Carefirstdirect - For questions about claims that are denied because of enrollment, copay/deductible, lack of prior authorization and claims payment, contact Provider Services at 800-842-5975 or 202-479-6560. An inquiry must be submitted to the appropriate addresses below within 180 days or six months from the date of the EOB.

 
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Featured Course. We recommend new providers begin with “Working with CareFirst". This course is all about who we are and how to do business with us. It covers our mission, participation agreements, provider resources, provider self-service and provider support.Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.Federal Employee Program. The Federal Employee Program (FEP), also known as the Blue Cross and Blue Shield Service Benefit Plan, has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. For Maryland, Washington, D.C. and Northern Virginia, this fee-for-service plan is administered by CareFirst.Please update your provider information any time it changes (or at least once a year) within the Provider Portal (CareFirst Direct) or via a Change in Provider Information – Institutional/Ancillary form. Update professional and institutional/ancillary practice information for providers and physicians in the CareFirst BlueCross BlueShield network.Understanding plans. To better understand our plans, it helps to understand how the different plan types work and your related healthcare costs. CareFirst offers a variety of plan types (HMO, POS, PPO). Plan types refer to how plans provide coverage and from which network of providers you receive care. Review the information below to learn more ...Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account . If you need assistance, call MHC at 1-855-642-8572. CareFirst CHPMD Providers: Encourage your patients to update their information. Whether you need care here in the United States or abroad, you'll have access to health care in more than 190 countries. With a provider network this comprehensive — more than 1 million physicians as well as provider facilities, hospitals and other care centers — most of your care needs are covered in-network, which means savings for you. CareFirst Direct . or . CareFirst on Call. Through these channels, simple questions can be answered quickly. Submission Guidelines Timely Filing of Claims Dental claims must be submitted within 365 days after the date of service. A member cannot be billed by a participating provider for failure to submit a claim to CareFirst within the 365 day ...CareFirst Direct, click here. PRD1097 (1/22) CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are …Pharmacy compounding is the science of preparing personalized medications for patients. Compounded medications are made based on a practitioner's prescription in which individual ingredients are mixed together in the exact strength and dosage form required for the patient. This method allows the compounding pharmacist to …Electronic Fund Transfer (EFT) The following clearinghouses also offer electronic fund transfer (EFT) services (By clicking any of the links below, you will leave the CareFirst website and access a vendor website. The vendor is solely responsible for the services it provides.): ChangeHealthcare at (866) 506-2830; Medical and Hospital EFT Enrollment …If you've ever had a relaxing rowboat ride, you'll love this landscape. Learn how to draw a rowboat at a seawall in five simple steps. Advertisement ­ In this landscape scene, the ...Claim Inquiries in CareFirst Direct. Interactive Guide | 5 minutes | All Medical Providers. Not sure how to submit a claim inquiry in the portal? Check out this guide. What is an …On August 28, Hafei Aviation Industry will report latest earnings.Wall Street analysts expect Hafei Aviation Industry will release earnings per sh... On August 28, Hafei Aviation I... Provider Link List Use the comprehensive list of links below to take you directly to the information you need. What You Need How It Will Help You Where To Find It CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable tonight , Dec 4 from 6:30PM to 10PM for Facets members Update and Attest to your Provider Directory Data Today! Login to CareFirst Direct to update and attest to your provider directory information all in one place using the Provider Updates and Attestation self-service ... Following a successful flight on Thursday, space tourism company Virgin Galactic says it is ready to enter commercial service in June. Following a successful flight to the edge of ...2008 Group and Individual Broker/Agent Agreement and Cover Letter. Sales Flash: CareFirst Increases Broker Compensation for 2008 (64KB, 1 pg.) If you are a contracted CareFirst of Maryland, Inc... Then access and print both of the following: Direct Broker, Group Market Products Only. 1. 2008 Agreement Cover Letter. 2.This application gives CareFirst members the ability to manage their health insurance through their mobile devices by providing secure, personalized information on items ranging from claims, deductibles, who’s covered, and downloadable ID Cards, to locating a provider or urgent care center near them. Members can also register for CareFirst ...New Self-Service Tool Launching for Provider Directory Updates and Attestations. Posted on 2024-01-30 | Updated on 2024-01-30 09:00:00Manuals & Guides. CareFirst offers provider manuals and quick reference guides for use by network providers. These documents are designed to help you and your office staff understand member eligibility, benefits and claim status follow-up, and use our online tools. Medical Provider Manual. Dental Provider Manual. Quick Reference Guides.2024 CDH Application and Forms; Consumer Direct Health Insurance Plans 2024 Document: Brochure/Rates: AMV: Benefits Comparison Chart: CDS1219: BlueChoice Young Adult Hardship FormVisit www.carefirst.com/carefirstdirect and click ''Register Now' button to complete the step-by-step registration process. CareFirst Direct functionalities got an upgrade. Use our four step-by-step provider portal guides to help you next time you log in.CareFirst Administrators (CFA) is the only third-party administrator in Maryland, D.C. and Northern Virginia providing flexibility and superior service, through the most trusted name in health care—locally through CareFirst BlueCross BlueShield, and nationally through the Blue Cross Blue Shield Association. Consistently ranked in the industry ...2024 CDH Application and Forms; Consumer Direct Health Insurance Plans 2024 Document: Brochure/Rates: AMD: Benefits Comparison Chart: CDS1218: BlueChoice Young Adult Hardship FormOutpatient Pre-Treatment Authorization Program (OPAP) Request. INSTRUCTIONS. Participating Providers: to initiate a request and to check the status of your request, visit CareFirst Direct at carefirst.com. Please print and complete entire form. Fax form to 410-505-6404.Patient-Centered Medical Home (PCMH) CareFirst's PCMH program is designed to provide primary care providers with a more complete view of their patients' needs and of the services they receive from other providers so that they can better manage their individual risks, keep them in better health and produce better outcomes. The program requires ...With more than 8,000 miles of coastline, it’s no wonder Florida is a go-to destination for beautiful beaches in the U.S. Here’s an insider’s look at the best beaches in the Sunshin...Outraged Hachalu Hundesa fans have clashed with police in several Ethiopian cities The shooting of Hachalu Hundesa on Monday night in Addis Ababa has shocked the nation, as million...Give us a call. Our Licensed Sales Agents are here to help. For CareFirst BlueCross BlueShield Advantage Core (HMO), CareFirst BlueCross BlueShield Advantage Enhanced (HMO) and Medicare Supplement call 833-987-0765 (TTY: 711). For CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) call 844-331-6334 (TTY: 711) CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable Fri. May 3 at 9:30PM to 11:30PM for all members. CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable Fri. May 3 at 11:30PM to May 5 at 9PM for FEP, NASCO and Out of Area members. Provider Portal will be unavailable Sat. May 4 from 6PM to 8PM. If you are looking to buy or renew a CareFirst plan, please contact us at 800-544-8703. Have a question about individual or family plans? Visit our contact us page. Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. Trusted for over 80 years. Indices Commodities Currencies Stocks Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst ... I'll be looking for signs that the Fed rate decision is a catalyst for a change in market character, but for now we just have the bull vs. bear arguments and some surprisingly ...What to watch for today What to watch for today An early signal on US inflation. Analysts expect the producer price index (PPI) to have crept up in November, which will fuel more t...New downsizing means the company has cut almost 30,000 jobs since November Amazon will lay off 9,000 white-collar employees by the end of April, CEO Andy Jassy announced on Monday ...At CareFirst, our associates work to help us offer quality health plansand excellent service to our members in Washington D.C., Maryland and Northern Virginia. It takes associates with all types of experience and abilities for us to succeed individually and as a company. Explore career opportunities to see where you might fit best on our team.Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m. and Saturday, 8 a.m. to noon) Current members with renewal questions. 855-300-7751. Individuals interested in purchasing insurance. 800-544-8703. Looking to renew or change your CareFirst BlueCross BlueShield plan?Each claim must include a bill (on letterhead stationary) with the dentist’s name, address and Tax Identification Number or Social Security Number. Please keep copies; bills cannot be returned. Return this form with required documentation to: Mail Administrator, P.O. Box 14115, Lexington, KY 40512-4115. PATIENT INFORMATION.Log in to access the provider portal of CareFirst, a health insurance company serving Maryland, Washington, D.C., and Virginia. You need to log in to view protected content, programs, services, and resources.Access CareFirst Direct, a secure online portal for providers to manage eligibility, benefits and claims. Login with your user ID and password or create an account.CareFirst, Inc. and its operating affiliates, CareFirst of Maryland, Inc.; CareFirst BlueChoice; and Group Hospitalization and Medical Services, Inc. are independent licensees of the Blue Cross Blue Shield Association.If you have one of our health plans with Virtual Connect*, you have access to $0 primary care and mental health visits through CloseKnit, CareFirst’s virtual-first primary care practice.CareFirst BlueCross BlueShield is a health insurance provider serving 3.5 million individuals and groups in Maryland and the Washington metropolitan area.It has dual headquarters in Baltimore, Maryland and Washington, D.C. It is a nonprofit organization and an independent licensee of the Blue Cross Blue Shield Association.. The company has a …Access your coverage, find a doctor, search for care, and more on the redesigned member portal homepage. Learn about CareFirst's wellness programs, prescription drug tools, …2024 CDH Application and Forms; Consumer Direct Health Insurance Plans 2024 Document: Brochure/Rates: AMD: Benefits Comparison Chart: CDS1218: BlueChoice Young Adult Hardship FormA new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use app. 24/7/365. CloseKnit's care teams offer preventative and urgent care, behavioral and mental health, chronic condition prevention, medication management, and more.Provider Link List Use the comprehensive list of links below to take you directly to the information you need. What You Need How It Will Help You Where To Find ItFor more information, call Member Services at 855-290-5744 (TTY: 711) 8 a.m.-8 p.m., ET, 7 days a week from October 1 through March 31. From April 1 through September 30, our hours are 8 a.m.-8 p.m., ET, Monday through Friday. Please note: The contact information above is for Medicare members only. If you do not have Medicare …Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group …Give us a call. Our Licensed Sales Agents are here to help. For CareFirst BlueCross BlueShield Advantage Core (HMO), CareFirst BlueCross BlueShield Advantage Enhanced (HMO) and Medicare Supplement call 833-987-0765 (TTY: 711). For CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) call 844-331-6334 (TTY: 711)With CareFirst Direct, you can: Make inquiries on your own time. Avoid time consuming phone calls. Verify eligibility and benefits. Check claim status. To Register: 1. Visit …Every community is different. But no matter where people live, their health is affected by access to care, education, food and stable income. CareFirst BlueCross BlueShield (CareFirst) invests in solutions that can have a meaningful impact on the social determinants of health (SDOH) to minimize disparities, reduce healthcare costs and … Resources for CareFirst healthcare delivery partners. CareFirst is committed to a provider experience that is simple, clear and human. Our goal is to create a meaningful and memorable learning experience through educational opportunities tailored to your needs. These resources give you the tools you need to make interacting and working with us ... If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390. Below is a list that may assist you with your CareFirst provider-related questions. Contact our Credentialing Department to become a participating provider. Find your provider representative. The following provides step by step instructions for when you want to review your remittance/notice of payment within CareFirst Direct. Log in to the Provider Portal at provider.carefirst.com. Once logged in, you will see the CareFirst Direct home page and the ‘Member Search’ screen. The tabs across the top will appear based on the access ... We put two great sub-$100 travel credit cards head to head to see which deserves a place in your wallet. Update: Some offers mentioned below are no longer available. View the curre... Provider Link List Use the comprehensive list of links below to take you directly to the information you need. What You Need How It Will Help You Where To Find It Following a successful flight on Thursday, space tourism company Virgin Galactic says it is ready to enter commercial service in June. Following a successful flight to the edge of ...Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.Carefirst. +. V Family of health care plans Provider Link List . Use the comprehensive list of links below to take you directly to the information you need.Search for a provider or a health care facility by name or type in the CareFirst Direct directory. You need to know your plan name to locate a provider within your network.Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst Community Health Plan Maryland or CareFirst CHPMD) is a Medicaid Managed Care Organization that participates in the Maryland HealthChoice Program. Carefirst CHPMD offers a health plan that combines personal attention with world-class healthcare. Benefits include over 7,000 ... Federal Employee Program. The Federal Employee Program (FEP), also known as the Blue Cross and Blue Shield Service Benefit Plan, has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. For Maryland, Washington, D.C. and Northern Virginia, this fee-for-service plan is administered by CareFirst. Once logged in, you will see the CareFirst Direct home page and the ‘Member Search’ screen. The tabs across the top will appear based on the access you have within CareFirst Direct. To begin the process of verifying a Member’s eligibility and benefits, ensure the ‘Eligibility/Benefits & Claims Status’ tab is selected and then enter ...Access CareFirst Direct, a secure online portal for providers to manage eligibility, benefits and claims. Login with your user ID and password or create an account.Comprehensive Medication Review. When you are taking multiple drugs to treat a medical condition, it can get overwhelming. The Comprehensive Medication Review (CMR) program can connect you with a CVS Caremark pharmacist who will review your medications and talk to your doctor about dosages, duration and any other pertinent issues.Provider Link List Use the comprehensive list of links below to take you directly to the information you need. What You Need How It Will Help You Where To Find ItServing Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst …For more information, call Member Services at 855-290-5744 (TTY: 711) 8 a.m.-8 p.m., ET, 7 days a week from October 1 through March 31. From April 1 through September 30, our hours are 8 a.m.-8 p.m., ET, Monday through Friday. Please note: The contact information above is for Medicare members only. If you do not have Medicare …Every community is different. But no matter where people live, their health is affected by access to care, education, food and stable income. CareFirst BlueCross BlueShield (CareFirst) invests in solutions that can have a meaningful impact on the social determinants of health (SDOH) to minimize disparities, reduce healthcare costs and … Provider Portal – CareFirst Direct Access. Need to register for our provider portal? Maintaining an active account for our provider portal ("CareFirst Direct") is one of the best ways to be successful. To register, go here and select "Create Account." If your practice already has active portal users, you may need to work through them for access. A new patient-centric, virtual-first primary care practice. Compassionate care for over 100 conditions through an easy-to-use app. 24/7/365. CloseKnit's care teams offer preventative and urgent care, behavioral and mental health, chronic condition prevention, medication management, and more. CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable tonight , Dec 4 from 6:30PM to 10PM for Facets members Update and Attest to your Provider Directory Data Today! Login to CareFirst Direct to update and attest to your provider directory information all in one place using the Provider Updates and Attestation self-service ...CareFirst Direct, click here. PRD1097 (1/22) CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc., which are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are …If you are looking to buy or renew a CareFirst plan, please contact us at 800-544-8703. Have a question about individual or family plans? Visit our contact us page. Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. Trusted for over 80 years.The Provider Portal (CareFirst Direct) provides detailed claim status information for our providers, in real-time. When obtaining eligibility or benefits, be sure to have the patient’s subscriber ID and patient’s date of birth ready. Under the Eligibility/Benefits & Claims Status tab, select Claims Status.Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable Fri. May 3 at 9:30PM to 11:30PM for all members. CareFirst Direct Eligibility/Benefits and Claims Status will be unavailable Fri. May 3 at 11:30PM to May 5 at 9PM for FEP, NASCO and Out of Area members. Provider Portal will be unavailable Sat. May 4 from 6PM to 8PM. Remittance/Notice of Payment within CareFirst Direct. Log in to the Provider Portal at provider.carefirst.com. Once logged in, you will see the CareFirst Direct home page and the Member Search screen. The tabs across the top will appear based on the access you have within CareFirst Direct. To begin the process of viewing a Remittance/Notice of ... CareFirst Direct is a secure website that allows providers and physicians to access CareFirst information and services. You can update and attest your directory data, verify …Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.We would like to show you a description here but the site won’t allow us.The CareFirst Organization. Is the largest health care insurer in the Mid-Atlantic region, serving 3.4 million members. Employs approximately 7,500 associates and contractors in Maryland, Washington, D.C. and Northern Virginia. Operates the nation’s largest Patient-Centered Medical Home (PCMH) program of its kind.

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If you have comments or questions, we want to help you. For technical support, call the CareFirst Help Desk at (877) 526 – 8390, Monday - Friday, 8:00 a.m.-6:00 p.m. (Eastern Time). Or, refer to the chart below for more information about provider resources and services. Contact our Credentialing Department to become a participating provider.Amid a crowded market of mobile banking services, which will soon also include Google, U.S. challenger bank Current is launching a new program that will offer points-based rewards ...Resources for CareFirst healthcare delivery partners. CareFirst is committed to a provider experience that is simple, clear and human. Our goal is to create a meaningful and memorable learning experience through educational opportunities tailored to your needs. These resources give you the tools you need to make interacting and working with us ...Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site.Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst … Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site. CareFirst BlueCross ... carefirstdirect. As a part of our ongoing effort to improve how your practice does business with us, we have recently enhanced and are constantly improving CareFirst Direct, to provide your office staff with information they need at their fingertips: Eligibility Benefits Claim Status/EEB Status Claims Inquiries3060 Williams Drive. Fairfax, VA 22030. (703) 934-6200. Owings Mills. General Administrative Offices. 10455 Mill Run Circle. Owings Mills, MD 21117. CareFirst has office locations and licensed affiliates throughout the Maryland, Washington, D.C., and Northern Virginia. View all of our corporate office locations.Featured Course. We recommend new providers begin with “Working with CareFirst". This course is all about who we are and how to do business with us. It covers our mission, participation agreements, provider resources, provider self-service and provider support.The Provider Portal (CareFirst Direct) provides detailed claim status information for our providers, in real-time. When obtaining eligibility or benefits, be sure to have the patient’s subscriber ID and patient’s date of birth ready. Under the Eligibility/Benefits & Claims Status tab, select Claims Status.CareFirst Provider is the website for providers and physicians who work with CareFirst, a health insurance company in the region. You can access CareFirst Direct to verify eligibility and benefits, check claim status, and more, or use the new self-service tool for directory updates.If you have one of our health plans with Virtual Connect*, you have access to $0 primary care and mental health visits through CloseKnit, CareFirst’s virtual-first primary care practice. required to use Altruista, since it is fully integrated within our Provider Portal and CareFirst Direct. If you would like to create an account for the CareFirst Provider Portal, please review our user guides. You can find these user guides in the CareFirst Direct accordion on the Courses by Topic page. Q: How do I find the member in Altruista? A: Chapter 3: Provider Network Requirements: Administrative Functions. Credentialing. Practice Transformation. Provider Scorecard. Role of the Primary Care Provider (PCP) – BlueChoice Only. Reduction, Suspension or Termination of Privileges. Quality of Care Termination. All Other Sanctions or Terminations. Federal Employee Program. The Federal Employee Program (FEP), also known as the Blue Cross and Blue Shield Service Benefit Plan, has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. For Maryland, Washington, D.C. and Northern Virginia, this fee-for-service plan is administered by CareFirst. .

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