Providers. Programs. Enhanced Primary Care. Pharmacy Residency Program. Physicians’ Academy. Specialty Testing Labs. Practice Transformation Services. Support Your CDPHP Patients. Substance Use Disorder Webinar.Discover all the value-added benefits of being a member of a CDPHP health insurance plan.Create Your CDPHP Provider Account. All fields required unless otherwise noted. In a few minutes, you'll be able to: View payments . Search members and eligibility . Search …The CDPHP Top Doctors report is generated using health care data at the practice level, which is why we include office names and locations. We would be happy to assist you with finding a provider at one of these offices. Please visit findadoc.cdphp.com or you may contact CDPHP member services at the number on your member ID card.The Landmark in-home visits are designed to support your efforts to keep your most complex patients healthy at home; they do not replace your office-based care. If one or more of your patients is targeted for inclusion in this program, you will be notified and kept updated on the services delivered. Landmark will work closely with you to help ...Provident Financial Services is reporting earnings from Q2 on July 29.Analysts expect Provident Financial Services will report earnings per share ... On July 29, Provident Financia...or toll-free 1-844-213-8846 Monday through Friday, 8 a.m. to 5 p.m. The goal is to prepare your practice for the transition to value-based care and increase your eligibility for outcome-based payments.Email customer support. Meet with a CDPHP customer service representative for in-person assistance. Shoot us an email and we’ll return your note within 24 hours. Talk to a seasoned customer support specialist. Maps and directions to our in-person service locations. Download the top forms and documents you need to access your benefits.The secure provider site offers you convenient, around-the-clock access to data on member eligibility, claims status, practice guidelines, and much more. Forms & Documents Quickly locate and download any forms you need to get your job done.Prescription Drug Information We make it easy for you to get the prescription drug information you need to work with your patients. Check out these links for the latest details on formulary updates, specialty pharmacies, Medicare, prescription forms and our mail-order program. The OTC benefit offers you an easy way to get OTC health and wellness products by visiting one of thousands of retail locations. You can also order by phone at 1-877-200-3449 or online at cdphp.nationsbenefits.com. You order from a list of approved OTC items, and they'll be shipped right to your door. The CDPHP EFT Enrollment Hub enables you to enroll in electronic funds transfer (EFT) processing for all participating plans in one simple and easy-to-use portal at no cost to providers. Please contact your financial institution to arrange for the delivery of the CORE (Committee on Operating Rules for Information Exchange)-required Minimum CCD+ ... Please note, by providing your telephone number and/or email address, you are consenting to be contacted by CDPHP. Join Our Team We’re looking for well-qualified, talented individuals who can complement our growing CDPHP family and reflect our core values. We would like to show you a description here but the site won't allow us.We would like to show you a description here but the site won’t allow us.Health Insurance Options. From traditional employer group, individual and government health plans, CDPHP ensures your health insurance needs are covered with our health plans. And no matter which plan you choose, you can have confidence knowing you have a plan that is compliant with the Affordable Care Act (ACA) regulations.Mandatory Medicaid Compliance Program. Resize text. NYS Social Services Law (SOS) § 363-d and Title 18 of the New York Codes, Rules and Regulations (Subpart 521) require CDPHP and its Medicaid participating providers to implement and maintain effective compliance programs at detecting fraud, waste, and abuse in the NYS Medicaid program.Doctor On Demand has mental health professionals available by appointment from the comfort of your home via live video. A variety of therapists with different backgrounds and specialties can provide talk therapy, medication management, and more, to support your full mental wellbeing. Common concerns: Anxiety. Depression. Postpartum. Relationships.Visit the CDPHP customer support page for all of our contact information and customer service numbers.> Log into the secure CDPHP provider website > In the left-hand margin, select the Resources tab > Under Resources, select Payment Policies. ... • Providers who do not have access to the secure provider site may contact the CDPHP provider services department at 1-800-926-7526 or (518) 641-3500 to request access or to have the information ...CDPHP Partner Connection Customer Secure Login Page. Login to your CDPHP Partner Connection Customer Account.Get Your Job Done. Resize text. Quick. Easy. Painless. We take the pain out of paperwork so you can spend your time doing what you do best, caring for patients. Avoid Provider Scams. Every year, as much as $100 billion is stolen from insurance companies through provider scams and illegal medical charges.CDPHP is proud to partner with the nation's top-rated telemedicine app to offer members access to live, video-based doctor appointments 24/7. These board-certified physicians treat a wide variety of common medical issues, including coughs, fevers, migraines, pink eye, rashes, sprains, and more. To find out if these services are covered by ...CDPHP ensures your health insurance needs are covered with our health plans. Affordable high-quality coverage with commercial and government-sponsored plans to serve our members in New York state. ... Providers. Brokers. Find-A-Doc Find a doctor, specialist, pharmacy, urgent care center, or other care facilities. Search Now. News & Events. 5 ...Enroll in person. Call (518) 641-3400 (TTY: 711) to check the schedule for a potential time and place that is convenient and safe for a face-to-face meeting with a knowledgeable CDPHP representative. Named a Best Insurance Company - Medicare Advantage 2024 in New York by U.S. News & World Report. Every year, Medicare evaluates plans based …CDPHP Health Funding Department: Mon. - Fri. 8 a.m. to 5 p.m. (518) 641-3770. CDPHP administered accounts: Member Resources: Members with HealthEquity administered accounts: member.cdphp.com Once you're logged in, you'll be able to connect with your HealthEquity account (s).By completing a release of information form, you're empowering a family member, friend, or other trusted individual to access your health information. This form is especially helpful for college students 18 and older, or seniors who get a little extra help from an adult child or other family member. The form - which can be found online in ...Providers. Programs. Support Your CDPHP Patients. Formulary. CME Event: Earn up to four CMEs by attending these physician-led webinars on treating opioid, tobacco, and alcohol use disorders. CDPHP is partnering with aptihealth to improve access and speed to comprehensive behavioral health care services in our community.9 Feb 2024 ... The CDPHP network now stands at more than one million providers nationwide. Members enjoy access to a suite of digital health care cost ...Multi-Factor Authentication User Log In. Username. Username required. Password. Password required ...Provider Broker Languages; Call CDPHP Site Search Search. Toggle navigation. Sign in. Sign In. Members. ... Are you a current CDPHP member or business owner? Your contract is available to you anytime in the secure site. Log in to view your plan's specific contract. Join Our Team. We're looking for well-qualified, talented individuals who can ...Create an Account. Check eligibility and benefits for members. Review claim status and request claim adjustments. View fee schedules, policies, and guidelines. Manage practice information, access staff training and complete attestation requirements. Not a participating provider?1-888-320-9584. Mon. - Fri. 8 a.m. to 6 p.m. Claim submission and correspondence address: 500 Patroon Creek Blvd. Albany, NY 12206. Find the right customer support number and call CDPHP today.Register for the secure provider site to access details on claims status, member eligibility, and more. Search members and eligibility, view member medical, pharmacy and dental plan information, search claims and view claim processing status, submit online claim review request, and more.Managing your health plan should be as simple as possible. With our safe and secure site, you can quickly and easily take care of business. Implementation Resource Center. Access all of the information you need to set up or renew a funding account or service. Visit CDPHP for employer resources to help you understand your health insurance plan.Register as a CDPHP member and enjoy access to high-quality health plans, fitness reimbursements, prescription drug coverage, and more.CDPHP is proud to partner with the nation’s top-rated telemedicine app to offer members access to live, video-based doctor appointments 24/7. These board-certified physicians treat a wide variety of common medical issues, including coughs, fevers, migraines, pink eye, rashes, sprains, and more. To find out if these services are covered by ...Forgot Your Username. Your Username will be sent to the email registered to your account. If you are not a Provider, please go to CDPHP.com to login.Providers | CDPHP - CDPHP. CME Event: Earn up to four CMEs by attending these physician-led webinars on treating opioid, tobacco, and alcohol use disorders. Register. Find out who made the list and read inspiring stories about the area's most well-respected physicians. CDPHP is partnering with aptihealth to improve access and speed to ...CAQH ProView is the leading online platform for providers to self-report and share their professional and practice information with health plans and other organizations. CAQH ProView helps you streamline the credentialing process, reduce administrative burden and keep your data up to date. Sign in to access your profile and manage your data.Obtain Bill Status and EOB. NYSIF has an online medical provider portal for providers to check the status of submitted bills and obtain an electronic explanation of benefits for payments received from NYSIF. To safeguard the privileged information of both you and the claimant, obtaining EOB and bill payment information requires a secure login and an authentication procedure.Check eligibility details for MVP Health Care members. Log in with your Tivoli credentials or register as a new provider. GoHealth with MVP.Enjoy a free hearing test and low copays for hearing aids. CDPHP is an HMO, PPO, and HMO SNP plan that contracts with the federal government. Enrollment in CDPHP Medicare plans depends on contract renewal. Based on a Model of Care review, Capital District Physicians' Health Plan, Inc. has been approved by the National Committee for Quality ...Forgot Your Username. Your Username will be sent to the email registered to your account. If you are not a Provider, please go to CDPHP.com to login.Some content on this website is saved in PDF format. To view these files, download the following free software. Get Adobe® Reader® to view PDF's © 2019 Versant ...Members. Get select medications delivered at no extra cost from Optum Home Delivery. Online activities, tools, and resources tailored to your lifestyle. Find and compare options. We have the resources to support your mental health care needs. Get the care you and your family needs at every stage of life. Our case management team is here to help ...CDPHP Formulary 2. Formulary 2 is the list of drugs available to CDPHP members with small group, individual coverage, or essential plan. Search by Drug Name — Formulary 2. Formulary 2 Updates — a list of the most recent changes. Full Formulary 2 — details on tier status, prior authorization requirements, and quantity limits for select drugs.Call CDPHP at 1-800-388-2994 if you have questions about a medical dental issue, such as fracture repair, tumor removal, or treatment of accidental injury. Call Delta Dental at 1-800-542-9782 to: Find a dentist near you. Request a paper copy of network dentists. Ask for help setting up an appointment. Refer a dentist you currently see, who is ...CDPHP is an HMO, PPO, and HMO SNP plan that contracts with the federal government. Enrollment in CDPHP Medicare plans depends on contract renewal. Based on a Model of Care review, Capital District Physicians' Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate a Chronic or Disabling Condition ...Customer Connect locations are in your neighborhood. At CDPHP Customer Connect SM, you can meet with a health care advocate to explore your health benefit options and get help with a host of issues, including those listed below: Answers to benefit and claims questions. ID card requests. Learn about Medicare. Sign up for health insurance.CDPHP®Utilization Review Prior Authorization/Medical Exception Form. Fax or mail this form to: CDPHP Utilization Review Department, 6 Wellness Way, Latham, NY 12110 Fax: (518) 641-3207 • Phone: (518) 641-4100. Please note: If the requiremen t for prior authorization for a particular service or procedure has been removed by CDPH P, there is ...1-888-320-9584. Mon. - Fri. 8 a.m. to 6 p.m. Claim submission and correspondence address: 500 Patroon Creek Blvd. Albany, NY 12206. Find the right customer support number and call CDPHP today.Surprise Launches Season 8. 3/27/2024 Courage to Care: Path to an Opioid-Free Future. 2/28/2024 CDPHP is a "Best Company to Work for in New York," 16 Years Running. 2/15/2024 Lace Up and Hit the Pavement! Registration Is Now Open for the 2024 CDPHP Workforce Team Challenge. New season includes more bikes, more locations, and more adventures!About The Academy Created in 2004, the Physicians' Academy was established as a means of harnessing the energy and excellence of the CDPHP physician network to shape and improve the future of health care in our service area.carrier is a commercial carrier. CDPHP will assume primary payment and continue to pursue the other com-mercial coverage. c. If CDPHP has paid primary and evidence of other commercial coverage is confirmed retroactively, a letter is sent to the provider as notification that the other commercial carrier is primary. This will be tracked for 120 daysCDPHP members have access to the national network of providers. Access CDPHP's Find A Doc tool to search for providers and 24/7 access to plan information via the My CDPHP app on a smartphone. ... All offered CDPHP Medical Plans include Prescription coverage administered by Capital Rx. Covered members can always access prescription benefit ...In today’s digital age, having reliable and affordable connectivity is more important than ever. With so many options available, it can be overwhelming to choose the right provider...Need more expert help? NationsBenefits member experience advisors are ready to serve you from 8 a.m. - 8 p.m., seven days a week at cdphp.nationsbenefits.com or 1‑877‑200‑3449. Prepaid Benefits Mastercard offered with individual CDPHP Medicare Advantage plans only. Please check your plan details for more information.aptihealth information siteDoctor On Demand has mental health professionals available by appointment from the comfort of your home via live video. A variety of therapists with different backgrounds and specialties can provide talk therapy, medication management, and more, to support your full mental wellbeing. Common concerns: Anxiety. Depression. Postpartum. Relationships.The secure provider site offers you convenient, around-the-clock access to data on member eligibility, claims status, practice guidelines, and much more. Forms & Documents Quickly locate and download any forms you need to get your job done.Completed forms can be mailed to: CDPHP, 500 Patroon Creek Blvd., Albany, NY 12206-1057. Accounting of Disclosures Request Form for Members. Claims Reimbursement Form - Dental, Vision & Medical. Coordination of Benefits. Delta Dental - Pediatric Dental Coverage Attestation Form for Members.Create Your CDPHP Provider Account. All fields required unless otherwise noted. In a few minutes, you'll be able to: View payments. Search members and eligibility. Search claims and view status. Need Help? Dial ( 518) 641-3500 or1-800-926-7526.Virgin Pulse is the leading global digital-first health and wellbeing company that helps you improve your health, happiness and performance. Log in to Virgin Pulse to access personalized programs, rewards and incentives, and connect with a supportive community of peers and experts.Access CDPHP Employers' page to quickly find the tools you use most to manage your CDPHP accounts. Not a Employer ? I am a: Member Provider ... Members now have access to one of the largest provider groups in the Hudson Valley, with more than 400 providers at more than 15 practice locations. Get a quote. Review your options in minutes.27 Jan 2020 ... ER Anywhere is a new and unique alternative to the ER, providing real-time access to emergency medical providers in minutes, rather than hours.CPT codes, descriptions and data copyright ©2023 American Medical Association. Node:bclrprvappp1002.corp.bcbsal.org:8080<iframe src="https://www.googletagmanager.com/ns.html?id=GTM-KZ222M" height="0" width="0" style="display:none;visibility:hidden"></iframe>Member Services. If you're currently a CDPHP member with questions about your Medicare eligibility, claims or coverage - not related to Part D or the Medicare gap - contact CDPHP: (518) 641-3950 or toll free 1-888-248-6522 TTY/TDD: 711. Monday - Sunday, 8 a.m. to 8 p.m. Mailing Address. CDPHP Medicare Advantage Enrollment. CDPHP offers Medicaid coverage to members in the counties identified in the map below. Eligibility. Individuals may qualify if they are an adult between the ages of 19 and 64, pregnant or have an infant, a child between the ages of 1 and 18, a parent or caretaker, age 19 or 20 and live with a parent, part of the Family Planning Program, or not ... CDPHP ensures your health insurance needs are covered with our health plans. Affordable high-quality coverage with commercial and government-sponsored plans to serve our members in New York state. ... Providers. Brokers. Find-A-Doc Find a doctor, specialist, pharmacy, urgent care center, or other care facilities. Search Now. News & Events. 7 ...We would like to show you a description here but the site won’t allow us.Provider Broker Languages; Call CDPHP Site Search Search. Toggle navigation. Sign in. Sign In. Members. Employers. Providers. Brokers. ... CDPHP PO BOX 5525 Binghamton, NY 13902-5525 . You can mail your overnight payment by check to: JPMorgan Chase ATTN: CDPHP LBX 5525 33 Lewis Rd Binghamton, NY 13905.Enter your CDPHP Provider number. Leave the next line blank. Section 1. Enter your Business Name, Tax ID, and the address your Paper Remits go to. Section 2. Enter the contact information for the main Business Contact in your office. Section 3. Enter your Technical Contact information, if other than the Business Contact you entered above.CDPHP will then report the recovery to the OMIG and NYS Department of Health in accordance with the terms of our contract with the department. To report an overpayment you must take the following steps: Notify CDPHP by completing the Provider Review Form. by calling (518) 641-3500 or 1-800-926-7526.Use CDPHP Price Check to get estimated costs on a range of health care services. Hover over Benefits & Treatment Costs at the top of the page and click Medical Cost Estimate. You'll now be able to search different services and compare pricing before you choose a provider. No. 5: Access the CDPHP Health Hub, powered by Virgin PulseLogin to Medi-Cal. User ID. Password. Services Available. Login Help. WARNING: This computer system is for official use by authorized users and may be monitored and/or restricted at any time. Confidential information may not be accessed or used without authorization. Unauthorized or improper use of this system may result in administrative ...About this app. arrow_forward. View and track your CDPHP health care coverage on the go! Access important information and make the most of your benefits. - Easily check coverage for health care services. - Quickly see claims that have been filed and processed. - Track any out-of-pocket spending. - Get a medical cost estimate before you have ...The Benefits of Registering for the Secure Provider Site. The secure provider site offers you convenient, around-the-clock access to: Search members and eligibility. View member medical, pharmacy and dental plan information. Search claims and view claim processing status. Submit online claim review request. Access code auditing guidelines.To help you get familiar with the Provider Portal, we provide online resources including a user guide, quick reference and answers to frequently asked questions. For additional questions or concerns regarding the Provider Portal, please contact the Provider Portal Support Specialist at 831-430-5518. The Alliance's Provider Portal offers quick ...network status of providers within the health care system. Effective March 31, 2015, New York state law requires doctors and hospitals to more clearly ... CDPHP will provide greater detail in certain approval notices by indicating where the requested services are considered in network or out of network. Additionally, the notices will estimate theAccess CDPHP Brokers' page to quickly find the tools you use most to manage your CDPHP clients. Not a Broker ? I am a: Member Employer Provider Languages; Call CDPHP Site Search Search. Toggle navigation ... Members now have access to one of the largest provider groups in the Hudson Valley, with more than 400 providers at more than 15 practice ...Receive mental health support, from licensed professionals, through your phone or computer. Valera Health provides you with therapists and doctors who are right for you. Valera’s highly skilled health coaches, therapists, and psychiatrists work together to provide treatment that is comprehensive, coordinated, and tailored to your needs.In the future, contact payers directly regarding your EFT information and enrollment. If you work with any of the following payers, please reach out to them here: CDPHP or Provider Services: (518) 641-3500 and (800) 926-7526 M-F 7:30-5:00 EST. Jai Medical Systems or call the Provider Relations Department at 410-433-2200.Cost savings and a choice of dentists. Your Delta Dental PPO plan offers a large network of dentists plus savings on out-of-pocket costs for covered services. Save the most when you visit a Delta Dental PPO dentist. You're free to visit any licensed dentist. You pay only a percentage of the dentist's fee for covered services.Multi-Factor Authentication User Log In. Username. Username required. Password. Password required ...Your session has expired. Sign Back InReceive mental health support, from licensed professionals, through your phone or computer. Valera Health provides you with therapists and doctors who are right for you. Valera's highly skilled health coaches, therapists, and psychiatrists work together to provide treatment that is comprehensive, coordinated, and tailored to your needs.Our 15-member board of directors, which includes eight physicians, works closely with CDPHP ® community members to deliver affordable, high-quality, and hassle-free health coverage. The CDPHP ® network has more than 10,000 providers and practitioners – and also offers access to thousands of top physicians across the country.Behavioral Health Concurrent Review. Behavioral Health Prior Authorization. Autism Spectrum Testing Request Form. 2024 Medicare Coverage Determination Request Form. Pharmacy/Medication Prior Authorization Request Form. Individualized Service Recommendation: PROS Admission Request. Psychological and Neuropsychological Testing Request.The secure provider site offers you convenient, around-the-clock access to data on member eligibility, claims status, practice guidelines, and much more. Forms & Documents Quickly locate and download any forms you need to get your job done.Returning User Login. Username Password Forgot Username/Password? Sign In. Reminder: In order to create a new account see below Account Creation Guide. Please note the Provider Portal site is best viewed using Google Chrome or Microsoft Edge.
We would like to show you a description here but the site won’t allow us.. Crop pdf in bluebeam
CDPHP offers Medicaid coverage to members in the counties identified in the map below. Eligibility. Individuals may qualify if they are an adult between the ages of 19 and 64, pregnant or have an infant, a child between the ages of 1 and 18, a parent or caretaker, age 19 or 20 and live with a parent, part of the Family Planning Program, or not ...A list of Spectera vision providers is available using the Provider Quick Search function on MySpectra.com. Entering a ZIP code returns a list of local Spectera vision providers.Getting started with the Personal Health Assessment. The personal health assessment (PHA) was created to help you understand how your own actions can influence your state of health. You will be asked questions about a wide range of topics. We will use your answers to create an action plan for better health.Call the Behavioral Health Access Center at 1-888-320-9584, Monday through Friday, 8 a.m. to 6 p.m. to verify eligibility and benefit information prior to rendering care for your patients. Participating providers can log into the secure provider portal at any time to view the Provider Office Administration Manual and CDPHP policies.Simply click on Register in the login area at the right of the screen. This will take you to a registration page where you can choose a user ID and password. Help us maintain a secure environment. The privacy and security of member and employer information is of the utmost importance to CDPHP. To safeguard the secure data in our system, please ...CDPHP ensures your health insurance needs are covered with our health plans. Affordable high-quality coverage with commercial and government-sponsored plans to serve our members in New York state. ... Providers. Brokers. Find-A-Doc Find a doctor, specialist, pharmacy, urgent care center, or other care facilities. Search Now. News & Events. 7 ...CDPHP Cycle! is the Capital Region's bike-share program! The season is subject to change based on weather, but typically kicks off in April and ends in November. More than 400 bikes are available at more than 80 stations across the Capital Region and beyond. CDPHP members receive $5 off all CDPHP Cycle! purchases by using the discount code ...CDPHP Customer Connect at 6 Wellness Way, Latham is now open! Online activities, tools, and resources tailored to your lifestyle. Find and compare options. We have the resources to support your mental health care needs. Get the care you and your family needs at every stage of life.We would like to show you a description here but the site won't allow us.Getting started with the Personal Health Assessment. The personal health assessment (PHA) was created to help you understand how your own actions can influence your state of health. You will be asked questions about a wide range of topics. We will use your answers to create an action plan for better health.CDPHP Care Advantage (HMO C-SNP) Provider Education. Resize text. CDPHP is launching a new Chronic Special Needs Plan (C-SNP) to serve beneficiaries residing in the Capital District (Albany, Rensselaer, Saratoga, and Schenectady counties) who have one or more of the following conditions: Diabetes mellitus. Chronic heart failure (CHF)Payment Modes. "California Department of Public Health (CDPH) - Genetic Disease Screening Program (GDSP) has an agreement with Sutherland Healthcare Solutions (SHS) as the call center for prenatal and newborn screening to perform various services related to patient billing, payment collections, claims appeal, and customer service.".Working With CDPHP. Disaster Response Policy. Safe Opioid Prescribing. Update Your Information. Office Administration. Forms & Documents. Provider FAQs. Newsletters. Network in the Know.Your session has expired. Sign Back InAfter-Hours Crisis Hotline 1-888-320-9584. As a CDPHP member, you have access to licensed mental health professionals who can offer emotional support, crisis de-escalation, and assistance in connecting with providers and resources, free of charge. You can call this number on evenings and weekends, and will be transferred to a live, licensed ...Thank you for creating your CDPHP Provider account. Please check your email for a confirmation link to activate your account and access the provider portal. If you don't receive the email, please check your spam folder or contact us for assistance.CDPHP ensures your health insurance needs are covered with our health plans. Affordable high-quality coverage with commercial and government-sponsored plans to serve our members in New York state. ... Sign In. Members. Employers. Providers. Brokers. Find-A-Doc Find a doctor, specialist, pharmacy, urgent care center, or other care facilities ...CDPHP ® is proud to announce a new laboratory benefit management program in collaboration with Avalon Healthcare Solutions (Avalon).CDPHP genetic testing policies will be enforced by Avalon through prior authorization starting January 18, 2022.. Providers of laboratory services (both referring and performing) will need to be aware of this new program, as collectively we have an obligation to ...Receive mental health support, from licensed professionals, through your phone or computer. Valera Health provides you with therapists and doctors who are right for you. Valera’s highly skilled health coaches, therapists, and psychiatrists work together to provide treatment that is comprehensive, coordinated, and tailored to your needs.It’s simple to apply to the CDPHP provider network online: Step 1: Review these important documents – Practitioner Statement of Rights, Practitioner Qualifications, and Access and Availability Standards. Step 2: Make sure your CAQH profile is up-to-date. CDPHP will review and verify your credentials, including your licenses, certifications ....
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