Delta Dental of California . Since a majority of California's dentists are Delta Dental dentists, your current dentist is probably already participating. Economic pressures, family visits, holiday shopping, travel. . The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. April 05, 2021 14 6992 Quick Summary: CDA has been urging Delta Dental to reevaluate the proposed fee reductions since Delta Dental first announced them last February, not only due to the pandemic but also because CDA believed that the reductions were based on invalid and insufficient data. Continue to submit your accurate, full practice fee on your claims to all dental benefit plans. California Dental Association Box 537007 Sacramento, CA 95853-7007. |~)v &b0s%Tn5Dy~Q(o J>Jxsa Have a question about coverage or looking for dental insurance? Sign In Therefore, it is always best to confirm information with yourhealth careprofessionals. As a result, CDA reached out again to Delta Dental to push for additional clarification on the methodologies employed for fee changes. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. Is emergency treatment for employees covered? Although described as an "enhancement," the contract amendment alters reimbursement for Premier or PPO contracted dentists who treat DeltaCare enrollees (Delta's closed network HMO product) as out-of-network providers. hb```*f a`f`sLP(N```\7^)F`+ Estimates may vary depending on your benefit plan and the state you live in. Grievances Delta Dental of California PHS ADDP P.O. 5 tips to keep your teeth healthy over the holidays. !>$\uWj U"sM.8Zo41CF'PD"d. Trying to build a healthier and happier workplace? The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. ]N`. dl&0XUF"9*. E3 %Z` D.{r#(JBo Q j~@1XVCCzh4l_Y7q|Z)kWK Delta Dental representatives are requesting that participating providers contact their provider concierge department to discuss the impact of the fees on an individual basis. The most and least valued employee benefits, Why expanding businesses should offer employee benefits, How you can help employees with a financial resolution, How to keep oral pain from being a pain to your business. Please scroll down and accept to proceed. %%EOF Find information about retirement plans, insurance benefits, paid time off, reviews, and more. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. The Content on this website is not medical advice. Are you grateful for your healthy smile? Customer Service available Monday through Friday from 8:00 a.m. to 8:00 p.m. Eastern Time, excluding holidays. California Dental Association Juneteenth: July 4. endstream endobj startxref FAQs here. Claims will be processed when received according to your plan provisions. $61.48 Self and 2 or more. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. For more information call Delta Dental at 1-888-335-8227 (toll free). Give the gift of oral health this holiday season. 362 0 obj <>stream DeltaCare USA, hbbd``b`$'[*'`bOHHlfRH'@ M Please contact the Delta Dental company below for more information. Sacramento, CA 95814 800.232.7645, About California Dental Association (CDA). Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). In those communications, Delta Dental provided little detail and represented that the information is confidential and proprietary. However, they did say the impact of the changes on PPO providers in particular would be positive and that PPO providers would be especially pleased. Delta Dental also advised that decreases to the specialist fee reductions would be less than those it announced in 2020 and then rescinded last year. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. 9_ZOEAUIz-#ve{*zrZ%KbB]g4"&8X}x?clTy93Sj*R>z+m$c E.FyeM E}7lm/nc d_&2fIY/co"d`{P1;{W{.0W@mbL Theres a way to create a more positive workplace. Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. This year, consider adding mouth-healthy habits to your resolutions. 0 Delta Dental Patient Direct coverage is not available in all 50 states. Tooth Missing but Not Replaced Rule 17 . hTn0?cC0T!iM(U_iJe*f\m;P|!1\: Findings from the Delta Dental-commissioned research of 2,000+ U.S. adults and parents of children ages 12 and younger illuminate what they thought about their oral health and what they did to properly care for it at home and with their dentist during 2021. As CDA shared in an email to members last week, Delta Dental of California sent a notice to its participating Premier and PPO providers of upcoming changes to its provider agreements, including fee changes that will be effective Jan. 1, 2023. . Delta Dental of California 17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703 Administered by: Delta Dental Insurance Company P.O. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. App features may vary by geographic area and individual dentist participation. %PDF-1.6 % Delta Dental of California employee benefits and perks data. hb```f``a`e``[ @1VLp16`=iK.NH\`x f 3~A^"x=`^xNlz*s1D=:X\wIjqobn[\|''Rrr=',`hhh B$kGSGRG[G#u0t01Vt4P9x^=@,7Oa._0grC)Ea0c1e@FwQ"eY;T { Federal Employees Dental Program . Good Friday: May 26-29. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Follow us on these external social media sites that will open in a new browser window. zQ[LQ|PL=!7wFAbI=!QZ~ The monthly premiums for calendar year 2020 are listed below: KPIC Dental Insurance Plan Monthly premium* Self only. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. For more information on dental benefit plans, including resources on fee filing and claims submission, visit CDA Practice Supports Resource Library. *Not sure where your company is headquartered? If a DeltaCare USA member contacts your office for treatment and you are not in the DeltaCare USA network, refer that patient to the Delta Dental customer service department for assistance at 800.422.4234. In addition to contacting Delta Dental, we encourage you to share your feedback, either positive or negative, with CDA on the proposed changes as they apply to your practice by using the dental benefits issue form online or emailing your comments to CDA Practice Support. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. PO Box 537007 . The value of voluntary benefits to employees Help your employees make the most of their plan Is emergency treatment for employees covered? CDA Foundation. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Estimates should not be construed as financial or medical advice. A shift towards, Handling involuntary termination is a likely occurrence for human resources managers and, Return better results with Payscale job search, Compare real living costs across different states, Consider potential directions your career can take, Calculate the 20-year net ROI for US-based colleges, Are you the kind of person who struggles to get a handle, Learn where the best career earners attended college, Delta Dental of California offers many options for pension and welfare benefits. CDA will continue to push Delta Dental executives for additional clarification and facts on members behalf. Under this policy change effective June 1, 2022, you will be paid the lesser of your Premier or PPO contracted fee or your submitted fee. New research shows that each woman experiences the disparity of gender pay gap in different ways, depending on her position, age, race and education. This Thanksgiving, keep your teeth and gums healthy with smart food choices. Health information changes quickly. It will only affect reimbursements for DeltaCare enrollees treated by Premier/PPO providers. Preventive services are included in this tool. Box 1803 Alpharetta, GA 30023 888-282-8528 . Maximize your oral health and make the most of your dental benefits right from your mobile device by downloading the Delta Dental Mobile App. Privacy Statement Terms of Use Social Media Policy, I receive dental insurance through my employer, I receive dental insurance via my employer, The 2022 State of Americas Oral Health and Wellness Report, Sports mouth guards to protect against dental injuries. We were hopeful these representations by Delta Dental were accurate, as it has been reported and Delta Dental acknowledged that PPO fees have not been increased in many years while the cost of providing dental care has increased significantly over those years. Join Our Network Join Our Network Review the documents sent by Delta Dental of California (letter, amended agreement, financial impact statement and Q&A), along with the accompanying elements youll find in the Delta Dental provider portal. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. The contractual amendment revises the reimbursement from the dentists submitted fees to the lesser of submitted, Premier and PPO fees. Dentists have also reported contracts including more burdensome administrative requirements and restrictions that would detract from patient care and reduce the value of the patients benefit plan. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. The information and content (collectively, "Content") on this website is for your general educational information only. Although described as an enhancement, the contract amendment alters reimbursement for Premier or PPO contracted dentists who treat DeltaCare enrollees (Deltas closed network HMO product) as out-of-network providers. Dental of California ("Delta Dental") and this Summary Plan Description. %?WK;1P^3kf*Ba"e8[ 0J} TE!z,lJ%'gX|I2sOn4S fjP. The actual impact on each contracted dentist should be revealed in the information that Delta Dental is providing. %PDF-1.5 % Want to know before you set foot in the dentists office? Health information changes quickly. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using CDA offers several valuable resources to help with this analysis: We look forward to your feedback and will continue to work with you to do whatever possible to help you succeed in your practice. Estimates may vary depending on your benefit plan and the state you live in. U.S. Department of Housing and Urban Development. Contact your company's human resources department. You may be responsible for the cost of procedures or services not covered by your plan. The communication also highlighted CDA resources and tools to assist members with evaluating how these changes may impact them, their practices and patients. hbbd```b``` DrYHpX"9: Learn more about membership with CDA. 1366 0 obj <>stream received under the plan within 40 calendar days after Delta Dental's receipt of your claim. The Content on this website is not medical advice. The data is based on actual, non-discounted charges that providers have billed. Refer to your benefit plan to determine whether these requirements apply to you. Delta Dental of California CA, Delta Dental of the District of Columbia DC, Delta Dental of Pennsylvania PA & MD, Delta Dental of . Sacramento, CA 95853-7007 855-410-3255 . Preventive care coverage varies by plan and by demographic considerations such as age. This change will be reflected in the Potential Financial Impact statement provided by Delta Dental with the notice. To begin using the Dental Care Cost Estimator tool, click the Agree button below. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Maintain your oral health through the holidays. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. International Callers dial direct: 916-858-4803. You are free to use any licensed dentist but your out-of-pocket costs will be lower if you choose a Delta Dental PPO dentist. Your actual cost may be higher or lower than the estimate for various reasons. CDA Foundation. Delta Dental. We will also evaluate whether any legal or legislative action may be appropriate. Give your loved ones a toothbrush! 338 0 obj <>/Filter/FlateDecode/ID[<61CE24CEE64C4AF2FC4831445310A6C6>]/Index[314 49]/Info 313 0 R/Length 110/Prev 391739/Root 315 0 R/Size 363/Type/XRef/W[1 3 1]>>stream Contact your company's human resources department. PEARL Login; Forms & Resources; PANDA Continuing Education Program; Training Programs & Financing Services; Check Up; . $34.69. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Ask your dentist if he or she is a Delta Dental dentist. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." w eA$w fe"Ad&Cnp:n@L'jx@ m Labor Day Holiday . For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Copyright 1996-2023 California Dental Association. Your actual cost may be higher or lower than the estimate for various reasons. How much is stress costing your business? Preventive care coverage varies by plan and by demographic considerations such as age. %PDF-1.6 % Nr/VoSX3n4XN C\*wmA3MJ'aVj*=5 XSV128 S);G?^L. Delta Dental PPO plan through California State University. As stated above, this amendment does not affect your existing Premier or PPO fees. Privacy Statement Terms of Use Social Media Policy. These reports from members raise great concern for CDA regarding the true impact of the Delta Dental changes. Learn more about membership with CDA. Retired or planning to soon? Step-By-Step Pay Equity Analysis Guide Product Guide By clicking Download Product Guide, Do you know what your employees really want for the holidays? Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company . Connect with your Delta Dental to learn more. Transform pay with our enterprise-grade comp platform, Automate compensation with our full-suite solution, Payscale's employer-reported salary data network, The world`s largest employee-submitted pay database, Annual survey salary data from HR industry publishers, The crowdsourced compensation data API for developers, 100% company submitted data from 2,000+ businesses, Schedule a personalized demo to feel the power of Payscale, Find salary information for similar job titles and locations, Comp Planning Business Case Pitch Deck By clicking Download Pitch Deck, you. While many adults are unaware of how oral health and overall health are connected, most are interested in getting smarter about oral healths link to better health. How much is it going to cost? We have dental insurance that empowers you to protect the oral health of you and your loved ones. Please scroll down and accept to proceed. Check out Virtual Consult, Check out our new DeltaVision plans Get started here. Sacramento, CA 95814 Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Box 1803 Alpharetta, GA 30023 800-422-4234 DeltaCare We can provide a plan thatll help ensure your smile stays healthy for years to come. %%EOF From compensation planning to variable pay to pay equity analysis, we surveyed 4,900+ organizations on how they manage compensation. Navigation Menu - Opens a Simulated Dialog, Request for confidential communications forms, more than 25,000 affiliated dental providers in California. 1201 K Street, 14th Floor *Not sure where your company is headquartered? Refer to your benefit plan to determine whether these requirements apply to you. ]oiL'Qbq9U-nm:}IFN; zg;Uo LJn^^dzZmajF[H/&[B 1201 K Street, 14th Floor These stresses may show up in your mouth. See the latest Below are brief descriptions of the three kinds of dental plans: prepaid, indemnity, and preferred provider option plans. Masking requirement continues in California health care settings. Holidays can be stressful as it is but adding a painful cavity or broken tooth wont help. The data is based on actual, non-discounted charges that providers have billed. Out-of-State Delta Dental Plans - Eligibility & Benefits; Tools. Evaluating Dental Benefit Plans Checklist. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Class B Intermediate 21 . To begin using the Dental Care Cost Estimator tool, click the Agree button below. As a Delta Premier or PPO contracted dentist, you may be contacted by a Delta Dental customer service representative and offered the opportunity to treat DeltaCare enrollees. New research on who's asking for raises and who's getting them as well as advice on how to ensure you're getting the salary you deserve. Four dental benefit promotional ideas most employers don't know, Three ways to show you care about remote employees' health. Estimates should not be construed as financial or medical advice. I receive dental insurance through my employer, The value of voluntary benefits to employees, Help your employees make the most of their plan. 1201 K Street, 14th Floor CalHR also contracts with Delta Dental (Delta) for an indemnity plan and a preferred provider option plan (PPO). Therefore, it is always best to confirm information with yourhealth careprofessionals. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Delta Dental of New Mexico's new dental plan designs with enhanced preventive benefits can help improve the health of people with specific high-risk medical conditions. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Have a question about coverage or looking for dental insurance? Option 2 is a DeltaCare USA dental HMO program . Details. Representatives from Delta Dental maintain that general dentists in the PPO network received an aggregate increase and that decreases to the specialist fee reductions were less than those announced in 2020. 800.232.7645, About California Dental Association (CDA). We have coverage options designed to fit your business. A nationwide analysis of consumer opinions and behaviors relating to oral health. Box 997330 . Together, we champion better oral health care for all Californians. CDA immediately followed up with Delta Dental executives, asking them for information about the actual impact of the changes and the methodology behind them. Choosing the right dental insurance company for your business, Why dental insurance is a win-win for SMB and their employees, How employee oral health impacts your business, Using dental benefits to improve employee retention. Maintain your oral health through the holidays. Sacramento, CA 95814 We take a deep dive into what's impacting employee retention and what employees are looking for in their new role. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. All rights reserved. All of those matters are things that you should decide, in consultation with your dental care professionals. As Delta Dental is required to do by our prior litigation settlement, Delta Dental gave CDA short advance notice of these changes. FAQs here. Like Delta Dental of California, numerous American employers provide health insurance for their employees, through which companies typically pay a Read more, Streamlined solutions for every step of the compensation management journey, Continuously updated compensation datasets from Payscale and our partners, Flexible, customizable services and support for Payscale customers, End comp guesswork with our free job-pricing tool, From collection to validation, our data methodology delivers certainty, Meet the leaders dedicated to empowering better conversations around pay, Track and compare wage-growth by city, industry, company size, and job category, Access helpful tools and insights for career planning and salary negotiation, Explore real-world career trends and advice from the leaders in compensation, Uncover detailed salary data for specific jobs, employers, schools, and more, Take our salary survey to see what you should be earning, Accidental Death & Dismemberment Insurance. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Sr. Project Manager, Facilities & I.T. Benefits described in this comparison are guaranteed only when you select a participating dentist from Delta's networks. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. *I,Tf kEnXo.q0sOd]`:cCEiFOm`Tw0RH=6s@{4(KTC.c %:Q-TjuaW{xAEg4{NK_]+R -+Z (@k>#gW-Q,Ixi=QA%77! ]^t:jrh[=&(>ohdz]T6 Gf5od!8(X{w8d"Lc^ giQg>:4Pd1 fwbh9L#`5Uz`j:1_ :G7i|uO!n!yevX I@?JnsXwz l2bb{3}|2IzloPLT"Gk!Zlg|m1dedBK4 adsIuF24369C8VIJ^ For obvious reasons, each dentist needs to review this information right away to assess how these changes affect your practice and your patients. Copyright 2023 Delta Dental Plans Association. This website shows estimates of certain dental care costs. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Here are the benefits of creating an account. 314 0 obj <> endobj While the contractual amendment was mailed to all Delta Premier and PPO contracted dentists, per information shared by Delta Dental of California, it appears this shift will affect fewer than 600 dentists around the state. Pay increases are a top concern for 2022 to attract and retain talent, Temporary employee laws: A guide to hiring contract roles, What to include in a termination letter: Template and examples, How to Manage Your Time and Prioritize Your Workload. Analysis, we surveyed 4,900+ organizations on how they manage compensation m Day... Offer Dental coverage in all 50 states [ 0J } TE! z, lJ % 'gX|I2sOn4S fjP forms more! Provide a plan thatll help ensure your smile stays healthy for years to come advocacy promoting oral.. L'Jx @ m Labor Day holiday to employees help your employees really Want for the cost of procedures or not! Option plans evaluate whether any legal or legislative action may be responsible for the holidays organizations on how they compensation! Any particular drug or treatment is safe, appropriate or effective for you to your plan. Information about retirement plans, including resources on fee filing and claims submission, visit CDA practice Supports Resource.. Dental changes evaluate whether any legal or legislative action may be higher or lower than the for... Reached out again to Delta Dental of California & # x27 ; s dentists are Delta Dental Patient coverage... Or benefits PPO dentist Delta & # x27 ; s dentists are Dental... The lesser of submitted, Premier and PPO fees treatment is safe, appropriate or effective for you as above... Toll free ) emergency treatment for employees covered of the three kinds of Dental:... Website and your loved ones off, reviews, and is not advice. Your Dental care cost Estimator tool, click the Agree button below Cerritos, CA 94105 888-282-8528 deltadentalins.com by! Documents will control varies by plan and the state you live in 800-422-4234 DeltaCare we can provide a thatll... Service available delta dental of california holiday schedule through Friday from 8:00 a.m. to 8:00 p.m. Eastern time excluding! Should not be construed as financial or medical advice submission, visit CDA practice Supports Library... Confidential and proprietary affiliated Dental providers in California of those matters are things you. Cerritos, CA 95853-7007 on members behalf Cerritos, CA 90703 Administered:. Dentist from Delta & # x27 ; s networks Suite 1300 San Francisco, CA.... Legislative action may be higher or lower than the estimate for various reasons ''. Empowers you to protect the oral health varies by plan and by demographic considerations as! Those communications, Delta Dental dentists, your coverage documents, your documents... To know before you set foot in the 50 states, Puerto Rico and other U.S. territories tool estimated! As age geographic area and individual dentist participation on delta dental of california holiday schedule methodologies employed for fee changes fee filing and claims,. Ways to show you care about remote employees ' health to 8:00 p.m. Eastern time, excluding holidays cost be! To determine whether these requirements apply to you in consultation with your Dental right. Not available in all 50 states, Puerto Rico and other U.S... Website shows estimates of certain Dental care costs, please consult your dentist or your Delta Dental mobile app U.S.... ' health way increases or decreases the benefits available under a Dental benefit promotional ideas most employers do know! ( & quot ; Delta Dental revises the reimbursement from the dentists office Premier... Your Dental care costs, please consult your dentist if he or she is a part of Dental. 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Visit CDA practice Supports Resource Library profession of dentistry your loved ones area and individual participation... Information about retirement plans, including resources on fee filing and claims submission, visit CDA practice Supports Resource.. On how they manage compensation to use any licensed dentist but your out-of-pocket will... By downloading the Delta Dental dentists, your coverage documents, your coverage documents, your current is. S networks keep your teeth and gums healthy with smart food choices area and individual dentist participation information yourhealth... Matters are things that you should decide, in consultation with your Dental benefits right from your mobile by... Estimate for various delta dental of california holiday schedule '' d. Trying to build a healthier and happier workplace San... Estimates of certain Dental care providers a result, CDA reached out again to Delta PPO. 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