There is no network. Best of all, it's free- no downloads required or software to install. If you do not have health care coverage you will be asked to pay a portion of your estimated charges . Dr. Hasan is devoted to ensuring the longevity of his patients health and developing long-lasting relationships with them. According to the MultiPlan website, you likely have access to MultiPlans services through your health plan administrator or medical bill payer (especially if you see one of our logos on your Member ID card).. "I would just like to mention that this office seems more like a clinic than a regular doctors office. ", Dr. Ira Steinmetz, a Board Certified Internist was born and raised in the Sheepshead Bay section of Brooklyn. Top 10 Multiplan PHCS Provider Specialties: Family Doctor (53243 providers) Internist (50663 providers) Pediatrician (Kids / Children Specialist) (44142 providers) Nurse Practitioner (NP) (26536 providers) Obstetrician / Gynecologist (OBGYN) (24946 providers) Chiropractor (23909 providers) Radiologist (19855 providers) Need to make a primary care doctor appointment this week? We believe there is no such thing as a standard cost management approach. Another difference is the coordination of benefits. Individually Contracted Practitioner (s) REGISTER. In those cases, you may have to pay the doctor directly, then file a reimbursement claim with the insurance company another reason why it is beneficial to remain within the network. Based in Brooklyn, NY, Ms. Langan works at Bay Ridge Skin & Cancer Dermatology P.C. Providers Join our network, and together, we'll give patients access to the highest quality, safest and most effective health care. She is uncompromising in her dedication to the well-being of her patients. After approval, you will receive the benefits of having your doctor in your network. One of the best ways to start is to review a list of providers within the insurance plans network, determining, for example, whether it will be difficult or easy for you to access physicians and other providers within the plan network. "Her office is very friendly, the office building itself creeped me out a little bit, it is an old renovated house the vibe is a little scary. She is passionate about a proactive approach to medicine and helping patients achieve their health goals. "Kristin Langan is the best dermatologist I have ever been to. These include ear infections, foot pain, rashes, urology problems, abscesses, acne, sexually transmitted diseases, urinary tract infections, and other common ailments. programs is their network size, the freedom to see specialists, costs, and out-of-network coverage. As MultiPlan previously noted, to the extent that United's original Motion to Dismiss raised arguments that applied equally to MultiPlan, MultiPlan adopted the same in its Motion to Dismiss. Multiplan PHCS providers in Connecticut listed on Doctor.com have been practicing for an average of: 30.4 year (s) Average ProfilePoints score for Providers in Connecticut who take Multiplan PHCS: 39/80. "I think I like the way they work and also I like how everything is fast. "I thought the office, staff and Dr. were efficient and kind. Recommend it". A caring physician assistant, Mr. Yarur believes in providing patients with all the information they need to make educated decisions about their health care. Dr. Rosenberg studied medicine locally, earning his MD at State University of New York Downstate Medical Center at Brooklyn, and completing his residency at the Montefiore Medical Center - Moses Division. You need to enable JavaScript to run this app. Graduating in 2005 from the Wagner College-Staten Island University Hospital Physician Assistant Program, PA Kouroupos spent his first year of clinical practice at Maimonides Medical Center in the Department of Cardiothoracic Surgery. Click on "PHCS". Provider Directory. She is nice but did question my symptoms and prescribed me something I do not think I needed for what I am currently experiencing. MultiPlan has four types of provider networks: MultiPlan and PHCS both provide networks of medical professionals that are used by limited-benefit health insurance plans. However, its still a good idea to select a primary care physician if you want to take advantage of wellness programs offered by the insurer. Private Healthcare Systems (PHCS), Michigan Medicine participates with most health insurance plans. Your plan also includes the Priority Health Travel Pass for out-of-area care at in-network costs, access to MultiPlan Medicare Advantage providers outside of the Lower Peninsula of Michigan, unlimited worldwide emergency and urgent care and Assist America for global travel assistance. Dr. Rosenberg is an admitting internist and cardiologist at Northshore University Hospital. There are three big differences between what an HMO offers and what PPOs like MultiPlan offer. Verify/update your demographic information in real time. Providers cannot request to alter or remove reviews. You can consult a doctor or specialist without a note from your primary care physician. Currently practicing at Mount Sinai, Mr. Yarur looks after the locals in and around New York, NY. Highly recommended. She asked a lot questions to make sure she doesn't miss anything". For billing and insurance questions, please contact Patient Customer Services at: Below is a list of insurances that Michigan Medicine participates with based on Medical benefits. Dr. Kimyagarova earned her medical degree from the New York Institute of Technology, New York College of Osteopathic Medicine. Dr. Amanda Lerner is proud to be a member of Circle Medical, a digital-first, patient-focused experience that makes quality care more accessible than ever. Visit Medicare.gov to find a Medicare-participating provider outside of our network. Insurance companies will contract with MultiPlan PPO, who negotiate with the doctors in the network. Originally from Ukraine, Dr. Aloyts attended medical school in St. Petersburg. I'm proficient in Medical Spanish for ENT purposes. These ratings are based on verified reviews submitted by real patients. Your plan also includes the Priority Health Travel Pass for out-of-area care at in-network costs, access to MultiPlan Medicare Advantage providers outside of the Lower Peninsula of Michigan, unlimited worldwide . You need to enable JavaScript to run this app. All rights reserved. Please contact our office to meet the doctor his patients call"The Best Doctor In Brooklyn", "It was great ira is one cool dude and great professional .". Welcome to the MultiPlan Provider PortalThe portal lets you view and update your network-related information, manage tasks such as credentialing and track your customer service case history. The time spent in the office was friendly and efficient. When searching for a MultiPlan PPO provider, consider your available plan options, medical needs, and premium rates. MultiPlan is Americas earliest and most extensive independent PPO network. - Click to view our privacy policy. She takes a thorough and precise approach to her consultations to ensure that she is consistently giving accurate diagnoses. Explore our savings, quality care and wellness solutions to craft the perfect plan for your business. Dr. Patel believes in patient centric, rather than symptom centric care and treatment of the patient as a whole with dignity. As a group of 25 or more practitioners, such as an IPA or PHO. PHCS contracts with more than 700,000 health care providers throughout the country. According to CMS National Downloadable File for Physicians, July 2022. Additionally, he is certified by the National Commission on Certification of Physician Assistants. -Echocardiograms Same-day appointments are often available, you can search for real-time availability of Doctors who accept Multiplan PHCS insurance and make an appointment online. He holds himself to the highest standard of care and is dedicated to creating a positive patient experience for every individual. -Pulmonary Function Testing Policyholders can see specialists without a referral from their primary doctor. Click on "Specific Services". Never assume. ","icon":"","label":"","triggerText":"Private Healthcare Systems (PHCS),"} She is a part of Community Health and Dental Care, in Barto, PA. She treats patients of all ages for a wide range of conditions. <p>Please press the Continue button to proceed.</p> <input type="submit" value="Continue" /> First Health Click Here Multiplan Click Here PHCS Click Here First Access Click Here HealthSmart Click Here Multiplan (wrap) Click Here PHCS (wrap) Click Here Shelley Carolan is a considerate and dependable pediatrician caring for the Haverstraw, NY community. ValuePoints participating providers include nearly 1,200 hospitals, 50,000 ancillary facilities and more than 450,000 practitioner locations. Dr. DePena attended the Universidad Iberoamericana (UNIBE) School of Medicine, Santo Domingo. Ms. Hain also advises patients on ways and means to achieve a healthy lifestyle. MultiPlan also focuses on providing networks for PPO plans. We recommend you check with your insurance company to confirm benefit coverage prior to scheduling an appointment. During business hours, they can assist you in finding the medical provider you need. For billing and insurance questions, please contact Patient Customer Services at: 855-855-0863 or 734- 615-0863, Monday through Friday 8 a.m. - 4 p.m. "All staff is very friendly and helpful. She also treats common ailments and provides prescriptions and refills. She sets the bar so high for what anyone would want in a Medical Professional. Managing your health insurance is easier than ever with Priority Health. She also holds a bachelors degree from the College of New Jersey. You can rest assured that the doctors they contract with are of the highest quality. Plus, our partnership with MultiPlan makes accessing Medicare-participating providers even easier. It's free! Instead, it creates provider networks, which are groups of doctors and medical professionals where you can use your health insurance plan's benefits. Thanks for working with Priority Health to give our members the right care at the right time. Typically, higher premiums mean lower copays and deductibles. We accept most insurance plans. Doctors on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. To find a participating provider outside of Oklahoma, follow the steps listed below. It is enjoyable to get to know patients and rewarding to get them the help they need. MultiPlan and PHCS provide networks for multiple types of insurance plans: MutiPlan also operates a specialty-network program where enrollees can get discounted rates on health care if they go to a medical provider in the MultiPlan network. (TTY call711). Copayments usually are higher for out-of-network physicians. to find a Medicare-participating provider outside of our network. Very friendly and informative.". Principal Life Insurance Company. Dr. Chamikles obtained his medical degree from the New York Institute of Technology, New York College of Osteopathic Medicine. You can review the disclosure required for the state in which you reside: KY, MD, PA, WI - All Other States. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits. Even though MultiPlan provides the networks, not the benefits, many consumers are upset about the poor health benefits they receive with these plans. We believe there is no such thing as a standard cost management approach. Following these five steps can significantly simplify the decision-making process. Michele McMurray, NP is double board certified with ANCC as an Adult/Gerontology Nurse Practitioner and Clinical Nurse Specialist. She is board certified by the American Board of Pediatrics and the American Board of Preventive Medicine. She has been practicing as a Nurse Practitioner with Richmond Health Network since 2016. The site does not review or include all companies or all available products. , you likely have access to MultiPlans services through your health plan administrator or medical bill payer (especially if you see one of our logos on your Member ID card).. MultiPlan is one of the largest providers of health care networks in the United States, with its networks encompassing 1.2 million health care providers. If youre not sure which conditions might affect you in the future, consult with your doctor to determine which services and procedures your MultiPlan PPO provider should be offering. My medical needs were addressed and my whole health needs were met too,". However, there are also some medical providers who have declined to participate in MultiPlan networks as a result of cost concerns. As with all things in life, the additional coverage comes at a higher cost. Did you receive an inquiry about buying MultiPlan insurance? In addition to premiums, dont forget to calculate the cost of copays and annual deductibles. It provides networks of doctors, hospitals and medical professionals, like its parent company, MultiPlan. These include: Many customers ask if MultiPlan PPOs are generally good but remember this is not insurance. -Allergy testing PHCS / Multiplan Provider Search. Dr. Sladzinska-Reyher graduated from Saint George University and completed her residency at Albert Einstein College of Medicine. She is a member of the American Academy of Pediatrics. PA MOHABIR very nice and knowledgeble provider. You may also search online at www.multiplan.com: We use the latest medical equipment and medical information. If you have a Priority Health Medigap plan, you can see any doctor who accepts Medicare. hbspt.cta._relativeUrls=true;hbspt.cta.load(2154169, 'f628f325-d53a-4ca3-b116-317d3164505a', {"useNewLoader":"true","region":"na1"}); *Healthcare Bluebook and Fair Price are trademarks of CareOperative LLC. She also holds active memberships in the American Association of Nurse Practitioners, Advanced Practitioner Society for Hematology and Oncology, and the Indian American Nurses Association. She is board certified in internal medicine. Awesome stuff. Internist. 1Excludes hospitals in Michigan's Upper Peninsula; based on American Hospital Directory January2022 data and Priority Health providers contracts. She believes in providing comprehensive and holistic medical care, to enhance their overall health. In that case, youll want to carefully calculate all the costs of your deductibles, out-of-pocket maximums, copayments, and premiums before making a final choice. This is the primary purpose of PPO Networks. I graduated with a Bachelor's of Science in Biology from Pace University, followed by a Bachelors of Science PA Degree from SUNY Downstate (Brooklyn Health Science Center) Class of 2000, followed by MBA in Healthcare Administration from Columbia Business School Class of 2013 MultiPlan customer service will be able to research and address your concerns and can be reached at 888.342.7427. Medi-Share members voluntarily share each other's medical expenses in accordance with guidelines adopted by the members and administered by CCM. Ms. Kristin Langan is a detail-oriented nurse practitioner. Christian Care Ministry's primary preferred provider organization (PPO) is PHCS. She has many years of clinical experience as a primary care provider in home care, long term care, and office settings. Patients seek Ms. Langan's expertise for the treatment of fungal infection, rash, skin problem, sunburn, and evaluation of cyst. First Health- USI Administrators. Find out if your doctor is in-network by checking the insurance companys website or asking at the doctors office. You need to enable JavaScript to run this app. MultiPlan and PHCS networks vary in size and scope. CommunityCare Life and Health Insurance Company provides an in-network level of benefits for services delivered outside of Oklahoma through a national PPO network, PHCS. Dr. Chamikles is a part of CityChoice Medical & Diagnostics and is affiliated with New York Hospital Queens and Flushing Hospital Medical Center in Flushing, NY. Not all HMOs have deductibles, but they tend to be more inexpensive than PPO deductibles when they do. Doctors within your MultiPlan PPO provider network will fill out all the necessary paperwork for the insurance company. "Everyone on staff that attended to me was friendly. Caring & answers all questions!!!! Did you receive an inquiry about buying MultiPlan insurance? Please press the Continue button to proceed. Shortly after completing your registration, you will receive a confirmation via e-mail. Ms. Collette Hain is a dedicated nurse practitioner. Insurance coverage for fully insured plans is provided by All Savers Insurance Company (for FL, GA, OH, UT and VA) or by UnitedHealthcare Insurance Company (for AZ, AL, AR, DC, IA, KS, MI, MN, MO, NC, NV, OK, PA, SC, TN and TX). (please note the provider search tool is not mobile friendly) Telehealth Access MultiPlans team of experts helps healthcare payors manage the cost of care, improve their competitiveness and inspire positive change. There are also generally more restrictions on the number of visits, tests and treatments that will be covered. The provider networks are made up of physicians, hospitals, laboratories and rehabilitation centers, among other entities. Its user friendly interface is better than my own insurance and the access to make appointments right away is a major plus. HMO gives you the ability to see doctors and hospitals in their network. Find Multiplan PHCS Therapists/Counselors & Providers with verified reviews. Dr. Hersh attended medical school at the New York Institute of Technology, New York College of Osteopathic Medicine. She is proud to have the opportunity to serve the adult and geriatric community at 1058 Forest Avenue alongside the other primary care providers and specialists. She completed her residency in family medicine from Jamaica Hospital. Both HMO and MultiPlan PPO coverage feature different advantages for policyholders. When you search for Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. There are different levels of this provision. PHCS contracts with more than 700,000 health care providers throughout the country. She graduated from Robert Wood Johnson Medical School in 2011 and completed her residency in Internal Medicine at Jersey Shore University Medical Center. MultiPlan, and its subsidiary PHCS, do not determine whats covered by your health insurance plan or how much you pay for medical care. His clinical interests include the management of Type 2 Diabetes, Stroke and Preventative Care. They also have a very extensive website that allows you to review frequently ask questions, join the network, change demographic information or get a copy of the provider manual. "Amazing! Dr. DePena sees patients of all ages for a range of concerns. While monthly HMO premiums will generally be lower than PPO prices, you must consider deductibles. The best way to ensure that youll have access to the medical providers you prefer is to check the health insurance plans network of providers when choosing your health insurance plan. For example, some of the networks provide nationwide access to doctors and medical facilities, and if the network is used by a comprehensive health insurance plan, the consumer could have a good combination of benefits and access to care. ", "The office was chaotic and everyone seemed to stressed. Unlike PPO plans, HMO plans cover appointments ONLY in its set network and give you a limited amount of freedom to see a non-network provider. -Vascular Testing Bookmark it today at, The portal offers specific features for Provider Groups, and we offer education sessions to help groups get the most from these advanced features. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots. You can reach them through: Remember that it is your responsibility to confirm that the doctor you are using is in the network. You can see any doctors in or out of the network, though you do save money if they are within the specific network. She then completed a master's degree in family nursing at Rutgers, the State University of New Jersey. Whom do I contact if I have an issue regarding copayments, deductibles, and/or premium payments? "Pretty good services , the Doctor and the Medical Assistant were Ive been to a few, even some within the same office and none of them can compare to her. Dr. Carolan is deeply committed to the well-being of her patients. You are free to see any doctor, but the contracted rates are with the providers within the network. You will be able to search by name, specialty, facility type, National Provider Identifier Number (NPI#), or license number. doctor.". Used standalone or in any combination, our services improve both performance and competitive advantage for our clients. By continuing to browse, you are agreeing to our use of cookies. He has been recognized for his work with several awards, including Castle Connellys Top Doctor. NP McMurray completed her undergraduate nursing degree from Russell Sage College in Troy, NY. Danielle Bruno is a Nurse Practitioner in Neurology specializing in Headache Medicine. Agents/Brokers Find the information and resources you need to meet your clients' needs. I am a skilled PA with a background focused in ENT - both inpatient and outpatient. Dr. Chamikles is dedicated to helping patients receive the treatment they need so they can enjoy a positive and fulfilling lifestyle. Dr. Zahava Hersh serves the community of Hewlett, NY, as a trusted and reputable primary care doctor. After practicing for 13 years as a gynecologist in Russia, she continued her medical education in the United States at the New York Institute of Technology, New York College of Osteopathic Medicine. See our high-quality Medicaid plans and understand your coverage. Most PPO plans will cover preventative care and screenings, prescriptions, routine checkups, treatment from specialists, outpatient surgery, emergency care, and hospitalization. Search for a provider. Centura Spine Care Montrose. As a result, many of the complaints lodged against MultiPlan with the Better Business Bureau (BBB) concern the lack of benefits and certain services not being covered. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. providers participating with MultiPlan to maintain their demographic information noted below. One of these options is a PPO, otherwise known as a Preferred Provider Organization. If you do not receive a confirmation within 24 hours of registering, or if you have questions about these education sessions, please contact us at. On February 24, 2023, the Departments issued a new directive effective February 27, instructing IDREs to resume making payment determinations for disputes involving items or services furnished before October 25, 2022. They do not provide comprehensive coverage. Dr. Berman practices at the Montefiore Family Care Center. When selecting a provider, contact the provider's . For Behavioral Health benefits, participation status may vary here at Michigan Medicine. Which Types of Insurance are under MultiPlan? insurance, payment options, etc. Find trusted in-network doctors, covered prescriptions and get plan information. Patients visit her for a variety of reasons including allergy consultations, annual physical exams, arthritis, and weight loss consultation. You have the choice of seeing a doctor or hospital outside the network with the possibility of coverage though benefits are better if you stay within your PPO network. If you see the MultiPlan or PHCS logo on your insurance card, it means Cigna is using a provider network supplied by MultiPlan. While Multiplan is the largest provider of PPOs in America, it is not the only one. See why we're #1 for individual Medicare Advantage plans in Michigan. To work out the fine details of costs between the insurance company and the doctors. When shopping for a health insurance plan, it is always a good idea to find out particulars about the provider network. Blue Care NetworkAdvantage (BCN) Medicare, Blue Cross Blue Shield Federal Employee Program, Blue Cross Blue Shield of Michigan(BCBSM), Blue Cross Blue Shield of Michigan(BCBSM) Medicare, Health Alliance Plan (HAP) Medicare Plans, PHP of Northern Indiana HMO/PPO (specialty services only), Private Health Care Systems (PHCS)/Multiplan, UnitedHealthcare Community Plan(Michigan Only), Report Sexual Misconduct, Discrimination and Harassment, Copyright 1995-2022 Regents of the University of Michigan. If your plan has access to MultiPlan, then whether you're traveling or have an eligible . Access your personalized health insurance information anytime, anywhere. Find a Medical Provider. American Health Group. Register for an account For No Surprises Act First time visitor? Editorial Note: The content of this article is based on the authors opinions and recommendations alone. "Great communication. Medi-Share members are exempt from the individual mandate in the Patient Protection and Affordable Care Act. In the 10 years Dr. Schulte was at Cleveland Clinic, in addition to her clinical leadership as Department Chair of General Pediatrics, she served as Medical Director of the Adoption Program and Co-Director of the Center for Excellence in Coaching and Mentoring. A full breakdown of points can be seen Virginia Beach, VA. 5.00 ( 6 reviews) This provider only sees patients w/ in-network benefits or accepts self-pay. Cigna and some other major insurance companies use MultiPlan to set the network of doctors and medical providers where your health insurance can be used. Would highly recommend.". Helpful for new patient onboarding process and finding a slew of doctors/specialists when moving to a new area. My appointment was on time & the people I dealt with were all thorough & professional.". Optimize your company's health plan. Patients visiting Dr. Aloyts can receive a full range of medical services. see the Primary Care Doctor within 24 hours, Multiplan PHCS Ear, Nose & Throat Doctors, Empire Blue Cross Blue Shield (Health) Doctors, EmblemHealth (formerly known as HIP) Doctors, EmblemHealth (formerly known as GHI) Doctors, Anthem Blue Cross Blue Shield Online Doctors, Medical School - Maulana Azad Medical College, Bachelor of Medicine, Bachelor of Surgery, Veterans Affairs New York Harbor Healthcare System, Bronx (Residency), Branchburg Medical Grp/Towne Centre Family Care, Medical School - St. George's University School of Medicine, Doctor of Medicine, New York Medical College, St. Josephs Hospital, Residency in Family Practice, Medical School - Universidad Iberoamericana (UNIBE) School of Medicine, Santo Domingo, AMITA Health, Saints Mary and Elizabeth Medical Center - Saint Elizabeth Campus, Residency in Family Medicine, AMITA Health, Saints Mary and Elizabeth Medical Center - Saint Elizabeth Campus (Internship), Medical School - New York Institute of Technology, New York College of Osteopathic Medicine, Doctor of Osteopathic Medicine, Saint Johns Episcopal Hospital, Residency in Family Practice, Dr. Aloyts is certified in osteopathic manipulative treatment by the American Osteopathic Board of Family Physicians, Medical School - State University of New York, Downstate Medical Center, Doctor of Medicine, Maimonides Medical Center, Internship in Internal Medicine, Maimonides Medical Center, Residency in Internal Medicine, City University of New York, College of Staten Island, Master's in Adult Health Nursing, National Commission on Certification of Physician Assistants, Pace University, Bachelor's in Physician Assistant Studies, Pace University, Master's in Business Administration, University at Buffalo, Master's in Science and Public Health, Rutgers, The State University of New Jersey, Doctorate in Family Nursing, Medical School - Grace University School of Medicine (Nevis), Doctor of Medicine, Catholic Medical Center, Residency in Internal Medicine, Catholic Medical Center, Fellowship in Gastroenterology, State University of New York, Downstate Medical Center, Bachelor's in Physician Assistant Studies, American Osteopathic Board of Family Physicians, Peninsula Hospital Center, Residency in Family Medicine, City University of New York, School of Law, Juris Doctor, Medical School - Albany Medical College, Doctor of Medicine, State University of New York, Albany, Residency in Preventive Medicine, State University of New York, Albany, Master's in Public Health, Albany Medical College, Residency in Pediatrics, Peninsula Hospital Center, Residency in Family Practice, Rutgers, The State University of New Jersey, Master's in Family Nursing, Ramapo College of New Jersey (Bachelor's), American Association of Nurse Practitioners, Advanced Practitioner Society for Hematology and Oncology, Medical School - Boston University, Doctor of Medicine, State University of New York, Downstate Medical Center, Master's in Family Nursing, State University of New York, Binghamton University (Bachelor's), Cardiovascular Disease (Internal Medicine), Jacobi Medical Center, Internship in Internal Medicine, Jacobi Medical Center, Residency in internal Medicine, Montefiore Medical Center - Moses Division Hospital, Fellowship in Cardiovascular Disease, Rowan University, Residency in Pediatrics, Jamaica Hospital Medical Center, Residency in Family Medicine, Mount Sinai Doctors - Long Island and Forest Hills, St John's Episcopal Hospital, Residency in Family Practice, NYPMG Hudson Valley - Internal Med Putnam Valley, Albert Einstein College of Medicine of Yeshiva University (Residency), Adelphi University, Master's in Adult Gerontology Nursing, International Organization Of Multiple Sclerosis Nurses, University of Pennsylvania, Master's in Nursing, Rutgers, The State University of New Jersey, Doctor of Nursing, Medical School - Rutgers, The State University of New Jersey, Doctor of Medicine, Jersey Shore University Medical Center, Residency in Internal Medicine, Boston Medical Center, Fellowship in Preventive Medicine, Maryville University, Master's in Nursing.

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