Summacare - When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests.

 
Aug 28, 2023 · Find Your Doctor. Find Your Drug. Find Your Pharmacy. Find a Document. If you are experiencing symptoms meeting the definition of an emergency, as defined in your plan documents, you should immediately call 911. If this is not an emergency, start with the selection tool below to choose your plan type and then a provider who can meet your needs. . Admissions mit

SBAMedImpact is SummaCare’s Pharmacy Benefit Manager and is responsible for processing pharmacy claims for SummaCare members. MedImpact also handles pharmacy benefit customer service and utilization management requests on SummaCare’s behalf. To reach MedImpact, members should call the …Sign in to access your OTC benefit account and order health and wellness products online. Create an account if you are a new user.Providers. SummaCare is focused on keeping your patients healthy using all Health Services programs available to them. To refer members for Health Services programs, please call SummaCare’s Health Services Management at 330.996.8931 or toll free at 877.888.1164 or email [email protected]. You may also send referrals through ...The SummaCare Medicare Emerald HMO POS plan is available to residents of the following counties in Ohio: Ashtabula, Carroll, Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull, Tuscarawas and Wayne . SummaCare is an HMO and HMO POS plan with a Medicare contract.AKRON, Ohio, October 1, 2023—Beginning October 15, Medicare-eligible individuals may select one of SummaCare’s updated Medicare Advantage plans for 2024. Medicare’s Annual Enrollment Period runs through December 7. Based in Akron, SummaCare’s Medicare Advantage plan service area includes 33 northern Ohio counties and gives Medicare ...If you elect to enroll in our optional supplemental dental plan, you’ll pay an additional $35 per month in order to obtain the following additional benefits. You must keep paying your Medicare Part B premium and your SummaCare Medicare plan premium. The optional supplemental dental coverage has a calendar year maximum of $2,000 for Amber (HMO ...O ur benefits consultants will work with you to determine the product that best suits your budget and employees’ needs. For more information, contact your broker or call a SummaCare Account Manager at 330.996.8955. SummaCare offers fully-insured plan options that include standard PPO plan designs, high deductible plans and …If you experience any issues logging in, please use the Forgot Username or Forgot Password workflows or you can call the helpdesk at 234-475-6789. Communicate with …That’s why SummaCare offers BrainHQ as an added benefit to all 2022 SummaCare Medicare Advantage plan members at no extra cost. BrainHQ is a scientifically proven brain-training program that can help you think faster, focus better and remember more. Think of it as your personal gym, where you exercise your …Oct 1, 2018 · The event will also feature several health and wellness activities, a live WAKR radio broadcast and a variety of refreshments and entertainment throughout the day. For more information on the SummaCare Medicare Advantage plans for 2020, please call 888-956-5716 (TTY 800-750-0750). You may also visit SummaCare’s website for more information ... Exercise Your Brain. BrainHQ is your online headquarters for working out your brain. Think of it as a personal gym, where you exercise your memory, attention, brain speed, people skills, intelligence and navigation instead of your abs, delts, and quads. Just as our bodies require care and exercise over the course of life, so do our brains.As a SummaCare member, your OTC benefit allows you to choose from hundreds of useful, everyday items. In addition to ordering items online via summacareotc.com, by phone or …SummaCare is an HMO and HMO-POS plan with Medicare contract. Enrollment in SummaCare depends upon contract renewal. Other providers are available in our network. Media Contact: Shannon Kew. Phone: 234.312.5432. Beginning October 15, Medicare-eligible individuals may select comprehensive and affordable medical and pharmacy benefits with new …When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests.Mobile, informed and connected. Login page for SigmaCare, enter account, username and password.SummaCare’s 24-Hour Nurse Line: 800.379.5001 (TTY 800.750.0750) National Domestic Violence Hotline: 800.799.7233 (TTY 800.787.3224) or text “LOVEIS” to 866.331.9474. 988 Suicide & Crisis Lifeline: Call or text 988 for assistance with any mental-health related distress—whether thoughts of suicide, mental health, … Published in SummaCare Medicare Insurance Plans. HealthPlanOne is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and ... 10 Medicare Advantage Plans from SummaCare. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H3660:028-0 SummaCare Medicare Emerald (HMO-POS) H3660:029-0 SummaCare Medicare Sapphire (HMO-POS) H3660:044-0 SummaCare Medicare Ruby (HMO) SummaCare P.O. Box 3620 Akron, OH 44309-3620. Medicare Claim Form. If you paid out-of-pocket for a service or supply and would like to request reimbursement, please complete the Medicare Claim Form and send it, along with an itemized bill from your doctor or supplier to: SummaCare 1200 E. Market Street, Suite 400 Akron, OH 44305Providers. SummaCare is focused on keeping your patients healthy using all Health Services programs available to them. To refer members for Health Services programs, please call SummaCare’s Health Services Management at 330.996.8931 or toll free at 877.888.1164 or email [email protected]. You may also send referrals through ...Provider Engagement Specialists. If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the …SummaCare plans offer access to healthcare providers through both the SummaCare contracted network and affiliate networks - minimizing employee out-of-pocket costs when participating providers are used.. The Preferred Choice Network T he Preferred Choice Network is an exclusive network offering preferred access to three of the area’s premier …Mar 15, 2024 · Although Medicare Advantage plans are often advertised as having a zero-dollar premium, you still need to pay your Medicare Part B premium. The Part B premium in 2024 is $174.70, which is $9.80 ... Enter your NPN Number: Enter your password: LoginReport all possible cases of fraud, waste and abuse. Call or write us to report fraud, waste or abuse. Call the SummaCare Compliance Hotline at 800-361-3908 or 330-996-8821 and leave a message that includes: Write to us at: SummaCare Compliance Department F&A, P.O. Box 3620, Akron, Ohio 44309-3620. …Zippia gives an in-depth look into the details of SummaCare, including salaries, political affiliations, employee data, and more, in order to inform job seekers about SummaCare. The employee data is based on information from people who have self-reported their past or current employments at SummaCare.Many thanks to our SummaCare Member Services team. They’re always ready to answer any questions, help you select a Primary Care provider, help you… Liked by Bill EplingIf you elect to enroll in our optional supplemental dental plan, you’ll pay an additional $35 per month in order to obtain the following additional benefits. You must keep paying your Medicare Part B premium and your SummaCare Medicare plan premium. The optional supplemental dental coverage has a calendar year maximum of $2,000 for Amber (HMO ...The SummaCare Medicare Formulary is a list of covered drugs under SummaCare Medicare Advantage plans. SummaCare will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy (except in non-routine circumstances) and other plan …SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066 SummaCare Medicare Garnet H3660-053 (HMO) Ohio. Medicare. Health. SummaCare Medicare Garnet (HMO) H3660-053. SummaCare Medicare Advantage Plans | Local HMO. Why Trust U.S. News. 344. Insurance ... SummaCare offers all-in-one Medicare plans that cover medical, prescription, dental and extra benefits. Learn about the different types of plans, network providers, formulary and …Inpatient hospital - psychiatric. $340 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $35 copay. Outpatient individual therapy ...Browse a directory of organizations that use MyChart. Sign up or login.SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until …SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodation of persons with special needs at sales meetings call 888.464.8440 (TTY 800.750.0750).Provider Engagement Specialists. If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the …Oct 11, 2023 · SummaCare Medicare P.O. Box 3620 Akron, OH 44309-3620. 2024 Medicare Advantage Plans. 2024 MAPD Plan Enrollment Application Select this application if you are enrolling in a 2024 Garnet, Topaz, Jade, Ruby, Sapphire or Emerald plan. 2024 MA Plan Enrollment Application Select this application if you are enrolling in the 2024 Amber plan. The following SummaCare Medicare Advantage Plans plans offer Medicare Advantage coverage. Medicare Advantage plans are an alternative way to get your Original …Oct 10, 2022 · SummaCare is a provider-owned, regional health insurance company headquartered in Akron, Ohio. It offers Medicare Advantage plans, individual and family plans, employer group plans and health management services throughout Northern Ohio. SummaCare is consistently recognized for excellence in its industry. SummaCare and the Greater Akron Chamber have partnered to offer Northeast Ohio small businesses a multiple employer welfare arrangement (MEWA). The Chamber Health Benefits Plan is a self-funded health benefits option that allows employers with 50 employees or fewer to join together to share in the healthcare costs of their employees.Aug 28, 2023 · Find Your Doctor. Find Your Drug. Find Your Pharmacy. Find a Document. If you are experiencing symptoms meeting the definition of an emergency, as defined in your plan documents, you should immediately call 911. If this is not an emergency, start with the selection tool below to choose your plan type and then a provider who can meet your needs. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. From October 1 through March 31, a representative will be available to take your call from 8:00 a.m. until 8:00 p.m., seven days a week.SummaCare Medicare P.O. Box 3620 Akron, OH 44309-3620. 2024 Medicare Advantage Plans. 2024 MAPD Plan Enrollment Application Select this application if you are enrolling in a 2024 Garnet, Topaz, Jade, Ruby, Sapphire or Emerald plan. 2024 MA Plan Enrollment Application Select this application if you …SummaCare Medicare Ruby (HMO) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $50.00. Enroll Now. This page features plan details for 2024 SummaCare Medicare Ruby (HMO) H3660 – 044 – 0 available in Northeast & Northwest Ohio. IMPORTANT: This page has been … SummaCare Medicare has been in Northeast Ohio since 1996 and has more than 22,000 members in northern Ohio. SummaCare’s Medicare Advantage plans have an extensive network of more than 22,000 providers and 75 hospitals. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends upon contract renewal. Request Benefit Materials. To ensure that you have the most recent plan materials you may Request Benefits Materials at any time. Allow 5-7 days for these materials to arrive. SummaCare offers many resources and updates for employers in Ohio to use such as medical claim forms, COBRA information, HIPAA information, and more. Medicare Advantage Plans (age 65 and older) Medicare Advantage plans are offered through private insurance companies, like SummaCare. They are designed for those who are eligible for Medicare and they offer more coverage and lower out-of-pocket costs than Original Medicare. Some plans include extra benefits not offered by Original Medicare. MedImpact is SummaCare’s Pharmacy Benefit Manager and is responsible for processing pharmacy claims for SummaCare members. MedImpact also handles pharmacy benefit customer service and utilization management requests on SummaCare’s behalf. To reach MedImpact, members should call the SummaCare customer service number on the back …If you experience any issues logging in, please use the Forgot Username or Forgot Password workflows or you can call the helpdesk at 234-475-6789. Communicate with your doctor. Get answers to your medical questions from the comfort of your own home. Access your test results. No more waiting for a phone call or letter – view your results and ...SummaCare offers seven Medicare Advantage plans for eligible individuals in northern Ohio, including a new Jade plan with Bene-Flex™. Bene-Flex lets members …As a SummaCare Medicare Advantage plan member, you have a quarterly allowance to purchase Over-the-Counter (OTC) items included in this catalog. To order, simply go to summacareotc.com or call 855.435.5111 (TTY 711) or mail your completed order form. Your order will be shipped directly to your door. …SummaCare's 2022 Medicare Advantage Plans Now Available. Date: 10/04/2021. AKRON, Ohio, October 4, 2021– Beginning October 15, Medicare-eligible …2024 Health plan information for SummaCare Standard Bronze by SummaCare. Skip to content. Facts on Health Insurance. Find Health Plans. Get Help from a licensed agent. 1-877-668-0904 ; M-F 9am-10pm, Sat 12pm-8pm EST; Get Help. 1-877-668-0904 ; Enroll Now. Home > Health Plans > SummaCare Standard Bronze.Oct 1, 2022 · Request Member Materials. To request a hard copy of an evidence of coverage document, provider directory or formulary be mailed to you, please call SummaCare Member Services at 330.996.8885 or 800.996.6250 (TTY 711) or complete the online request form. Tuscarawas. Wayne. If you are enrolled in a SummaCare health insurance plan featuring the SC Connect network, the SummaCare Service Area includes the following counties in Ohio: Medina. Portage. Stark. Summit. Find a Document. Learn more about your service area with SummaCare, and find out if out-of-network services and providers may be covered ...SummaCare 24-Hour Nurse Line. Experienced registered nurses have accurate, up-to-date information about almost any health topic. A nurse can answer your questions, offer support and help you make decisions about any non-emergency health situation. All at no cost to you. Call 800.379.5001 (TTY 800.750.0750) to speak to a registered nurse.Summa Health offers a variety of healthcare plans, services and locations for patients in the Akron/Canton area. SummaCare is the health insurance arm of Summa Health, …SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. SummaCare Medicare has been recognized with a 4.5-Star (out of 5) overall rating for 2022 from the Centers for Medicare and Medicaid Services (CMS).When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests.As a SummaCare member with a Preferred Provider Organization (PPO) plan, you’ll have access to thousands of providers who are part of your SummaCare network. Find your doctor today by using our online provider search. Your Member Account. Your member account is the online source for benefits information.As a SummaCare Medicare Advantage plan member, you have a quarterly allowance to purchase Over-the-Counter (OTC) items included in this catalog. To order, simply go to summacareotc.com or call 855.435.5111 (TTY 711) or mail your completed order form. Your order will be shipped directly to your door. …SummaCare’s 24-Hour Nurse Line: 800.379.5001 (TTY 800.750.0750) National Domestic Violence Hotline: 800.799.7233 (TTY 800.787.3224) or text “LOVEIS” to 866.331.9474. 988 Suicide & Crisis Lifeline: Call or text 988 for assistance with any mental-health related distress—whether thoughts of suicide, mental health, … SummaCare Medicare has been in Northeast Ohio since 1996 and has more than 22,000 members in northern Ohio. SummaCare’s Medicare Advantage plans have an extensive network of more than 22,000 providers and 75 hospitals. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends upon contract renewal. SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066World Health Organization. What if I have more questions about SummaCare’s coverage of COVID-19? If you are a provider and have additional questions, please call SummaCare Provider Support Services at 330.996.8400 or 800.996.8401. SummaCare created an online resource to help providers answer commonly asked …Oct 1, 2023 · SC Select is a specialized PPO network that includes access to more than 16,000 providers and some of the area's finest hospitals, including Summa Health System and University Hospitals. SC Select also features access to statewide providers and emergency and urgent care services nationwide through our affiliation with First Health Network. SummaCare Medicare Sapphire (HMO-POS) is a Medicare Advantage (Part C) Plan by SummaCare Medicare Advantage Plans. Premium: $79.00. Enroll Now. This page …SummaCare Offshore Subcontracting Attestation 1 SummaCare, referred to as “the Company” must ensure its vendors have read and understand all requirements pertaining to federal regulations for services that are performed by workers, regardless of whether the workers are employees of American or foreign …SummaCare | 1200 East Market Street, Suite 400, Akron, OH 44305-4066Browse a directory of organizations that use MyChart. Sign up or login.SummaCare offers Medicare Advantage plans, employer group insurance and individual and family plans. Additionally, SummaCare offers a full range of self-funded products … Looking for Individual or Family Insurance? Talk to a Licensed Insurance Representative by calling 888.291.3790 (TTY 711) or start your search below. When do you need coverage? To determine what formulary/drug list to search, please refer to the RxGRP code on your SummaCare Member ID card and search/view the formulary with the corresponding code. As a SummaCare member, you have access to the latest in medical treatments including prescriptions drugs.Report all possible cases of fraud, waste and abuse. Call or write us to report fraud, waste or abuse. Call the SummaCare Compliance Hotline at 800-361-3908 or 330-996-8821 and leave a message that includes: Write to us at: SummaCare Compliance Department F&A, P.O. Box 3620, Akron, Ohio 44309-3620. …SummaCare utilizes one prior authorization list for all fully-insured PPO health insurance plans and Medicare plans. Please use the forms below when requesting prior authorization for these services. These forms include the information which is necessary for a prior authorization determination Prior Authorization Request Form for Services- …Many thanks to our SummaCare Member Services team. They’re always ready to answer any questions, help you select a Primary Care provider, help you… Liked by Bill EplingSummaCare and the Greater Akron Chamber have partnered to offer Northeast Ohio small businesses a multiple employer welfare arrangement (MEWA). The Chamber Health Benefits Plan is a self-funded health benefits option that allows employers with 50 employees or fewer to join together to share in the healthcare costs of their employees.Of course, every study is conducted on a different group of people, and individual results vary. Click any benefit below to learn more about the studies behind the benefit. Call … If you experience any issues logging in, please use the Forgot Username or Forgot Password workflows or you can call the helpdesk at 234-475-6789. Communicate with your doctor. Get answers to your medical questions from the comfort of your own home. Access your test results. No more waiting for a phone call or letter – view your results and ... When you click the button titled "Adjustment Request," a window will appear with various options so we can understand why you feel your claim should be adjusted. If you have any questions, please contact Provider Support Services at [email protected] or call 330.996.8400 or 800.996.8401. Dispute & Claim Adjustment Requests. 10 Medicare Advantage Plans from SummaCare. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H3660:028-0 SummaCare Medicare Emerald (HMO-POS) H3660:029-0 SummaCare Medicare Sapphire (HMO-POS) H3660:044-0 SummaCare Medicare Ruby (HMO) As a SummaCare Medicare Advantage plan member, you have a quarterly allowance to purchase Over-the-Counter (OTC) items included in this catalog. To order, simply go to summacareotc.com or call 855.435.5111 (TTY 711) or mail your completed order form. Your order will be shipped directly to your door. …SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. For accommodation of persons with special needs at sales meetings call 888.464.8440 (TTY 800.750.0750).Most SummaCare members have access to Teladoc™ Health as part of your coverage. You’re covered to speak with a licensed physician by web, phone or mobile app through Teladoc Health for primary care provider, dermatology and/or behavioral health visits that can be scheduled 24 hours a day, 365 days a year.Welcome Brokers. SummaCare provides a variety of plans to meet your customers' needs, from small and large employers to self-employed groups, Medicare eligibles and those looking for individual and family coverage. Attention Brokers who sell our Individual and Family Plans: We’re pleased to announce that we’ll be transitioning …Of course, every study is conducted on a different group of people, and individual results vary. Click any benefit below to learn more about the studies behind the benefit. Call …

Cost per meal is $7.99 - $8.99 depending on menu type chosen. Shipping is included with delivery by using promo code SUMMACARE. Minimum number of meals = 14 / Maximum number of meals = 21 per order. Members can choose desired meal types: all breakfast, all lunch/dinner or combination. Members can either select their own …. Neutrafol

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SummaCare is consistently recognized for excellence in its industry. The Centers for Medicare and Medicaid Services (CMS) granted SummaCare Medicare Advantage plans a 4.5/5-star rating for 2022. U.S. News & World Report named SummaCare a “Best Insurance Company for 2022 Medicare Advantage Plans.” SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. About SummaCare. SummaCare is a provider-owned, regional health insurance company headquartered in Akron, Ohio. That’s why SummaCare offers BrainHQ as an added benefit to all 2022 SummaCare Medicare Advantage plan members at no extra cost. BrainHQ is a scientifically proven brain-training program that can help you think faster, focus better and remember more. Think of it as your personal gym, where you exercise your …Nov 2, 2023 · More than 1 in 5 people in Ohio are 65 and older, and there are a variety of Medicare and Medicare Advantage plans in the state. The average monthly premium in 2024 for a Medicare Advantage plan ... SummaCare Offshore Subcontracting Attestation 1 SummaCare, referred to as “the Company” must ensure its vendors have read and understand all requirements pertaining to federal regulations for services that are performed by workers, regardless of whether the workers are employees of American or foreign …SummaCare is consistently recognized for excellence in its industry. The Centers for Medicare and Medicaid Services (CMS) granted SummaCare Medicare Advantage plans a 4.5/5-star rating for 2022. U.S. News & World Report named SummaCare a “Best Insurance Company for 2022 Medicare Advantage Plans.” All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. Search for a drug using our Find Your Drug tool or view a formulary below. Commercial. 2024 SummaCare Commercial Drug Formulary (SUM01, SUM02, SUM11, SUM14, SUM15, SUM16)- Updated March 1, 2024 All SummaCare plans include comprehensive prescription drug benefits, but your prescription drug coverage varies by the plan in which you are enrolled. Search for a drug using our Find Your Drug tool or view a formulary below. Commercial. 2024 SummaCare Commercial Drug Formulary (SUM01, SUM02, SUM11, SUM14, SUM15, SUM16)- Updated March 1, 2024SummaCare utilizes one prior authorization list for all fully-insured PPO health insurance plans and Medicare plans. Please use the forms below when requesting prior authorization for these services. These forms include the information which is necessary for a prior authorization determination Prior Authorization Request Form for Services- … Published in SummaCare Medicare Insurance Plans. HealthPlanOne is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and ... Provider Engagement Specialists. If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the … SummaCare Medicare has been in Northeast Ohio since 1996 and has more than 22,000 members in northern Ohio. SummaCare’s Medicare Advantage plans have an extensive network of more than 22,000 providers and 75 hospitals. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends upon contract renewal. 2024 Health plan information for SummaCare Standard Bronze by SummaCare. Skip to content. Facts on Health Insurance. Find Health Plans. Get Help from a licensed agent. 1-877-668-0904 ; M-F 9am-10pm, Sat 12pm-8pm EST; Get Help. 1-877-668-0904 ; Enroll Now. Home > Health Plans > SummaCare Standard Bronze..

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