trailer Nepal 0000134302 00000 n Georgia Sudan D.C. Tunisia Claims & Denials Charges for listed services and total charges for the claim. Anesthesia Viet Nam UnitedHealthcare Shared Services Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. Claims submitted late may be . President 0000010081 00000 n Burundi Mongolia Missouri Slovenia Georgia 0000049637 00000 n EHR Implementation/Management 800.821.6136. 0000157961 00000 n Nauru Non-Participating Payor. Protect Yourself This Holiday Season with Health Tips, Indoor Activities for Kids That Dont Include Screen Time, No Excuses: How to Accomplish Your Goals In the New Year, Need More Vitamin D? If different, then submit both subscriber and patient information. Legal/Regulatory/Compliance Chief Financial Officer Reunion 0000162376 00000 n 0000115021 00000 n Paper: Homelink, P.O. 0000081280 00000 n 0000162048 00000 n Non-Participating Payor. Analyst/Administrator All dental claims should be mailed to GEHA at the appropriate address below: Aetna Signature Administrators (Alaska, Arizona, California, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Oregon, Pennsylvania, Rhode Island, Vermont, Washington) San Antonio, TX 78229, Part B RX Claims Address: Paraguay Somalia Chief Medical Information Officer Billing provider tax identification number (TIN), address and phone number. Brazil 0000127723 00000 n Washington UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) Sri Lanka (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . Monaco Rhode Island Individual Contributor 0000005887 00000 n Guam Minnesota OptumRX Make today the day you stop. 0000097202 00000 n New Brunswick 2023 Government Employees Health Association, Inc. All rights reserved. 0000088002 00000 n 0000003049 00000 n United States Box 30783, Engagement & Experience 0000159481 00000 n 13337. Hungary 0000103806 00000 n 0000175066 00000 n For claims from this year, click Where to Submit Claims from 2021. Costa Rica To ensure claims are as accurate as possible, use current valid diagnosis, procedure codes, and modifier codes and code them to the highest level of specificity (maximum number of digits) available. Other, Country Botswana 336 0 obj <>stream Virginia Availity is working with the payer to resolve this issue as quickly as possible. 0000137409 00000 n Healthcare Information Exchange Nova Scotia St. Pierre and Miquelon Niger Payer ID: 39026 . In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . 0000004845 00000 n For physicians, the state license number should be entered as a seven-digit number "A0nnnnn." 0000161430 00000 n -- Please Select -- New Caledonia Alabama These may be different when submitting Amerigroup EDIs in Availity. Medical Record Retrieval & Clinical Review 0000073502 00000 n Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts Brazil 0000002289 00000 n Denmark 0000080992 00000 n Ukraine 0000035375 00000 n 0000048658 00000 n 1095 tax forms now available Medical members can access your 1095 tax form by, You are using a browser we no longer support. Pharmacy Benefit Solutions 0000127855 00000 n 0000130720 00000 n All other providers use their state-assigned license number without modifications. Puerto Rico Martinique 0000008173 00000 n An issue has been identified causing a delay in the delivery of UMR Wausau 835 files for checks dated 1/20/22. 200+, Practice Specialty Mauritania United Arab Emirates 299 0 obj <> endobj Direct Care Broker or Supplier Contracts: Accredo, AeroCare, Apria, Bayada, BioScrip, Byram, CardioNet, Coram, DJ Orthopedics, DynaSplint, Edgepark, First Call Pharmacy, Hoveround, InfuSystem, Insulet, Interim, KCI, Liberator/Bard Care, Lincare/American Home Patient, Hanger, Optum Women's and Children's Health, Maxim, McKesson, The Med Group, Medtronic, National Seating and Mobility, NE Express, NuFactor, Option Care, Orthofix, Respirtech, Rotech, 180 Medical, Exception: Providers contracted with VGM Homelink submit claims to Homelink: Italy Fiji 0000049714 00000 n We use the National Uniform Billing Committee (NUBC) Official UB-04 Data Specifications Manual as the standard source for codes and code descriptions to be entered in the various form locators (FL). N. Mariana Isls. TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . . Admitting diagnosis required for inpatient claims. 0000103577 00000 n Jamaica Christmas Island Vice President 0000074114 00000 n 0000000016 00000 n 0000168686 00000 n United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. GEHA-ASA Greece Address OFFICE. UnitedHealthcare Shared Services Iceland Connecticut Services UnitedHealthcare accepts the following claim types from both participating and non-participating care providers: If you arent submitting claims electronically, or arent using EDI for all available transactions,go to EDI Connectivityfor more information and help getting started, 2023 UnitedHealthcare | All Rights Reserved, EDI 835: Electronic Remittance Advice (ERA), EDI 270/271: Eligibility and Benefit Inquiry and Response, EDI 276/277: Claim Status Inquiry and Response, EDI 278: Authorization and Referral Request, EDI 278I: Prior Authorization and Notification Inquiry, EDI 278N: Hospital Admission Notification, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. * The Provider Services # is 1-877-658-0305. . Venezuela Contact us. Saskatchewan Algeria French Guiana These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. }4}`k2o%%iK?_VSj^*}zQ"&H(mn2&f(*; H~>A" E*$4yf)&wR6;W|- *xh-g.c-;jZ]Ay]ok38USrl/'1+H.IDidO2Cl3r=:Dz44UZIRWWcz~K@ N*=ad]o)C!:g"ZI`\SpN:Y7 9jNu-;B;j5#\Q-W8^4*{w%aT9B;+*cphCLpwvwYW20#:!^i0JLQPh$El9b-&N1+`Xc2 Qnx2P,r0~CYt% WLnYs#YN$_>CCepy"}[ gW6:%] }/>G1{; :n7:dbg,=kdCGJd,>k"f11'Jva-45]/\rw.0;6#~}PaYap?;*=_h&53vCe(fn60\6-h#z-U:E-u=R$LQFm! All Rights Reserved, Attention providers! Patient name, Member identification (ID) number, address, sex, and date of birth must be included. 2-2-22-UMR-WAUSAU-39026-Delayed-ERAs-Checks-Dated-1-20-22. Guinea-Bissau 0000147922 00000 n 0000137787 00000 n Laboratory Syria American Samoa 0000118735 00000 n 0000112488 00000 n UnitedHealthcare Shared Services Oman Vatican City Mauritius Please note: The networks listed below should be used for claims based on services performed in 2020. Wisconsin News. Together, we are accelerating the journey toward improved lives and healthier communities. Mozambique 0000160095 00000 n EDI Payer ID: 50701 Payer Name Payer ID Type Services; UMR - Wausau: 39026: commercial: UB04 1500 ERA Eligibility: More Info EDI Payer ID 39026 Blue Shield of Iowa. Consumer Payments & Communications Revenue Cycle Management Solutions %%EOF 68047. Virgin Islands Chief Medical Officer 0000035806 00000 n Antarctica Indiana If you have claims for GEHA FEHB members and Medicare is the primary plan, GEHA participates in CMS Coordination of Benefits Agreement (COBA) Program and will receive claims and the Medicare primary benefit information electronically from the Coordination of Benefits Contractor (COBC). Bhutan 2. 0000146757 00000 n Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses * 0000019237 00000 n CWIBENEFITS INC. COMMERCIAL. 0000022641 00000 n Ability also has a special offer for MHN practitioners to submit electronically to all payers who accept electronic claims (over 1600 payers). Guam Care Management/Population Health 0000161773 00000 n Box 830724. endstream endobj 11728 0 obj <>/Filter/FlateDecode/Index[236 11458]/Length 191/Size 11694/Type/XRef/W[1 1 1]>>stream Risk Adjustment and Quality Solutions In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 0000023754 00000 n Bulgaria Mail claims to: Behavioral Health Systems, Inc. P.O. Utah 0000152221 00000 n Boost Your Intake with These Tips, Five Ways to Get Something Positive Out of Dealing with Your Emotions, Five Health Benefits of Smiling and Laughing, Five Simple Stretching Exercises to Improve Total Body Flexibility, Tips for Finding the Perfect Primary Care Provider, Breakfast with Benefits: Tips to Make Your First Meal Healthier. If Medicare is the patient's primary plan: Thailand CALOP. 0000087773 00000 n Project Management All dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Lebanon Timor-Leste Svalbard/Jan Mayen Isls. 4q<={Wm|? EDI Payer ID #39026 0000141277 00000 n Patient Financial Services Learn more about the data we collect or request your data be removed, Choosing Who Can See My Confidential Medical Information, Copyright 2023 Managed Health Network, LLC. Emergency Medical Service 0000146416 00000 n 0000061875 00000 n Claims with incomplete coding or having expired codes will be contested. Kansas Taiwan Western Sahara %%EOF Dentistry 52192. Israel What type of plan is it? South Africa Military Pacific Medical claims rendered by in and/or out-of-network providers: Aetna Signature Administrators (If the subscriber lives in any of the following states: Alaska, Arizona, Colorado, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Washington) Argentina Holiday Season Healthy Eating Yes, it Can be Done! 0rT* Mexico MHN collects some private data about site visitors. Please find frequently asked questions on the Provider FAQs tab or click, OHS Driving Under the Influence (DUI) Program, Understanding Your Out-of-Network Benefits, You Too Can be a Hero by Wearing a Face Mask, Fireworks Safety: Dont Let a Good Time Blow Up in Your Face. Operations Box 30755 Salt Lake City UT 841300755 And that's it! MHN also accepts electronic submission of both Professional and Institutional claims through Emdeon. Universal product number (UPN) codes as required. Brunei Darussalam 0000162699 00000 n US Minor Outlying Is. Engineering/Technical Staff Professional Institutional. Fax claims to: 205.449.5505. Cyprus Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Armenia To support a better user experience on our website, we've combined our frequently asked questions to one section (e.g., claims, provider portal, EAP center of excellence, general, etc.). Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) View our network today to connect with a payer or partner for all available transactions. Norway Patient or subscriber medical release signature/authorization. 0000087924 00000 n Barbados Nevada A member of our team will contact you to better understand your needs and discuss potential solutions. If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. 0000004069 00000 n 0000103728 00000 n 0000036268 00000 n Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . -- Please Select -- Member Engagement Guadeloupe 0000074037 00000 n z8aD>:wr?##:cR29**6$+GZPfz_igKmfB[IIC}(2k%6 RpT-sW1j\7y):X aENYvPo1g+'{1 v;w\9htw-]|6$^AW0pc}ru4O,4*;LcKa1op_e8B+B7~N.iMyB` Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. Freedom Life Insurance Company of America Payer ID: 62324; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Secondary Claims: YES: Need to submit transactions to this insurance carrier? Paxlovid - Pharmacist Prescribed List. Need access to the UnitedHealthcare Provider Portal? Philippines Box 21542, Eagan, MN 55121 Beacon, PO Box 1854, Hicksville, NY 11802-1854, Dental Claims Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Marshall Islands 0000008030 00000 n Korea (North) lB8W)! 0000004177 00000 n Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . Colombia Accommodation code is submitted in Value Code field with qualifier 24, if applicable. For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services. 0000014575 00000 n Please note that ours also contains former brand and plan names, as well as comments that may help you choose the correct Payer ID. hb``a`` 315. Nunavut Kiribati Czech Republic Portugal UHC Provider Services Phone: (844) 586-7309. EDI Payor #39026 endstream endobj 377 0 obj <>/Metadata 47 0 R/Outlines 91 0 R/Pages 374 0 R/StructTreeRoot 100 0 R/Type/Catalog>> endobj 378 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 379 0 obj <>stream UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . 87726. 0000158654 00000 n Payer Name Change Healthcare Payer ID Payer-assigned Payer ID Connectivity Type Available Authorization Required 1199SEIU Family of Funds 1199NB 1199N1 13162 Both Portal A & I Benefit Plan AIBPL1 93044 Portal AARP 36273 X12 No Absolute Total Care CNTENE 68069 X12 No Outpatient claims must include a reason for visit. CPT is a numeric coding system maintained by the AMA. 0000177444 00000 n Five Ways to Ease Back to School Stress for Kids, Avoid Mindless Eating with these Five Tips, Five Easy Ways to Establish Proper Handwashing Behaviors, WildFire Resource Guide & Hurricane Resource Guide, Tips on How to Communicate with Children During COVID-19 Pandemic, Five Ways Relationships Are Good for Your Health, Diabetes Awareness Month: Tips for Preventing and Recognizing Signs of Diabetes, Eating for Your Sight: Five Foods for Healthy Eyes. H[Gi$1~!Xv2X>U! Information Systems/Technology GEHA-ASA Germany Eat Your Way to a Brighter, Whiter Smile! UnitedHealthcare Shared Services %%EOF Moldova 0000074376 00000 n EDI Submitter: 44054 DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. endstream endobj startxref Patient Experience Solutions Canada If you have claims for GEHA FEHB members and Medicare is the primary plan, GEHA participates in CMS Coordination of Benefits Agreement (COBA) Program and will receive claims and the Medicare primary benefit information electronically from the Coordination of Benefits Contractor (COBC). Cte d'Ivoire 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. Wallis/Futuna Isls. 0000096807 00000 n 0000000016 00000 n 0000087708 00000 n 117 0 obj <>stream CALOP. North Dakota United States 1-199 Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. No additional support tickets are needed at this time. Palau American Samoa Solomon Islands France 0000153036 00000 n Germany For information on submitting claims, visit our updated Where to submit claims webpage. Djibouti Doctor Bahamas Administrative/Human Resources xref startxref Gabon P.O. Radiology California Emergency Medicine 0000006751 00000 n * 0000003247 00000 n Salt Lake City, UT 84130-0783 Cayman Islands Rwanda 0000003538 00000 n Kazakhstan Healthcare Consulting Services Nicaragua Republic Of 0000144676 00000 n 43 164 0000155014 00000 n Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 . Serbia and Montenegro 0000049255 00000 n Iraq Suriname Box 21542 Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. Chad Turkmenistan 2023 Government Employees Health Association, Inc. All rights reserved. Chile If your practice management system uses Emdeon as its clearinghouse, you can submit claims using MHN's payer ID: To find out if your practice management software uses Emdeon's clearinghouse, check with your vendor. Every day without smoking counts! 0000133800 00000 n [Jr@rjyoWJ2& -Z p Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. 0000148268 00000 n Papua New Guinea Zambia 0 Share of cost is submitted in Value Code field with qualifier 23, if applicable. Singapore For information on submitting claims, visit our updated Where to submit claims webpage. Provider Payment Management Solutions It's never too late to quit smoking. West Virginia Value-Based Care Solutions, Solution Type Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. Military Europe/ME/Canada 0000129961 00000 n 0000008125 00000 n h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U EDI Submitter #06603 0000112306 00000 n -- Please Select -- 316. Croatia Palestinian Territory, Occupied BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 0000112372 00000 n To avoid possible denial or delay in processing, the above information must be correct and complete. Faroe Islands 0000004338 00000 n Home Health Agency Find forms for medical claims, patient eligibility, ERA, and EFT payment information. Physician Practice Management Military Americas Massachusetts Tonga Manager 0000144715 00000 n Palau Iowa startxref 0000103184 00000 n San Marino Professional Institutional. 0000140914 00000 n Contact us. Malaysia Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. Other, Job Level 0000007935 00000 n !tWu}]{|o>oI{;jOGG{vx_~|;}r{%5Hmw~{:nz/vZm>/~?9OoOCpR[%^ND?JwSn7{/Aw7xm~zvd|w/xzw9zg/7rj*.1 1=F%Rk-u[wz)FrFn=yS=78Y;v_6mENZtZ74;'|)oSuwX}p4SF7KaKjF4T%] SBr,`.l`) hrWjv2|8(yV]zZFi6/ )k/TRA"7k+e33'':8b'RJO[FZV-+T*|T 2LfgBo]HzwCa$*bVgeMkR @0vq+ * Namibia 0000103693 00000 n Claims Address For All UHC, UBH, and Optum P.O. EDI Payer ID #39026 Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. BMC Health Plan. 0000160789 00000 n 0000146151 00000 n 0000123934 00000 n Chief Executive Officer Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. * If you have any questions regarding this offer, please call Ability at 800-548-2890. Puerto Rico P.O. 0000061761 00000 n Payer IDs are used to route EDI transactions to the appropriate payer. ICD-10-CM codes are used for procedure coding on inpatient hospital Part A claims. Box 981707, P.O. 0000009289 00000 n Ontario Hospital/Health System Transparency & Provider Search 0000007492 00000 n P.O. Hong Kong For . 0000010920 00000 n 2021-2022 Annual Report. Service line date required for outpatient procedures. Norfolk Island xref Idaho hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims 0000157670 00000 n PO Box 400066 hb``c``a`e`2AX@u@ 0000087379 00000 n Admission type code for inpatient claims. 0000049016 00000 n Egypt Australia 0000001043 00000 n De + Coordination of benefits (COB): When we are the secondary payer; the provider must submit the claim and a copy of the explanation of medical benefits/explanation of benefits (EOMB/EOB) from the primary carrier to Health Net for payment consideration. A Claims must be received within 90 days from the service date. 0000048605 00000 n 0000152456 00000 n Bolivia $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. Member Eligibility & Enrollment Solutions Submission through UHC provider portal ]m4hq51l^XNFsZb jB"l! Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. 3. Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . Bravo Health - Cigna Healthspring. Submit electronic claims online at www.uhis.com, Emdeon payer ID 39026. All medical claims should be mailed to the addresses listed below for each network. Need to submit transactions to this insurance carrier? 0000145909 00000 n %%EOF Tajikistan CD Discount. Gambia Member Engagement Solutions 0000147653 00000 n Correct coding is key to submitting valid claims. Tanzania Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. Medical Auditing 0000111978 00000 n Training/Education hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Macedonia Box 30783, Salt Lake City, UT 84130-0783 Billing provider tax identification number (TIN), address and phone number. Birmingham, AL 35283-0724. Oklahoma Independent Practice Affiliated with Hospital Only for claims where the submit claims to address on the medical ID card is a CoreSource . Consulting MHN.com uses cookies. Turkey Russian Federation FLORIDA UBC HEALTH FUND 95 0 obj <>/Filter/FlateDecode/ID[<2A8680A847A02E488D35CBC39B3F8739><741C1DF9A256F44C939C389B842BF915>]/Index[65 53]/Info 64 0 R/Length 129/Prev 237672/Root 66 0 R/Size 118/Type/XRef/W[1 3 1]>>stream Hospital Employed Practice If the subscriber is also the patient, only the subscriber data needs to be submitted. g%g-pf%Zv%? 0000146960 00000 n Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). 0000138268 00000 n All medical claims should be mailed to the addresses listed below for each network. Cuba -- Other Locations -- Delaware France Pharmacy New York If Medicare is the patient's primary plan: Please Use Payor ID# 63100. Peru <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> Box 30783, Salt Lake City, UT 84130-0783 Payer ID: 39026; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required . Montserrat Heard/McDonald Isls. Azerbaijan 0000147306 00000 n Macau You will need Adobe Reader to open PDFs on this site. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Comoros Guatemala Box 21542, Eagan, MN 55121 322 0 obj <>/Filter/FlateDecode/ID[<304D90465B8F264FB3821BFEF410E30F><42BF6E1904DCEB468D2C308771CC1222>]/Index[299 38]/Info 298 0 R/Length 114/Prev 222343/Root 300 0 R/Size 337/Type/XRef/W[1 3 1]>>stream