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Home › Companies › Faa2c5a7 Be57 4e4d 9187 3c7d4b4d2108 19000101 000001 › Claims Resolution Specialist

Claims Resolution Specialist

Faa2c5a7 Be57 4e4d 9187 3c7d4b4d2108 19000101 000001 · Jersey City, NJ, US, Jersey City, NJ · Active · $21–$23 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyFaa2c5a7 Be57 4e4d 9187 3c7d4b4d2108 19000101 000001
TitleClaims Resolution Specialist
Normalized title-
Department / team-
LocationJersey City, NJ, United States
Work model-
Employment type-
Salary$21–$23 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2023-08-18 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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Company jobsActive postings from Faa2c5a7 Be57 4e4d 9187 3c7d4b4d2108 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Jersey City.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyFaa2c5a7 Be57 4e4d 9187 3c7d4b4d2108 19000101 000001
Source38d47ad4-383a-4216-999c-941a8a424502
ATS providerADP Workforce Now Recruiting

Description

Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S. Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years. Conduct AR Follow-up both on front end scrubs and back end denials through best practices. Scrub charges for submission and launch appeals via the Athena billing platform. Review and clear claim edits in the system. Types of edits to be worked include registration, insurance, charge, and related issues for high volume practices. Demonstrate a detailed understanding of how to read and interpret EOB's and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance). Possess a thorough knowledge of appeals processing from end to end across all payer categories based on insurance denials. Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment. Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information. Candidate must be able to report and communicate issues and trends. Meet or exceed daily productivity benchmarks. Knowledge, Skill, and Experience Requirements: 3+ years of experience in claims resolution or medical billing. A minimum of 3 years of documented experience on the Athena billing platform is required. Working knowledge of CPT, ICD-10, and medical terminology. Complete understanding of follow-up processes. Solid background in AR and overall Revenue Cycle policies and procedures. Experience working in a physician billing environment. Excellent communication skills. Proficiency in Microsoft Office Suite, including Word and Excel.

Full job record

Job IDee37cdc1897d4c35156071eb5bc439c8e0a471b0
Org ID7cb27c68-4db0-4cfd-a4f8-3859fed7dc5a
Source ID38d47ad4-383a-4216-999c-941a8a424502
Board ID38d47ad4-383a-4216-999c-941a8a424502
Provideradp_workforcenow
Provider Job Key466649
TitleClaims Resolution Specialist
Normalized Title—
Statusactive
Activeyes
Location TextJersey City, NJ, US, Jersey City, NJ
Department—
Team—
Employment Type—
Workplace Type—
Remote Policy—
CountryUnited States
RegionNJ
CityJersey City
Salary Raw21 To 23 (USD) Hourly
Salary Min21
Salary Max23
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=faa2c5a7-be57-4e4d-9187-3c7d4b4d2108&ccId=19000101_000001&lang=en_US&type=JS&jobId=466649&jwId=9200532460435_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=faa2c5a7-be57-4e4d-9187-3c7d4b4d2108&ccId=19000101_000001&lang=en_US&type=JS&jobId=466649&jwId=9200532460435_1
First Seen At2026-05-31 18:27:54Z
Last Seen At2026-06-06 13:20:53Z
Last Checked At2026-06-06 13:20:53Z
Last Changed At2026-06-06 13:20:53Z
Inactive At—
Source Posted At2023-08-18 12:31:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=faa2c5a7-be57-4e4d-9187-3c7d4b4d2108|19000101_000001/date=2026-06-06/2026-06-06T13-20-53-298Z-f1a8e9866fa9ff33d87c79e00552c0bfee17d11ff82e925fbd14ad5bfa2339bb.json
Event Fields
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Extensions
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    "requisitionDescription": "<div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.28.24/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><p style='box-sizing: inherit; margin: var(--artdeco-reset-base-margin-zero); padding: var(--artdeco-reset-base-padding-zero); border: 0px; font-size: var(--artdeco-reset-typography_getFontSize); vertical-align: baseline; background-image: ; background-position-x: ; background-position-y: ; background-size: ; background-repeat-x: ; background-repeat-y: ; background-attachment: ; background-origin: ; background-clip: ; background-color: rgb(255, 255, 255); font-weight: 400; --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", \"Fira Sans\", Ubuntu, Oxygen, \"Oxygen Sans\", Cantarell, \"Droid Sans\", \"Apple Color Emoji\", \"Segoe UI Emoji\", \"Segoe UI Emoji\", \"Segoe UI Symbol\", \"Lucida Grande\", Helvetica, Arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;' id=\"isPasted\"><span style=\"font-size: 16px;\">Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S.</span></p><p style='box-sizing: inherit; margin: var(--artdeco-reset-base-margin-zero); padding: var(--artdeco-reset-base-padding-zero); border: 0px; font-size: var(--artdeco-reset-typography_getFontSize); vertical-align: baseline; background-image: ; background-position-x: ; background-position-y: ; background-size: ; background-repeat-x: ; background-repeat-y: ; background-attachment: ; background-origin: ; background-clip: ; background-color: rgb(255, 255, 255); font-weight: 400; --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", \"Fira Sans\", Ubuntu, Oxygen, \"Oxygen Sans\", Cantarell, \"Droid Sans\", \"Apple Color Emoji\", \"Segoe UI Emoji\", \"Segoe UI Emoji\", \"Segoe UI Symbol\", \"Lucida Grande\", Helvetica, Arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-size: 16px;\"><br style=\"box-sizing: inherit;\"></span></p><ul style='box-sizing: inherit; margin-top: ; margin-right: ; margin-bottom: ; margin-left: 16px; padding-top: ; padding-right: ; padding-bottom: ; padding-left: 18px; border: 0px; font-size: var(--artdeco-reset-typography_getFontSize); vertical-align: baseline; background-image: ; background-position-x: ; background-position-y: ; background-size: ; background-repeat-x: ; background-repeat-y: ; background-attachment: ; background-origin: ; background-clip: ; background-color: rgb(255, 255, 255); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: 400; color: rgba(0, 0, 0, 0.9); list-style-type: disc; font-family: -apple-system, system-ui, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", \"Fira Sans\", Ubuntu, Oxygen, \"Oxygen Sans\", Cantarell, \"Droid Sans\", \"Apple Color Emoji\", \"Segoe UI Emoji\", \"Segoe UI Emoji\", \"Segoe UI Symbol\", \"Lucida Grande\", Helvetica, Arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Conduct AR Follow-up both on front end scrubs and back end denials through best practices. Scrub charges for submission and launch appeals via the Athena billing platform.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Review and clear claim edits in the system. Types of edits to be worked include registration, insurance, charge, and related issues for high volume practices.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Demonstrate a detailed understanding of how to read and interpret EOB&#39;s and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance).</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Possess a thorough knowledge of appeals processing from end to end across all payer categories based on insurance denials.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Candidate must be able to report and communicate issues and trends.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Meet or exceed daily productivity benchmarks.</li></ul><p style='box-sizing: inherit; margin: var(--artdeco-reset-base-margin-zero); padding: var(--artdeco-reset-base-padding-zero); border: 0px; font-size: var(--artdeco-reset-typography_getFontSize); vertical-align: baseline; background-image: ; background-position-x: ; background-position-y: ; background-size: ; background-repeat-x: ; background-repeat-y: ; background-attachment: ; background-origin: ; background-clip: ; background-color: rgb(255, 255, 255); font-weight: 400; --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", \"Fira Sans\", Ubuntu, Oxygen, \"Oxygen Sans\", Cantarell, \"Droid Sans\", \"Apple Color Emoji\", \"Segoe UI Emoji\", \"Segoe UI Emoji\", \"Segoe UI Symbol\", \"Lucida Grande\", Helvetica, Arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><span style=\"font-size: 16px;\">Knowledge, Skill, and Experience Requirements:</span></p><ul style='box-sizing: inherit; margin-top: ; margin-right: ; margin-bottom: ; margin-left: 16px; padding-top: ; padding-right: ; padding-bottom: ; padding-left: 18px; border: 0px; font-size: var(--artdeco-reset-typography_getFontSize); vertical-align: baseline; background-image: ; background-position-x: ; background-position-y: ; background-size: ; background-repeat-x: ; background-repeat-y: ; background-attachment: ; background-origin: ; background-clip: ; background-color: rgb(255, 255, 255); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: 400; color: rgba(0, 0, 0, 0.9); list-style-type: disc; font-family: -apple-system, system-ui, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", \"Fira Sans\", Ubuntu, Oxygen, \"Oxygen Sans\", Cantarell, \"Droid Sans\", \"Apple Color Emoji\", \"Segoe UI Emoji\", \"Segoe UI Emoji\", \"Segoe UI Symbol\", \"Lucida Grande\", Helvetica, Arial, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">3+ years of experience in claims resolution or medical billing.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">A minimum of 3 years of documented experience on the Athena billing platform is required.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Working knowledge of CPT, ICD-10, and medical terminology.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Complete understanding of follow-up processes.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Solid background in AR and overall Revenue Cycle policies and procedures.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Experience working in a physician billing environment.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Excellent communication skills.</li><li style=\"box-sizing: inherit; margin-left: 16px; padding: var(--artdeco-reset-base-padding-zero); border: 0px none; font-size: 16px; vertical-align: baseline; background: var(--artdeco-reset-base-background-transparent); --artdeco-reset-typography_getFontSize: 1.4rem; --artdeco-reset-typography_getLineHeight: 1.42857; line-height: var(--artdeco-reset-typography_getLineHeight); font-weight: var(--artdeco-reset-typography-font-weight-normal); color: rgba(0, 0, 0, 0.9);\">Proficiency in Microsoft Office Suite, including Word and Excel.</li></ul></div></div></div></div></div></div></div>\n",
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GET https://api.bluedoor.sh/job-postings/v1/jobs/ee37cdc1897d4c35156071eb5bc439c8e0a471b0?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/7cb27c68-4db0-4cfd-a4f8-3859fed7dc5aJSON
GET https://api.bluedoor.sh/job-postings/v1/sources/38d47ad4-383a-4216-999c-941a8a424502JSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/ee37cdc1897d4c35156071eb5bc439c8e0a471b0/eventsJSON

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