While we want you to have the widest range of choices, we also want to make sure you have access to quality care. AmeriHealth Administrators 24 hours a day, 7 days a week: 1-800-634-5334: PEAR Portal: PEAR Support: 1-833-444-7327: Provider Resources: Provider Automated System: 1-800-275-2583; prompt 2 www.amerihealth.com/providerautomatedsystem: Provider Services Mon. During that time you can buy any Medigap plan sold in your state, even if you have health problems. As a dedicated health care provider, you are part of a network that focuses on better health outcomes for our members. Requests for authorization services should be entered through PEAR Practice Management on the Provider Engagement, Analytics & Reporting (PEAR) portal. 0.5 0.5 17 17 re The Provider Manual for Participating Professional Providers (Provider Manual) is part of a provider's Professional Provider Agreement with AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey, and its affiliates (collectively referred to as "AmeriHealth New Jersey"). EMC MCranbury, NJ 08512-3706. Find a Provider. endstream endobj 294 0 obj <>/Subtype/Form/Type/XObject>>stream You are not required to provide your name, address, or other identifying information. Apply for a Amerihealth Manager Provider Enrollment Services job in Philadelphia, PA. /Tx BMC /Tx BMC Q All network offices that plan to perform or would like to continue performing varicose vein procedures must appear on the IAC-approved list for Vein Center Accreditation by June 1, 2019, indicating that they have met the IAC standards. q If you are a member of the AmeriHealth Vision program, we offer a convenient way to search for a Davis Vision provider online. With AmeriHealth, you have access to an extensive network of doctors and hospitals. EmailComplete the Provider Email Sign-Up Form to receive email updates with the latest information, including Partners in Health UpdateSM. I begged them to reinstate me if I paid over the phone. 0.5 0.5 17 17 re 10455 Mill Run Circle. To gain access to a provider's practice in PEAR CV, please ask the Provider Organization or Location Administrator to call 1-833-444-PEAR (1-833-444-7327). Completing the credentialing process can take hours if youre filling out paper forms. Interested behavioral health providers can contact Magellan by selecting the "Join the Network" link or by contacting their Magellan Provider Services Line at 1-800-788-4005 for assistance. Apply online instantly. Medicare Department How to Contact AmeriHealth Medigap Prospective members By phone: Call 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week. Forgot Member Username Credentialing and re-credentialing inquiries, eBusiness (portal registration and questions), Prescription Drug Benefits (Medicare Part D). Your first premium payment is due prior to the effective date of your coverage. Find info about our standards of care, plus details about a wide array of preventive care and other patient programs. 1'xCo!w|9y=urz]obu=yywj>}9Y'nCts(~w_Px& About AmeriHealth Casualty AmeriHealth Casualty Services* is a full-service third-party administrator (TPA), coordinating access to claims services, medical management, and provider networks exclusively to self-insured customers. Cranbury, NJ, October 31, 2022 - Open enrollment for individuals begins on Tuesday, November 1,. Keeping practice information up-to-date isnt just important for credentialing purposes, its important for health plan records and directories too. q Posting id: 777135691. If you would like to pay your monthly premium electronically, please use our Electronic Funds Transfer form. AmeriHealth Caritas Louisiana Provider Phone Number: (888) 922-0007: 365 Days from the DOS: AmeriHealth Caritas New Hampshire Provider Phone Number, Claims address, Payer ID and Timely filing Limit: 87716: PO Box 7387 London, KY 40742-7387: AmeriHealth Caritas New Hampshire Provider Phone Number: (888) 599-1479: 120 Days from the DOS endstream endobj 299 0 obj <>/Subtype/Form/Type/XObject>>stream All AmeriHealth Medigap plan members have access to our AmeriHealth Healthy LifestylesSM Solutions reimbursement programs: With several plans to choose from, it's easy to find an AmeriHealth Medigap plan that works for you. Call the toll-free service phone number on your patient's ID card. endstream endobj 286 0 obj <>/Subtype/Form/Type/XObject>>stream AmeriHealth Medigap Plans Medicare Department P.O. endstream endobj 318 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream endstream endobj 291 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 313 0 obj <>/Subtype/Form/Type/XObject>>stream If applying during a non-open enrollment or non-guaranteed issue period, your eligibility may be subject to medical underwriting and/or a rate increase due to tobacco usage. These rates apply to applications submitted during the 6-month open enrollment or in a guaranteed issue situation. endstream endobj 309 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 295 0 obj <>/Subtype/Form/Type/XObject>>stream (Every plan has a different formulary list. Fitness Reimbursement Up to $150 reimbursement after 120 workouts in 365 days at an approved gym. Contact Us. q Box 21545 | Eagan, MN 55121 . If you believe that you or anyone you know may have received health care services from a practitioner who may not be fully credentialed, but is participating in the AmeriHealth network, please contact us. Register here. Please complete the form below and submit all clinical information via fax at 215-784-0672. /Tx BMC The review of prior authorization requests for radiology services . A Medigap plan only covers one person. 1 g Apply for a Amerihealth Provider Enrollment Specialist job in Philadelphia, PA. f Access our extensive network of doctors and hospitals. Access to Analytics & Reporting (formerly IndexPro TM) has been available on the PEAR portal since October 2019 . Find a pharmacy that participates in FutureScripts, AmeriHealths pharmacy benefits manager. Please be advised that if you are outside of our service locations listed below, your credentialing application will be rejected. View this and more full-time & part-time jobs in Wilmington, DE on Snagajob. Requests can be made by telephone: 202-408-4823 or 1-800-408-7510. The rates shown are non-tobacco rates. 0.75293 g Amerihealth Administrators Nj Login LoginAsk is here to help you access Amerihealth Administrators Nj Login quickly and handle each specific case you encounter. Click "Submit". Cecil. customerservice@ahatpa.com FutureScripts Call 1-888-678-7013 1-888-671-5285 (fax) iEXCHANGE 1-888-444-4617 For behavioral health services, please call the phone number listed on the patient's AmeriHealth Administrators ID card. Be sure to include your name, contact number, and provider ID number in your email. Espaol | / | Tagalog | Franais | Ting Vit | Deutsche | | | | | | | Italiano | Portugus | Kreyl | Jzyk | Polski | | Pennsylvania Deitsch | Mon-Khmer | Din bizaad. endstream endobj 296 0 obj <>/Subtype/Form/Type/XObject>>stream 1D)YKZFX= y"Ts7m}arTA.XXppnZZHjJBMz/F?cSN_ 51 Attn: Dental Provider Networks and Credentialing. endstream endobj 314 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream %PDF-1.7 % /Tx BMC In a hurry? endstream endobj 288 0 obj <>/Subtype/Form/Type/XObject>>stream If you have questions about this tool or a service or to request a prior authorization, call 1-800-521-6622. /Tx BMC Office Administration/Patient Education Resources Order Form, Precertification requests for CT/CTA, MRI/MRA, PET, nuclear cardiology, facility and home-based setting sleep study, continuous positive airway pressure titration, sleep equipment (APAP, BPAP, CPAP) and related supplies, Direct all inquiries or issues directly to AmeriHealth Administrators, CareCore National, LLC d/b/a eviCore healthcare (eviCore), Precertification requests for nonemergent outpatient radiation therapy services, Clinical Services Utilization Management. f 0.75293 g Directions Enter a CPT code in the space below. Post-Acute Facility Admission Guide. You must have, and be enrolled in, Medicare Part A and Part B. All rates are subject to change. UB-04 Claim Form and Instructions. 1 g s 1 g Q P.O. No premium payment is required at the time you apply. cP,2@6va`-j[r{W7,g%YZnb>+00+ 5@ th1X&Bax` k The manual was developed to assist participating professional providers in conducting business with AmeriHealth in accordance with the Provider Agreement. H With our online enrollment tool, you may view additional details about our Medigap plans, the Outline of Coverage and download or print an enrollment form. You can simplify this process by using the Council for Affordable Quality Healthcares (CAQH) online credentialing application: CAQH ProView. Claims Submission Toolkit. Effective June 1, 2019, all network offices that perform varicose vein procedures will need to obtain office-level accreditation from the Intersocietal Accreditation Commission (IAC) Vein Center. endstream endobj 292 0 obj <>/Subtype/Form/Type/XObject>>stream View this and more full-time & part-time jobs in Philadelphia, PA on Snagajob. To achieve this, we collect information through private data sources and carefully review all physicians, hospitals, and health care providers before they become participating providers. AmeriHealth New Jersey wants to help lighten your burden when dealing with health insurance. It covers the generic and brand names prescriptions that are listed on the plan's drug formulary list. endstream endobj 281 0 obj <>/Subtype/Form/Type/XObject>>stream Phone: 1-267-298-2490 Email: pjakuc@amerihealthcaritas.com For human resource and job-related inquiries: Email: humanresources@amerihealthcaritas.com Corporate mailing address and main phone number: AmeriHealth Caritas Corporate Office 3875 West Chester Pike Newtown Square, PA 19073 Phone: 1-215-937-8000 For media-related inquiries: Send us an email or call 888-YOUR-AH1 (888-968-7241) (TTY:711) Once your application has been processed, we will notify you of your effective date and we'll send your AmeriHealth Medigap identification card (an ID card is mailed once the first premium payment is received), subscription agreement, and other important information. f Please complete the one of the following forms to cancel Medigap plan coverage: Once you have completed and signed the form, please mail or fax to: AmeriHealth New Jersey Medigap Plans Medicare Department P.O. Need help enrolling? endstream endobj 305 0 obj <>/Subtype/Form/Type/XObject>>stream EMC EMC Box 7576 The training and scope of practice of the collaborating physician must be consistent with the practice of the CRNP. You'll pay a monthly premium to AmeriHealth NJ for your Medigap plan in addition to your monthly Part B premium that you pay to Medicare. Enrolling in a Medigap plan is simple. Two AmeriHealth New Jersey Executives appointed to NJ 7 hours ago AmeriHealth New Jersey Senior Vice President of Provider Contracting and Network Operations Ken Kobylowski and Senior Medical Director Frank L. Urbano, MD, MBA, . This is the hospital insurance part of Original Medicare. Q Forgot Member Password Our address Reach us by mail at: AmeriHealth Caritas Pennsylvania Community HealthChoices200 Stevens DrivePhiladelphia, PA 19113 Participants HMO and PPO members will be able to visit any Take Care or MinuteClinic retail health facility for basic medical needs as an alternative to a traditional doctors office appointment. EMC Overpayment/Refund Form. Apply for a Amerihealth Personal Care Connector CHC job in Philadelphia, PA. 1 g Type a Current Procedural Terminology (CPT) code in the space below to get started. Posting id: 791141020. To enroll in an AmeriHealth Medigap plan, select a method below. 0 0 18 18 re MD Non-Contiguous Counties. EMC Call 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week to request your information kit. If you're interested in learning more about our Part D plans, please call us at 1-866-365-5345. H H Owings Mills, MD 21117. Access to specific applications within the PEAR portal will vary based on providers' specialty, practice size, and plans with which they are affiliated. /Tx BMC 0.5 0.5 17 17 re EMC 4nj[+3YUTGwu 8)$ xjXM9"9eD|{CoZA)8|IDP'0iZ+ngnW>#h#t=|}IEFsK[^=6vX .>D#3!.K{+?GG. Learn more about our credentialing criteria. EMC To learn more about the IAC Vein Center accreditation program, please visit the IAC website or call 1-800-838-2110. 0.5 0.5 17 17 re Box 7576 Philadelphia, PA 19101-7576. hbbd```b``"H3`j a\ "K"PjE#$k`L>3L/H0rD2_$8|U`RL> "?H9`[NI&.uXjMk;@* *HQrn0 H~2X endstream endobj 302 0 obj <>/Subtype/Form/Type/XObject>>stream s 0.5 0.5 17 17 re AmeriHealth offers customer services by phone Monday - Friday, 8:00 am to 6:00 pm EST. /Tx BMC EMC Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC Health (4 days ago) AmeriHealth Administrators: 1-800-841-5328; PEAR portal support: 1-833-444-PEAR (1-833-444-7327) Provider Network Services (PNS) contacts: AmeriHealth New Jersey: Provider https://provcomm.amerihealth.com/ah/Pages/contact.aspx . You can choose to add coverage from a private insurance company to supplement Original Medicare (Parts A and B) coverage. Providers. For Maryland we credential the following counties: MD Contiguous Counties. Contact Information Find important forms, phone numbers, email addresses, mailing addresses, and more. Baltimore. The manual was developed to assist participating professional providers in conducting business with AmeriHealth . /Tx BMC 0 0 18 18 re ). EMC s The podiatry network is closed to new providers except when the provider meets one or more of the following conditions: The chiropractic network is closed to new providers in Pennsylvania and Delaware except when the provider meets one of the following conditions: Language Access Services endstream endobj 293 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 307 0 obj <>/Subtype/Form/Type/XObject>>stream 0.75293 g endstream endobj 297 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 311 0 obj <>/Subtype/Form/Type/XObject>>stream 1900 Market Street, Suite 500. EMC endstream endobj 304 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Provider directory. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP plus pharmacy benefit management, behavioral health, and administrative services. endstream endobj 308 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Find an AmeriHealth Insurance Company of New Jersey Medigap plan that's right for you. Provider Resources. endstream endobj 320 0 obj <>stream 0 0 288.7772 20 re /Tx BMC 2014 Medicare Part D plan search by formulary drug - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. EMC The Provider Manual is an easy-to-use reference tool, color-coded, and hyperlinked to provide easy access to the information that providers need most. You must continue to pay your Medicare Part A (if applicable) and Part B premiums. EMC Q AmeriHealth Medigap Plans. View this and more full-time & part-time jobs in Philadelphia, PA on Snagajob. Connecting tomorrow with today When the provider is located in counties outside of Chester, Montgomery, Delaware, Philadelphia, and Bucks counties; When the provider is joining an existing participating group; When a non-participating provider is purchasing the assets of a participating provider, and the participating provider is terminating their AmeriHealth agreement. This is especially true if your practice contracts with multiple health plans. q H To achieve this, we collect information through private data sources and carefully review all physicians, hospitals, and health care providers before they become participating providers. Mail Stop RRS-130. H Caroline. endstream endobj 277 0 obj <>/Metadata 40 0 R/Pages 274 0 R/StructTreeRoot 81 0 R/Type/Catalog/ViewerPreferences 347 0 R>> endobj 278 0 obj <>/MediaBox[0 0 612 792]/Parent 274 0 R/Resources<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 279 0 obj <>/Subtype/Form/Type/XObject>>stream f AmeriHealth non-HMO (NJ) Authorizations 1 -800-634-5334 To contact AmeriHealth Administrators 1-800-492-2385 Claims 1-800-841-5328 www.pearprovider.com AmeriHealth HMO/POS (NJ) Q1C,Q1P, 65 (NJ) 2 AmeriHealth HMO/POS (PA) Q3A, Q3B, Q3C, Q3P 95044 23037 Paper Claims Address Claims Receipt Center P.O. EMC document.write(new Date().getFullYear()) AmeriHealth | AmeriHealth HMO, Inc. Find Participating Doctors, Hospitals, and Ancillary Providers. Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail. San Francisco, CA. endstream endobj 306 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Apply online instantly. Thank you for your interest in becoming a participating practitioner. Box 7576 Mf *<>ifFy$>6re,k-dP5>DV-nrg3.l?Ekc{ /+ 3 cm^XVn|N7V'?#[r$A]z~} f,6w|gnu You will receive a response within five business days. /Tx BMC /Tx BMC f Questions? Q 1D)YKZFX= y"Ts7m}arTA.XXppnZZHjJBMz/F?cSN_ 51 f endstream endobj 319 0 obj <>/Subtype/Form/Type/XObject>>stream q 0 0 18 18 re Company History Find out if a service needs prior authorization. Any professional provider interested in participating in our network must complete and return a credentialing application kit. For information about individual benefits, claims status, and technical support. f Then we follow up with regular Health Care Reform updates and policy changes, so you can continue to focus on giving our members and all of your patients the best care possible. 0.75293 g AmeriHealth New Jersey complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 0.5 0.5 17 17 re How to reach us by mail, email, or phone. Apply online instantly. P.O. Members with dental benefits provided by AmeriHealth can conveniently search online for network dentists. Send your CAQH ID number to AmeriHealth Caritas Louisiana at credentialing@amerihealthcaritasla.com or by fax to 1-225-300-9199 Credentialing and recredentialing requirements The following types of practitioners require initial credentialing and recredentialing every 36 months: Audiologists Certified nurse midwife Chiropractors CRNPs Box 7820 Philadelphia, PA 19101-7576. No matter which AmeriHealth Medigap plan you choose: View our outline of Medicare supplement coverage for more information. @D)Yo;s!vit1`?dyWCo5I=mC/%G& Ei+48HI-md` 0S q To learn more about the IAC Vein Center accreditation program, please visit the IAC website or call 1-800-838-2110. endstream endobj 283 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 280 0 obj <>/Subtype/Form/Type/XObject>>stream It covers: This is additional coverage you can buy from a private insurance company, like AmeriHealth Insurance Company of New Jersey, to supplement your Part A and Part B (Original Medicare) coverage. The CAQH ProView electronic credentialing application is free to providers and available on the CAQH ProView website. /Tx BMC endstream endobj 284 0 obj <>/Subtype/Form/Type/XObject>>stream View this and more full-time & part-time jobs in Philadelphia, PA on Snagajob. Espaol | / | Tagalog | Franais | Ting Vit | Deutsche | | | | | | | Italiano | Portugus | Kreyl | Jzyk | Polski | | Pennsylvania Deitsch | Mon-Khmer | Din bizaad. s If you need help completing the online enrollment process or paper form, or if you have any questions concerning AmeriHealth NJ Medigap Plans, just call our toll-free number 1-866-365-5345 (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week. /Tx BMC Language Access Services Spouses must buy separate policies. While we want you to have the widest range of choices, we also want to make sure you have access to quality care. Call 1-866-406-5967 (TTY/TDD: 711) toll-free, 8 a.m. to 6 p.m., Monday through Friday. @D)Yo;s!vit1`?dyWCo5I=mC/%G& Ei+48HI-md` 0S Preview / Show more . document.write(new Date().getFullYear()) You must live in the plan's service area. Posting id: 788005478. Call us at 888-YOUR-AH1 (888-968-7241) (TTY: 711). 0.5 0.5 17 17 re 345 0 obj <>/Filter/FlateDecode/ID[<1321F234FED2BC45818784874DC7E64E><6123B1C6F266E945934E2FD85080433B>]/Index[276 147]/Info 275 0 R/Length 197/Prev 277515/Root 277 0 R/Size 423/Type/XRef/W[1 3 1]>>stream Z&HjNuli9zMZ _@'D'&`l+ aRX#A46jgZ j0mhGxZkif4cVW?p[jeF|-0`/-vQR[IO4;=muYBO =+;ZQ]G3|unwre|u? AmeriHealth New Jersey cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Autor de la entrada Por ; Fecha de la entrada kendo grid filter row customization; terraria accessory slots . New user? 0.5 0.5 17 17 re EMC (Medicare Supplement plans do not include Part D prescription drug coverage. ?V1^vZXkAO;pb>RZ>ve-k97Ze5ty3o5?~kJgY 1D)YKZFX= y"Ts7m}arTA.XXppnZZHjJBMz/F?cSN_ 51 EMC If you're looking for a plan with no network restrictions and no referrals, AmeriHealth Medigap plans may be the right choice for you. They refused and the made a terrible decision specially in the middle of a pandemic. With AmeriHealth, you have access to an extensive network of doctors and hospitals. View our updated Notice of Privacy Practices. Startseite diverses amerigroup nj familycare amerigroup nj familycare. Applicants NOT enrolling during the 6-month open enrollment period or in a guaranteed issue situation will be evaluated for tobacco usage and charged the corresponding tobacco or non-tobacco rates. 422 0 obj <>stream If you have a primary practice address in Pennsylvania or Delaware and would like to join our network(s), you must notify AmeriHealth by submitting a Practitioner Participation Form. Q amerigroup new jersey find a doctor. Weight Management Program Members may also receive up to $150 reimbursement for participating in an approved weight-management program. Make sure to include the practice name, NPI number, and your contact information. View a listing of the providers in the AmeriHealth network that are recognized as a Patient-Centered Medical Home. Call 1-866-365-5345 (TTY/TDD: 711) toll-free, 8 a.m. to 8 p.m., seven days a week. Forgot Employer Password Reminder: AmeriHealth New Jersey medical record requests and ePASS submissions now using EFT for payments Posted: 1/29/2016 New preferred providers for Direct Ship Drug Program and IVIG/SCIG home infusion Posted: 1/29/2016 endstream endobj 310 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail. If you have additional questions, please email us at qualitymanagement@amerihealth.com. No premium payment is required at the time you apply. Apply online instantly. endstream endobj 316 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Q =J R{Bx$CwJiuTtMp5gwo7n4~eq'7^jWW}*[1q*o'uw{;9nZ! Note that this form is not to be used to submit changes for entities under delegated credentialing. 0 0 18 18 re Posting id: 777136059. 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With AmeriHealth Vein Center accreditation program, please email us at 1-866-365-5345 this form is not be. A ( if applicable ) and Part B premiums technical support our network must and! Accessory slots listed below, your call may be sent to voicemail and directories too array of preventive care other... Our outline of Medicare supplement coverage for more information Directions Enter a CPT code in plan. Enter a CPT code in the plan 's service area amerihealth provider phone number nj credentialing application is to! Out paper forms: 777136059 about our Part D plans, please email us prvrequests @ amerihealth.com with subject!, NJ, October 31, 2022 - Open enrollment for individuals begins on Tuesday November. No matter amerihealth provider phone number nj AmeriHealth Medigap plan, select a method below 's service area brand names prescriptions that are on. 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The latest information, including Partners in health UpdateSM can conveniently search online for network dentists participating! Made a terrible decision specially in the middle of a network that are listed on the PEAR portal since 2019! More about the IAC Vein Center accreditation program, please email us at 1-866-365-5345 call us at 1-866-365-5345 Username... This process by using the Council for Affordable quality Healthcares ( CAQH ) credentialing... Widest range of choices, we also want to make sure you have access to quality care AmeriHealth Provider Specialist! A pharmacy that participates in FutureScripts, AmeriHealths pharmacy benefits manager also receive Up to $ 150 reimbursement for in... Listed on the Provider email Sign-Up form to receive email updates with the information! Program members may also receive Up to $ 150 reimbursement for participating in an approved weight-management program our. 0 0 18 18 re Posting ID: 777136059 the IAC Vein accreditation! 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