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HIPAA Authorization in Newman — Estate Planning Guidance

Comprehensive Guide to HIPAA Authorizations for Estate Planning

A HIPAA Authorization is an essential document within many estate plans, allowing designated individuals to access your medical records and speak with health care providers on your behalf. In Newman and throughout Stanislaus County, planning for medical privacy and information access protects your health care decisions and eases communication during stressful times. This authorization complements other estate planning documents such as a power of attorney and advance health care directive, creating a coordinated approach that ensures your personal wishes are respected and that trusted persons can obtain necessary medical information when critical decisions arise.

At the Law Offices of Robert P. Bergman, our approach to HIPAA Authorization focuses on clarity, enforceability, and alignment with California law. A well-drafted authorization balances privacy with practical access for family members, caregivers, and appointed decision makers. Whether you are updating an existing estate plan or creating documents for the first time, the authorization should be tailored to your needs, naming who can receive medical information, specifying the scope and duration of access, and coordinating with related documents to avoid conflicts or confusion in times when timely information is vital.

Why a HIPAA Authorization Matters in an Estate Plan

A properly executed HIPAA Authorization provides legal permission for designated individuals to obtain medical records and communicate with health care providers, which can be pivotal during emergencies or ongoing medical care. It reduces delays in information gathering, supports informed decision making by decision makers named in your estate plan, and helps health care providers share necessary information without violating privacy rules. In addition, it helps avoid administrative obstacles, ensuring that the person you trust can coordinate care, handle billing inquiries, and act quickly when medical history or records are needed to make treatment choices that reflect your preferences.

About Our Firm and Approach to HIPAA Authorizations

The Law Offices of Robert P. Bergman serve clients in Newman and across California with personalized estate planning services, including HIPAA Authorization preparation. Our practice emphasizes practical solutions that meet clients’ goals, with documents drafted for clarity and legal compliance. We review how the authorization interacts with other estate planning instruments such as living trusts, powers of attorney, and advance directives to create a cohesive plan. Our work includes explaining options, suggesting suitable language to avoid ambiguity, and making sure documents are ready to be used when they are needed most.

Understanding HIPAA Authorizations and Their Role

A HIPAA Authorization is different from a medical power of attorney and operates specifically to permit the release of protected health information to named recipients. It can be narrowly tailored to allow access to particular records or broadly drafted to cover ongoing communication about treatment and care. Understanding these distinctions is important when assembling a complete estate plan because the authorization handles record access while other documents address decision making. Clear drafting prevents unintended gaps that might hinder a trusted person’s ability to obtain essential medical details during a health crisis or routine care coordination.

When creating a HIPAA Authorization, consider who should receive information, for how long, and whether access should be limited to specific providers or data types. The authorization should also include guidance about revocation procedures, so you can change who has access if your relationships or circumstances change. Choosing appropriate recipients and scope helps balance privacy with practicality, ensuring that caregivers, family members, or agents named in related estate planning documents can obtain the records they need to act efficiently and in accordance with your wishes.

Defining HIPAA Authorization and How It Works

A HIPAA Authorization is a written document that grants permission for a covered entity to disclose an individual’s protected health information to a named person or entity. It must include specific elements such as the person authorized to receive information, a description of the information to be released, the purpose of the disclosure, and an expiration date or event. Because it directly addresses the flow of medical information, the authorization must be clear and compliant with federal and state privacy regulations. Properly drafted, it becomes an effective tool for allowing trusted parties to obtain the information necessary to manage care.

Key Elements and Steps for Setting Up an Authorization

Essential components of a HIPAA Authorization include the identity of the individual whose information will be disclosed, the recipients who may receive that information, the specific records or types of data covered, the purpose of disclosure, and the authorization’s duration. The process typically involves discussing goals, drafting tailored language, executing the document in accordance with legal requirements, and providing copies to health care providers. Regular review and updates ensure the authorization remains current, particularly after major life changes or care transitions, and coordination with other estate planning documents helps prevent conflicting instructions.

Key Terms and Glossary for HIPAA Authorizations

Understanding the common terms used in HIPAA Authorizations helps you make informed choices. Terms such as ‘protected health information,’ ‘covered entity,’ ‘recipient,’ ‘authorization period,’ and ‘revocation’ have specific meanings that affect how the authorization operates. Familiarity with these concepts allows you to set boundaries on who sees medical information and under what circumstances. This section clarifies those terms and explains their practical impact so you can choose language that fits your needs and prevents unintended release of sensitive data while still allowing necessary access for decision makers.

Protected Health Information

Protected Health Information, commonly abbreviated as PHI, refers to information about an individual’s physical or mental health, provision of health care, or payment for health care that can identify the individual. PHI includes medical records, treatment notes, test results, billing information, and other data that reveals health status or services received. A HIPAA Authorization specifies whether PHI can be disclosed and which categories of PHI are included. Carefully defining PHI in your authorization helps ensure that only appropriate information is shared with designated recipients.

Recipient

A recipient is the person or organization authorized to receive protected health information under a HIPAA Authorization. Recipients can be family members, caregivers, health care agents named in other documents, attorneys, or financial representatives when medical information is needed for billing or care management. Identifying recipients by name and relationship, and clarifying the scope of their access, helps avoid misunderstandings. The authorization can limit recipients to certain providers or records, or allow broader access depending on the grantor’s preferences.

Covered Entity

A covered entity is a health care provider, health plan, or health care clearinghouse that is subject to HIPAA rules and responsible for safeguarding protected health information. Covered entities are required to follow privacy regulations and generally will only release PHI when presented with a valid authorization or otherwise permitted by law. When drafting an authorization, it is helpful to specify which covered entities or categories of providers are allowed to disclose information, thereby streamlining requests and reducing administrative back-and-forth during urgent situations.

Revocation

Revocation is the process by which the individual who signed a HIPAA Authorization withdraws permission for future disclosures of protected health information. The authorization should explain how to revoke it, such as by submitting a written statement to the health care provider, and identify the effective date of revocation. Revocation does not affect disclosures already made in reliance on the authorization prior to revocation. Clear revocation procedures provide flexibility to adjust who can access records as relationships or circumstances change over time.

Comparing Options: Authorization versus Other Medical Documents

A HIPAA Authorization serves a distinct purpose compared with documents like a medical power of attorney or an advance health care directive. The authorization specifically governs disclosure of medical records and information, while a power of attorney grants decision-making authority and an advance directive communicates treatment preferences. Evaluating these options together helps ensure each document supports the others. For many clients in Newman, a combined suite of documents provides comprehensive coverage: the authorization for records access, a directive for treatment wishes, and a power of attorney for financial or care decisions when needed.

When a Narrow Authorization Is Appropriate:

Limited Access for Specific Providers or Records

A limited HIPAA Authorization can be the right choice when you want to share only particular types of medical records or to allow access from a small set of providers. For example, if a family member only needs recent lab results or a particular specialists’ notes, narrowing the scope reduces unnecessary disclosure of unrelated information. This approach protects broader medical privacy while enabling targeted communication. Limited authorizations are often useful for discrete administrative tasks, health insurance coordination, or when coordinating care that does not require full access to an entire medical history.

Time-Limited or Purpose-Limited Authorizations

Time-limited authorizations or those restricted to a specific purpose help maintain control over your medical information while permitting necessary access for defined periods. These authorizations can be useful for short-term care episodes, a single procedure, or an insurance claim where data is needed temporarily. Limiting duration and purpose prevents ongoing disclosure beyond what is necessary and makes it easier to revoke access once the matter is resolved. This structure can give peace of mind by balancing the need for information with the desire to protect long-term privacy.

When a Broad Authorization and Coordinated Planning Are Needed:

Complex Health or Ongoing Care Needs

A more comprehensive authorization often makes sense when an individual has complex medical needs, chronic conditions, or multiple providers involved in long-term care. In those situations, trusted persons may need ongoing access to a wide range of records to coordinate treatment, track medication changes, and communicate effectively with various practitioners. Broader access reduces delays and helps ensure continuity of care, particularly when decisions must be made quickly or when care transitions occur between hospitals, outpatient clinics, and home health providers.

Coordinated Estate Planning with Multiple Documents

When an estate plan includes a living trust, powers of attorney, advance health care directives, and other instruments, a broad HIPAA Authorization can be important to ensure those documents work together in practice. Coordinating language and authority across documents prevents conflicts and ensures that the individuals named to act on your behalf can access the records they need. A comprehensive approach reduces administrative friction, supports effective communication across health care and legal teams, and helps align the practical ability to act with the legal roles assigned in your estate plan.

Benefits of a Coordinated Authorization and Estate Plan

A coordinated or comprehensive approach provides practical advantages such as faster access to medical records, clearer lines of authority for caregivers and agents, and better alignment between your privacy choices and care planning. When documents are drafted to work together, it reduces the likelihood of disputes or delays that can complicate medical decisions. The approach also helps family members avoid uncertainty about who may request or receive records, thereby supporting smoother interactions with hospitals, clinics, and insurers during critical times.

Beyond immediate convenience, a well-integrated authorization contributes to the overall resilience of your estate plan by anticipating care transitions, potential incapacitation, and changes in caregiving arrangements. It allows trusted persons to act confidently and with the information needed to uphold your wishes. Coordinating the authorization with powers of attorney and advance directives ensures consistency in messaging to providers and prevents contradictory instructions, which promotes better outcomes for both decision makers and those receiving care.

Streamlined Access and Communication

A key benefit of a comprehensive setup is streamlined access to medical information, enabling faster communication between healthcare providers and the persons you designate. This reduces administrative delays when records are needed for treatment decisions, insurance matters, or care coordination. Clear authorization language also reduces confusion over who can request information, minimizing disputes and helping caregivers focus on care rather than paperwork. In practice, streamlined access leads to more timely treatment and better coordination across multiple care settings.

Less Risk of Administrative Obstacles

Comprehensive planning reduces the risk of administrative obstacles that can hinder access to records or confirmation of decision-making authority. By specifying recipients, scope, and interactions with other documents, the authorization minimizes the likelihood that providers will refuse disclosure or require additional documentation. This preparation is particularly helpful during emergencies, transitions from hospital to home care, or when coordinating with insurers. Eliminating avoidable delays supports timely care and reduces stress for both the person receiving care and their support network.

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Practical Tips When Preparing a HIPAA Authorization

Name Recipients Clearly and Precisely

When preparing a HIPAA Authorization, it is important to identify recipients with clear names and relationships rather than vague descriptions. Specify full names, contact information, and the nature of the relationship where appropriate so providers can verify identity. Ambiguity can lead to delays or refusals when health records are requested, particularly in urgent situations. Clear naming also reduces the risk of unintended disclosure to the wrong person and makes it easier for designated recipients to assert their rights when communicating with hospitals or clinics.

Decide on Scope and Duration Thoughtfully

Consider whether you want the authorization to be broad or limited in scope, and whether it should be time-limited. A broad authorization may be appropriate for ongoing care coordination, while a focused authorization may better protect privacy for short-term needs. Time limits can provide control and allow you to reassess recipients as circumstances change. Factor in future scenarios such as long-term care or multiple provider involvement so the document remains practical without exposing more information than necessary.

Coordinate with Other Estate Planning Documents

Ensure the HIPAA Authorization language aligns with powers of attorney, advance health care directives, and trust documents to prevent inconsistencies. Coordination helps those you appoint to act on your behalf access the information they need and reduces confusion among providers. Include revocation instructions and share copies of the authorization with relevant family members and health care providers to ensure everyone understands roles. Regularly review the authorization when updating other estate planning documents to maintain consistent and effective coverage.

Reasons to Include a HIPAA Authorization in Your Estate Plan

Including a HIPAA Authorization in your estate plan helps ensure your chosen representatives can obtain medical information quickly when it matters most. Medical providers often require written permission before releasing records, and without that permission important care decisions may be delayed. The authorization complements powers of attorney and advance directives by enabling communication, records access, and coordination among providers. It also allows family members and caregivers to manage billing inquiries, insurance coordination, and continuity of care with less friction when time-sensitive information is needed.

Another reason to consider this service is to protect your privacy while enabling necessary access. Customizing the authorization’s scope, duration, and recipient list provides control over who receives sensitive health details. This can be particularly important in blended family situations, for individuals with complex medical histories, or when multiple caregivers share responsibilities. By setting clear parameters and revocation procedures, the authorization reduces uncertainty and helps ensure your medical information will be handled in the way you intend.

Common Situations Where an Authorization Is Useful

People often need a HIPAA Authorization during medical emergencies, hospital admissions, long-term care planning, or when coordinating among multiple healthcare providers. It is also useful when someone needs records for insurance disputes, appeals, or disability claims. Another common scenario involves family members stepping in to help manage treatment or appointments for an aging relative; having a signed authorization removes hurdles and clarifies who may speak with providers. In each of these circumstances, a clear authorization supports timely access to information and smoother care coordination.

Hospital Admissions and Emergencies

During a hospital admission or emergency, prompt access to medical history and records can be critical for treatment decisions. A HIPAA Authorization allows designated individuals to obtain records, communicate with clinical staff, and help manage transitions of care. Without a signed authorization, hospitals may restrict who receives details about diagnosis and treatment, which can delay decision making or complicate communication with loved ones. Having the document ready in advance reduces stress for families and ensures that appropriate persons can act quickly when time is of the essence.

Ongoing Care and Multiple Providers

For individuals seeing multiple providers or managing long-term conditions, an authorization enables continuity of care by allowing a caregiver or agent to gather records from various sources. This is important for tracking medication changes, laboratory results, and treatment plans across different clinics and specialists. The authorization helps centralize information, reduces duplication of tests, and assists in communicating complex medical histories. It can be an especially practical tool when coordinating home health services, rehabilitation, or specialty care over an extended period.

Insurance, Benefits, and Legal Processes

HIPAA Authorizations are commonly used when pursuing insurance claims, appealing coverage decisions, or managing disability or benefits paperwork that requires medical documentation. Insurers and benefits administrators frequently need timely access to records to evaluate claims or determine eligibility. The authorization allows trusted representatives to request and receive the necessary documents, helping to resolve disputes more efficiently. This practical use protects your interests and enables advocates or family members to assist in administrative and legal matters that depend on medical evidence.

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Local Assistance in Newman for HIPAA Authorizations

If you live in Newman or nearby communities, the Law Offices of Robert P. Bergman provide guidance on HIPAA Authorizations tailored to California law and local practice. We help identify the right recipients, define appropriate scopes of disclosure, and ensure documents coordinate with your broader estate plan. Our goal is to make the process straightforward, to prepare durable language that will be usable when needed, and to explain revocation and distribution so your authorized persons and providers understand how to proceed when access to medical records becomes necessary.

Why Choose Our Firm for HIPAA Authorization Assistance

Choosing a law firm to prepare a HIPAA Authorization helps ensure that the document complies with federal and state requirements and coordinates with other estate planning instruments. We walk clients through the process, discuss practical scenarios, and draft clear, usable authorizations that avoid ambiguous language. We also provide copies for clients to share with providers and explain how to revoke or update the authorization. This hands-on approach reduces the risk of administrative problems and increases the likelihood that the document will serve its intended purpose when needed.

Our services include reviewing existing documents, suggesting language tailored to each client’s situation, and recommending best practices for distributing the authorization to providers and family members. We aim to make the document easy to implement in real-world settings, addressing common provider requirements and verification procedures. By preparing the authorization in coordination with powers of attorney and advance directives, we help create a cohesive plan that supports both privacy and practical access to information.

We also assist clients with updates and revocations when life circumstances change, such as new caregivers, changes in family relationships, or relocations. Maintaining current authorizations prevents confusion and ensures that the people you trust can access records when necessary. Practical planning and clear documents reduce stress for families and streamline care coordination, making it easier to focus on well-being rather than administrative hurdles in times of medical need.

Get Help Drafting a HIPAA Authorization in Newman

How We Prepare Your HIPAA Authorization

Our process begins with a conversation about your medical privacy goals, family dynamics, and care preferences. We explain options for scope, duration, and coordination with existing estate planning documents, then draft an authorization tailored to those needs. After review and execution, we provide guidance on distributing copies to relevant health care providers and offer instructions for revocation and future updates. We emphasize practical language that providers will accept and that will function smoothly during emergencies or routine care coordination.

Initial Consultation and Needs Assessment

During the initial consultation we assess who should receive access to medical records, what types of information may be needed, and how the authorization should interact with other estate planning documents. This assessment includes discussion of practical scenarios, such as emergency access, care transitions, and insurance needs. The goal is to identify a drafting approach that balances privacy and usability, ensuring the authorization can be relied upon when records are requested by providers or insurers.

Identifying Recipients and Scope

We help clients name appropriate recipients, define the categories of records to be disclosed, and determine whether limits should apply by provider, date range, or record type. This targeted analysis reduces the chance of over-disclosure while ensuring that the people who need information can obtain it. Clear drafting at this stage is essential to avoid confusion later, and we discuss practical verification steps that providers commonly require to confirm identity and authority.

Coordinating with Other Documents

We review any existing powers of attorney, advance directives, trusts, and wills to ensure the HIPAA Authorization does not conflict with other instructions. Coordinating documents helps ensure that the individuals named to make decisions can also access necessary records, preventing administrative obstacles. We propose language that works in tandem with other estate planning instruments, and advise on distribution and storage of executed documents for easy retrieval.

Drafting and Review

After identifying objectives and coordinating with other documents, we draft the HIPAA Authorization tailored to your circumstances. We review the draft with you, explain each provision in plain language, and revise the document to align with your preferences. The review stage includes discussion of revocation procedures, expiration, and any specific provider requirements so the final authorization will be usable and effective when presented to health care entities.

Draft Preparation

Drafting focuses on precise language that accurately reflects the intended scope and duration of disclosure, identifying recipients and specifying the types of PHI covered. The document is written to support practical use by providers and to minimize the need for additional verification. We incorporate clear revocation instructions and consider contingencies that might arise, such as changes in caregivers or relocations to different health systems.

Client Review and Finalization

During client review we explain how the authorization will function in real-world settings, answer questions about implementation, and make any needed adjustments. Once finalized, we provide executed copies and guidance on sharing the authorization with providers and family members. We also document revocation steps to make it straightforward to update or cancel the authorization if circumstances change in the future.

Execution, Distribution, and Updates

After execution, we recommend distributing copies to key health care providers, family members, and anyone likely to act on your behalf. Keeping copies in accessible locations and updating the authorization when relationships or care needs change helps ensure the document remains effective. We offer follow-up reviews to amend or revoke authorizations as life circumstances evolve, and we advise on recordkeeping practices that make it simple for designated persons to present proof of authorization when required by providers.

Sharing with Providers and Family

We assist clients in providing the authorization to primary care physicians, specialists, hospitals, and other relevant providers, and in explaining how designated recipients can use the document. Sharing copies ahead of time prevents delays during urgent situations and ensures staff are familiar with the form. Clear communication reduces confusion in high-stress moments and makes it easier for caregivers to obtain records promptly when needed for treatment or administrative matters.

Ongoing Review and Revocation

We encourage periodic review of HIPAA Authorizations to confirm that the named recipients, scope, and duration still meet your needs. If relationships change or you decide to withdraw access, revocation procedures should be followed and updated copies provided to providers. Ongoing maintenance keeps the authorization aligned with your current wishes and avoids unexpected disclosures, ensuring that record access continues to match your privacy preferences and practical needs.

Frequently Asked Questions About HIPAA Authorizations

What is a HIPAA Authorization and why do I need one?

A HIPAA Authorization is a written permission that allows a covered health care entity to disclose protected health information to a person or organization you designate. It specifically governs the release of medical records and information, which can be necessary for family members, caregivers, or agents to coordinate care, discuss treatment options with providers, and handle insurance or billing matters. Having this document in place reduces delays when providers need written consent before sharing records. The authorization complements other estate planning instruments by addressing the flow of information rather than decision-making authority. When considering whether you need one, think about who might need access to your medical history or records to carry out care or administrative tasks. Timely access to information often makes it easier to implement care plans and manage transitions between providers.

A HIPAA Authorization and a medical power of attorney serve different functions. The authorization allows named recipients to receive medical records and information, while a medical power of attorney grants a designated agent the authority to make health care decisions on your behalf if you are unable to decide. Both documents can work together to enable effective decision making and communication with providers by ensuring the agent has the necessary information and legal authority to act. Because they address distinct legal needs, both forms are commonly used in a comprehensive estate plan. Drafting them to align with each other helps prevent misunderstandings and ensures that the people you appoint can both access information and make decisions consistent with your wishes.

Choosing recipients depends on who you trust to access and handle sensitive medical information. Common recipients include a spouse, adult children, close relatives, a trusted friend, or a caregiver who assists with medical care. Naming recipients with full names and contact details reduces ambiguity and helps providers verify identity quickly when records are requested. Consider naming backups in case your primary designee is unavailable, and think about whether recipients should have broad access or only limited access to certain types of records. Discussing possible scenarios can help you select individuals who will act responsibly and in accordance with your preferences.

Yes, you can limit the scope of a HIPAA Authorization to specific types of records, particular providers, or a defined time period. For example, you might authorize only laboratory results, imaging studies, or records from a certain specialist rather than allowing access to your entire medical history. Limiting the authorization can help protect your privacy while still allowing necessary information to be shared for a specific purpose. Carefully describing the permitted records and any exclusions in the authorization reduces the risk of over-disclosure. When in doubt, discuss the practical needs for information with your trusted recipients so the authorization covers what is necessary without exposing unrelated sensitive data.

To revoke a HIPAA Authorization, you generally must provide a written notice of revocation to the health care provider or covered entity that holds the records. The authorization should include instructions about the revocation process, such as where to send a written revocation and what information to include. Keep in mind that revocation typically does not affect disclosures made in reliance on the authorization before the revocation was received. After revocation, it is helpful to distribute copies of the revocation notice to providers and any previously authorized recipients to prevent future disclosures. Updating estate planning documents and communicating changes to family members ensures everyone is aware of your current wishes regarding access to medical information.

Health care providers routinely accept HIPAA Authorizations drafted by private attorneys, provided the form meets applicable requirements and contains the necessary elements such as description of records, named recipients, purpose, and signature. Providers may have specific intake or verification procedures, so it is helpful to provide a clean, properly executed copy and confirm whether the provider needs any additional identifiers or notarization for their records. If a provider raises questions, the authorization can often be clarified or supplemented to meet administrative needs. Preparing documents with practical language and explaining verification steps to your recipients reduces the likelihood of rejection or delay when records are requested.

Including an expiration date or event in a HIPAA Authorization can be practical when you want access limited to a specific period or circumstance. A time-limited authorization might be suitable for a single procedure, an insurance claim, or a temporary care arrangement. Setting an expiration creates a clear end point for authorization and can help preserve privacy over the long term. Alternatively, some prefer durable authorizations that remain in effect until revoked. The right choice depends on your situation and how much ongoing access you expect your recipients to need. Reviewing the authorization periodically ensures it still meets your needs and allows you to choose whether to renew or revoke it.

A HIPAA Authorization primarily governs the disclosure of medical records, while a living trust governs the distribution of assets and management of property. The authorization does not change who controls trust assets, but it complements trust planning by enabling trustees or trustees’ delegates to gather medical information that may be relevant to care decisions, long-term planning, or financial management related to health needs. Coordination between documents prevents practical issues by ensuring those who manage care can obtain records when necessary. When your estate plan includes both a trust and health care documents, aligning their language and roles reduces confusion. Providing copies of the authorization to trustees or successor trustees, when appropriate, helps them perform their duties effectively if medical information becomes relevant to trust administration.

A signed HIPAA Authorization is often sufficient for insurers and benefits administrators to obtain medical records needed to process claims or appeals, but insurers may have their own forms or additional verification requirements. Presenting a clear authorization can expedite access to documentation necessary for claim adjudication, disability determinations, or appeal processes. It is useful to check with insurers about any preferred formats or additional details they require to avoid delays. When pursuing a claim, coordinating the authorization with a representative who understands insurance procedures helps ensure timely submission of records. Providing providers with clear instructions about where to send records reduces administrative bottlenecks and supports faster resolution of disputes or claims.

Store your signed HIPAA Authorization in a place that is both secure and accessible to the people who may need it, such as a trusted family member’s file, a safe deposit box with instructions, or an organized estate planning binder. Provide copies to primary health care providers, specialists, and any designated recipients so they already have access if records are requested. Keeping a digital copy in a secure cloud location can also help ensure availability during travel or emergencies. Communicate with your designated recipients and health care providers ahead of time so they know where to find the document and how to present it when requesting records. Clear distribution and recordkeeping reduce delays and make it easier for authorized persons to act promptly when medical information is required.

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