2024 Provider directory horizon nj health

You can search for a PCP by using the Physician Directory (in the right hand column) or you can ask Member Services for help. Call the Horizon NJ Health Member Services Department toll-free at 1-800-682-9090 (TTY 711). When you enroll with Horizon NJ Health, you choose a personal doctor or a nurse practitioner called a Primary Care Provider (PCP). Description: Horizon NJ Health is a Managed Care Plan (also called a HMO) that participates with the NJ Division of Medical Assistance and Health Services to provide benefits for those enrolled in Medicaid. If you have to pick a managed care plan, choose Horizon NJ Health. It has one of the largest networks of doctors available.Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New …Horizon NJ Health encourages all hospitals, physicians and health care professionals to submit claims electronically. For those interested in electronic claim filing, please call TriZetto Trading Partners Solutions (TTPS) at 1-800-556-2231, Monday to Friday, from 8 a.m. to 7 p.m. ET, or email [email protected] to obtain more information.1 day ago · The state's largest managed health care company serving the publicly insured in all 21 counties. Our mission: to expand and enhance quality of healthcare for publicly insured. Horizon NJ HealthEffective July 1, 2021, Horizon NJ Health will consider for reimbursement care management services to support members 18 years of age and older who have a Substance Use Disorder (SUD) with complex physical or psychosocial needs. In order to be reimbursed, services must be billed using HCPCS level II H0023 appended with modifier –HF.Provider Directory. Go. Member Handbook. Go. Website. Go. See also. Aetna Better Health of New Jersey. Wellpoint. United Healthcare Community Plan. Fidelis Care. Latest … If you qualify for both Medicaid and Medicare, Horizon NJ TotalCare (HMO D-SNP) is the plan that is right for you. It covers all Medicare and Medicaid benefits, plus additional features and services all at no cost to you. With one easy plan, from a name you trust, you get a team of doctors, specialists and Care Managers working together just ... Effective April 1, 2020, Horizon NJ Health will cover all medically necessary Applied Behavior Analysis (ABA) services. The following autism spectrum disorder (ASD) services will continue to be covered by Horizon NJ Health: Physical Therapy, Speech Therapy and Occupational Therapy. Participating providers must request prior …Horizon NJ Health has a large network of doctors and health care professionals who provide quality health care services. We have a Provider Directory that shows you who participates in our network. All types of providers are listed, including doctors, hospitals, laboratory services, pharmacies, general dentists, dental specialists and more.On April 1, 2019, Horizon NJ Health implemented an update to the way Corrected Claims are processed. When Corrected Claims are submitted, they now process as an adjustment to the original claim. The original claim numbering convention will be maintained, with only a change to the last digit of the claim number, in order to differentiate the adjusted claim …Horizon Vista V. The Horizon Vista V plan includes an eye examination for $10. Also coverage for fashion-level frames at no charge, designer level frames with a $15 co-payment, and premier-level frames with $40 copayment. In place of eyeglasses, our plan covers up to $100 for non-collection contact lenses. Information about Change Healthcare's Security Incident. Change Healthcare, a vendor that connects payers, providers and patients within the U.S health care system, is experiencing a cyber security issue that is affecting the business operations of many companies nationwide, including Horizon. Home. Providers. 2 days ago · Providers - Horizon NJ Health. COVID-19 Information. Resources. Programs. News. COVID-19. Stay informed. Get the latest information on COVID-19. Flu Season is Here. Encourage your patients to get a flu shot.Coordinate and manage your care by working with you, your family and other health care providers. Help you with referrals for follow-up care or community resources. For more information, or to enroll in our Complex Case Management program call 1-800-682-9094 x 89634, Monday through Friday, 8 a.m. to 5 p.m., Eastern Time. Horizon NJ Health’s ...5 days ago · You can search our Provider Directory to find a provider near you, or call Member Services toll free at 1-800-682-9090 Call: 1-800-682-9090(TTY/TDD 711). They …For questions regarding the Horizon NJ Health Maximum Allowable Cost (MAC) program, please contact the Pharmacy Network Manager or Pharmacy Network Coordinator at 1-800-682-9094, x89165 or x89076. The Pharmaceutical Utilization Management (UM) Programs help ensure access to medically necessary, appropriate and cost-effective drug therapy. Horizon Blue Cross Blue Shield NJ Doctor & Hospital Finder - Online provider directory for best doctors, dentists, hospitals and PCPs by your location, specialty near you. Search for physical therapy, speech therapy, counseling, family practice and other types of care providers in New Jersey. There are several ways to determine a member’s eligibility for benefits: • Check on NaviNet, our online provider center at NaviNet.net. • Check your monthly member panel listing. • Call Horizon NJ Health Provider Services at 1-800-682-9091. Representatives are available Monday-Friday, 8 a.m. to 5 p.m.The free G'MIC plug-in for GIMP includes hundreds of image filters you can download and install. After you add G'MIC to the plug-in directory, you can use the additional filters an...Provider Contacts Provider Contacts; FIND A DOCTOR; MEMBER SIGN IN; FIND A DOCTOR MEMBER SIGN IN. Contact us. For Enrollment: 1-800-637-2997 ; Hearing or speech impaired: TTY 711; For Member Services: 1-800-682-9090 (TTY 711) Member Contacts. News Media Contacts. ... Horizon NJ Health Care / Case ManagerHorizon NJ Health covers a number of behavioral health benefits. Behavioral health includes both mental health services and Substance Use Disorder treatment services. Some services are covered by Horizon NJ Health, while others are paid for directly by Medicaid Fee-for-Service (FFS). You will find details in the chart below. Certain services …Mar 1, 2021 · All providers that are seeking to participate in our Horizon NJ Health network are required to register with the State of New Jersey under the 21st Century Cures Act. Providers who cannot provide us with proof of their registration under the 21st Century Cures Act will not be approved for participation in our network.Oct 25, 2023 · Horizon nj health: dermatologic services – eadvvienna2020.orgHorizon nj health provider line Provider horizon nj directory health plans houseStaffing urgent hospital. Horizon nj healthHorizon health has urgent staffing need – news ysj Horizon adapterPediatric gastroenterology, hepatology and nutrition of dr. erena.If you have an unusual Windows configuration or have multiple versions of Windows installed on your hard drives, it can be difficult to figure out which Windows directory is curren...This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and …Horizon Behavioral Health Care Navigator℠. If you have an acute or chronic mental health condition, or need help understanding a new diagnosis, your Horizon Care Navigator, a dedicated clinician, will help connect you with the right resources for better mental and emotional health. Your Care Navigator can: Guide you every step of the way ... Information about Change Healthcare's Security Incident. Change Healthcare, a vendor that connects payers, providers and patients within the U.S health care system, is experiencing a cyber security issue that is affecting the business operations of many companies nationwide, including Horizon. Home. Providers. Feb 23, 2024 · The HEDIS standard for lead screening in children recommends children receive one or more lead screening tests completed on or before their second birthday. For lead testing, please utilize the following CPT codes and modifiers: 83655 52 Lead test (diagnosis code required). Procedure Code Description. 83655: Lead test.Banner Health is a leading healthcare provider in the United States, with over 50 hospitals and care centers across seven states. As an employer, Banner Health is committed to prov...Horizon NJ Health has a large network of doctors and health care professionals who provide quality health care services. We have a Provider Directory that shows you who participates in our network. All types of providers are listed, including doctors, hospitals, laboratory services, pharmacies, general dentists, dental specialists and more.2 days ago · Horizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance …Digital Member ID Cards provide a secure way to access the most up-to-date member enrollment information when members present for care. Providers must continue to verify eligibility through NaviNet. Providers can also call 1-800-682-9091. Horizon NJ Health members are able to access Horizon NJ Health Digital Member ID Card images by …Horizon NJ Health encourages all hospitals, physicians and health care professionals to submit claims electronically. For those interested in electronic claim filing, please call TriZetto Trading Partners Solutions (TTPS) at 1-800-556-2231, Monday to Friday, from 8 a.m. to 7 p.m. ET, or email [email protected] to obtain more information.Effective July 1, 2021, Horizon NJ Health will consider for reimbursement care management services to support members 18 years of age and older who have a Substance Use Disorder (SUD) with complex physical or psychosocial needs. In order to be reimbursed, services must be billed using HCPCS level II H0023 appended with modifier –HF.5 days ago · After hours, members can ask their provider to call Horizon NJ Health Member Services at 1-800-682-9090 (TTY 711 ). Horizon NJ Health can provide telephonic language translator services for members during office visits with their providers. Members who require a translator can have their provider request one at the time of service. Resources. We offer numerous health management programs to help assist with members’ care. From providing information about disease management, to offering a physician incentive program, our goal is to work with you as a team. As part of our Physicians and Health Care Professional Network, you have access to these and other programs. Forms. Behavioral Health Forms. Clinical Authorization Forms. COVID Vaccine Form. Early and Periodic Screening, Diagnosis and Treatment Exam Forms. Electronic Funds Transfer (EFT) Forms. Forms to Join Our Networks. Lead Risk Assessment Form. OBAT Attestation for Nonparticipating Providers.Mar 6, 2024 · To obtain prior authorization, or for printed copies of any pharmaceutical management procedure, please call our Pharmacy Department at 1-800-682-9094. Prior authorization can also be requested by filling out the appropriate authorization form below and faxing to the noted number.MLTSS Provider Resources. Our Managed Long Term Services & Supports (MLTSS) program delivers specialized services to eligible members of Horizon NJ Health, whether at home, in an assisted living setting, in community residential services, or in a nursing home. These comprehensive services and supports promote community inclusion and help …Sep 3, 2021 · A Network Specialist is available to all participating physicians and other health care professionals within our service area. Your Network Specialist can be a valuable resource for you and your practice. Effective September 7, 2021, Network Specialist assignments have changed. View our updated Network Specialist listing. Your Network ...POLICY. NCQA UM2, A1-3. This policy applies to all DME, Medical Supplies, Prosthetics and Orthotics covered by the plans benefit: A. DME, Medical Supplies, Prosthetics and Orthotics must be medically necessary and appropriate, and require a prescription from the Primary Care Physician (PCP) or specialist. They are provided to … Horizon Blue Cross Blue Shield NJ Doctor & Hospital Finder - Online provider directory for best doctors, dentists, hospitals and PCPs by your location, specialty near you. Search for physical therapy, speech therapy, counseling, family practice and other types of care providers in New Jersey. This material is presented to ensure that Physicians and Health Care Professionals have the information required to provide benefits and services for Horizon NJ Health members. Additional materials are available for participating providers at Navinet.net. If you require hard copies of any of this information please call the Physician and Health Care Hotline … For Enrollment: 1-800-637-2997 Hearing or speech impaired: TTY 711; For Member Services: 1-800-682-9090 (TTY 711) Feb 28, 2024 · Radiation Therapy Program Update: April 2024. Posted on February 26, 2024.Jan 1, 2024 · UTILIZATION MANAGEMENT POLICY Prior Authorization of Physical Health and Behavioral Health Services EFFECTIVE DATE February 7, 1997 LAST REVIEWED DATE October 16, 2023 PURPOSE Define the prior authorization standards in accordance with applicable Medicare (CMS), State of New Jersey Medicaid Managed Care Contract, …Coordinate and manage your care by working with you, your family and other health care providers. Help you with referrals for follow-up care or community resources. For more information, or to enroll in our Complex Case Management program call 1-800-682-9094 x 89634, Monday through Friday, 8 a.m. to 5 p.m., Eastern Time. Horizon NJ Health’s ...NIH research on Sickle Cell Disease. Trusted Health Information from the National Institutes of Health Kirti Dasu underwent gene therapy at NIH. When the pain from sickle cell dise...Dr. Emerson A. Joslyn, MD. 68 mi from Boydton, VA. Internist. Colonial Heights. 524 Southpark Blvd, Colonial Heights, VA 23834. 25+ years of experience. Dr. Emerson A Joslyn, MD is a doctor located in Colonial Heights, VA, He has 38 years of experience. His specialties include Emergency Medicine, Internal Medicine, Other Specialty.2 days ago · Change Healthcare Security Incident. Change Healthcare, a vendor that connects payers, providers and patients within the U.S health care system, is experiencing a cyber security issue that is affecting the business operations of many companies nationwide, including Horizon. Suggesting a visit to a dentist is mandatory at 3 years of age and once every six months thereafter up to age 21 years. Claims must be submitted with EPSDT codes. Include your provider number on the CMS claim form/claims submission. The applicable codes are listed in section 5.3 of the Provider Administrative Manual.Fax: 973-522-4678. Mail: Horizon NJ Health. Claim Appeals. P.O. Box 63000. Newark, NJ 07101-8064. Should you have questions regarding billing or appeals, please contact the Physician and Health Care Hotline at 1-800-682-9091 …Jushi Expands Retail Footprint In Pennsylvania Jushi Holdings Inc. (CSE:JUSH) (OTCQX:JUSHF) has opened its relocated Beyond Hello Westside dispen... Jushi Holdings Inc. (CSE:JUSH)...An individual can find the Davis Vision provider directory on the official company website, at davisvision.com. In order to access the provider directory, an individual must be a m...Authorization is available 24 hours a day, seven days a week. Non-emergent behavioral health services are available Monday to Friday from 8 a.m. to 5 p.m., Eastern Time. For substance use disorder services for individuals who are not MLTSS, DDD or FIDE-SNP members, contact IME Addiction Access Center at 1-844-276-2777, 24 hours a day, …This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and …If you are eligible for both Medicaid and Medicare, you can get all your health care benefits at no cost under one, convenient plan. Horizon NJ TotalCare (HMO D-SNP) offers: $0 copays $0 premiums No referrals A $0 gym membership or home fitness program $375 per quarter on an Over-the-Counter (OTC) Benefit Card to spend on health items at …Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New …2 days ago · Horizon BCBSNJ offers affordable New Jersey healthcare and health insurance for individuals, families and employers. Find cheap NJ health insurance … The NJ FamilyCare program allows eligible children, single adults and families to get affordable, quality health care through Horizon NJ Health. You can apply for NJ FamilyCare online. We can also help you complete your application. Call 1-800-637-2997 (TTY 711). Mar 5, 2024 · Ophthalmologist. 11081 Forest Pines Dr, 120, Raleigh, NC 27614. 25+ years of experience. Aetna, Cigna, Medicare. see more. Susan Watson, MD is an Ophthalmologist in Raleigh, NC. Susan Watson completed their Medical School at University Of Cincinnati College Of Medicine. In the midst of a public mental health crisis, providers are leaving the field due to burnout America’s mental health is not good. One in five adults in the country suffers from me...Sep 15, 2020 · If you have a newborn present for care without a “proof of coverage” letter, the following steps must be taken: Call Member Services at 1-800-682-9090. Horizon NJ Health will request to speak with the newborn’s mother/legal guardian to verify demographic information. Note: The mother/legal guardian must be present at the provider’s office.Horizon NJ Health invites New Jersey-based Primary Care Physicians (PCPs), specialists and behavioral health practitioners to join our vast network of participating professionals, as we continue to provide the highest level of service and care for our members. ... Provider Directory Management;Help Applying for SSI. The NJFC Directory of Dentists Treating Children under the Age of 6. Appeals Guide and Your Rights. Covered Benefits. Stop Fraud. Utilization Management. Personal Representatives. NJ Addiction Services Hotline. Medical Policy Manual.NJ FamilyCare may send you a renewal application. Complete all forms and mail them back as soon as possible. Call NJ FamilyCare at 1-800-701-0710 (TTY 711) to find out your renewal date or ask for a renewal form. Contact your case worker at your County Welfare Agency (CWA). If you need the information for your local CWA, call NJ FamilyCare at 1 ... If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration. UnitedHealthcare offers NJ FamilyCare plans for New Jersey and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools. POLICY. NCQA UM2, A1-3. This policy applies to all DME, Medical Supplies, Prosthetics and Orthotics covered by the plans benefit: A. DME, Medical Supplies, Prosthetics and Orthotics must be medically necessary and appropriate, and require a prescription from the Primary Care Physician (PCP) or specialist. They are provided to … 1 Contents Introduction..... 10 appeal by calling the Horizon NJ Health Appeals Coordinator at 1-800-682-9094, x89606, select prompt 2 (TTY/TDD 711). Horizon NJ Health will notify you of our expedited appeal decision verbally and in writing within 72 hours of receipt of your expedited appeal request (includes weekends and holidays). Appeals Guide and Your RightsSep 3, 2021 · A Network Specialist is available to all participating physicians and other health care professionals within our service area. Your Network Specialist can be a valuable resource for you and your practice. Effective September 7, 2021, Network Specialist assignments have changed. View our updated Network Specialist listing. Your Network ...Jan 1, 2024 · Find a Doctor. Use our Doctor & Hospital Finder to look for doctors, dentists or specialists near you. Select the type of care you are looking for and your plan name, …Besides helping with routine expenses, having health insurance removes some of the stress and anxiety that goes with handling a medical emergency. In most cases, health insurance i...2 days ago · Horizon Blue Cross Blue Shield NJ Doctor & Hospital Finder - Online provider directory for best doctors, dentists, hospitals and PCPs by your location, specialty near …May 14, 2019 · Horizon NJ Health conducts annual audits specific to Appointment Availability Standards, Medical Record-Keeping Standards, Office Standards, Early and Periodic Screening Diagnostic and Treatment (EPSDT) Standards and After Hours Access to Care Standards. We have created the cheat sheet to aid with reviewing the standards … If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration. UnitedHealthcare offers NJ FamilyCare plans for New Jersey and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools. 5 days ago · Horizon NJ Health. Member/Provider Correspondence. PO Box 24077. Newark, NJ 07101-0406. Provider-identified Overpayments. If you, the billing provider, identify a claim overpayment, please mail the overpayment amount to the address above. Please include the following details along with any self-identified overpayment amount …This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and …

Help Applying for SSI. The NJFC Directory of Dentists Treating Children under the Age of 6. Appeals Guide and Your Rights. Covered Benefits. Stop Fraud. Utilization Management. Personal Representatives. NJ Addiction Services Hotline. Medical Policy Manual.. How much are movie tickets at regal

UTILIZATION MANAGEMENT POLICY Durable Medical Equipment (DME) and Medical Supplies, Orthotics, and Prosthetics EFFECTIVE DATE March 26, 1997 LAST REVIEWED DATE December 13, 2023 PURPOSE Define the level of benefits and process to access DME, Medical Supplies, Orthotics and Prosthetics.Toggle menu. BACK back to www.horizonblue.com; PROVIDERS ; COVID-19 Information COVID-19 Information. COVID-19 Information ; Coverage for Out-of-Network COVID-19 Testing Ending Coverage for Out-of-Network COVID-19 Testing Ending; Code Terminations as the PHE Ends Code Terminations as the PHE Ends; PHE Update: Prescription …For Enrollment: 1-800-637-2997 Hearing or speech impaired: TTY 711; For Member Services: 1-800-682-9090 (TTY 711) Welcoming Doulas to Our Network. Doula Services practitioners who are enrolled with New Jersey Medicaid are eligible to participate in our network to treat members enrolled in Horizon NJ Health. Learn more about submitting a request to join our Horizon NJ Health Network or about joining our Horizon Managed Care Network. . Medicaid. Horizon NJ Health is the leading Medicaid and NJ Family Care plan in the state and the only plan backed by Horizon BCBSNJ. Our members get the health benefits they can count on from a name they trust. People and their families who qualify for Medicaid deserve to receive the best quality care and support from their health plan. Jan 1, 2024 · Members. 1-800-365-2223. (TTY call 711) Help is available from. 8 a.m to 8 p.m ET every day. Use our Doctor & Hospital Finder to look for doctors, dentists or specialists near you. Select the type of care you are looking for and your plan name, Horizon NJ TotalCare (HMO D-SNP). You can also search for doctors by name, specialty or hospital ... This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and …Horizon NJ Health invites New Jersey-based Primary Care Physicians (PCPs), specialists and behavioral health practitioners to join our vast network of participating professionals, as we continue to provide the highest level of service and care for our members. ... Provider Directory Management;Feb 28, 2024 · Please review recent updates to the Provider Administrative Manual. The following sections have been updated: Section 1.8 – Healthsphere (removed) Section 3.17.4 – Office Based Addiction Treatment Program Section 12.1 – Member Rights and Responsibilities Section 12.8 – Non-Discrimination Statement Section 13.1 – Quality Improvement ... Provider Services: 1-800-682-9091: Behavioral Health: For children younger than 18 years of age: Children requiring Care Management assistance for behavioral problems or mental health issues should be directed to the State of New Jersey's Children's System of Care Program at 1-877-652-7624. Help Applying for SSI. The NJFC Directory of Dentists Treating Children under the Age of 6. Appeals Guide and Your Rights. Covered Benefits. Stop Fraud. Utilization Management. Personal Representatives. NJ Addiction Services Hotline. Medical Policy … For Enrollment: 1-800-637-2997 Hearing or speech impaired: TTY 711; For Member Services: 1-800-682-9090 (TTY 711) Find Doctors Who Accept Horizon NJ Health Near Me. 150 results. All Results. Dr. Mukesh Kumar. Ophthalmologist (Eye Doctor) 5.0. ★ ★ ★ ★ ★. (1) (516) 562-0100. 300 …5 days ago · If you need to schedule transportation to a doctor’s appointment, you can call 1-866-527-9933 (TTY 1-866-288-3133) or make your reservation online at Modivcare.comModivcare.com opens a dialog window‌. LogistiCare, the non-emergency medical transportation vendor for NJ FamilyCare members, is now Modivcare. For Enrollment: 1-800-637-2997 Hearing or speech impaired: TTY 711; For Member Services: 1-800-682-9090 (TTY 711) Feb 28, 2024 · 56 mi from Boydton, VA. Dermatologist. The Dermatology & Skin Surgery Center of Creedmoor. 7200 Creedmoor Rd, Ste 104, Raleigh, NC 27613. 5.00. 9 verified reviews. Dr. Katelyn Kim is a Board-certified dermatologist who specializes in general dermatology and cosmetics services. Medicaid. Horizon NJ Health is the leading Medicaid and NJ Family Care plan in the state and the only plan backed by Horizon BCBSNJ. Our members get the health benefits they can count on from a name they trust. People and their families who qualify for Medicaid deserve to receive the best quality care and support from their health plan. .

The database grew by more than five-fold during the two weeks it took for the company to secure the data. A New Jersey talent acquisition firm exposed the resumes and personal info...

Help Applying for SSI. The NJFC Directory of Dentists Treating Children under the Age of 6. Appeals Guide and Your Rights. Covered Benefits. Stop Fraud. Utilization Management. Personal Representatives. NJ Addiction Services Hotline. Medical Policy Manual.. How much are movie tickets at regal

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