5 days ago · Our Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line staff are available 24/7 for after-hour calls. Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check. Affordable healthcare designed for you - with the benefits, tools and coverage you want. Get Affordable Health Insurance Plans from Ambetter Health. Find Quality Insurance Coverage to Fit Your Needs & Budget. Buy Your Plan Today.Member Transportation Services. Sunshine Health contracts with the following vendors for service: Medicaid and Child Welfare Specialty Plan Member Reservations: 1-877-659-8420. Medicaid and Child Welfare Specialty Plan Members Ride Assist (Where’s My Ride): 1-877-659-8421. Serious Mental Illness Specialty Plan Member Reservations: 1-877-659-8412.Ambetter Health offers Marketplace insurance plans with different coverage and benefit options, and premium levels. Learn more about our plan options, including Ambetter …Choosing the right health insurance plan can be a daunting task, especially with the numerous options available in the market. Kaiser Silver 70 HMO is a comprehensive health insura...Simply Health Care Plans. Medicaid HMO. Medicare HMO/PPO. Sunshine Health. Ambetter. Medicaid HMO. Medicare HMO/PPO. Ultimate Health Plan. Medicare HMO/PPO ...Member Transportation Services. Sunshine Health contracts with the following vendors for service: Medicaid and Child Welfare Specialty Plan Member Reservations: 1-877-659-8420. Medicaid and Child Welfare Specialty Plan Members Ride Assist (Where’s My Ride): 1-877-659-8421. Serious Mental Illness Specialty Plan Member Reservations: 1-877-659-8412. Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to …Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply.Skip to main contentOct 1, 2022 · Find a Medicare Doctor or Pharmacy. A doctor is a trusted partner and is key to getting the care you need, when you need it. Use the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, pharmacies, and other providers. Consider choosing a doctor or provider that’s in-network. This will help keep your healthcare costs ... Sunshine Health | 4,288 followers on LinkedIn. Headquartered in Broward County, Sunshine Health is among the largest healthcare plans in Florida. Offering coordinated care and a network of support ...Elizabeth has over 30 years of experience in health care. She has been providing care to patients since 1989. ... On average, patients who use Zocdoc can search for a Dermatologist who takes Sunshine Health insurance, book an appointment, and see the Dermatologist within 24 hours.As part of the Housing Assistance: Grocery Benefit under the CMS Health Plan operated by Sunshine Health, you receive $75 each quarter to spend on any fresh ...Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through through our Medicaid, Long Term Care and specialty plans.Contact us at 1-877-687-1169 ( Relay Florida 1-800-955-8770) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. You will only be able to purchase public transportation directly from the agency either in-person or online. Get Rides to Medical Appointments – At No Cost to You. To help you get healthy and stay healthy, we can provide rides to your medical appointments at no cost to you. ModivCare provides transportation for Sunshine Health Medicaid members. There are no limits to the number of trips during the year between medical appointments, healthcare ...While the 26 European countries that make up the Schengen Area allow free travel between their borders, getting in isn’t so simple. One solution for people looking to visit Europe ...Learn about Florida health insurance, Medicare and Medicaid health care plans from Sunshine Health and enroll today. Oct 1, 2022 · Find a Medicare Doctor or Pharmacy. A doctor is a trusted partner and is key to getting the care you need, when you need it. Use the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, pharmacies, and other providers. Consider choosing a doctor or provider that’s in-network. This will help keep your healthcare costs ... As we age, certain aspects of our health require more attention, and changes in vision are often among the first physical changes that we notice. The short answer is Medicare doesn...It provides government-based health insurance to low-income people. The insurance covers a lot of services, which means that it's comprehensive. In most cases, Medicaid is free health insurance for people who qualify. A few states charge small premiums for people on the higher end of the Medicaid-eligible income scale.Ambetter from Sunshine Health— your partner for success. Ambetter from Sunshine Health is Centene Corporation ‘s Health Insurance Marketplace product. Ambetter Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is …For questions on the formulary or a drug that is provided through a retail pharmacy or specialty pharmacy call. Ambetter, Medicaid, Serious Mental Illness and Child Welfare: 1-800-460-8988. Children's Medical Services Health Plan: 1-833-705-1351. For questions on advanced imaging, call 1-866-214-2569. For questions on arranging covered ... Ambetter from Sunshine Health has Florida Residents Covered During Special Open Enrollment. Date: 02/23/21 Fort Lauderdale, Fla. Now through May 15, Florida residents may select Ambetter from Sunshine Health for healthcare coverage in 62 counties through the Health Insurance Marketplace.The Centers for Medicare & Medicaid Services (CMS) …Contact your child’s Care Manager’s supervisor. If you don’t know who your child’s care manager’s supervisor is, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770 ). Call the 24-hour Sunshine Health Nurse Advice Line. 1-866-796-0530 (TTY 1-800-955-8770) Press 1 for Member. Press 2 for LTC or 3 for MMA. Press 5 for Nurse ...Sunshine Health offers electronic provider directories based on your plan. Some providers may not perform certain services based on religious or moral beliefs. Click on your network below to start a search. Medicaid Provider Search. Child Welfare Provider Search. Long Term Care Provider Search. In Florida, the Ambetter insurance plan is Sunshine Health, while in Pennsylvania, it is PA Health and Wellness. To apply for Ambetter Health Insurance, you must visit the health care exchange. Ambetter is only offered through the Health Insurance Marketplace and is not a private insurance option.Your Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. The Sunshine Health Medical Management team provides oversight of utilization management, case management and care coordination. Authorization must be obtained prior to the delivery of certain elective and scheduled services and can be submitted through the web portal or via fax. Auths Made Easy (AME) Tool; Inpatient Prior Authorization …Contracted Insurance Plans. Naples Community Hospital, Inc (NCH) is contracted with the following list of health plans. Even though NCH has contracts with these health plans we may not be a network provider for all products offered by the health plan. NCH accepts all forms of insurance and we will bill your insurance company accordingly.Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. Ancillary MMA/SMI/CW Including Home Health, PDN (PDF)Finding health insurance for your small business doesn’t need to be difficult. We’re here to make it easier, with a helpful guide. Business owners say finding the right health insu...While all of us wish for good health throughout our lives, unfortunately for many it is not always the case. Having adequate health insurance in place to cover the costs of medical...Find Sunshine Health Urgent care & Providers with verified reviews. Make an appointment online instantly with Urgent care that accept Sunshine Health insurance. …Carriers Currently Filed by Labcorp. Labcorp will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. It is always important to verify and update insurance information and know which testing laboratories are in-network or participating providers for your benefit plan.Ambetter from Sunshine Health is an affordable health insurance plan offered on the Florida marketplace. Learn more and enroll today!Contact your child’s Care Manager’s supervisor. If you don’t know who your child’s care manager’s supervisor is, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770 ). Call the 24-hour Sunshine Health Nurse Advice Line. 1-866-796-0530 (TTY 1-800-955-8770) Press 1 for Member. Press 2 for LTC or 3 for MMA. Press 5 for Nurse ...While the 26 European countries that make up the Schengen Area allow free travel between their borders, getting in isn’t so simple. One solution for people looking to visit Europe ...Sunshine Health at 1-844-877-8313 to update your address in our systems. Case Management Our Case Management team can be reached Monday to Friday from 8 a.m. to 8 p.m. at the phone Home Health Services. Nursing services and medical assistance provided in your home to help you manage or recover from a medical condition, illness or injury. We cover, when medically necessary: Up to 4 visits per day for pregnant recipients. Up to 3 visits per day for all other recipients. Prior Authorization Required. To report suspected fraud, waste, abuse, or neglect in the Medicaid, Long Term Care or Florida Healthy Kids programs, please use one of the following avenues: AHCA Consumer Complaint Hotline: 1-888-419-3456. Florida Attorney General’s Office: 1-866-966-7226. The Florida Medicaid Program Integrity Office: 1-850-412-4600.Balanced Care 94 Plans YOUR HEALTH. OUR PRIORITY. Sunshine Health delivers quality healthcare solutions that help Florida residents live better. And with Ambetter, our Health Insurance Marketplace insurance plan, we offer a variety of affordable options that make it easier to stay healthy—and to stay covered.FORT LAUDERDALE, Fla., Dec. 7, 2023 /PRNewswire/ -- Ambetter from Sunshine Health, a product offered by wholly owned subsidiaries of Centene Corporation (NYSE: CNC) which provide insurance to ...Please contact Sunshine Health right away when a Private Duty Nursing shift is missed. Here are a couple ways to reach us: Contact your child’s Care Manager. If you don’t know who your child’s care manager is, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770 ). Contact your child’s Care Manager’s supervisor. Affordable Health Insurance in Florida | Ambetter from Sunshine Health. Our Health Plans. Join Ambetter Health. For Members. For Providers. For Brokers. Shop Our …Like most states in the United States, the major industries in Illinois are service industries. Within the service industry, community, health care and personal services industries...Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to …Please call if you have questions about your plan. You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions.As a pet owner, it’s essential to ensure that your furry friend receives the best possible care when it comes to their health. One way to do this is by investing in pet insurance. ...Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through our Medicaid, Long Term Care and specialty plans.The projects include a women’s health study comparing new and traditional methods of inducing labour, research into improving diagnosis and treatment for serious …Ambetter Health Insurance Coverage Options. Ambetter offers three tiers of Marketplace health insurance plans — Gold, Silver and Bronze tier plans. Ambetter Secure Care is the Gold-tiered plan ...Stay Healthy and Stay Well with Ambetter Health Get the most from your Ambetter Health insurance with our health and wellness benefits. Choose optional, affordable vision and dental insurance plans, enroll in our mail-order pharmacy, or find extra support through Virtual 24/7 Care or care management programs.... SUNSHINE HEALTH. 4 x x. 68069. AMBETTER FROM SUPERIOR HEALTH. 4 x x. 68069 ... INSURANCE COMPANY. J1232 x x x x x. EMPLOYERS GENERAL INSURANCE GROUP. J1696 x.We can provide rides to your child’s medical appointments at no cost. Medical Transportation Management (MTM) provides transportation for Children’s Medical Services Health Plan (CMS Health Plan) members. There are no limits to the number of trips during the year between medical appointments, healthcare facilities or pharmacies.Children’s Medical Services Health Plan (CMS Health Plan) offers telehealth services to expand healthcare access at no cost. The remote service can help your child, especially if you live in rural areas and underserved communities. It will also help members who prefer the convenience and privacy of telemedicine and others who have complex ...Please call if you have questions about your plan. You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions.When the time comes for you to choose a health insurance plan, you may find the choices overwhelming. All the options that are available to you can make the decision-making process...AdventHealth Tampa. AdventHealth Waterman. AdventHealth Wauchula. AdventHealth Wesley Chapel. AdventHealth Winter Garden. AdventHealth Winter Park. AdventHealth Zephyrhills. Insurance plans accepted in Florida.Sunshine Health. Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded …Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. …Please call if you have questions about your plan. You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions.Sunshine Health operates as Statewide Medicaid Managed Care (SMMC) Managed Medical Assistance (MMA), Long Term Care (LTC) and a Child Welfare Specialty Plan (CW) in all regions through a contract with the Agency for Health Care Administration (AHCA). In addition, Sunshine Health offers: Health Insurance Marketplace plans through its …Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health **Funds …Please fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry. If you have an urgent medical situation please contact your doctor. If you have a life threatening emergency, please contact 911. Required fields are marked with an asterisk (*) Partnership is Announced as Floridians Purchase 2024 Health Insurance Coverage during Open Enrollment Period. FORT LAUDERDALE, Fla., Dec. 7, 2023 /PRNewswire/ -- Ambetter from Sunshine Health, a ...Health Insurance Marketplace. The Health Insurance Marketplace is an online shopping mall of healthcare plans. Sunshine Health's plan is called Ambetter. Ambetter offers affordable health care coverage for individuals and families. Depending on your family size and income, you may even qualify for help to pay your monthly premium. Sunshine Health offers benefits and services to get you through pregnancy, postpartum care and your overall family planning. The first step of any pregnancy journey is to see a doctor. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool or call Member Services at 1-866-796-0530. Please let us know you are pregnant by ...We can provide rides to your child’s medical appointments at no cost. Medical Transportation Management (MTM) provides transportation for Children’s Medical Services Health Plan (CMS Health Plan) members. There are no limits to the number of trips during the year between medical appointments, healthcare facilities or pharmacies.Home Health Services. Nursing services and medical assistance provided in your home to help you manage or recover from a medical condition, illness or injury. We cover, when medically necessary: Up to 4 visits per day for pregnant recipients. Up to 3 visits per day for all other recipients. Prior Authorization Required. Ambetter from Sunshine Health has Florida Residents Covered During Special Open Enrollment. Date: 02/23/21 Fort Lauderdale, Fla. Now through May 15, Florida residents may select Ambetter from Sunshine Health for healthcare coverage in 62 counties through the Health Insurance Marketplace.The Centers for Medicare & Medicaid Services (CMS) …Visit the Florida Department of Children and Families website to apply for Florida Medicaid. 2. Receive a letter to choose a plan. 3. Choose a plan. 4. Call a Choice Counselor toll-free at 1-877-711-3662 (TTY 1-866-467-4970) or visit the …Sunshine Health must resolve the standard appeal within 30 days and an expedited appeal within 48 hours. Providers may request an “expedited plan appeal” on their patients’ behalf if they believe that waiting 30 days for a resolution would put their life, health or ability to attain, maintain or regain maximum function in danger. Find a list of medical insurances that Sunshine Health Care Center contracts with. Naturopathic Medical Clinic West Valley, Glendale, AZ. 623-266-1722. About Us; Medical Services; IV Clinic; Articles; Patients; ... services or our Insurance Carrier contracts, please call us at 623-266-1722 or Contact Us online. We welcome the opportunity to ...Coastal Care Services is a healthcare solutions company that partners with Health Plans to provide their members with high quality, patient-centered care through the delivery of home-centered healthcare service such as Durable Medical Equipment & Supplies, Home Health, Home Infusion, and post-acute transition of care in an efficient and cost effective manner.FORT LAUDERDALE, Fla., Dec. 7, 2023 /PRNewswire/ -- Ambetter from Sunshine Health, a product offered by wholly owned subsidiaries of Centene Corporation (NYSE: CNC) which provide insurance to ...5 days ago · Our Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line staff are available 24/7 for after-hour calls. Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check. Jan 1, 2024 · Miami Dolphins and Ambetter from Sunshine Health Tackle Food Insecurity to Serve 500 Meals to South Florida Families. The food relief event is part of an initiative to address the social determinants of health associated with food insecurity. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace ... Similar to the health insurance you have for yourself and your family, pet insurance is a type of insurance policy you can buy to help cover the costs of your pet’s veterinary care...Emergency rooms are for emergencies. Call your doctor before going, unless your emergency is severe. You can call our 24-hour Nurse Advice Line at 1-866-796-0530 (TTY 1-800-955-8770 ). You will be connected to a nurse. Have your Sunshine Health Member ID card number handy. The nurse may direct you to other care or may help you over the …Member Transportation Services. Sunshine Health contracts with the following vendors for service: Medicaid and Child Welfare Specialty Plan Member Reservations: 1-877-659-8420. Medicaid and Child Welfare Specialty Plan Members Ride Assist (Where’s My Ride): 1-877-659-8421. Serious Mental Illness Specialty Plan Member Reservations: 1-877-659-8412.Your Plan Benefits: Managed Medical Assistance Services. The table below lists the medical services that are covered by Sunshine Health. Remember, you may need a referral from your Primary Care Provider (PCP) or approval from us before you go to an appointment or use a service. Ambetter from Sunshine Health Makes it Easier than Ever to Get Health Insurance Coverage . Date: 12/05/19 Sunrise, Florida. Open enrollment is underway for health insurance coverage through the Health Insurance Marketplace, and this year, Ambetter from Sunshine Health is providing a simpler, easier way for new and renewing …As a pet owner, it’s essential to ensure that your furry friend receives the best possible care when it comes to their health. One way to do this is by investing in pet insurance. ...Easy, 24/7 access to Teledoc providers. Fast care for non-emergency issues. Flexibility scheduling visits immediately or for future dates. *Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Virtual 24/7 Care cost share does not apply to HSA plans until the deductible is met and ... Transition Assistance. One-time payment of up to $500 per youth who is transitioning out of foster care at age 18 or out of extended foster care at age 21. Funds to support moving to a new home. Ages 18 to 21. Must be in out-of-home licensed foster care for a minimum of 6 months before transitioning out of foster care. Yes.Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. Ancillary MMA/SMI/CW Including Home Health, PDN (PDF)To report suspected fraud, waste, abuse, or neglect in the Medicaid, Long Term Care or Florida Healthy Kids programs, please use one of the following avenues: AHCA Consumer Complaint Hotline: 1-888-419-3456. Florida Attorney General’s Office: 1-866-966-7226. The Florida Medicaid Program Integrity Office: 1-850-412-4600.Sunshine Health | 4,288 followers on LinkedIn. Headquartered in Broward County, Sunshine Health is among the largest healthcare plans in Florida. Offering coordinated care and a network of support ...Health Insurance Marketplace. The Health Insurance Marketplace is an online shopping mall of healthcare plans. Sunshine Health's plan is called Ambetter. Ambetter offers affordable health care coverage for individuals and families. Depending on your family size and income, you may even qualify for help to pay your monthly premium.
Sunshine State Health Plan. Remote in Tampa, FL 33634. $18.27 - $31.10 an hour. Full-time. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time….. New york ball drop
Children’s Medical Services Health Plan (CMS Health Plan) offers telehealth services to expand healthcare access at no cost. The remote service can help your child, especially if you live in rural areas and underserved communities. It will also help members who prefer the convenience and privacy of telemedicine and others who have complex ...Search our accepted insurances list. This list shows all of the insurances that UF Health has contracts with. It is not a guarantee that of network participation with all payers. Before making an appointment, please contact your insurance plan to verify your benefits and referral and authorization requirements. See all.Ambetter from Sunshine Health includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Sunshine State Health Plan, Inc., which are Qualified Health Plan issuers in the Health Insurance Marketplace.Your Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan.To report suspected fraud, waste, abuse, or neglect in the Medicaid, Long Term Care or Florida Healthy Kids programs, please use one of the following avenues: AHCA Consumer Complaint Hotline: 1-888-419-3456. Florida Attorney General’s Office: 1-866-966-7226. The Florida Medicaid Program Integrity Office: 1-850-412-4600.Ambetter Health insurance benefits include: Find out more about health and wellness benefits you gain as an Ambetter Health member. Find lower health insurance costs and quality care right here in Florida. Learn more about what Ambetter from Sunshine Health can do for you. Enroll in Ambetter from Sunshine Health today. Start Coverage. After you enroll and pay your first month’s premium, you’ll receive your Ambetter Health welcome information. This will include your new Ambetter Health ID Card! Then you’re covered! Enrolling in an Ambetter from Sunshine Health insurance plan is simple. You can compare and shop for plans on our website. As we age, certain aspects of our health require more attention, and changes in vision are often among the first physical changes that we notice. The short answer is Medicare doesn...Sunshine Health offers government-sponsored managed care through Medicaid, Long Term Care, Medicare and Florida’s Health Insurance Marketplace.As a pet owner, you want the best for your furry friend. You want to make sure they are healthy and happy, and that they receive the care they need when they need it. However, acci...On average, patients who use Zocdoc can search for a Gastroenterologist who takes Sunshine Health insurance, book an appointment, and see the Gastroenterologist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Gastroenterologists who accept Sunshine Health …While the 26 European countries that make up the Schengen Area allow free travel between their borders, getting in isn’t so simple. One solution for people looking to visit Europe ...Search Jobs. Build relationships with some of the most dynamic leaders in the health insurance industry while fulfilling a vision that brings meaning to work every day. Opportunities are waiting for you at Sunshine Health – with a breadth and depth of career tracks designed to bring out your best ideas and contributions every day.Most people plan to have adequate health insurance and enough money to enjoy their golden years upon retirement. However, the average adult spends $140,000 on long-term care by the...Sunshine Health must resolve the standard appeal within 30 days and an expedited appeal within 48 hours. Providers may request an “expedited plan appeal” on their patients’ behalf if they believe that waiting 30 days for a resolution would put their life, health or ability to attain, maintain or regain maximum function in danger. Contacting Member Services. You may call us at 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday, 8 a.m. to 8 p.m. Eastern but not on state approved holidays like Christmas Day and Thanksgiving Day. When you call, make sure to have your child’s identification card (ID card) so we can help. If the ID card is lost or stolen, call Member ....
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