Login Welcome to the Login page. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. . Provider Reminders: Claims Definitions. If you dont want to leave our site, choose the X in the upper right corner to close this message. Or choose Go on to move forward to the provider website. You will need Adobe Reader to open PDFs on this site. Access your digital ID card and download it to your smart phone or print it, Choose or change your Primary Care Physician (PCP), Get what you need to manage your coverage. Copyright 2023 Celtic Insurance Company. https://provider.sunshinestatehealth.com/. You can access your plan information and pay your premium. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Find everything you need in the member online account. Find your health info and healthnumbers. Your Ambetter coverage includes no-cost in-network Telehealth services. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Your Texas Benefitsprovidesthe info on the next page. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Copyright 2022 Aetna Better Health of Texas. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Find everything you need in the member online account. Or choose Go on tomove forward to Aetna.com. All rights reserved. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. You will need Adobe Reader to open PDFs on this site. Ambetter Washington Login | Manage Your Plan Online Please select Member in the dropdown menu to log in to or create your secure online member account. Simply call Superior Member Services. Stay up to date with the latest news and announcements. Give us a call if you have any questions as you shop and explore . There, you can view your digital ID, download it to your smartphone, or print a copy. Discover all the ways you can manage your coverage. Don't miss out on your affordable health plan! Ambetter offers a variety of plans for all budgets and needs. Infographic Description. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico All rights reserved. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Discover all the ways you can manage your coverage. Access Daily Patient Lists from One Screen. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Have your tax ID number ready during sign up. Check out health resources, send us questions and more. I understand that my information will be used in accordance with my plan notice of privacy practices. show Join Ambetter from AZ Complete Health menu. Join Ambetter show Join Ambetter menu When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Manage Batch Claims for Free. Ambetter Health has your back every step of the way on your personal health and wellness journey. Please select Member in the dropdown menu to log in to or create your secure online member account. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. And you can access Telehealth on your computer or smart phone anywhere and anytime. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Join Ambetter show Join Ambetter menu For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. See what vision and dental coverage is available for you. Because protecting peoples health is why were here, and its what well always do. Newsroom. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Your Ambetter online member account puts you in control of your health plan. Find and enroll in a plan that's right for you. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. What is Ambetter? Or use your Aetna Better Healthapp to take your benefits on the go. Find and enroll in a plan that's right for you. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Your area isn't covered? One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Review clinical and payment policy information. Quality Improvement resources have moved. All rights reserved. Ambetter from Superior Health Plan Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage + optional dental coverage for subscribers Provider Services for Ambetter 833-260-3625 Members: call the number on the back of your ID card or go to the plan site. They've always been able to count on you. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Login to Your Account Access your secure provider information any time. Secure messaging between provider & Ambetter from Magnolia Health. Youre dedicated to your patients, so were dedicated to you. Use your ZIP Code to find your personal plan. Use your ZIP Code to find your personal plan. Were here foryouMonday through Friday, 8 AM to 5 PM. Find and enroll in a plan that's right for you. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Just download the app from the AppleApp Store or the Google Playstore. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Find everything you need in the member online account. Youre going to the provider website. Manage patient administrative tasks quickly and easily. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Visit Provider.ambettermeridian.com and click Create an Account. What is Ambetter? Make your first payment to access great benefits. Use your ZIP Code to find your personal plan. Protected, Convenient Access at Your Fingertips. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Learn More. All Rights Reserved. Loading See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Theyve always been able to count on you. Get coaching on funnew ways to improve yourhealth. If you dont want to leave our site, choose the X in the upper right corner to close this message. Visit Provider.ambettermeridian.com and click Create an Account. Find and enroll in a plan that's right for you. Use your member account anytime to conveniently do things like: If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up today. Theyve always been able to count on you. And, as a partner with Ambetter, youll be able to count on us. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Theyve always been able to count on you. The app lets you access all the benefits of your Member Portal anytime, anywhere. Just log in to manage your plan benefits and health goals from anywhere. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Use your ZIP Code to find your personal plan. Ambetter from Arizona Complete Health can help. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Copyright 2023 Arizona Complete Health. Aetnaprovides infoabout COVID-19on the next page. 1 Marketplace insurer*, Ambetter from Superior HealthPlan has the experience and resources to help people when it matters most, and were proud to provide reliable coverage to more people throughout Texas.. For Providers show For Providers menu. Contact Us for more information. The fee displayed is the allowable rate for this service. Youre dedicated to your patients, so were dedicated to you. You will need Adobe Reader to open PDFs on this site. Ambetter. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Always on the go? Find and enroll in a plan that's right for you. Copyright 2023 Centene Corporation. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. The Ambetter from Peach State Health Plan login portal is where you manage your account. Links to specific provider resources can be found by using the left navigation bar to access provider webpages or clicking the links within the sections below. Ambetter does not provide medical care. See coverage in your area Find doctors and hospitals View pharmacy program benefits View essential health benefits Find and enroll in a plan that's right for you. Contact Ambetter from Meridian at 1-833-993-2426. Copyright 2023 Centene Corporation. Another group or vendor provides the info on the next page. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction withfindings from 2019 Issuer Level Enrollment Data from CMS,2019 State-Level Public Use File from CMS,2019 Covered California ActiveMember Profile data,state insurance regulatory filings, and public financial filings. Pay now to activate the health benefits you deserve. You will need Adobe Reader to open PDFs on this site. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Setting up your online member account is easier than ever it only takes a few minutes. And, as a partner with Ambetter, you'll be able to count on us. To find out more information, pleaseselect your state below. View detailed Electronic Funds Transfer (EFT) payment history. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. Aetna Better Health provides the general info on the next page. Get personalized help managing diabetes, asthma and other chronic conditions. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Submit and manage claims, including batch files, for free. Find and enroll in a plan that's right for you. You can call 1-855-231-3716to ask for a printed copy of the health survey. At the end of the day, our job is to make yours easier. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP, Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies, Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville, Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success, Provider Notice of Adverse Benefit Determinations, Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnerships (TMHP) Eligibility Verification Issues. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Just log in. Use your ZIP Code to find your personal plan. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Use our helpful resources to deliver the best quality of care. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Medicaid for children, newborns, pregnant women and some families, Medicaid for children and adults 20 or younger who have disabilities, A program for families and mother-to-be that dont qualify for Medicaid. You're dedicated to your patients, so we're dedicated to you. You can get answers to medical questions and care advice even prescriptions. Or access MyActiveHealthwith your smartphone. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 08/07/20. Date: What is Ambetter? Access Daily Patient Lists from One Screen. Explore STAR Kids benefits and added services, Explore CHIP and CHIP Perinatal benefits and added services, STAR (Medicaid) Member Handbook - English (PDF), STAR (Medicaid) Member Handbook - Spanish (PDF), STAR Kids Member Handbook - English (PDF), STAR Kids Member Handbook - Spanish (PDF), CHIP and CHIP Perinatal Member Handbook - English (PDF), CHIP and CHIP Perinatal Member Handbook - Spanish (PDF), Seeyour member ID cardor ask for a newone, Connect with your care team if you take part in care management. What is Ambetter from Arizona Complete Health? Healthcare is essential. Please visitSuperior's QI Program. Ready to learn more? Have your tax ID number ready during sign up. Access your secure provider information any time. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Use our tool to see if a pre-authorization is needed. You will need Adobe Reader to open PDFs on this site. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. What you need to know about the Coronavirus. You can also ask for info on health conditions and wellness topics in print. Please select your state. Get medical help from doctors via video and phone. Next year, Ambetter from Superior HealthPlan will be offered to Texas residents in seven additional counties, making the program available in 145 counties in the state through the Health Insurance Marketplace. Connect your fitness devices and track yourprogress. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. Your online member account is a powerful tool that puts you in control of your health coverage. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Contact Us for more information. Join Ambetter show Join Ambetter menu Ambetter Health Insurance Plans | Ambetter Home Shop Our Plans Select Your State Find your state below to see Ambetter health insurance plans available in your area. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. And as a partner with Ambetter, youll be able to count on us. Use your ZIP Code to find your personal plan. Register your account today! This includes Ambetter Value, a new specialized plan aligned witha select group of primary care providers, which can help guide and steer a members utilization through a referral process. You will need Adobe Reader to open PDFs on this site. Yes. Register your account today! Find everything you need in the member online account. Youre dedicated to your patients, so were dedicated to you. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Visibility of Multiple TINs. Just log in. Earn rewards for taking charge of your health. The COVID-19 pandemic emphasized that affordable and comprehensive health insurance is needed more than ever, said Mark Sanders, President and CEO of Superior HealthPlan. Log in to: Digital ID: Get your digital ID card anytime on your online member account. You will need Adobe Reader to open PDFs on this site. Update provider demographics. A flu shot protects you and those you love. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Contact Ambetter from Meridian at 1-833-993-2426 Find and enroll in a plan that's right for you. At the end of the day, our job is to make yours easier. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Plus, its no cost for members. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Regardless of plan, Ambetter from Superior HealthPlan provides a variety of additional services and benefits to help members get the most out of their coverage: Superior HealthPlan has been serving Texas since 1999 and currently serves more than 1.7 million people across its Medicaid, CHIP, Medicare and Ambetter plans. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). For the most updated information or to re-enroll, please visit, Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP, Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies, Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville, Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success, Provider Notice of Adverse Benefit Determinations, Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnerships (TMHP) Eligibility Verification Issues, Ambetter from Superior HealthPlan - Provider Resources, Allwell Qualified Medicare Beneficiaries FAQ (PDF), Balance Billing: Superior Medicaid and CHIP (PDF), Balance Billing: Wellcare By Allwell and STAR+PLUS MMP (PDF), Superior HealthPlan Telemedicine Quick Reference Chart (PDF), TurningPoint Procedure Coding and Medical Policy Information (PDF), Ontrak Program Service Claims - Frequently Asked Questions (PDF), EVV Compliance Job Aid for Consumer Directed Services Employers (PDF), EVV Compliance Job Aid for Program Providers and FMSAs (PDF), EVV Provider Compliance Requirements (PDF), HHS EVV Aggregator and EVV Portal Webinar (PDF), HHS EVV Provider Stakeholder Presentation (PDF), HHS EVV Responsibilities and Additional Information, 1718 Form (PDF), HHS EVV Temporary EVV Policies for Severe Winter Weather (PDF), HHS EVV Temporary Policies for COVID-19 (PDF), HHS EVV Vendor Selection for Cures Act EVV Expansion (PDF), HHS EVV Tool Kit - EVV Visit Maintenance and Transactions (PDF), HHS EVV Tool Kit Module 1 - Introduction to EVV (PDF), HHS EVV Tool Kit Module 2 - EVV Roles and Responsibilities (Part 1) (PDF), HHS EVV Tool Kit Module 3 - EVV Roles and Responsibilities (Part 2) (PDF), HHS EVV Tool Kit Module 4 - EVV Visit Transactions (PDF), HHS EVV Tool Kit Module 5 - EVV Visit Maintenance (PDF), HHS EVV Tool Kit Module 6 - EVV Process Flow (PDF), HHS EVV Tool Kit Module 7 - EVV Aggregator and Portal (PDF), HHS EVV Tool Kit Module 8 - Submitting an EVV Claim (PDF), HHS EVV Tool Kit Module 9 - EVV Portal Standard Reports and Search Tools (PDF), HHS EVV Tool Kit Module 10 - EVV Visit Transaction Validation Enhancements (PDF), HHS EVV Tool Kit Module 11 - Summary of EVV Changes (Part 1) (PDF), HHS EVV Tool Kit Module 12 - Getting Started - Next Steps (PDF), HHS EVV Tool Kit Module 13 - EVV Training Requirements (PDF), HHS EVV Roadshow Instructor-lead Training Schedule, Summer-Fall (PDF), HHS EVV Tool Kit Module 14 - EVV Compliance Oversight Policies (PDF), HHS EVV Tool Kit Module 15 - Best Practices to Avoid EVV Claim Mismatches (PDF), TMHP Electronic Visit Verification (EVV) FAQ (PDF), Visit Maintenance Unlock Request for Program Provider and FMSA (Excel), Visit Maintenance Unlock Request for Consumer Directed Services Employers (Excel), Drugs of Abuse and Genetic/Molecular Diagnostic Testing Prior Authorization Notice (PDF), Drugs of Abuse Prior Authorization Code List (PDF), Preferred DME Supplier (Medline) FAQ (PDF), Preferred DME Supplier (Medline) Supplies Available without Prior Authorization List (PDF), Prior Authorization List - Medicaid (PDF), Skilled Nursing Requirements Checklist (PDF), Vehicle Modification Request Packet - STAR+PLUS(PDF), Vehicle Modification Request Packet - STAR+PLUS Medicare-Medicaid Plan (MMP)(PDF), Addendum to Billing Methodology for PDN Multiple Ratio with Hospital Admission Event (PDF), Billing Guide for Member to Nurse Ratios (PDF), Medical Criteria, Parameters for Medically Necessary Hours and Exceptions Process (PDF), Private Duty Nursing Requirements Checklist (PDF), Nusing Facility Credentialing Frequently Asked Questions (PDF), Acute Care and Hospitals Quick Reference Guide (PDF), Case Management for Children and Pregnant Women (CPW) Quick Reference Guide (PDF), Centers for Medicare & Medicaid Services Website Resources (PDF), Direct Payment Program Frequently Asked Questions (PDF), FQHC Payment Process Quick Reference Guide (PDF), HEDIS Guidelines for Monitoring for Patients on PersistentMedications (PDF), Ophthalmology Quick Reference Guide (PDF), Rural Health Clinic (RHC) Billing Guidelines - Quick Reference Guide (PDF), STAR+PLUS Long-Term Services (LTSS) and Supports Rate Guide (PDF), STAR+PLUS LTSS Quick Reference Guide (PDF), STAR+PLUS MMP Quick Reference Guide (PDF), Superior Pharmacy Quick Reference Guide (PDF), Wellcare By Allwell Quick Reference Guide (PDF), Wellcare vs. Wellcare By Allwell Guide (PDF), Early Childhood Intervention - Individualized Family Service Plan Information (PDF), Therapy Fee Schedule for Comprehensive Outpatient Rehabilitation Facility (Effective 9/1/17) (PDF), Therapy Fee Schedule for Home Health (Effective 9/1/17) (PDF), Therapy Fee Schedule for Individual Therapist Group (Effective 9/1/17) (PDF), Therapy Prior Authorization Requests: Clinical Documentation Criteria Quick Reference Guide (PDF), HHS Provider Notice: Texas Health Steps Document Improvement (PDF), HHS Texas Health Steps Information Flyer (PDF), Texas Health Steps Clinical Record Review Tool (PDF), Texas Health Steps Clinical Record Review Tool and Instructions, Texas Health Steps Medical Checkup Components and Provider Reference Guide (PDF), Texas Health Steps Online Provider Education, Texas Health Steps Regional Provider Relations Representatives Contact List, Texas Health Steps Quick Reference Guide (PDF), Guidelines on After Hours Telephone Accessibility (PDF), National Kidney Foundation - Chronic Kidney Disease (CKD) Risk Assessment Tool (PDF), HHS Early Childhood Intervention Services, HHS Policy Clarification:Span of Coverage (PDF), Prenatal Screening for Domestic Violence and Substance Use, Submit Attestations Online for Chronically Ill Members, Texas Health and Human Services Provider Fraud Notice (PDF), The Attorney General of Texas Initiative Combatting Sexual Exploitation (Human Trafficking), For the most recent EVV updates, please visit. Aetna Better Health of Texas complies with applicable federal civil rights laws and does not discriminateon the basis ofrace, color, national origin, age, disability or sex. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Or choose Go on to move forward to the main Aetna Medicaid website. Your area isn't covered? As part of the nations No. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. If you are a Medical Professional or Behavioral Provider, please select the appropriate option in the dropdown menu and log in to or register for your secure portal. Download the free version of Adobe Reader. Discover all the ways you can manage your coverage. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Join Ambetter show Join Ambetter menu You will need Adobe Reader to open PDFs on this site. All rights reserved. That way, you can focus on your patients. Texas residents interested in learning more about Ambetter from Superior HealthPlan or enrolling in a health plan during the open enrollment period may visit https://ambetter.superiorhealthplan.com/.

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