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  • Posts tagged "Credentialing" (Page 2)

Posts tagged "Credentialing"

Credentialing Compliance: Staying Updated with Joint Commission Standards

February 20, 2025 / admin / Articles, Credentialing, Credentialing Compliance, Joint Commission, Joint Commission Credentialing, Joint Commission Credentialing Standards, Joint Commission Standards, Medical Credentialing, Privileging
Joint Commission Credentialing Standards

Do you keep up with Joint Commission credentialing standards? If so, you’ve probably noticed they can be about as clear as mud. Fear not, in this article we will take you through everything you need to know about staying compliant with these crucial standards, from the basics to the most granular details that often trip-up […]

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Credentialing, Credentialing Compliance, Joint Commission, Joint Commission Credentialing, Joint Commission Credentialing Standards, Joint Commission Standards, medical credentialing, Privileging

State-by-State Credentialing Requirements: What Providers Need to Know

February 16, 2025 / admin / Articles, Credentialing, Credentialing Pitfalls, Credentialing Software, Credentialing Technology, CVO, IMLC, Interstate Medical Licensure Compact, Nursing Licensure Compact, State Credentialing, State Credentialing Requirements
Medical Credentialing State-by-State

Negotiating the maze of state credentialing requirements can feel like trying to solve a Rubik’s cube blindfolded. Whether you’re a seasoned healthcare provider expanding your practice across state lines or a newly minted physician starting your career, understanding the nuances of state-specific credentialing requirements is crucial for your success. In the undermentioned content, we’ll break […]

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Credentialing, Credentialing Pitfalls, Credentialing Software, Credentialing Technology, CVO, IMLC, Interstate Medical Licensure Compact, NLC, Nursing Licensure Compact, State Credentialing, State Credentialing Requirements

How to Install Successful Medical Credentialing Workflows

February 10, 2025 / admin / Articles, Credentialing, Credentialing Automation, Credentialing KPIs, Credentialing Process Mapping, Credentialing Technology, Credentialing Workflows, Healthcare Credentialing, Medical Credentialing, Medical Credentialing AI
Credentialing Workflow Installation, White Male

Creating efficient medical credentialing workflows is crucial for healthcare organizations. The undermentioned content shows how to build and implement workflows that streamline the credentialing process while maintaining compliance and accuracy. Why Efficient Credentialing Workflows Matter The Role of Modern Credentialing Workflows Modern credentialing workflows serve as the backbone of efficient provider management. Setting the Foundation […]

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Credentialing, Credentialing Automation, Credentialing KPIs, Credentialing Process Mapping, Credentialing Technology, Credentialing Workflows, healthcare credentialing, medical credentialing, Medical Credentialing AI

Provider Recredentialing: How to Stay Credentialed

February 9, 2025 / admin / Articles, Credential Maintenance, Credentialing, Credentialing Challenges, Credentialing Monitoring, Credentialing Process, Medical Credentialing, Medical Recredentialing, Provider Recredentialing, Recredentialing
Black Female Credentialing Recredentialing

If you’re a physician, nurse practitioner, physician assistant, or other healthcare provider, staying on top of your medical credentials is crucial for your practice. The undermentioned content explains everything you need to know about navigating the complex world of provider recredentialing successfully. Understanding Provider Recredentialing Basics Recredentialing is the periodic review and verification of a […]

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Credential Maintenance, Credentialing, Credentialing Applications, credentialing challenges, Credentialing Cycle Time, Credentialing Difficulty, Credentialing Monitoring, credentialing process, Medical Recredentialing, Provider Recredentialing, Recredentialing

Stacked Burger: A Delicious Journey Through Medical Credentialing

February 8, 2025 / admin / Articles, Credentialing, Credentialing AI, Credentialing Burger, Credentialing Criteria, Credentialing Process, Credentialing Services, Credentialing Stack, Credentialing Technology, Medical Credentialing, Recredentialing
Medical Credentialing Burger Analogy

You’re staring down at a towering burger, its layers beckoning you with a siren song of culinary complexity. Now, take that same sense of intricate layering and transpose it onto the world of medical credentialing. Sounds crazy, right? But trust us, by the time we’re done, you’ll see that a perfectly constructed burger and a […]

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Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing Burger, Credentialing Criteria, credentialing process, Credentialing Services, Credentialing Stack, Credentialing Technology, medical credentialing

Providers: Are You Losing Revenue Due to Bad Credentialing?

February 6, 2025 / admin / Articles, Bad Credentialing, Credentialing, Credentialing Challenges, Credentialing Delays, Credentialing Difficulty, Credentialing Errors, Credentialing Pitfalls, Credentialing Problems, Healthcare Credentialing, Medical Credentialing
Credentialing Expert White Male Frustrated

If you’re a healthcare provider, there’s a good chance you’re leaving money on the table due to credentialing errors and you might not even realize it. We’ve seen countless practices struggle with this often-overlooked aspect of healthcare administration, watching their hard-earned revenue slip through the cracks due to preventable credentialing mistakes. Let’s have an honest […]

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Bad Credentialing, Credentialing, credentialing challenges, Credentialing Delays, Credentialing Difficulty, Credentialing Errors, Credentialing Pitfalls, Credentialing Problems, healthcare credentialing, medical credentialing

Medical Staff Credentialing Solutions: Modernizing Healthcare Verification for the Digital Age

February 4, 2025 / admin / Articles, Credentialing, Credentialing AI, Credentialing Automation, Credentialing History, Medical Credentialing, Medical Credentialing AI, Medical Staff Credentialing, Primary Source Verification, PSV, Recredentialing, Staff Credentialing
Medical Credentialing Professional White Male

Healthcare organizations face an increasingly complex challenge: ensuring their medical staff are properly qualified, licensed, and safe to practice while managing an ever-growing mountain of documentation and regulatory requirements. Medical staff credentialing, once a purely paper-based process, has evolved into a sophisticated ecosystem of digital solutions that promise to streamline verification workflows, reduce errors, and […]

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Credentialing, Credentialing AI, Credentialing Automation, Credentialing History, medical credentialing, Medical Credentialing AI, Medical Staff Credentialing, Primary Source Verification, PSV, Recredentialing, Staff Credentialing

How Incomplete Credentialing Can Affect Provider Revenue

February 2, 2025 / admin / Articles, Credential Maintenance, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing Applications, Credentialing Automation, Credentialing Criteria, Credentialing Problems, Incomplete Credentialing, Medical Credentialing
White Male Credentialer

Healthcare practices face numerous challenges in maintaining healthy revenue streams, but few issues can be as devastating to the bottom line as incomplete or improper credentialing. While it might seem like a purely administrative task, credentialing directly impacts a practice’s ability to receive reimbursement for services rendered. We’ll take a look at the multifaceted ways […]

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Credential Maintenance, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing Applications, Credentialing Automation, Credentialing Criteria, Credentialing Problems, Incomplete Credentialing, medical credentialing

Medical Credentialing KPIs and Metrics Every Practice Should Track

January 30, 2025 / admin / Articles, Credentialing, Credentialing Applications, Credentialing Criteria, Credentialing Cycle Time, Credentialing KPIs, Credentialing Metrics, Credentialing ROI, Medical Credentialing, Medical Credentialing KPIs, Medical KPIs
Medical Credentialing KPIs, Metrics

Measuring and monitoring the right key performance indicators (KPIs) for medical credentialing can mean the difference between a thriving practice and one struggling with revenue cycles. Undermentioned, the essential metrics that every healthcare practice should track to ensure efficient credentialing processes and maintain healthy revenue streams. Understanding the Importance of Credentialing Metrics Before diving into […]

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Credentialing, Credentialing Applications, Credentialing Criteria, Credentialing Cycle Time, Credentialing KPIs, Credentialing Metrics, Credentialing ROI, medical credentialing, Medical Credentialing KPIs, Medical KPIs

Primary Source Verification: The Cornerstone of Credentialing

January 24, 2025 / admin / Articles, Automated Verification Systems, Compliance Assurance, Credentialing, Legal Protection, Medical Credentialing, Medical Credentialing Automation, Primary Source Verification, PSV, Risk Mitigation, Secure Online Databases
Primary Source Verification

In professional credentialing, primary source verification (PSV) stands as a critical safeguard ensuring the integrity, accuracy, and reliability of professional credentials. The process goes far beyond a simple checkbox exercise. It’s a meticulous method of confirming the authenticity of an individual’s professional qualifications, training, and background directly from the original issuing source. What is Primary […]

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Automated Verification Systems, Compliance Assurance, Credentialing, Legal Protection, medical credentialing, Medical Credentialing Automation, Primary Source Verification, PSV, Risk Mitigation, Secure Online Databases

The ROI on Outsourced Medical Credentialing

January 21, 2025 / admin / Articles, Compliance Risk, Credentialing, Credentialing ROI, In-House vs Outsourced Credentialing, Medical Credentialing, Medical Credentialing ROI, Outsourced Credentialing, Outsourced Medical Credentialing
Doctors in Need of Credentialing

Medical credentialing might not be the most exciting topic in healthcare management, yet credentialing is absolutely crucial for both healthcare providers and facilities. Think of it as the bureaucratic backbone that keeps the entire healthcare system running smoothly. Today, we’re diving deep into a question that many healthcare administrators and practice managers grapple with: Is […]

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Compliance Risk, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing and Contracting, Credentialing Applications, Credentialing Automation, credentialing challenges, Credentialing Criteria, Credentialing ROI, medical credentialing, Medical Credentialing ROI, outsourced credentialing, Outsourced Medical Credentialing

Looking for a Medical Credentialing Job?

January 17, 2025 / admin / Articles, Chief Credentialing Officer, Credentialing, Credentialing Coordinator, Credentialing Manager, Credentialing Specialist, Healthcare Compliance Officer, Medical Credentialing, Medical Credentialing Jobs, Provider Enrollment Specialist
White Female Credentialing Manager

So you’re thinking about jumping into the world of medical credentialing? You’ve picked an interesting time to explore this career path. With healthcare becoming more complex and regulated by the day, credentialing specialists are in higher demand than ever. Let’s walk through everything you need to know about breaking into this field and building a […]

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Chief Credentialing Officer, Credentialing, Credentialing Coordinator, Credentialing Manager, Credentialing Specialist, Healthcare Compliance Officer, medical credentialing, Medical Credentialing Jobs, Provider Enrollment Specialist

The History of Medical Credentialing: From Ancient Times to Modern Practice

January 15, 2025 / admin / Articles, Code of Hammurabi, Credentialing, Credentialing History, First Medical Credentials, Flexner Report, Hippocratic Oath, History of Medical Credentialing, Medical Credentialing History
Medical Credentialing History

Let’s take a journey through the history of medical credentialing. A story that’s as old as medicine itself. You might think medical licenses are a modern invention, but people have been trying to figure out who’s qualified to practice medicine for thousands of years. It’s a tale that reveals a lot about how we’ve approached […]

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Code of Hammurabi, Credentialing, Credentialing History, First Medical Credentials, Flexner Report, Hippocratic Oath, History of Medical Credentialing, medical credentialing, Medical Credentialing History

Beyond Basic Credentialing: Implementing Competency-Based Provider Assessment Models

January 6, 2025 / admin / Articles, Case Reviews, CBME, Competency-Based Assessment, Competency-Based Provider Assessment, Credentialing, Credentialing AI, Credentialing Automation, Machine Learning, Value-based Care, Value-Based Models
White Male Credentialer

Let’s talk about something that’s revolutionizing how we evaluate healthcare providers. Gone are the days when a medical degree and a license were all you needed to prove your worth as a healthcare professional. The modern healthcare landscape demands so much more, and that’s where competency-based assessment comes into play. The Limitations of Traditional Credentialing […]

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360-Degree Feedback, AI, Case Reviews, CBME, Competency-Based Assessment, Competency-Based Provider Assessment, Credentialing, Direct Observation, Machine Learning, medical credentialing, Outcome Metrics, Simulation Exercises, Value Based Care, Value-Based Care Models

The Evolution of Provider Enrollment: From Paper to Digital Transformation

January 3, 2025 / admin / Articles, Credentialing, Credentialing AI, Credentialing Applications, Credentialing Automation, Credentialing Challenges, Credentialing Errors, Paper to Digital, Provider Applications, Provider Credentialing, Provider Enrollment
Paper to Digital Transformation

Remember the days when healthcare provider enrollment meant drowning in a sea of paperwork? I’m talking about mountains of forms, countless phone calls, and weeks (or even months) of waiting for approvals. It’s fascinating to see how far we’ve come from those paper-heavy days to today’s streamlined digital provider enrollment processes. We’ll examine this remarkable […]

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Credentialing, Credentialing AI, Credentialing Applications, Credentialing Automation, credentialing challenges, Credentialing Errors, Paper to Digital, Provider Applications, Provider Credentialing, Provider Enrollment

Managing Red Flags in Provider (Credentialing) Applications: A Risk-Based Framework

January 1, 2025 / admin / Articles, Credentialing, Credentialing Applications, Credentialing Challenges, Credentialing Criteria, Credentialing Problems, Credentialing Red Flags, Credentialing Risks, Provider Applications, Risk Assessment
Credentialing Application Red Flag Management

You’ve seen it before; you’re reviewing a provider application and something just doesn’t seem right. Maybe it’s an unexplained gap in work history, a malpractice case that wasn’t disclosed, or inconsistent information across different sections of the application. Your instincts are telling you to dig deeper, but how do you approach these red flags in […]

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Credentialing, Credentialing Applications, credentialing challenges, Credentialing Criteria, Credentialing Problems, Credentialing Red Flags, Credentialing Risks, Provider Applications, Risk Assessment

Credentialing Metrics That Matter: KPIs for Modern Medical Staff Offices

December 30, 2024 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing Automation, Credentialing Criteria, Credentialing Difficulty, Credentialing Errors, Credentialing KPIs, Credentialing On-Boarding, Credentialing Problems
Medical Credentialing KPIs

Medical staff offices (MSOs) play a crucial role in ensuring quality patient care through rigorous provider credentialing and privileging processes. But how do we know if our credentialing operations are truly effective? The answer lies in measuring and monitoring the right key performance indicators (KPIs). The undermentioned content includes the metrics that really matter for […]

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Credentialing, Credentialing Accuracy, Credentialing Automation, Credentialing Criteria, Credentialing KPIs, credentialing on-boarding, medical credentialing

Implementing Continuous Monitoring in Your Credentialing Program

December 27, 2024 / admin / Articles, Continuous Monitoring, Continuous Monitoring Credentialing, Credentialing, Credentialing Challenges, Credentialing Difficulty, Credentialing Errors, Credentialing Monitoring, Credentialing Problems
White Male Medical Credentialing Expert

Healthcare organizations face an ever-growing challenge in maintaining robust credentialing programs that ensure patient safety and regulatory compliance. While traditional credentialing processes often rely on periodic reappointment cycles, modern healthcare demands a more dynamic approach. Enter continuous monitoring – a proactive strategy that transforms credentialing from a point-in-time event into an ongoing process that helps […]

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Continuous Monitoring, Continuous Monitoring Credentialing, Credentialing, Credentialing and Contracting, credentialing challenges, Credentialing Difficulty, Credentialing Errors, Credentialing Problems

The Impact of Interstate Medical Licensure Compact on Multi-State Credentialing

December 25, 2024 / admin / Articles, Credentialing, Credentialing AI, Credentialing Automation, Credentialing Challenges, Credentialing Criteria, Credentialing Problems, Credentialing Regions, IMLC, Interstate Medical Licensure Compact
Doctors in Need of Credentialing

Remember the days when doctors needed to jump through endless bureaucratic hoops to practice medicine in different states? It wasn’t that long ago. In fact, for many healthcare providers, this frustrating reality still exists. But there’s been a game-changing development in recent years: the Interstate Medical Licensure Compact (IMLC). This innovative agreement has been revolutionizing […]

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Credentialing, Credentialing AI, Credentialing Automation, credentialing challenges, Credentialing Criteria, Credentialing Problems, Credentialing Regions, IMLC, Interstate Medical Licensure Compact, Nurse Licensure Compact

How Digital Verification is Transforming Credentialing Onboarding

December 23, 2024 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing Automation, Credentialing Criteria, Credentialing New Providers, Credentialing On-Boarding, Digital Credentialing, Digital Verification, Medical Credentialing

The healthcare industry has long grappled with a time-consuming and paper-heavy process that few providers look forward to: credentialing. This essential but often frustrating verification procedure has traditionally been a major bottleneck in getting qualified healthcare professionals into practice. But there’s good news on the horizon – digital verification is revolutionizing how we approach provider […]

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Credentialing, Credentialing Accuracy, Credentialing Automation, Credentialing Criteria, Credentialing New Providers, credentialing on-boarding, Credentialing Use Cases, Digital Credentialing, Digital Verification, medical credentialing

Some of Our Most Successful Credentialing Use Cases

December 21, 2024 / admin / Articles, Credentialing, Credentialing Accuracy, Credentialing Automation, Credentialing Criteria, Credentialing New Providers, Credentialing On-Boarding, Credentialing Use Cases, Medical Credentialing
Medical Office Credentialing Use Case

At Medwave, we’ve helped numerous healthcare organizations streamline their credentialing operations. The undermentioned use cases highlight how proper credentialing helps healthcare organizations maintain high standards of care while protecting patients and supporting medical professionals. Some of our most successful credentialing use cases, which show how we make a real difference on behalf of our healthcare […]

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Credentialing, Credentialing Accuracy, Credentialing Automation, Credentialing Criteria, Credentialing New Providers, credentialing on-boarding, Credentialing Use Cases, medical credentialing

The Most Common Credentialing Errors and How to Fix Them

December 18, 2024 / admin / Articles, Automated Credentialing, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing Automation, Credentialing Challenges, Credentialing Difficulty, Credentialing Errors, Credentialing Problems, Understanding Credentialing
Female Medical Credentialing Company Owner

Credentialing is a complex beast that can trip up even the most experienced healthcare administrators and medical professionals. Whether you’re a practice manager, a healthcare provider, or someone involved in the intricate world of medicine, you’ve likely encountered your fair share of credentialing problems. We’ll analyze the most common credentialing errors that can slow down […]

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Automated Credentialing, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing Automation, credentialing challenges, Credentialing Difficulty, Credentialing Errors, Credentialing Problems, Understanding Credentialing

Automation in Medical Credentialing

December 16, 2024 / admin / Articles, Automated Credentialing, Automation, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing and Contracting, Credentialing Automation, Credentialing Challenges, Credentialing Delays, Credentialing Difficulty, Medical Credentialing Automation
Asian Indian Woman Credentialing

Let’s dive into a topic that’s transforming healthcare behind the scenes: medical credentialing automation. If you’ve ever wondered how healthcare organizations manage the complex process of verifying medical professionals’ qualifications, you’re in for an eye-opening journey. What is Medical Credentialing? First things first, let’s break down what medical credentialing actually means. Imagine you’re a patient […]

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Automated Credentialing, Automation, Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing and Contracting, Credentialing Automation, credentialing challenges, Credentialing Delays, Credentialing Difficulty, Medical Credentialing Automation

Mistakes in the Credentialing Process Can Prove Costly

December 11, 2024 / admin / Articles, CAQH, Credentialing, Credentialing Accuracy, Credentialing Challenges, Credentialing Criteria, Credentialing Difficulty, Credentialing On-Boarding, Medical Credentialing
White Female Credentialing Boss

Let’s be real here – the medical credentialing process can be a beast. It’s a tangled web of rules, paperwork, and hoops to jump through. And when things go wrong, it can get ugly quickly. Think about it. You’ve got doctors, nurses, techs, and all sorts of other medical professionals that need to be properly […]

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CAQH, Credentialing, Credentialing Accuracy, credentialing challenges, Credentialing Criteria, Credentialing Difficulty, credentialing on-boarding, medical credentialing, NCQA

Understanding State-Specific Medical Licensing Regulations

December 3, 2024 / admin / Articles, Credentialing, Credentialing Challenges, Credentialing vs. Licensing, CVO, Healthcare, Medical, Medical Credentialing, Medical Licensing, Multi-State Credentialing, Multi-State Licensing, United States Medical Licensing Examination, USMLE
Potential Medical Billing Company Owner

Getting licensed to practice medicine isn’t as straightforward as you might think. In fact, it’s more like running a bureaucratic obstacle course where each state has its own unique set of hurdles. Welcome to the complex world of state-specific medical licensing regulations – a landscape that can perplex even the most seasoned healthcare professionals. Why […]

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Credentialing, credentialing challenges, Credentialing vs. Licensing, CVO, healthcare, Medical, medical credentialing, Medical Licensing, Multi-State Credentialing, United States Medical Licensing Examination, USMLE
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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

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