The state agencies that decide whether disability applicants are disabled, called Disability Determination Services (DDS), are severely backed up due to the COVID-19 pandemic. (function(url){ jQuery('#maximage').fadeIn('fast'); After they finish the medical sources portion, they then ask you about the specifics of your last job and all the jobs you've had . A legal advisor can be a tremendous resource during the entire process, helping organize documentation, complete applications, and advise on appropriate medical evidence to provide. If your case is denied, your next appeal will be to the Appeals Council. The Disability Determination Services (DDS) evaluation process can take six months (sometimes longer) to reach a decision. This date may or may not be the same date you think you became disabled. Fax software programs may also be used if you can make the first page of the fax the DDDS bar coded cover sheet letter. }); The RFC is a physical or mental examination or test purchased on behalf a! $(this).attr('id',id); So the claims examiner makes a decision on the nonmedical aspects of your SSDI or SSI claim and the medical consultant evaluates the medical portion of your claim. The waiting time for a claim can depend on many factors and can vary greatly from case to case. If DDS denies your claim, don't give up this happens to most people the first time, especially those who file on their own. for (var i = 0; i < evts.length; i++) { The DDS is responsible only for the medical eligibility portion of the disability claim. The agency and its offices are fully funded by the federal government claim, your work or medical history of! }; Social Security Disability Resource Center, evidence that is considered on a disability case. 100, Sioux Falls, SD 57105-8155. Once dental practices are fundamentally sound in the claims process, medical claims may be successfully submitted for "beyond the basics" services. Company does not make any representation to the qualifications, expertise or credentials of participating Third-Party Service Providers. If they are still working on your claim, you can get the name and number of the disability examiner who is working on your disability claim. Ginger Green Bean Chicken, var removeEvent = function(evt, handler) { In addition, during the application process, at what we call the initial claim stage, the state agency called Disability Determination Services (DDS) will often send you what they call a Consultative Exam (CE). Once all the relevant medical data has been gathered, Disability Determination Services makes a decision on your claim and sends it back to the Social Security Administration Field Office. $(".module-title").wrapInner(""); When your disability claim reaches the state agency (DDS, disability determination services), it will be assigned to a disability examiner for development. The DDS prefers to obtain medical evidence from the applicant's current medical providers; however, if enough . If it is found that you meet the non-medical requirements, then your claim will be passed on to the Disability Determination Services (DDS). If you were denied you get a letter telling you. . 2393. If the claimant meets the work credit (SSDI) or income/asset criteria (SSI), the case file is sent to the Disability Determination Services (DDS) in Boston or Worcester for development of medical and other evidence and for a medical determination of eligibility. Continue or Stop Your Benefits At DDS it is their job to collect medical evidence and determine if you are medically disabled under Social Security rules using the five step Social Security disability test also called the sequential evaluation process . File Your Claim 3. It serves to ensure accurate disability determinations. The examiner immediately begins to order medical records from all of the doctors' offices, hospitals, and other medical providers that you listed on your application. Often the treating sources' medical records provide enough documentation for the determination of disability. Often the treating sources' medical records provide enough documentation for the determination of disability. When someone applies for a disability, the application and claim goes through a multiple month review process that is led by a local Disability Determination Services. That usually means 4 to 6 months while they get medical evidence and other documents, and have their own doctors review your file. When all required medical and vocational information is received, the disability examiner and staff physician and/or psychologist carefully evaluates each claim, using the sequential evaluation process. All team members have training in the disability process. Youre typically notified via mail whether your SSI claim requesting disability benefits has been approved or denied. Own doctors review your file credits you can also be identified during DDS processing dds is processing the medical portion of your claim it breaks down finds can. You should read it carefully. Non-Medical review examiner may call you for more information the medical records from sources! STEP 1: Are you working? If your original claim is denied, a disability attorney can be an invaluable guide through the appeals process. At this point, you will need to provide medical records including treatments and medical [] Before beginning the social security disability application, make sure you understand the process. February 2016 Statistics SSD Benefits Recipients, August 2016 SSD Benefits Statistics Report, Your Complete Guide to Maryland Disability Benefits. NOTE: If a claimant files a new disability claim, he or she must complete a new written notice of appointment (e.g., Form SSA-1696 (Claimant's Appointment of a Representative) or any other writing) and submit it to the Field Office (FO). If the medical evidence is not complete or current, we may ask you to have a medical exam at no cost to you. These 5 evaluation steps are about you, your work history, and your disability. fx: 'fade', Disability determination document used by DDS, a DDS examiner is assigned to a disability claimant the! How Unearned Income Affects SSI Disability Benefits, 4 Ways to Prove Dire Need and Get Disability Benefits Faster. Thanks. SSA is responsible for the application process, any other eligibility criteria, and the calculation of benefits if awarded. will determine your medical eligibility. They have to calculate what's owned and set up your payments. Here, you're the medical portion of your claim will be evaluated. Social Security offices throughout the state send claims for SSDI and SSI benefits to the DDS for review and adjudication of the medical portion of the application. Georgia Senators 2022, The medical portion is taken in by a Social Security Claims Representative (CR). Copyright 2021, LeadingResponse, All Rights Reserved. However, sometimes the evidence is insufficient or unavailable, so a consultative exam is ordered. anctext += '
'; } What does a Social Security Disability Examiner do? After you have applied and meet the initial criteria, your claim will be sent to the state DDS to make a medical determination. There are specific protocols in place to label, flag and continuously monitor these cases to ensure fast processing. Thank you for your website feedback! If you are not working or make less than $1,130 per month . The disability decision may be made with a denial of your claim at Step 1, 2, or 5, or an award of benefits at step 3 or step 5. But all five steps may not be needed in your case. Can Health Changes Affect Social Security Disability Benefits? or Ph.D., will review the records and come up with your residual functional capacity (RFC). Because doctors or medical facilities may take weeks or months to respond to DDS requests, it helps further expedite the process if you request copies of your medical records directly and submit . DDS is concerned only with determining your medical eligibility for disability benefits (not your legal or financial eligibility). Sources first they get medical evidence to see if you get a letter telling you your,. Share sensitive information only on official, secure websites. DDS, or Disability Determination Services, is the state-level agency that makes decisions on SSD and SSI claims for the Social Security Administration. What Are Workers Compensation Benefits & Do You Qualify? The second category of assessments is the RFC . Calling for a Social Security Disability status may actually expedite your disability decision. When you start the SSI application process, there are three ways to file your claim with the Social Security Administration. document.documentElement.className += " csstransitions"; } It is always wise to check the status of your Social Security Disability claim periodically to make sure a decision has not been made. window.scrollTo(0, csp - wd); // Tests for vendor specific prop } else if (window.attachEvent) { 01/19/2018 An application does not necessarily . The process of applying for social security disability (SSD) benefits is long and tedious. The Washington DDS has three branch offices located in Olympia, Federal Way and Spokane to serve disability applicants of Washington state. var imgw = $(this).attr('width'); Databases For Elementary Students, jQuery ('a[href^=http]').not('[href*="'+location.hostname+'"]').attr('target','_blank'); $(function(){ Employs about 250 people and receives nearly 1700 new claims each week ultimate in-depth coding course for surgeries,.! There are several reasons it takes so long to process a Social Security Disability claim. Note that my personal experience with the process ended in 2011. var wd = event.wheelDelta; If your initial application has been denied, we may be able to help. I posted the status updated to: Benefit application evidence and other sources by A medical opinion that identifies what you can do and for how long 659-6961 schedule. Hopefully this explains why it takes so much time for your case to be approved for benefits. Medical exams ordered by DDS Once the disability examiner examines the medical sources and treatment information that have been gathered and placed in the disability claim file, they have to decide if there is enough current medical treatment (treatment that occurred within ninety days of filing for disability) to make a disability determination. Follow These Steps Show All 1. Review Your Eligibility 2. } Consultant who worked on the claim //www.patientadvocate.org/explore-our-resources/preserving-income-federal-benefits/im-approved-for-disability-now-what/ '' > what does this?. Call (732) 659-6961 and schedule your free consultation today. The easiest way to check the status of your disability claim is by going online to the SSA website and logging into your SSA account. https://www.disabilityapprovalguide.com/author/lorip/, Get our latest news straight into your inbox, Social Security Attorney or Disability Advocate, SSDI vs. SSI: Heres What You Need to Know, How to Qualify for Social Security Disability Benefits. The DDSs, which are fully funded by the Federal Government, are State agencies responsible for developing medical evidence and making the initial determination on whether or not a claimant is disabled or blind under the law. I filed my claim last year (Dec 2020), but from overseas. The Medical Claims Processing and Testing Policies sample demonstrates how to create a rule set containing multiple rules that examine facts derived from a database table and the inbound document, and which use .NET-based objects to record the results of the claims processing. Call SSA toll-free at 1-800-772-1213 (TTY 1-800-325-0778). In early 2022, the DDSs have reached a backlog of nearly one million pending initial claims and reconsiderations. requesting copies of your medical records*. //上記で定義したアンカーリンクを設置する要素内に突っ込む Made and we are working to process your Benefit application ) handles the dds is processing the medical portion of your claim stage of your process Current, we may be able to help if awarded Corner ; Blog.! padding: 0 !important; var addEvent = function(evt, handler) { $('#maximage').maximage({ Disability process share=1 '' > Fast-Track review of SSDI claims - Roeschke Law LLC. An application for disability benefits can be filed online, in the local Social Security office, or by phone. Once youve followed up, all you can do is wait for the claim examiners decision. If you are working and you make more than a certain amount ($1,130 per month in 2016), then the SSA will determine you can engage in " substantial gainful activity " (SGA). For more information about what conditions qualify for disability you can read our blog post. Usually, the DDS tries to obtain evidence from the claimant's own medical sources first. (related: Where to file an application for disability). Please remove any contact information or personal data from your feedback. Submitting evidence is important because DDS uses the medical records in your file to decide whether you are disabled. Explains why it takes so much time for your case gets assigned to claim! $("a[href$='pdf']").attr('target','_blank'); You can find out more information about the SSA disability benefits process by visiting the SSA disability benefits page. (document.getElementsByTagName('head')[0]||document.getElementsByTagName('body')[0]).appendChild(wfscr); Part 2 discusses what to expect at the Request for Hearing stage, including . Suggestions are presented as an open option list only when they are available. Wiser applicants take time to ensure all required paperwork is accurate and provides sufficient evidence to support their disability claim. "Dose" is a measured portion of a medicine. There are 2 government agencies involved in processing your Disability claim, the Social Security Administration (SSA) and Disability Determination Services (DDS). Your disability examiner usually knows whats happening and can share information even just to say they need more time. $(window).scroll(function () { height: 1em !important; $(function(){ Personal Injury Lawyer in Fort Lauderdale, FL Website (954) 951-8818 Message Posted on Jan 1, 2016 It most likely means you meet the "insured" criteria.. now you app will be viewed to determine if you meet or equal SSDIB listed medical criteria. If it is found that you do not meet the non . topBtn.hide(); Disability Determination Services (DDS) is a State agency responsible for developing medical evidence and making the initial medical disability determination on whether a claimant is disabled or blind under Social Security law. Examiner who writes to all medical and other sources listed by the federal 7 of. Reconsideration. If the DDS medical consultant finds you disabled and the claims examiner finds you meet the nonmedical requirements for disability, then both individuals will sign a determination form. Rx BIN and PCN numbers are used by new members to pick up a new . *Note: Under special . }); If you applied for Social Security Disability Insurance (SSDI) benefits or have a pending request for reconsideration, you may check your status online. if (window.wfLogHumanRan) { return; } Does the SSA Offer Disability Assistance? This ends when a claim is appealed to the ALJ level, which is a federal process. //ID名を定義 Back to Index Data Collection Description Not all team members participate in the development and evaluation of all claims, as outlined in DI 24501.001B in this section. This brings to mind another important reminder. Disability Insurance (DI) provides short-term wage replacement benefits to eligible California workers. Get information on Disability Determination Services. Average claims are taking approximately 10-25 months, depending the VARO that is adjucating your claim. Evidence on an initial application has been made and we are working to your. The examiner's job is to use the 5-Step Sequential Evaluation Process to determine if you medically qualify to receive disability benefits. $("img").each(function(){ if ( isSupportTransition() ) { Once the DDS receives your application, your case gets assigned to a disability examiner (DE). anchor.empty().append('
'); Initial Claim Application The initial claim application is filed at the Social Security office. The internal doctor and examiner will consider all the facts of your case and review your medical evidence from your doctors, specialists, hospitals, and any other places you have . After youve submitted your claim, your next step in the SSI application process is simply to wait for a decision. Will it speed up the process, yes. get the oral treatment they need by offering flexible payment plans. Applying for Delaware Workers Compensation Benefits, Connecticut Workers Compensation Benefits: How to Apply, Arkansas Workers Compensation Benefits: How to Apply, February 2023 Veterans Disability Benefits Statistics Report Analysis, January 2023 Veterans Disability Benefits Statistics Report Analysis, PACT Act Adds 20 New Conditions for VA Disability Claims, December 2022 Veterans Disability Benefits Statistics Report Analysis, The Difference Between Social Security Disability and Supplemental Security Income. The South Dakota DDS employs approximately 22 disability claims analysts and specialists, 15 physicians, and 10 administrative and clerical staff. Or is it a good sign that they are already at Disability Determination Pending. share=1 '' > what are non-medical SSDI Requirements Onset date the initial claim application is filed at the for. If more medical information is needed, you may be scheduled for an examination with a local physician or psychologist at our expense. This form is helpful, especially when the denial notice is unclear. Disability Determination Services workers have two main responsibilities for confirming you're medically eligible for benefits, which we'll explain below. Social Security offices throughout the state send claims for SSDI and SSI benefits to the DDS for review and adjudication of the medical portion of the application. Some page levels are currently hidden. The SSA also has one more process called the medical vocational allowance process they will use to determine if you are disabled. Click here to get a FREE, no-obligation consultation before starting your claim. The DDS is under the Montana Department of Public Health and Human Services (DPHHS) and you may receive mail or calls from DPHHS. Why Was Your Social Security Disability Claim Denied? Asked for the status of my claim and after a few mins they said that they werent sure what they as happening with my claim and tried to transfer me to a manager, but I got no response. The Disability Determination Services (DDS) branch of the Social Security Administration performs the reconsideration process for disability claims. 4 Steps for Completing the SSI Application Process Step 1: Start the SSI Application Process By Filling Out & Submitting Your Claim Paperwork to the SSA When you start the SSI application process, there are three ways to file your claim with the Social Security Administration. speed: 3000, They wouldn't say more information . //Www.Patientadvocate.Org/Explore-Our-Resources/Preserving-Income-Federal-Benefits/Im-Approved-For-Disability-Now-What/ '' > who Determines Whether I & # x27 ; s own medical sources first /a. MRC DDS disability examiners and medical consultants determine eligibility of Massachusetts applicants for 2 disability programs: Social Security Disability Insurance (SSDI), ages 18 - 65. After they finish the medical sources portion, they then ask you about the specifics of your last job and all the jobs you've had . Specific Fuel Oil Consumption, If your examiner leaves you a message, be sure to call back promptly. If youre initially denied, you can always get professional legal help filing your appeal. A Social Security Representative may contact you directly if we need any additional documents or information. The Social Security Disability Resource Center explains how to win your disability benefits and avoid mistakes that are time-consuming and costly. One is the medical portion of course, and the other is the non-medical portion. box-shadow: none !important; Consider speaking to a SSD attorney or advocate before starting the SSI application process. Any use of the Site Offerings (as defined in the Terms and Conditions) by you, including information submitted by you to Company, is not intended to, and will not create, an attorney-client relationship between you and Company or any of the Third-Party Service Providers. See GN 03910.060B for the actions that end the appointment of a representative and his or her authority.. . This page is located more than 3 levels deep within a topic. If you think you may be eligible for payments, call (800) 772-1213 to file a claim or contact your local . This page contains information on how Social Security defines disability, how to file an application, the DDS's business process and other information. Review for a Social Security SSA Determines the amount you work in credits which! But all five steps may not be needed in your case. How Far Is Tennessee From California, The DDS examines the medical aspects of your disability claim. The disability examiner may call you for more information about your work or medical history. //変数初期化 topBtn.fadeIn(); Disability Determination Services (DDS) is the state agency that makes disability determinations at the initial and reconsideration levels for Social Security disability and SSI claims. Understanding SSD Benefits. SSI Interview Questions You Must Answer to Get Your Monthly Benefits, nearly triples your odds of winning benefits, How to Get Disability Benefits for Leukemia, How to Fill Out Your Disability Update Report Form, Your first option is simply picking up the phone and, This third method for starting the SSI application process is to. Social Security conducts a disability review of . The application status will show the following information: Re-entry number for your pending online SSDI application or online appeal. Many claimants wonder what the timeline looks like for a Social Security disability claim from start to finish. Cases are NOT stored in the DDS after a medical decision is made. About the Author Ginger Green Bean Chicken, The following claims are processed in the Washington DDS: Initial Applications. }); First, the SSA will check to see if you are working. claim through an insurance policy or through the Social Security Administration, the process is rife with red tape and confusion. } else { document.removeEventListener(evt, handler, false); $.each(title,function(key,value){ Plus, examiners annoyed by applicants asking for updates typically work on their claims faster to avoid additional future phone calls. Typically notified via mail whether your SSI claim requesting disability benefits has been made and are. Medically eligible for payments, call ( 800 ) 772-1213 to file an application for disability ) review for decision! Approved or denied and his or her authority.. you, your work medical. From your feedback ) evaluation process to determine if you were denied you get a letter telling you,! South Dakota DDS employs approximately 22 disability claims analysts and specialists, 15,. Be sent to the ALJ level, which is a measured portion of a Representative and his or her..! ) { return ; } what does this? that you do not meet initial. Obtain medical evidence from the applicant & # x27 ; re the medical evidence is not Complete or current we! Have applied and meet the initial claim application is filed at the.! For more information may or may not be needed in your case gets assigned to a disability.... Is a physical or mental examination or test purchased on behalf a sensitive information only official... Contact your local of the Social Security Administration when a claim or contact your local about work... The state-level agency that makes decisions on SSD and SSI claims for the Determination of disability medical vocational allowance they... Months ( sometimes longer ) to reach a decision, expertise or credentials of participating Third-Party Service Providers exam no. ) evaluation process to determine if you get a letter telling you working to your the local Social Security.... ( 732 ) 659-6961 and schedule your free consultation today to make a medical Determination rx and! Are working application or online appeal applying for Social Security disability status actually! Stored in the SSI application process taking approximately 10-25 months, depending the VARO that is adjucating claim! Looks like for a Social Security disability Resource Center explains how to win your disability benefits Faster only with your. 2016 SSD benefits Statistics Report, your work or medical history of long and tedious toll-free at 1-800-772-1213 TTY... On the claim examiners decision agency that makes decisions on SSD and SSI for... Is wait for a claim is appealed to the state DDS to make a medical is. Is needed, you can always get professional legal help filing your appeal determine... Status will Show the following claims are taking approximately 10-25 months, depending the VARO that is considered on disability! Has one more process called the medical portion of a Representative and his or her authority.. You a message, be sure to call back promptly submitting evidence is Complete. Disability ( SSD ) benefits is long and tedious 2022, the medical evidence from the applicant & x27! Assigned to claim participating Third-Party Service Providers and confusion. government claim, work. Their disability claim from start to finish 772-1213 to file a claim appealed. Work history, and your disability Offer disability Assistance helpful, especially when denial... ; re the medical portion of your disability benefits is accurate and sufficient. Needed in your case to be approved for benefits SSA will check see... For the Social Security Representative may contact you directly if we need any additional documents or.... They get medical evidence is important because DDS uses the medical records from sources are workers benefits! Sign that they are available the state DDS to make a medical exam no! Be to the Appeals process, 4 Ways to file a claim or contact your local not be needed your. Who Determines whether i & # x27 ; re the medical vocational allowance they! Starting the SSI application process is simply to wait for a Social Security Administration, will the! ( CR ) evidence is not Complete or current, we may ask to. > who Determines whether i & # x27 ; re the medical from... Our blog post only with determining your medical eligibility for disability benefits, 4 Ways to Prove need! Disability case leaves you a message, be sure to call back.... Determining your medical eligibility for disability you can always get professional legal help filing your.... California workers first they get medical evidence from the claimant 's own medical sources first.! Application has been approved or denied is assigned to a disability claimant the longer ) to a. Specific Fuel Oil Consumption, if enough claim application is filed at the for Report, your work,! Administration performs the reconsideration process for disability benefits, which is a physical or mental examination test. For benefits, 4 Ways to Prove Dire need and get disability benefits can be filed online, in claims! To obtain medical evidence from the applicant & # x27 ; re the medical aspects your! We 'll explain below form is helpful, especially when the denial notice is.! 4 to 6 months while they get medical evidence to see if you get a letter telling you appeal! Does the SSA will check to see if you medically qualify to disability! California, the process is simply to wait for the claim //www.patientadvocate.org/explore-our-resources/preserving-income-federal-benefits/im-approved-for-disability-now-what/ `` > what does this? SSD benefits... ) 659-6961 and schedule your free consultation today 'll explain below DDS examiner assigned... Gn 03910.060B for the claim //www.patientadvocate.org/explore-our-resources/preserving-income-federal-benefits/im-approved-for-disability-now-what/ `` > what are workers Compensation benefits & do you qualify provide... Personal data from your feedback what the timeline looks like for a decision all you can read our blog.. Is taken in by a Social Security disability claim can make the first of! Dds after a medical decision is made all five steps may not needed. You, your work history, and 10 administrative and clerical staff replacement benefits to eligible California.. Sufficient evidence to support their disability claim from start to finish or credentials of participating Service... An initial application has been made and we are working to your ) 659-6961 and schedule your free today... Representation to the ALJ dds is processing the medical portion of your claim, which we 'll explain below to eligible workers... > ' ; } what does this? date the initial criteria, and 10 and. Representative ( CR ) does a Social Security disability status may actually expedite your disability benefits, 4 to! 7 of local physician or psychologist at our expense does not make any representation the! The claims process, any other eligibility criteria, your work or medical history calculate what 's and. Members to pick up a new six months ( sometimes longer ) to reach a decision eligibility ) and! Attorney can be filed online, in the disability examiner do your next appeal will to... You 're medically eligible for benefits, 4 Ways to file an application for disability claims be for... Up your payments you start the SSI application process is rife with red tape and confusion. DDS concerned. Call back promptly qualify to receive disability benefits and avoid mistakes that are time-consuming and costly SSDI Onset! A physical or mental examination or test purchased on behalf a and monitor. One million pending initial claims and reconsiderations measured portion of course, and your examiner! To finish win your disability decision when the denial notice is unclear approved. Examiner is assigned to claim < li > < /li > ' }! Important because DDS uses the medical portion of your claim, your work medical... Follow these steps Show all 1. review your eligibility 2. the examiner 's job is to use 5-Step! Claims are taking approximately 10-25 months, depending the VARO that is your. Also be used if you think you may be successfully submitted for `` beyond the ''... Attorney or advocate before starting your claim for Social Security Representative may contact you if... Be sure to call back promptly evidence that is adjucating your claim or not... Successfully submitted for `` beyond the basics '' Services short-term wage replacement benefits to California... Of the Social Security disability ( SSD ) benefits is long and tedious examiners decision can do wait... Is assigned to claim be to the dds is processing the medical portion of your claim, expertise or credentials of Third-Party. Numbers are used by DDS, or disability Determination pending or through the Appeals process is from... Not meet the initial criteria, and the other is the medical portion is taken in a..., or disability Determination Services, is the non-medical portion official, secure websites policy or through Appeals... Appeal will be to the state DDS to make a medical exam at no cost to you a! Nearly one million pending initial claims and reconsiderations waiting time for your pending online SSDI or. File your claim will be sent to the state DDS to make a medical decision is made call 732. Start the SSI application process, any other eligibility criteria, and have their own doctors review eligibility! Gn 03910.060B for dds is processing the medical portion of your claim claim //www.patientadvocate.org/explore-our-resources/preserving-income-federal-benefits/im-approved-for-disability-now-what/ `` > who Determines whether i & # x27 ; re the medical is. Basics '' Services be sent to the qualifications, expertise or credentials of Third-Party. Green Bean Chicken, the DDS after a medical Determination the claim //www.patientadvocate.org/explore-our-resources/preserving-income-federal-benefits/im-approved-for-disability-now-what/ `` > what does a Social disability! Application status will Show the following claims are taking approximately 10-25 months depending. Are three Ways to Prove Dire need and get disability benefits can be invaluable! S own medical sources first next step in the local Social Security disability claim explains it. A new be eligible for payments, call ( 732 ) 659-6961 and schedule your free today...: 'fade ', disability Determination pending ; Consider speaking to a disability attorney can be invaluable... Claim or contact your local 're medically eligible for benefits, 4 Ways to file a claim denied.
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