transportation & accommodation...
TRANSCRIPT
Transportation & Accommodation Services
July 2020
2
Overview
• Provider Requirements
• Provider Responsibilities
• Covered Services
• Voucher Completion
• Claim Submission
• Online Claim Submission
• Paper Claim Form
• Electronic Billing
• Attachments
• Claims Denial
• Additional Information
3
Provider Requirements
4
Provider Participation Requirements
All Providers
• All licenses and credentials must remain current to maintain an active
provider enrollment
• All providers must follow all applicable state and federal law requirements
Provider-Specific
• Bus, Taxi and Wheelchair Vans: valid business license and proof that local
transportation requirements have been met
• Ground Ambulance: Emergency Medical Services (EMS) certificate or
other ambulance license, and business license
• Air Ambulance: air ambulance airline license specifically for air ambulance,
and business license
• Hotel/Motel: business license, fire/safety inspection report, food service
permit if applying to provide meals as well
Provider Enrollment
For further enrollment
instructions and to submit an
application, visit:
https://medicaidalaska.com/p
ortals/wps/portal/Enrollment
You can also contact the
Provider Enrollment
department at 907.644.6800,
option 2
5
Provider Participation Requirements (cont.)
Out-of-State Providers
• Providers offering transportation services outside the state of Alaska must hold all
certificates and licenses required by law in the state that services are provided
Non-Enrolling Providers
• The provider types listed below do not directly enroll with Alaska Medical Assistance.
Their services are arranged and billed through the Medicaid Travel Office, either CTM or
the Tribal travel agency that arranged the travel:
‒ Commercial and charter air carriers
‒ Ferry
‒ Train
6
Provider Responsibilities
7
Provider Responsibilities
Transportation/Accommodation Provider must:
• Follow all applicable Medicaid service and payment regulations when submitting claims for
Medicaid reimbursement
• Be an Alaska Medicaid enrolled provider for the specific services provided
• Verify identity of member (patient) and their approved escort, if applicable
‒ Identity of member and escort must match approved AK-04 forms provided by the
member
• Verify member eligibility for the current month
‒ Review and photocopy Member Eligibility Coupon/Card; benefit month reads as MMYY
or MM/DD/YYYY depending on source
‒ Call Automated Voice Response system at 855.329.8986
‒ Check eligibility online at www.medicaidalaska.com under Member>Eligibility
‒ Call Provider Inquiry at 907.644.6800, opt. 1 or 800.770.5650, opt 1,1
8
Member Eligibility
9
Recordkeeping
• Recordkeeping requirements are documented in the Provider Agreements
• Although most recordkeeping requirements are consistent for all providers, some requirements are provider-
type specific
• Providers must maintain complete and accurate clinical, financial, and other relevant records to support the
care and services for which they bill Alaska Medical Assistance for a minimum of 7 years from the date of
service
• Documentation for transportation and accommodation providers includes original vouchers completed with
service details and any other documentation to support services rendered, such as:
– Hotel sign-in logs
– Transportation receipts or ride sheets
• Providers are subject to audits, reviews and investigations
Providers must ensure their staff, billing agents, and any other entities responsible for any aspect of records
maintenance meet the same requirements.
10
Covered Services
11
Service Authorization
• Service Authorization (SA) is required for all non-emergent travel services except non-
emergent ambulance services
• SAs must be obtained prior to travel for services to be covered
• SAs must be requested by the referring or receiving providers; members and travel
providers cannot request service authorizations
• SAs are documented on AK-04 travel vouchers by medical providers or care coordinators
and given to Medicaid members to give to transportation and accommodations providers
12
Accommodation Services
• Includes lodging and, where available, food up to the maximum daily rate for the
eligible member, their escort, or both
‒ Members and escorts are expected to share a room
‒ Multiple hotel units will not be authorized for the member and escort during the
same overnight stay
• Authorized only in conjunction with medical transportation while member is receiving
medical care at a facility outside of their community of residence
• Not authorized if round-trip transportation is available and can be completed the
same day
• Alaska Medicaid covers only the basic room rate
• The department will pay a single rate per night, regardless of the number of
individuals staying in the room
• The department will not pay for separate rooms and will not pay a higher rate for
double occupancy
Members Keep In Mind!
• Non-essential
expenses (tips for
services, phone calls,
pay-per-view, room
service, etc.) are not
covered and are the
member’s
responsibility
• Lodging providers may
require credit card or
deposit to secure
room if that is the
provider’s policy
13
Meal Services
• Meals are reimbursed at actual cost per meal not to exceed a total of $36 per
person per authorized day
• Not all lodging providers offer meals
‒ Food is covered when provided by an enrolled lodging provider
14
Pre-Maternal Home Accommodations
• Rate includes lodging, meals, and medically-related transportation (where available) for
eligible pregnant Medical Assistance members
• Authorized only when member is receiving medical care at a facility outside of their
community of residence
• Intended for members awaiting delivery of child or for short-term care of mother and infant
as authorized
– Eligible members include pregnant women and infants under the age of 1 year
• All services require prior service authorization
• Pre-maternal home stays are not to exceed 30 days prior to delivery
– Any days beyond 30 require physician’s medical justification
15
Non-Emergency Ground Transportation
• Methods include:
– Non-emergency ambulance
– Wheelchair van
– Taxi/shuttle service
– Bus
• Non-emergent ground ambulance does not require prior authorization, but medical justification must be
submitted with the non-emergent ground ambulance claim
• Taxis, shuttles, buses and wheelchair vans must be authorized in advance and documented on a travel
voucher
• Type of transportation authorized is based on need and availability
• Ground transportation is covered only for medical purposes, not personal travel
16
Taxi/Shuttle/Bus Services
• Service authorization is always required but is not a guarantee of payment
• Taxi services may be used only to transport members (and authorized escorts if applicable) to a
medical appointment, the airport or other transportation hub, or lodging in connection with a medical
appointment
• Pharmacy pick-up stops are allowed immediately after medical appointments
• At the time of service, drivers must:
‒ Collect only one original voucher per member per trip at time of service
‒ Ensure voucher is complete, including member and authorization information, and has a valid
provider signature
‒ Verify identity of member (and escort, if applicable) and eligibility
‒ Record pick-up and drop-off locations per program recordkeeping requirements
NOTE: Vouchers that are copied, scanned/email, or faxed will not be paid.
17
Taxi/Shuttle/Bus Services
• Local rules covering taxi services and fees must be followed to qualify for Medicaid payment
‒ Exception: Medicaid will not pay for wait times
• Transportation providers may not charge more for services provided to Medicaid members than they
charge to all other riders
• Payment will be made for authorized services only
• Drivers may not submit more than one voucher per authorized person per trip
• To be eligible for payment, all drivers must include pickup and drop-off dates, times and locations in
the fields at the bottom of the voucher form
• Member and service information on the submitted claim must match information provided on the
original voucher
• As of June 15, 2020 and going forward, bus and wheelchair providers must obtain a separate voucher
for each destination to which a member is traveling; each ride is billed as a separate claim
18
Non-Emergent Ambulance
• Non-emergent ground ambulance services are covered only when a member’s medical
condition warrants transfer by ambulance between facilities
• Bill for the appropriate level of care provided during transport
– Advanced Life Support
– Basic Life Support
• If a ground ambulance transports the same member multiple times on the same day, bill a
separate claim for each trip
• Claims for non-emergent ground ambulance services must be submitted with:
– Pre-hospital care report attached to the claim
– Medical justification
– Any other supporting documentation related to the trip
19
Procedure Code Required on Nonemergency Ground Transportation Claims • Effective for dates of service on or after July 1, 2019, claims submitted by
nonemergency ground transportation providers must include the appropriate
provider-specific procedure code in field 24d of the CMS-1500 form or the
Procedure Code field in the Service Line Items area for Professional Format claim
submission:
• Procedure Codes for these provider types
– A0100- Taxi
– A0120 – Bus and Ferry
– A0130 – Wheelchair Van (urban)
– A0130 TN Wheelchair Van
20
Voucher Completion
21
Travel Vouchers
AK-04, Transportation Authorization and Invoice
• Transportation and accommodation providers should receive original travel vouchers
prefilled with all member and, if applicable, escort information
• All vouchers are original documents
• Each voucher will have its own serial number
• Payment will not be made for copied, scanned, emailed or faxed vouchers.
• Copied, scanned, emailed, or faxed vouchers will have the word VOID appearing in the
background
• Providers must complete all fields applicable to the specific service provided and retain
them as part of required documentation of services rendered
• Before accepting a voucher, please review to ensure that all required information is
complete and legible, and that the voucher is not a duplicate
22
23
Travel Voucher Completion • Patient name, date of birth, recipient ID # and sex should match information on the customer’s AK
Medicaid ID
• Eligibility Checked and Condition Related To fields should be completed
24
Travel Voucher Completion
• The Prior Auth. Number (Field 8) and authorizing individual (Field 10) must be completed for
transportation and accommodations providers to be reimbursed for services
• Address, phone number, EPSDT referral and signature fields should be completed for information on
the form to be complete
25
Travel Voucher Completion
• Origin and Destinations need to be cities, not specific
addresses
• Destination field should match the location where you are
providing services
• The date you are providing services should fall within the dates
in the Round Trip or be after the One Way date fields
• Ensure the voucher reflects the proper unit number and type of
services you are authorized to provide
‒ For example, if you are enrolled with AK Medicaid as a taxi
provider, and the units indicated are for a wheelchair van,
you would not be able to bill AK Medicaid for those units
• You would fill in your total charges for your services in the
Charges column
‒ Transportation providers would enter their total charge for
the transportation service they provided
‒ Lodging providers would document their total charges for all
the units of stay provided
26
Travel Voucher Completion
• If an escort is authorized, the Escort portion of the AK-04 will be
complete; otherwise, it should be very clearly “X”ed out over the
entire escort portion rendering that section void
• As for the Member section, make sure the date you are providing
services is within the dates in fields 15 and 16 and that the
voucher reflects the proper unit number and type of services you
are authorized to provide
• Complete the charges section as appropriate for the escort
27
Travel Voucher Completion
• The fields at the bottom of the form, shown below, are for the transportation and accommodation provider
to complete – medical providers should not enter their information in this area of the form
• Enter the actual date or dates you provided services in fields 26 and 27
• Enter your total charges in field 28, any amount other insurance paid in field 29, and the amount due in
field 30
• If you are using account, folio or ticket numbers to track accounts, enter them in field 31
05 13 2019 05 13 2019
$23.17 $23.17
Awesome Taxi Company
123 4th Ave, Anchorage, AK
907-123-4567
8675309
AK Heart Institute 5/13/19 3:15 Airport 5/13/19 3:40
28
Travel Voucher Completion
• Enter your provider name and information in the field indicated
• Enter your provider Medicaid ID number below your information and sign and date when indicated
• Transportation providers – you are required to fill in pick up and drop off locations, dates and times
05 13 2019 05 13 2019
$23.17 $23.17
Awesome Taxi Company
123 4th Ave, Anchorage, AK
907-123-4567
8675309
AK Heart Institute 5/13/19 3:15 Airport 5/13/19 3:40
29
Member Information
• The information on the back of the vouchers is
intended as travel information for members
• Print on the back of vouchers should be in black
ink
30
Documentation Reminders
• As a reminder, transportation and accommodation providers must fully and
accurately complete these forms for documentation purposes
• Records of services to AK Medicaid members must be retained for 7 years from
the date of service
• For more information on these topics, please consider attending our Guidelines for
Record Keeping provider class
31
Claim Submission
32
Claims Format Change
Claim submission methods are changing for transportation and accommodation providers!
• Prior to 6/27/2020, providers either used the AK-04 travel vouchers as claim forms, or submitted a
Transportation/Accommodations claim online in Health Enterprise
• Effective 6/27/2020:
– Transportation and accommodation providers must use the CMS-1500 format when submitting claims to
AK Medicaid; the Transportation/Accommodations claim form will no longer be accepted
– You can continue to use Health Enterprise to submit claims
– Submit only one voucher per claim; if you are billing for services documented on multiple vouchers,
each voucher’s services will need to be billed on their own claim
33
Claims Submission Methods
There are several billing options for submitting Professional format claims to
AK Medicaid
• Alaska Medicaid Health Enterprise Professional claim
• CMS-1500 paper claim form
• 837P Transaction (electronic claim using billing software)
– Companion Guide: http://medicaidalaska.com
– Implementation Guide (referred to as TR3): http://www.wpc-edi.com
34
Alaska Medicaid Health Enterprise
• Providers can submit claims through Alaska Medicaid Health Enterprise (“Health Enterprise”)
• Must be enrolled with AK Medicaid and have an account on the portal
• Accessed through www.medicaidalaska.com
• When you bill through Health Enterprise, in addition to billing, you can:
– Create templates for your commonly submitted claims
– Check claim status
– Adjust and void previously paid claims
– Use previously paid claims as the basis for new claims
35
Claims Method Transition
As claims processing transitions from the Transportation/Accommodations format to the Professional
format, there are certain things you should be aware of:
• Any templates you have set up in Health Enterprise in the Transportation/Accommodation claim type
will not transition to the new claim type – you will need to create new templates in the Professional
claim type
• You will be able to see claims submitted in the Transportation/Accommodation type online, but will not
be able to change or update them in any way
• You will not be able to adjust or void any claims that were submitted in the
Transportation/Accommodation claim type online. You will need to do these processes on paper.
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Resources for Billing
There are resources to help you with this new billing format!
• Transportation/Accommodations Services Fee Schedule
• Non-Emergent Transportation and Accommodations Provider Billing Manual
• CMS-1500 Claim Form Instructions for Transportation and Accommodation Providers
37
Online Claim Submission
Create New Claim
Starting on your Home page, hover over Claims, then over Create Claims and choose Create Professional Claim
38
39
Form View vs. 837 View
• There are 2 different views of the Health Enterprise claim form screens
• Form view is formatted to look like the CMS-1500 claim form and shows all fields in one continuous screen
• 837 view has the same fields but is formatted somewhat differently and organized in tab sections
‒ There are some selections you will need to make in 837 view, though most of the claim can be completed
in the CMS-1500 claim form view
• Providers may toggle between the views as needed
• The Switch View link in the upper right corner of the screen allows providers to change between the views
• Required fields are noted with an *
40
837 View Fields
• Click the 837 View link in the upper right of the screen in order to make the
following selections:
– Billing Provider same as Rendering Provider – indicate yes
– Is the service accident related? - indicate no
41
Void or Replacement Claim
• Leaving the answer set to No moves you forward in creating your new claim
• The following process may be used to adjust claims that were originally submitted through Health Enterprise
• If you want to adjust or void a previously paid claim, indicate Yes
– Select the Resubmission Type Code from the drop down box either Replacement or Void
– Enter the TCN you are replacing or voiding
• If you are adjusting a claim after 6/27/2020 that was originally submitted in the voucher format, you will have to
drop to paper to void or adjust the previous claim
42
Patient Information
• Enter the member information from the voucher form
• In the Release of Information Code field, select Yes, provider has signed statement
• In the Patient Signature Source Code field, select Sign by provider, patient not present
43
Third Party Liability
Select No for this question
44
Service Authorization Number
• Enter the SA number from the voucher into the Service
Authorization # field
• Enter the Voucher Control ID # in the Referral field
• The Voucher Control ID# is in the upper right corner of
the Travel Voucher form
• The Voucher Control ID is the letter T followed by 7
numerical digits
45
Diagnosis Code
• Select ICD Version 0
• If you have a specific diagnosis code for the member,
enter it in field 1 of the Diagnosis Code section
• Otherwise, use the suggested code for your provider
type
Provider Type ICD-10
Codes
Hotel/Motel Z75.3
Pre-Maternal Home Z75.8
Taxi Services Z75.3
Wheelchair Van Z75.3
Bus Z75.3
46
Claim Detail
• Enter your Service Date begin and end dates - must enter both fields
– Hotel/motel and pre-maternal home providers can bill for span dates, other providers must bill for single
dates of service only
• For place of service, select Other Place of Service
• Enter the procedure code for the service you rendered – see the Fee Schedule for the appropriate
procedure code
47
Claim Detail
• In the Diagnosis Pointer field, select First Diagnosis
• Enter your charge for services in the Line Item Charge Amount field
• Select the appropriate unit code and the number of units of service you provided to the client
• Click the Save button in the upper right corner of the portlet to save each claim line
• If you need to bill for additional lines, click the Add Service Line Item button to open a new line
48
Additional Claim Information
• Enter additional claim information as required by *
• Enter your ID number for the transaction in the Patient Account # field – if you do not have an ID
number for the claim (folio number or ticket number), enter a 1
• Enter total claim amount
• Select Other Place of Service
• In the Assignment or Plan Participation Code field, select Assigned
• In the Benefits Assignment Certification, select Not Applicable
• Indicate provider signature is on file
49
Service Facility Location Information
• Enter all relevant information about the location where the services were rendered
• For transportation providers, enter your office information
• Enter your Provider Commercial ID
50
Pay-To Address
• This field defaults to Yes as per enrollment.
• If the answer to this question is No, an update will need to be made to the enrollment file.
51
Billing Provider Information
• Enter information about the billing provider in these fields
• The buttons for saving and submitting the claims are shown at the bottom of the screen
• Your Tax ID number and a taxonomy code are required.
• Click Save Claim to save the claim and return to it later
• Click Submit Claim to submit the claim
Provider
Type
Taxonomy Code
Hotel/Motel 177F00000X
Pre-Maternal
Home
177F00000X
Taxi Services 344600000X
Wheelchair Van 343900000X
Bus 347B00000X
52
Creating Templates
53
Creating Templates
54
Creating Templates
55
Creating Templates
56
Using Templates
57
Paper Claim Form
Claim Forms
• Providers that submit paper claims must use the original red CMS-1500 version 02-12 claim form (older or
obsolete versions are not accepted)
• Optical Character Recognition (OCR) technology used to process paper claim forms is unable to read black,
photocopied, or faxed claim forms
• Black, photocopied, or faxed claim forms will be returned unprocessed to the provider
• To purchase CMS-1500 claim forms, contact the US Government Printing Office at 866.512.1800, local printing
companies, and/or office supply stores
• You may submit claims, free of charge, through Health Enterprise
58
Paper Claim Form Font and Alignment
• A large percentage of paper claims are processed through a scanner that extracts the information from the claim.
It is very important that providers ensure printed paper claim forms are legible and correctly aligned to prevent
processing errors. Also, do not use red ink because the scanner is designed to overlook anything in red.
• Use a font that clearly distinguishes between all characters, such as “O” vs “0”, “I” vs “1”, and “2” vs “Z”
Can you immediately tell the difference between “O” and “0” or “2” and “Z”?
• The scanner can interpret information only if it directly resides within each field. If the alignment is off, data may
be lost or misinterpreted.
59
O24429 Z370
What was
submitted
What the
scanner reads
60
CMS-1500
The Alaska Medicaid CMS-1500 Claim Form Instructions can be reviewed
on http://manuals.medicaidalaska.com/docs/ProviderReference.html
For these claim form instructions, any
field not discussed should be left blank
Fields 1 - 10
• Field 1, (M), Medicare/Medicaid/TRICARE/etc.
‒ Select Medicaid
• Field 1a, (M), Insured’s ID Number
‒ Enter the member’s 10-digit Alaska Medical Assistance identification number
• Field 2, (M), Patient’s Name
‒ Enter the Medicaid member’s name as it appears on the eligibility card or coupon
• Field 6, (M), Patient’s Relationship to Insured
‒ Select Self
• Field 10a, (M), Is Patient’s Condition Related to Employment?
– Choose No
• Field 10b, (M), Is Patient’s Condition Related to Auto Accident?
– Choose No
• Field 10c, (M), Is Patient’s Condition Related to Other Accident?
– Choose No
61
M = Mandatory C = Conditional O = Optional B = Leave Blank
62
Fields 11d – 21
• Field 21, (M), Diagnosis or Nature of Illness or Injury
– Enter 0 as the ICD indicator
– Enter the appropriate ICD-10 diagnosis code or codes
– Alaska Medicaid recommends the following providers
use the following diagnosis codes when a documented
diagnosis is not known
– The diagnosis pointer in field 24e refers back to this
field
M = Mandatory C = Conditional O = Optional B = Leave Blank
Services ICD-10
Hotel Z75.3
Pre-Maternal Home Z75.8
Taxi Z75.3
Wheelchair Van Z75.3
Bus Z75.3
• Field 11d, (M), Is There Another Health Benefit Plan?
‒ Choose No
• Field 17, (M), Name of Referring Provider or Other Source
‒ Required for taxi, bus, wheelchair van and hotels
‒ Enter the Control Number listed on the Travel Voucher in the Original Reference Number field
‒ The Travel Voucher Control Number begins with T followed by 7 numerical digits
‒ If you do not submit the voucher id number on the claim it will deny
63
Fields 22 - 24
• Field 23, (C), Prior Authorization Number
– All transportation and accommodation services require a Service Authorization
– Enter the alpha-numeric prior (service) authorization ID listed on the travel voucher
• Section 24
– Section 24 is used for entering information about billed services
M = Mandatory C = Conditional O = Optional B = Leave Blank
64
Fields 24a – 24j
• Field 24a, (M), Dates(s) of Service
– Accommodation providers can bill for span dates, other providers must bill for single dates of
service only
• Field 24b, (M), Place of Service
– Enter 99
• Field 24d, (M), Procedures, Services, or Supplies
– Enter the procedure code indicating the service you are billing for
• Field 24e, (M), Diagnosis Pointer
• Field 24f, (M), $Charges
• Field 24g, (M), Days or Units
• Field 24i, (C), ID Qualifier
– Atypical providers – enter G2
• Field 24j, (B), Rendering Provider ID #
M = Mandatory C = Conditional O = Optional B = Leave Blank
65
Fields 25 - 32
• Field 25, (O), Federal Tax ID Number
• Field 26, (O) Patient’s Account No.
– If used, this provider-assigned account number will appear on the remittance advice
• Field 27, (M*), Accept Assignment?
• Field 28, (M), Total Charge
• Field 31, (M), Signature of Physician or Supplier Including Degrees or Credentials
• Field 32, (M), Service Facility Location Information
– Enter the provider’s business location address; zip +4 is required
M = Mandatory C = Conditional O = Optional B = Leave Blank
66
Fields 32a - 33
• Field 32a, (O) NPI# [Service Facility]
– If used, record NPI for the service location
• Field 32b, (O), Other ID# [Service Facility]
– If used, record the other ID for the service location
• Field 33, (M), Billing Provider’s Info & Phone #
– Submitted information should match demographics on the Medicaid Provider Agreement
• Field 33a, (C),NPI# [Billing Provider]
– If the provider has an NPI, enter it here
• Field 33b, (C), Other ID# [Billing Provider]
– Atypical providers must enter the G2 qualifier and billing provider’s Medicaid ID#
M = Mandatory C = Conditional O = Optional B = Leave Blank
67
Electronic Billing
68
Practice Management Software
• HIPAA mandated 837 format (X12N/005010X222A1)
• Use existing practice management software to export files in a HIPAA compliant format
and submit the files to Conduent electronically
• Your software vendor will know if your software can export an electronic file
• Other transaction types are available as well as 837
69
Electronic Submission
• Service Authorization or Prior Authorization numbers are submitted in loop 2300
REF*G1*Pyyjul####
• Transportation Voucher or Referral ID are submitted in loop 2300 REF*9F*T#######
• Do not use REF9* Claim Identification for Transmission Intermediaries
• Sample:
CLM*acct number*14.43***99>B>1*Y*A*Y*Y
REF*9F*T1234567
REF*G1*P123456789
HI*ABK>Z753
LX*1
70
Claim Denials
• Edit code 1697 – indicates that there is no Voucher Control # in the Reference # field
– Correct by resubmitting your claim and entering the voucher ID in the Reference #
field
• Edit code 1698 – indicates that the Voucher Control # is not the correct format
– Correct by resubmitting your claim and documenting the Voucher Control number from
the voucher your client gave you in the Reference # field in the correct format
– The correct format for the Voucher Control # is the letter T followed by 7 numerical
digits
• Edit code 6631 – Indicates the voucher ID # on the claim is a duplicate
– Only one claim can be submitted for the services on a voucher
– If you need to add services to a claim that has been submitted for the services on a
voucher, do an adjustment to add them to the already paid claim
71
Additional Resources
72
Additional Resources
• Alaska Medicaid Health Enterprise website at http://medicaidalaska.com
– Information necessary for successful billing
– Includes provider-specific Medicaid billing manuals and fee schedules
• You may also call:
‒ Eligibility only – 907.644.6800, Option 1,2 or 800.770.5650 (toll-free), Option 1,1,2
‒ Billing questions and all other inquiries – 907.644.6800, Option 1,1 or
800.770.5650 (toll-free), Option 1,1,1
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