AG真人国际厅官网

省人力资源社会保障厅财政厅转发人力资源社会保障部财政部《关于做好基本医疗保险
AG真人国际厅官网跨省异地就医住院医疗费用直接结算工作的通知》的通知

发布日期: 2018-04-03 14:34 浏览次数:

AG真人国际厅官网surenshefa〔2017〕60hao


geshequshirenliziyuanshehuibaozhangju、caizhengju:

AG真人国际厅官网xianjiangrenliziyuanshehuibaozhangbu、caizhengbu《guanyuzuohaojibenyiliaobaoxiankuashengyidijiuyizhuyuanyiliaofeiyongzhijiejiesuangongzuodetongzhi》(renshebufa〔2016〕120hao)zhuanfajinimen,bingjieheagzhenrenguojitingguanwangshengshiji,buchongtongzhiruxia,qingyibingguancheluoshi。

yi、guanyujiesuanfeiyongguanli

AG真人国际厅官网jibenyiliaobaoxiankuashengyidijiuyizhijiejiesuanyiliaofeiyong(yixiajianchengjiesuanfeiyong)baokuoyufujinjiqingsuanzijin,tongyinarushengyibaojijincaizhengzhuanhu(yixiajianchengshengcaizhengzhuanhu)guanli,bingshixingsheng、shi、xiansanjicaizhengzhuanhudeshoufuhehesuan。shengjibumenfuzeshengwaiheshequshi(yixiajianchengshi)jiesuanfeiyongdeshoufuyuhesuan;shijibumenfuzeshengjihexianjitongchouqu(yixiajianchengxian,xiatong)jiesuanfeiyongdeshoufuyuhesuan;xianjibumenfuzeyuneiyidijiuyicanbaorenyuanjiesuanfeiyongdeshoufuyuhesuan。

er、guanyuyufujinzhidu

(yi)yufujinshizhicongyibaojijinzhongyufujijiuyidiyongyuzhifukuashengyidijiuyirenyuanyiliaofeiyong,jiejuecanbaorenyuanzaishengwaijiuyizhijiejiesuanjiuyidizijindianfuwentidetedingzijin。

AG真人国际厅官网(er)yufujinshixingshuangxiangshoufu,waishengcanbaorenyuanzaiagzhenrenguojitingguanwangshengjiuyideheagzhenrenguojitingguanwangshengcanbaorenyuanzaishengwaijiuyide,fenbieanzhaobutongshengfenshangnianlianggeyuejiuyiyiliaofeiyongdeeduyushouheyufu。

(san)yingfuwaishengyufujin。

1.meinian1yuediqianyoushengjingbanjigouanzhaobujingbanjigouhedingdeyufujinfukuanedu,zai3gegongzuorineiqingfenhedingdaogeshi,bingzaishengyidijiuyiguanlipingtai(yixiajiancheng“shengpingtai”)shengcheng《jiangsushengkuashengyidijiuyifeiyongyufujinmingxibiao》(jianfujian1)。yufujinshelichunian,youshengjijingbanjigouxianggeshichuju《______shikuashengyidijiuyiyufujinfukuantongzhishu》(jianfujian2);yihouniandu,youshengjingbanjigouxianggeshichuju《______shikuashengyidijiuyiyufujinedudiaozhengfukuantongzhishu》(jianfujian3)。

2.shijingbanjigouzaishengpingtaishengcheng《jiangsushengkuashengyidijiuyifeiyongyufujinmingxibiao》hou3gegongzuorinei,yingjiangbenshiyufujinfukuaneduqingfenhedingdaogexian(hanshibenji,xiatong),bingchujufukuantongzhishuhuoedudiaozhengfukuantongzhishu。

AG真人国际厅官网3.xianbanjigouyingzaishoudaoshijijingbanjigouchujudefukuantongzhishuhuoedudiaozhengfukuantongzhishuhou2gegongzuorinei,xiangtongjicaizhengbumentijiaobokuanshenqing,xiancaizhengbumen(hanshibenjizhuanjikemu,xiatong)yingzai5gegongzuorineijiangyingfuyufujinshanghuazhishicaizhengzhuanhubingtongzhixianjingbanjigou。

4.shijingbanjigouzaimeinian2yue10riqian,congshengpingtaixiazai《______shikuashengyidijiuyiyufujinfukuantongzhishu》huo《______shikuashengyidijiuyiyufujinedudiaozhengfukuantongzhishu》,anquedingdeyufujinedu,xiangtongjicaizhengbumenshenqingbokuan。shicaizhengbumenzaiguijigexianyufujinhou5gegongzuorinei,jiangbenshiyingfuyufujinshanghuazhishengjicaizhengzhuanhubingtongzhishijingbanjigou。

5.shengcaizhengzhuanhuguijihouyumeinian2yuediqianjiangyingfuyufujinbofuzhiagzhenrenguojitingguanwangshengcanbaorenyuanbeianjiuyi(huojuzhu,xiatong)disuoshudeshengcaizhengzhuanhu,bingshumiantongzhishengjingbanjigou。

(si)yingshouwaishengyufujin。bujingbanjigouyumeinian1yuediqianhedingdangnianyufujinshoukuanedu。shengjingbanjigoudengluguojiayidijiuyijiesuanxitong(yixiajiancheng“guojiapingtai”)xiazaiagzhenrenguojitingguanwangshengyingshouyufujinshoukuantongzhi,yu5gegongzuorineijiangshoukuantongzhitijiaozhishengcaizhengbumen,bingducuxiangguanshengfenanguidingqixianhuaboyufujin,xiezhucaizhengbumenwanchengwaishengyufujindeshoujiaogongzuo。shengcaizhengbumenguijiqigeshengyufujin5gegongzuorinei,yingshumiantongzhishengjingbanjigou。

AG真人国际厅官网(wu)yufujinsheliyujingjizhi。dangyufujinshiyonglvdadao70%shi,xitongxianshiweihuangseyujing,shiyonglvdadao90%jiyishangshi,xitongxianshiweihongseyujing,qidongyufujinjinjidiaozengliucheng。agzhenrenguojitingguanwangshengyufujinshiyonglvdadao90%jiyishangshi,shengbanjigoujianggenjubujingbanjigouhedingdediaozengedu,qingfenhedingzhigeshi,bingtongguoshengpingtaixiada《______shikuashengyidijiuyiyufujinedujinjidiaozengtongzhishu》(jianfujian4),geshiyingjishiqingfenheshanghuayufujin。waishengyufujinshiyonglvdadao90%jiyishangshi,youshengjingbanjigoutiqingbujingbanjigoudiaozengedu。shengcaizhengbumenshoudaowaishengbofudeyufujin5gegongzuorinei,yingshumiantongzhishengjingbanjigou。

AG真人国际厅官网yufujinmeinianqingsuanyici,meiniannianmoyuejiezhuandijianxiayinianduyufujinedu。

guijidewaishengyufujinliucunshengcaizhengzhuanhu。zaimeiyuekuashengyidijiuyijiesuanfeiyongheduiquerenhou,waishengyingfuagzhenrenguojitingguanwangshengdeqingsuanfeiyongweidaoweiqian,jishiyongshengcaizhengzhuanhuliucundewaishengyufujinxianxingzhifugeshiyingshoudeqingsuanfeiyong。

AG真人国际厅官网yufujinjikuashengyiliaofeiyongchanshengdelixi,zaimeinianmogenjushengjicaizhengbumentigongdelixijine,youshengjijingbanjigouanzhaogeshiyuyinxingjiexishijianxiangduiyingqijiandianfudewaishengcanbaorenyuanyiliaofeiyongdezhanbiqingkuangshengchenglixifenpeixinxi,tijiaoshengjicaizhengbumenjiangdangnianlixifenpeizhishi,zaiyoushiyu3rineiqingfendaoxian。

AG真人国际厅官网san、guanyukuashengyiliaofeiyongqingsuan

(yi)kuashengyidijiuyifeiyongyoujiuyidixianyufuhouanyuequaneqingsuan。

AG真人国际厅官网(er)agzhenrenguojitingguanwangshengxiangwaishengqingsuanyidijiuyifeiyong。

AG真人国际厅官网1. shengpingtaiyumeiyue21riqian,genjuguojiapingtaiqingsuanxinxi,shengchengshangyue《jiangsushengkuashengyidijiuyifeiyongqingsuanshenhebiao》(jianfujian5)、《______shikuashengyidijiuyiyingfuyiliaofeiyongqingsuanbiao》(jianfujian5-1)、《______shikuashengyidijiuyizhigongyibaojijinzhifumingxibiao》(jianfujian5-2)、《______shikuashengyidijiuyijuminyibaojijinzhifumingxibiao》(jianfujian5-3)、《______shikuashengyidijiuyizhigongyibaojijinshenhekoukuanmingxibiao》(jianfujian5-4)、《______shikuashengyidijiuyijuminyibaojijinshenhekoukuanmingxibiao》(jianfujian5-5),geshijingbanjigouyingjishiqingfenzhixianjingbanjigou,gejijingbanjigouyingyumeiyue25riqianfenbieduiqingsuanxinxijinxingheduiqueren。

AG真人国际厅官网2.shengpingtaiyumeiyue28riqiangenjugeshiquerendeqingsuanxinxi,shengchengshangyue《jiangsushengkuashengyidijiuyifeiyongqingsuanmingxibiao》(jianfujian6),xiangshijingbanjigouxiadafukuantongzhibingtongzhishengjicaizhengbumenshoukuan。geshiyumeiyueyuediqiancongshengpingtaixiazai《______shikuashengyidijiuyifeiyongfukuantongzhishu》(jianfujian7),anzhaoqingfenzhixiandejine,xiangxianjingbanjigouxiadafukuantongzhibingtongzhishijicaizhengbumenshoukuan。

AG真人国际厅官网3.xianjingbanjigouyingzaiciyue5riqian(fadingjiejiarishunyan,xiatong)anzhaoshixiadadefukuantongzhixiangtongjicaizhengbumenshenqingbokuan,caizhengbumenyingzai10riqianjiangzijinshanghuazhishicaizhengzhuanhubingtongzhixianjingbanjigou。

4.shicaizhengbumenshoudaogexianshanghuadeqingsuanzijinhou,yingzai15riqianjiangzijinshanghuazhishengcaizhengzhuanhubingtongzhishijingbanjigou。

5.shengcaizhengbumenshoudaogeshishanghuadeqingsuanzijinhou,yingzai10gegongzuorineijiangzijinhuabozhiwaishengshengjicaizhengzhuanhubingtongzhishengjingbanjigou。

(san)waishengxiangagzhenrenguojitingguanwangshengqingsuanyidijiuyifeiyong。

1.shengpingtaiyumeiyue21riqian,genjuguojiapingtaiqingsuanxinxi,shengchengshangyue《jiangsushengkuashengyidijiuyifeiyongqingsuanshenhebiao》(jianfujian5)、《______shikuashengyidijiuyiyingshouyiliaofeiyongqingsuanbiao》(jianfujian5-6),zaiyougeshijijingbanjigouqingfenzhixianjingbanjigouhedui,gejijingbanjigouyingyumeiyue25riqianfenbieduiqingsuanxinxijinxingheduiqueren。

2.shengpingtaiyumeiyue28riqiangenjugeshiquerendeqingsuanxinxi,shengcheng《jiangsushengkuashengyidijiuyifeiyongqingsuanmingxibiao》(jianfujian6)、《______shikuashengyidijiuyifeiyongshoukuantongzhishu》(jianfujian8),bingjishitijiaojishengcaizhengbumen。shengcaizhengbumenshoudaobokuanshenqinghou7gegongzuorineishiyongshengcaizhengzhuanhuliucundewaishengyufujinjiangqingsuanzijinbofuzhixiangguanshicaizhengzhuanhubingtongzhishengjingbanjigou。

AG真人国际厅官网3. shicaizhengbumenshoudaoqingsuanzijinhou5gegongzuorinei,anshijingbanjigoutijiaodeqingfenzhixiandebokuanshenqing,jiangqingsuanzijinbofuzhixiangguanxiancaizhengzhuanhubingtongzhishijingbanjigou。

AG真人国际厅官网4.xiancaizhengbumenshoudaoqingsuanzijinhouyingjishitongzhixianjingbanjigou。

AG真人国际厅官网5.waishenggenjuguojiapingtaimeiyue25rihouquerenshengchengde《quanguokuashengyidijiuyifeiyongqingsuanbiao》jifukuantongzhi,jiangyingzhifujiagzhenrenguojitingguanwangshengdekuashengyidijiuyiqingsuanfeiyongzaiguidingqixianneibofuzhiagzhenrenguojitingguanwangshengshengcaizhengzhuanhu,buzuyishiyongdeyufujin。shengcaizhengbumenshoukuanhou5gegongzuorineitongzhishengjingbanjigou。

AG真人国际厅官网si、guanyuyiliaofeiyongzhifuyuhedui

AG真人国际厅官网(yi)kuashengyidijiuyirenyuanzhuyuanyiliaobaoxiandaiyuzhixingjiuyidijibenyiliaobaoxianyaopinmulu、zhenliaoxiangmu(baokuoteshuyiyongcailiao)heyiliaoagzhenrenguojitingguanwangsheshizhifufanweijiyouguanguiding,yibaojijinqifubiaozhun、zhifubili、zuigaozhifuxianedengzhixingcanbaodizhengce。

tongshushengbenjiheshidingdiandeyiliaojigouhuotongshushibenjihexian(shi、qu)dingdiandeyiliaojigou,yidijiuyifeiyongyoushijijingbanjigoufuzezhifu。

AG真人国际厅官网(er)yiliaofeiyongheduishizhishengpingtaimeirizidongshengchengdegeshikuashengyidijiuyiriduizhangxinxi,yougeshijingbanjigoumeirijiangshengpingtaishujuyubendixitongdeyewushujujinxingbiduihouwanchengriduizhangquerendeguocheng。geshijingbanjigouzaiheduizhongfaxianshujuchacuo,jishixiangshengpingtaifachuwentishujujiucuoshenqing,youshengpingtaifasongzhiguojiapingtai,tiqingbujingbanjigouxiediaochuli,shixianshijixianxitongyushengpingtaishujuyizhi,canbaodi、jiuyidishengpingtaiyuguojiapingtaishujuyizhi。

wu、guanyuxiangguanzhangwuchuli

(yi)gejijingbanjigou、caizhengbumenduiyidijiuyiyufujinheyiliaofeiyongzhifu、qingsuanguochengzhongxingchengdeyufukuanxianghezanshoukuanxiangtongguo“zanfukuan”、“zanshoukuan”huijikemujinxinghesuan。

(er)yufujinzhangwuchuli。

AG真人国际厅官网1.xianji。shanghua(hanshibenjizhuanjikemu)shicaizhengbumenbendicanbaorenyuanyidijiuyiyufujinshi,jieji“zanfukuan—zhuanchukuashengyufujin”kemu,daiji“caizhengzhuanhucunkuan”(caizhengbumenwei“yinxingcunkuan”,xiatong)kemu。shoudaoshicaizhengbumenguihaideyufujinshi,zuoxiangfanfenlu。

2.shiji。shoudaoxiancaizhengbumenshanghua(hanshibenjizhuanjikemu)debendicanbaorenyuanyidijiuyiyufujinshi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—zhuanchukuashengyufujin”kemu,shanghuashengcaizhengbumenshi,zuoxiangfanfenlu。

AG真人国际厅官网3.shengji。shoudaowaishengcaizhengbumenbofudeyufujinshi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—zhuanrukuashengyufujin”kemu;guihaiwaishengyufujinshi,zuoxiangfanfenlu。shoudaoshicaizhengbumenshanghuadebendicanbaorenyuanyidijiuyiyufujinshi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—zhuanchukuashengyufujin(xxshi)”kemu。guihaishicaizhengbumenshanghuadebendicanbaorenyuanyidijiuyiyufujinshi,zuoxiangfanfenlu。bofuwaishengcaizhengbumenshi,jieji“zanfukuan—zhuanchukuashengyufujin(xxsheng)”kemu,daiji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu。waishengcaizhengbumenguihaishi,zuoxiangfanfenlu。

AG真人国际厅官网(san)yiliaofeiyongzhifuheqingsuandezhangwuchuli。

1.xianji。xianjingbanjigoutongguoyibaojijinjiesuanhuxiangyiliaojigouzhifuwaishengcanbaorenyuanyidijiuyiyiliaofeiyong(hanshibenjizhuanjikemu)shi,jieji“zanfukuan—zhuanrukuashengyiliaofei”kemu,daiji“yinxingcunkuan”kemu,shoudaoshijicaizhengbumenxiabo(hanshibenjizhuanjikemu)deqingsuanzijinshi,zuoxiangfanfenlu。shanghuabendicanbaorenyuanyidijiuyiyiliaofeiyongqingsuanzijin(hanshibenjizhuanjikemu)shi,jingbanjigoujiejiyiliaobaoxianjijinzhichuxiangguankemu,daiji“caizhengzhuanhucunkuan”kemu,caizhengbumenjieji“yiliaobaoxianjijinzhichu”kemu,daiji“yinxingcunkuan”kemu。

AG真人国际厅官网2.shiji。shijingbanjigouhecaizhengbumenshoudaoshengcaizhengbumenxiabodewaishengcanbaorenyuanyidijiuyiyiliaofeiyongqingsuanzijinshi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—zhuanrukuashengyiliaofei”kemu,xiaboxiancaizhengbumen(hanshibenjizhuanjikemu)shi,zuoxiangfanfenlu;shoudaoxiancaizhengbumenshanghuadebendicanbaorenyuanyidijiuyiyiliaofeiyongqingsuanzijin(hanshibenjizhuanjikemu)shi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—zhuanchukuashengyiliaofei”kemu;xiangshengcaizhengbumenshanghuazhifubendicanbaorenyuankuashengyidijiuyiqingsuanzijinshi,zuoxiangfanfenlu。nianmo“zanshoukuan”kemuyingwuyue。

3.shengji。shengjingbanjigouhecaizhengbumenshiyongwaishengyufujinzhifugeshidianfudewaishengcanbaorenyuanyidijiuyiyiliaofeiyongqingsuanzijinshi,jieji“zanfukuan—zhuanrukuashengyiliaofei(xxshi)”kemu,daiji“caizhengzhuanhucunkuan(yinxingcunkuan)”,kemu,shoudaowaishengcaizhengbumenbofudewaishengcanbaorenyuanyidijiuyiyiliaofeiyongqingsuanzijinshi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanfukuan—zhuanrukuashengyiliaofei(xxsheng)”kemu,nianmoqingsuanhou,jiang“zanfukuan—zhuanrukuashengyiliaofei(xxshi)”kemuyu“zanfukuan—zhuanrukuashengyiliaofei(xxsheng)”kemudemingxikemuduichongjieping。

AG真人国际厅官网shoudaoshicaizhengbumenshanghuadebendicanbaorenyuanyidijiuyiyiliaofeiyongqingsuanzijinshi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—zhuanchukuashengyiliaofei(xxshi)”kemu;xiangwaishengcaizhengbumenbofuzijinshi,jieji“zanshoukuan—zhuanchukuashengyiliaofei(xxsheng)”kemu,daiji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,nianmoqingsuanhou,jiang“zanshoukuan—zhuanchukuashengyiliaofei(xxshi)”kemuyu“zanshoukuan—zhuanchukuashengyiliaofei(xxsheng)”kemudemingxikemuduichongjieping。

AG真人国际厅官网(si)lixidezhangwuchuli。

AG真人国际厅官网1.xianji。shoudaoshicaizhengxiabodekuashengyidijiuyilixi(hanshibenjizhuanjikemu)shi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“lixishouru—kuashengyidijiuyilixi”kemu。

AG真人国际厅官网2.shiji。shoudaoshengcaizhengxiabodekuashengyidijiuyilixishi,jieji“caizhengzhuanhucunkuan(yinxingcunkuan)”kemu,daiji“zanshoukuan—kuashengyidijiuyilixi”kemu,3rineixiaboxiancaizhengbumen(hanshibenjizhuanjikemu)lixishi,zuoxiangfanfenlu。

3.shengji。shoudaoyinxingcunkuanjiexishi,jieji“caizhengzhuanhucunkuan”kemu,daiji“zanshoukuan—kuashengyidijiuyilixi”kemu,fenpeixiaboshicaizhengbumenlixishi,zuoxiangfanfenlu。

liu、guanyugongzuoyaoqiu

(yi)anzhaoguojiatongyibushu,agzhenrenguojitingguanwangshengjibenyiliaobaoxiankuashengyidijiuyizhuyuanyiliaofeiyongzhijiejiesuandegexiangzhengce、cuoshizi2017nian1yue1riqiquanmianshishi。gejirenliziyuanshehuibaozhang、caizhengbumenyaogaoduzhongshi,qieshijiaqiangzuzhixiediao,jigesiqizhi,youmiqiepeihe,tuijinyidijiuyiyiliaofeiyongzhijiejiesuangongzuowentuoyouxukaizhan。

AG真人国际厅官网(er)gejirenliziyuanshehuibaozhang、caizhengbumenyingyangezhixingyidijiuyizhijiejiesuanzhengce、guanliguidinghejingbanguicheng。yidijiuyiyufujinhuabo、jiesuanqingsuanzhongfashengdeyinxingshouxufei、yinxingpiaojugongbenfeidengyijiyidijiuyijingbanagzhenrenguojitingguanwanggongzuojingfeibudecongyibaojijinzhongliezhi,yingyoutongjicaizhengyusuananpaijiejue。gejijingbanjigouyingjiangyidijiuyiagzhenrenguojitingguanwanggongzuonarudingdianyiliaojigouxieyiguanlifanwei,bingjiaqiangyiliaofeiyongdeshenhejihe,duiweiguishejideyiliaofeiyongyibaojijinyilvbuyuzhifu。

(san)gejirenliziyuanshehuibaozhangbumenyaojiaqiangyidijiuyiagzhenrenguojitingguanwangguanlinengliagzhenrenguojitingguanwang,gejijingbanjigouyingshelixiangyingjigou,peibeishiyingyidijiuyijiesuangongzuoyaoqiudezhuanyerenyuanheguanliagzhenrenguojitingguanwangrenyuan,qianghuaduiwuguanliheyewupeixun,buduantigaogongzuoxiaolvheagzhenrenguojitingguanwangzhiliang。


附件: 1.江苏省跨省异地就医费用预付金明细表

AG真人国际厅官网     2.____shikuashengyidijiuyiyufujinfukuantongzhishu

     3._____shikuashengyidijiuyiyufujinedudiaozhengfukuantongzhishu

AG真人国际厅官网     4._____shikuashengyidijiuyiyufujinedujinjidiaozengtongzhishu

     5.jiangsushengkuashengyidijiuyifeiyongqingsuanshenhebiao

AG真人国际厅官网     5-1. _____shikuashengyidijiuyiyingfuyiliaofeiyongqingsuanbiao

AG真人国际厅官网     5-2. _____shikuashengyidijiuyizhigongyibaojijinzhifumingxibiao

     5-3. _____shikuashengyidijiuyijuminyibaojijinzhifumingxibiao

AG真人国际厅官网     5-4. _____shikuashengyidijiuyizhigongyibaojijinshenhekoukuanmingxibiao

AG真人国际厅官网     5-5. _____shikuashengyidijiuyijuminyibaojijinshenhekoukuanmingxibiao

     5-6. _____shikuashengyidijiuyiyingshouyiliaofeiyongqingsuanbiao

AG真人国际厅官网     6.jiangsushengkuashengyidijiuyifeiyongqingsuanmingxibiao

     7._____shikuashengyidijiuyifeiyongfukuantongzhishu

AG真人国际厅官网     8._____shikuashengyidijiuyifeiyongshoukuantongzhishu

     9.人力资源社会保障部财政部关于做好基本医疗保险跨省异地就医住院医疗费用直接结算工作的通知 

         附件


jiangsushengrenliziyuanheshehuibaozhangting    jiangsushengcaizhengting

2017年2月22日            


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