the quality of service you receive. Now, WellMed is a network of physicians, specialists and other medical professionals who specialize in providing care to more than 550,000 older adults with more than 16,000 doctor's offices in Texas and Florida. Call Directions. Paycor Employee Login is a guide for you to access, register, recover username, password forgot reset easily as employees. Find a doctor, dentist or provider | UnitedHealthcare Use these tools to help you find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. Learn more Medicare Advantage We also offer unique services and programs to people with Medicare Advantage. use our online provider search tool or the PDF referral directories on the Referrals page of this website. . We also offer unique services and programs to people with Medicare Advantage. About WellMed: At WellMed our focus is simple. What can we help you find? Internal Medicine, Nursing (Nurse Practitioner) 2 Providers. Find a career at UnitedHealth Group. We're impacting 240,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. Skip to main content Insurance Plans Medicare and Medicaid plans Medicare Medicare: Contact your doctor or clinic directly or use the patient portal (Opens in new window) to communicate securely with your doctor. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults across Texas and Florida. You may not bill the member. Upon submitting a referral request, the system automatically generates the referral number. Our goal is to help you stay healthy and independent. If you have an online account with Wellmark, your ability to access your data will be impacted. Teladoc (Amerigroup Amerivantage . At WellMed our focus is simple. The all new Provider Portal is now live! . If a member receives urgent care services, you must notify us within 24 hours of the services being rendered. For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. We have been leading the industry since 1990 and have a proven process to support our doctors and their patients. If you choose a WellMed PCP, you must see a WellMed . Search job openings and learn more about us. Find by Name or keyword. We have redesigned our website to help you find the information you need more easily. The specialist has the ability to view a referral using the UnitedHealthcare portal. Please contact our Patient Advocate team today. You can download this app from. Our Stories: Patient Bernice Hurse Attend an Event Online visits may be available. You get a one-stop portal to quickly perform the most important functions that you perform every day. 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. After that click on, Enter your email address or one healthcare ID and then tap on, Submit and check the status of your claims, Submit and check the status of your service or request authorizations, In the first step, you need to download myhealthlightnow app. Any other printing, copying or distribution is strictly prohibited. PROVIDERS About Solutions Health Plans Utilization Management Cardiology Gastroenterology Laboratory Management Medical Drug Management Medical Oncology Musculoskeletal Post-Acute Care Radiation Oncology Radiology Sleep Care Coordination Post-Acute Care Payment Integrity Implant Management Member Engagement Consumer Engagement Wellmed. Avesis Vision is underwritten by Fidelity Security Life Insurance Company, Kansas City, Missouri.Dental benefits provided by Delta Dental of Iowa and Delta Dental of South Dakota. Find in-network providers at myuhc.com open_in_new What type of provider are you looking for? Please call 888-781-WELL (9355). You can contact your Care Team by calling 1-855-672-2755 or messaging them through your account online or in the Oscar app. Some insurance plans offer a level of coverage that could result in out-of-pocket costs. Show Phone Number. Read More Paycor Employee Login App, Paycor.com | Self-Service & Access CodeContinue, Please enable JavaScript in your browser to submit the form. In the last step click on Sign in button to log in and manage your account. WellCare reminds providers of the importance of correct coding related to modifier 25 and place of service coding. Weve got, Read More FiberHome Router Login Username, Password & IP AddressContinue, TurboTax Debit Card Login serves your needs when you log into your TurboTax account to file tax, check deposit,, Read More TurboTax Debit Card Login Account: Access Intuit Prepaid CardContinue. Has your doctor suggested you increase physical activity and are you doing so? Humana makes it easy to see plans in your area with their premiums, copays and participating doctors and pharmacies. (727) 442-0500. Physicians. WellMed has more than 22,000 primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000 older adults across Texas and Florida. In addition, you'll find directories for mental health clinicians and facilities. For additional questions call us at 1-877-670-8432 or email us at. Compare MA plans Shop and compare Medicare plans now Enter your ZIP code Need help choosing Medicare? Careers Contact . WellMed is a network of physicians, specialists and other medical professionals who specialize in providing care to more than 550,000 older adults with more than 16,000 doctor's offices in Texas and Florida. Online: By completing the form to the right and submitting, you consent WellMed to contact you to provide the requested information. UnitedHealth Group is a diversified health and well-being company dedicated to helping people live healthier lives. Your Care Team can help coordinate tests, imaging, labs, physical therapy, and can even help bridge communication gaps between provider offices. WellCare has implemented a process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be a readmission. What is the WellMed Provider Portal? Rushing to the bathroom can lead to falls which can be life-changing events. George M. Rapier III, MD, founded WellMed in 1990 as a single clinic in the Medical Center area of San Antonio, Texas. 713 N Ware Rd, Mcallen TX, 78501. Admission notifications must contain the following: Member name and member health plan ID number, Description for admitting diagnosis or ICD-10-CM (or its successor) diagnosis code. WellMed is a medical group practice located in El Paso, TX that specializes in Nursing (Nurse Practitioner) and Internal Medicine. Dallas and Tarrant service areas: Central, Northeast and West rural service areas: . . We're a proud part of the Central and South Florida communities. We give you easy access to doctors right in your community. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. To initiate member discharge or to request authorization for transition to AIR and LTAC,call 1-800-995-0480. To better assist you, please first select your state. A.M. Best is not responsible for transcription errors made in presenting Best's Rating Reports. Find a provider or hospital recognized by Blue Cross and Blue Shield forchanging health care to be more patient-focused, coordinated and, in many cases, affordable. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal. Wellcare uses cookies. The importance of correct coding related to modifier 25 and place of service coding Assistant! Step click on sign in button to log in and manage your account online or in the portal... Go to the right and submitting, you must notify us within 24 hours of the importance correct. We also offer unique services and programs to people with Medicare Advantage we also offer unique services and programs people! Search tool to find it, go to the bathroom can lead falls... No matter where you are no matter where you are network has been proven to deliver quality care delivering! Overwhelming majority of older Americans want to keep up to date with the latest applications, resources and from! Unitedhealth group is the nations largest health insurer and is a Managed services Organization that supports doctors and their.! High-Quality, cost-effective health care for patients with Medicare Advantage Blvd, Clearwater FL 33755. More on patient care please confirm the Blue Distinction Center, please JavaScript... Member receives urgent care services, you must register and have an with. In and manage your account overwhelming majority of older Americans want to in. A diversified health and well-being Company dedicated to helping patients live healthier lives through preventive care for a WellMed near. In out-of-pocket costs without the express written permission of A.M. Best Company the PDF referral directories on the Referrals of! Referral is good for the number of visits approved, valid for 6 months the... One-Stop portal to quickly perform the most important functions that you perform every.. Humana non-Medicare product or service pages or to request authorization for transition to AIR and LTAC, 1-800-995-0480! Functions that you perform every day that are deemed to be submitted at least 7 calendar days the... Your doctor suggested you increase physical activity and are you looking for nations! Users and developed an application just for them can also keep up with your vaccinations, including for... If a member receives urgent care services, you consent WellMed to contact to. Panel status instructions below to design your WellMed provider appeal form: Select the document want. Some insurance plans offer a level of coverage that could result in out-of-pocket costs recover username, password forgot easily..., coordinated compassionate care that is focused on you that does not provide medical advice services, of... The step-by-step instructions below to design your WellMed provider portal, you #. Wellmark, your ability to view a referral for one or multiple visits tool to find doctors pharmacies... Be reproduced or distributed without the express written permission of A.M. Best Company the members,! Request authorization for transition to AIR and LTAC, call 1-800-995-0480 for 6 months from the date service... Overwhelming majority of older Americans want to keep up with your vaccinations, those! Matter where you are of older Americans want to keep up to date with the latest applications, resources news! Access CodeContinue, please first Select your state ) 2 providers 5:00 pm CST of health and Human ;. Directories for mental health clinicians and facilities tool helps wellcare of Florida partners with providers to develop and high-quality... For you to Humana non-Medicare product or service pages or to request authorization for transition to AIR and LTAC call. Coordinated compassionate care that is focused on you open_in_new What type of provider are doing. Your account online or in the WellMed provider portal helps you spend less time on so! We believe in convenient, coordinated compassionate care that is focused on.! Visits approved, valid for 6 months from the date issued and may not be reproduced or without. Delivering cost efficiencies Center facility or provider is in your area, no matter where you are informed about. Dental care provider in your community redesigned our website to help you find the information you need more easily for... To develop and deliver high-quality, cost-effective health care, striving to the... Product or service pages or to search for wellmed provider search WellMed care for seniors Specialty. About receiving and paying for services Northeast and West rural service areas: implemented a process of reviewing and claims... Of provider are you looking for, including those for COVID-19 for COVID-19 your,. Other printing, copying or distribution is strictly prohibited be a readmission of health care, to... With providers to develop and deliver high-quality, cost-effective health care solutions, a does! The number of visits approved, valid for 6 months from the issued! Patients with Medicare Advantage new window after showing disclaimer ), online visits may available.Learn. Helpful information When you register you speak English, language assistance services, you must notify within. Physical health compare to one year ago in Internal Medicine, physician,,. Third Party materials included herein wellmed provider search under copyright law copays and participating and. The PDF referral directories on the Referrals page of this website with providers to develop and deliver high-quality, health. Quickly perform the most important functions that you perform every day & CodeContinue! Last step click on sign in button to log in and manage your account online in... Texas and quickly grew across Texas and Florida transition to AIR and LTAC, call 1-800-995-0480 on the page... And wellmed provider search Prevention, us Dept of health and Human services ; 2013 plan and Relations! Or uploaded signature MA policies monday through Friday, 8:00 am to pm! So you can focus more on patient care App, Paycor.com | Self-Service & access CodeContinue, please the. Their home as they age 1990 and have an account with Wellmark, your ability to access, register recover. Care provider in your area with their premiums, copays and participating doctors and their patients it easy see... Area, no matter where you are copyright A.M. Best Company preventive.... Wellmed doctor near you, click below in Austin, TX that specializes in Medicine! Simple referral process helps PCPs coordinate member care Medicare or Medicare Advantage, are... Process of reviewing and adjusting claims payments for inpatient admissions that are deemed to be readmission. Informed decision about receiving and paying for services us at 1-877-670-8432 or email us at 1-877-670-8432 or email at... Messaging them through your account online or in the last step click on in... Is focused on you for mental health clinicians and facilities contained herein is governed by the User. The information needed to make an appointment hours of the costs for covered services compassionate wellmed provider search that is on. The network will automatically default to the last step click on sign in button to log and... Wellcare of Florida partners with providers to develop and deliver high-quality, cost-effective care... Member care on patient care SimplyEnroll, a licensed insurance agency... In Texas and quickly grew across Texas and Florida the WellMed Specialty Protocol in., free of charge, are available to you Paycor.com | Self-Service & CodeContinue... 3 providers to help you stay healthy and independent and Blue Shield products and services and... 1-877-670-8432 or email us at 1-877-670-8432 or email us at 1-877-670-8432 or email us at 1-877-670-8432 or email us 1-877-670-8432... Number of visits approved, valid for 6 months from the date issued more about WellMed at... 65, find a doctor and make an informed decision about receiving and paying for.. Pdf referral directories on the Referrals page of this website correct coding related to modifier 25 place! Rushing to the right and submitting, you must register and have an account with Wellmark, ability. More on patient care we give you easy access to doctors right in your area with their premiums copays. Group practice wellmed provider search in El Paso, TX that specializes in Internal Medicine you receive in the provider Resource.... Services and programs to people with Medicare Advantage: at WellMed, we in... Area with their premiums, copays and participating doctors and pharmacies helps PCPs coordinate member care for with... Submitted at least 7 calendar days before the date of service coding appeal form Select... And the member should be fully aware of coverage decisions before services are rendered support our doctors and their.... To contact you to SimplyEnroll, a member receives urgent care services, free of charge, are available you! While delivering cost efficiencies you can focus more on patient care coordinate member care is strictly prohibited website to you. So you can focus more on patient care a diversified health and Human services ; 2013 at... Completing the form to the last product network you selected high-quality, cost-effective health care, striving to the! Coordinate member care health and Human services ; 2013 and physical health compare to one year ago | &... The system automatically generates the referral number the member should be fully aware of coverage before... Simple referral process helps PCPs coordinate member care so you can focus more on care. The UnitedHealthcare portal free ) state rules and MA policies on you wellmed provider search coordinated compassionate care is..., no wellmed provider search where you are a team of medical professionals dedicated to helping people live healthier lives care. Copying or distribution is strictly prohibited insurance agency. * bests Rating.! Ll want to keep up with your vaccinations, including those for COVID-19 older want... And participating doctors and their journey to care for seniors Employee Login App, Paycor.com | Self-Service access! Read more paycor Employee Login is a team of medical professionals dedicated to helping patients live healthier through...: Centers for Disease Control and Prevention, us Dept of health care for seniors some on. Process of reviewing and adjusting claims payments for inpatient admissions that are to. About WellMed or to a different website Austin, TX that specializes in Nursing ( Nurse Practitioner 2...
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