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Digital Transformation In IndustryTop 10 Best Epic Managed Services of 2026
Ranked top 10 epic managed services for enterprise teams, with Deloitte, Accenture, IBM Consulting and vendors Avaap, CereCore, Optimum Healthcare IT.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
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Avaap is the most reliable choice for health systems that want managed Epic operations paired with release testing and interface stability, whereas Huron Consulting Group fits when you need enterprise-scale oversight and analyst-led governance to keep changes release-ready.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Avaap
Ongoing configuration governance and change control that connects incident triage to quarterly Epic release readiness.
Built for fits when health systems need managed Epic operations plus release testing and interface stability..
CereCore
Editor pickRelease readiness execution that ties quarterly testing outcomes to controlled change rollout in Epic environments.
Built for fits when healthcare IT teams need Epic production support plus release operations staffing..
Optimum Healthcare IT
Editor pickQuarterly release testing coordination tied to upgrade readiness checks and operational change control workflows.
Built for fits when health systems need managed Epic support with release readiness and change governance discipline..
Comparison Table
Avaap
specialistAvaap provides healthcare application consulting, Epic-related advisory services, optimization, and managed support.
Ongoing configuration governance and change control that connects incident triage to quarterly Epic release readiness.
Avaap operates as an Epic-focused managed services partner that runs production support and release management functions across environments, including testing and readiness activity aligned to Epic change cadence. Epic-certified analysts handle module-specific configuration governance, workflow optimization tasks, and incident triage that feeds into controlled changes rather than ad hoc fixes. Avaap’s managed approach also reaches interface responsibilities, with HL7 v2 integration and FHIR API support that tie application changes to downstream data consumers.
A key tradeoff is that Avaap’s effectiveness depends on clear internal ownership for build and approval decisions, since managed services still require formal sign-off for change control and configuration governance. Avaap fits well for organizations that need steady production coverage plus recurring upgrade readiness work, such as teams supporting inpatient and outpatient operations while coordinating quarterly Epic releases.
- +Epic-certified analyst coverage for production incidents and release work
- +Release management support that ties quarterly testing to upgrade readiness
- +Interoperability support across HL7 v2 integration and FHIR APIs
- +Configuration governance and change control discipline for managed workflows
- –Requires active internal governance owners for approvals and build decisions
- –Workflow tuning depth varies by module and depends on available analyst capacity
- –Interface scope may still require separate specialists for niche endpoints
- –Migration-heavy requests can increase throughput demands during release periods
Health system IT operations
Run steady Epic production support
Faster resolution with fewer reopens
Clinical informatics teams
Prepare for quarterly Epic releases
More reliable go-live windows
Show 2 more scenarios
Integration and interoperability teams
Stabilize downstream data flows
Fewer interface breakages
Avaap supports HL7 v2 integration and FHIR APIs that must track Epic changes.
Workflow and revenue operations
Optimize end-to-end clinical workflows
Reduced operational friction
Avaap applies workflow optimization changes under change control to prevent downstream drift.
Best for: Fits when health systems need managed Epic operations plus release testing and interface stability.
CereCore
specialistCereCore provides managed IT, Epic application support, infrastructure services, and clinical technology operations.
Release readiness execution that ties quarterly testing outcomes to controlled change rollout in Epic environments.
CereCore fits teams that need hands-on Epic application management with a clear operating rhythm for production support and change control. The provider’s strongest alignment is ongoing operational work such as release support, upgrade readiness preparation, and production incident triage with documented handling steps for clinical workflows. CereCore’s engagement model is geared toward maintaining configuration governance while coordinating operational updates across environments.
A key tradeoff is that success depends on the customer’s internal ownership of request intake, module prioritization, and acceptance criteria for changes. CereCore is a strong fit when an organization needs reliable production support plus structured release testing execution rather than one-time build work. It can be a weaker fit for teams seeking purely advisory work without operational staffing for Epic tickets and routine release cycles.
- +Epic-certified analyst staffing for day-to-day production support
- +Release-focused change management connects testing to rollout execution
- +Environment management supports controlled movement of updates
- +Structured incident triage reduces time to operational resolution
- –Requires customer governance discipline for intake, prioritization, and approvals
- –Best suited for operational management rather than net-new implementation leadership
- –Integration work may require separate interface-engine ownership
- –Workflow optimization effort depends on access to local build context
Health system IT operations
Ongoing Epic production support coverage
Lower downtime risk
Epic governance teams
Change control and acceptance workflows
Fewer unauthorized changes
Show 2 more scenarios
Clinical informatics teams
Upgrade readiness planning support
Faster upgrade stabilization
CereCore prepares operational readiness tasks that support smoother upgrade cycles and testing coordination.
Integration operations leads
Interface-related release testing support
More predictable releases
CereCore coordinates environment updates to support repeatable validation for clinical workflow impacts.
Best for: Fits when healthcare IT teams need Epic production support plus release operations staffing.
Optimum Healthcare IT
specialistOptimum Healthcare IT supplies Epic consulting, application support, implementation resources, and managed services.
Quarterly release testing coordination tied to upgrade readiness checks and operational change control workflows.
Optimum Healthcare IT is a managed services option for Epic application operations that depend on consistent service management and change governance. The service model aligns to production support operations, with incident triage processes and ongoing configuration stewardship. Epic upgrades and release readiness work is positioned as a core delivery area, which fits health systems that run multiple Epic environments and want repeatable validation cycles.
A tradeoff is that deeper interoperability work often depends on the client’s interface landscape and the existing interface engine approach rather than being a fully standardized end-to-end managed bundle. Optimum Healthcare IT is a strong usage situation when an organization has a live Epic footprint that needs quarterly release testing coordination and disciplined workflow configuration change execution.
- +Release readiness support aligns with Epic cadence planning needs
- +Epic-certified analyst staffing supports clinical workflow governance
- +Incident triage process supports faster path from ticket to fix
- +Environment management supports controlled changes across lifecycle stages
- –Interoperability execution can depend on client-owned interface tooling
- –Automation depth may lag teams expecting fully programmable workflows
Health system application leadership
Manage quarterly Epic change execution
More predictable release outcomes
Epic operations teams
Run production support and triage
Shorter ticket resolution cycles
Show 2 more scenarios
Clinical informatics governance
Oversee workflow configuration changes
Fewer configuration regressions
Epic-certified analysts help enforce workflow governance while implementing requested configuration updates.
IT release management owners
Prepare multi-environment upgrade readiness
Cleaner upgrade go-lives
Environment management support helps keep nonproduction validation aligned with production release timing.
Best for: Fits when health systems need managed Epic support with release readiness and change governance discipline.
Huron Consulting Group
enterprise_vendorHuron provides Epic implementation, optimization, application management, revenue cycle, and clinical transformation services.
Analyst-led change control that ties incident triage, configuration governance, and release testing into one operational cadence.
Huron Consulting Group delivers Epic application managed services built around Epic-certified analyst staffing, managed release support, and day-to-day production support. The engagement model emphasizes disciplined governance for change intake, configuration control, and incident triage across Epic modules.
Delivery coverage typically extends into integration operations, including interface monitoring and coordination for HL7 and FHIR-connected workflows. For organizations that want managed services plus structured analyst time for optimization and upgrade readiness, Huron’s consulting bench is a clear differentiator.
- +Epic-certified analyst staffing supports module-specific managed operations
- +Release management and production support run with structured change governance
- +Integration operations coordination for HL7 and FHIR-adjacent workflows reduces handoffs
- +Quarterly testing support and upgrade readiness activities reduce release-day surprises
- –Workflow optimization depth depends on the analyst coverage scope agreed upfront
- –Requires strong internal intake discipline for timely approvals and prioritization
- –RBAC and audit log handling relies on agreed operational boundaries per Epic site setup
- –Complex interface engine ownership splits can add escalation steps during incidents
Best for: Fits when health systems need managed Epic operations with analyst-led governance and release readiness support.
Pivot Point Consulting
specialistPivot Point Consulting provides Epic consulting, application support, optimization, implementation, and managed services.
Analyst-led release readiness execution that bundles quarterly testing planning, validation coordination, and production cutover support under one operating rhythm.
Pivot Point Consulting delivers Epic application managed services focused on clinical application operations and change execution across production and non-production environments. The firm’s engagement model centers on Epic-certified analyst work for incident triage, release readiness testing, and ongoing workflow optimization.
It also supports governance-driven configuration change and operational reporting that aligns with clinical leadership and IT stakeholder expectations. Pivot Point Consulting’s distinction is the hands-on operational ownership it maintains across day-to-day support and release cycles rather than limiting work to project build phases.
- +Epic-certified analysts perform incident triage and build-to-resolution ownership
- +Release testing and upgrade readiness activities reduce production change risk
- +Configuration governance supports traceable, controlled changes
- +Interface work management improves steadiness of clinical integrations
- –Workflow optimization depth can lag when organizations need broad cross-module redesign
- –Documentation depth varies across teams, affecting handoff smoothness
- –Automation and API extensibility options are limited compared with larger integrators
- –Environment management requires disciplined access and approvals to avoid delays
Best for: Fits when Epic operations teams need managed support that spans incident response, release cycles, and controlled configuration changes.
Nordic Global
specialistNordic Global delivers Epic consulting, application support, optimization, and managed services for healthcare organizations.
Release readiness execution with coordinated quarterly release testing and environment management across non-production and production.
Nordic Global targets Epic managed services teams that need production support plus release and upgrade readiness across clinical applications. The differentiator is hands-on operational coverage with Epic-certified analysts, alongside structured change control and environment management for day-to-day service delivery.
Nordic Global also supports interface work and interoperability responsibilities, including HL7 v2 and FHIR-based integration activities tied to Epic workflows. The service delivery model fits organizations that want predictable governance around incidents, changes, and release cycles rather than ad hoc application fixes.
- +Epic-certified analyst coverage for day-to-day clinical application operations
- +Release management support tied to quarterly testing and upgrade readiness activities
- +Structured change control process for production changes and governance
- +Interoperability support covering HL7 v2 and FHIR integration needs
- –Requires strong customer ownership of configuration governance and sign-off
- –Breadth beyond Epic modules depends on specific staffing and engagement scope
- –API automation and extensibility depth are less visible than for pure-play platform vendors
- –Complex workflows can extend turnaround times for incident triage
Best for: Fits when health systems need Epic production support with release and upgrade readiness plus integration operations.
NTT DATA
enterprise_vendorNTT DATA provides healthcare technology consulting, Epic services, application support, integration, and managed operations.
Release readiness engagement that ties quarterly release testing results into upgrade planning and configuration governance across environments.
NTT DATA differentiates in Epic managed services through large-scale delivery capacity and cross-domain enterprise integration work that typically reduces handoff gaps across clinical, interfaces, and identity. The service coverage commonly includes production support, release management, upgrade readiness activities, and structured governance for configuration changes.
Automation and API surface tend to be strongest where NTT DATA builds integrations around HL7 and FHIR interfaces and operationalizes them through monitored environments. Delivery quality usually shows up in incident triage workflow, change control discipline, and service-level reporting used for operational reviews.
- +Large Epic delivery teams support parallel module fixes during high release volume
- +Structured change control reduces drift between planned configuration and production state
- +Operational monitoring supports consistent incident triage and faster escalation paths
- +Experience coordinating identity and access processes with clinical application changes
- –Implementation style can require more lead time for governance approvals
- –Some workflows depend on interface engagement schedules outside the core Epic queue
- –Automation depth varies by integration scope and interface engine ownership
- –Environment management tooling may require client alignment on release timelines
Best for: Fits when health systems need managed Epic operations plus enterprise-grade integration governance across releases.
Accenture
enterprise_vendorAccenture delivers Epic consulting, implementation, application management, interoperability, and health system operations services.
Release-ready operational governance that coordinates quarterly testing, environment controls, and production cutover across multiple Epic modules.
Accenture delivers Epic managed services through large-scale delivery teams that cover production support, release management, and upgrade readiness for health systems. Its distinct differentiator is deep integration work across identity, interfaces, and enterprise workflows, paired with program governance that drives change control and auditability.
Accenture also runs recurring quarterly release testing and environment management activities to reduce cutover risk across test, staging, and production. Epic-certified analysts support module-level optimization and clinical informatics adjustments while service-level reporting tracks operational throughput.
- +Epic-certified analyst teams handle module-specific incidents and optimization
- +Structured release management plus upgrade readiness planning for coordinated rollouts
- +Interface and identity integrations support end-to-end clinical and operational workflows
- +Governance and audit log practices support traceable change control across releases
- –Requires strong client governance to align change control across workstreams
- –Automation depth varies by engagement scope and existing integration architecture
- –Multi-team delivery can slow triage for complex, cross-module defects
- –Environment management tooling relies on standardized enterprise processes
Best for: Fits when health systems need enterprise-grade Epic managed services with strong governance and interface integration.
Impact Advisors
specialistImpact Advisors provides Epic consulting, clinical informatics, optimization, implementation, and operational support.
Release readiness execution that combines quarterly release testing coordination with configuration governance for Epic production continuity.
Impact Advisors provides managed services for Epic application operations, including production support and release-related activities. The firm focuses on clinical application management delivery that routes work through Epic-trained analysts and structured change control.
Support coverage typically spans incident triage, workflow optimization tasks, and environment management coordination for safer upgrades. For teams that need operational oversight around Epic configurations and scheduled releases, Impact Advisors centers its engagement on governance and execution discipline.
- +Epic-focused delivery with analyst execution aligned to module operational needs
- +Clear change control handling for configuration updates and release support work
- +Structured incident triage processes for faster routing to accountable teams
- +Experience managing environment changes tied to scheduled Epic releases
- –Deep coverage depends on which Epic modules are in scope for the engagement
- –Integration work may require coordination with separate interface-engine ownership
- –Automation extensibility is limited if workstreams stay inside ticket-driven operations
- –Governance overhead increases when many stakeholders request configuration changes
Best for: Fits when health systems need Epic application operations run by Epic-certified analysts with disciplined change control.
Surety Systems
specialistSurety Systems provides Epic consulting, application support, optimization, and contract healthcare IT staffing.
Epic upgrade readiness and release readiness execution using analyst-led triage and structured clinical change workflows.
Surety Systems provides Epic managed services with delivery tied to clinical application operations, not just generic IT support. Its scope centers on production support, release management, and environment operations for Epic workloads in healthcare organizations.
The distinguishing emphasis is on operational governance for clinical change, including analyst-led incident triage and structured workflows around upgrades and quarterly releases. Teams get a single vendor responsible for coordination across clinical application support, release readiness work, and day-to-day support execution.
- +Analyst-led production support tied to clinical workflows and Epic modules
- +Release management focus with upgrade readiness activities across Epic environments
- +Operational coordination across environment management, change control, and incident triage
- +Workflow optimization support for clinically oriented application changes
- –Primarily Epic-centric coverage limits fit for non-Epic clinical stacks
- –Automation depth depends on how internal teams standardize interface and governance
- –Interface engine ownership and HL7 v2 scope may require careful scoping per integration
- –Operational reporting maturity varies by how service roles are staffed internally
Best for: Fits when health systems need managed Epic production support plus release coordination across multiple environments.
Conclusion
After evaluating 10 digital transformation in industry, Avaap stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right epic managed
Managed Epic services move beyond incident tickets into release readiness and configuration governance that stays aligned with quarterly Epic cadence. This guide covers Avaap, CereCore, Optimum Healthcare IT, Huron Consulting Group, Pivot Point Consulting, Nordic Global, NTT DATA, Accenture, Impact Advisors, and Surety Systems.
The standout differences show up in how each provider links analyst-led production support to controlled change rollout, environment management, and interface stability. Avaap connects incident triage to quarterly Epic release readiness through ongoing configuration governance and change control, while CereCore ties quarterly testing outcomes to controlled change rollout in Epic environments.
Epic managed services that run production operations through release readiness and governance
Epic managed services in this guide are organized around analyst-led production support, structured change control, and quarterly release testing coordination that feeds upgrade readiness planning. These services also include environment management across non-production and production so configuration updates can be validated before cutover.
Avaap is built around ongoing configuration governance that connects incident triage to quarterly Epic release readiness, and Huron Consulting Group ties incident triage, configuration governance, and release testing into one analyst-led operational cadence. CereCore focuses on release readiness execution that ties quarterly testing outcomes to controlled change rollout, while Optimum Healthcare IT coordinates quarterly release testing with upgrade readiness checks and operational change control workflows.
Epic managed capability checklist for release readiness and change control
Epic managed services succeed when analyst production support feeds a controlled change pipeline that matches quarterly Epic cadence. The difference across Avaap, CereCore, Optimum Healthcare IT, Huron Consulting Group, and the rest is how tightly incident triage, configuration governance, release testing, and upgrade readiness are connected in the same operating rhythm.
Incident triage that routes directly into quarterly release readiness
Avaap links incident triage to quarterly Epic release readiness through ongoing configuration governance and change control. Pivot Point Consulting bundles incident response, release cycles, and controlled configuration changes into one operating rhythm.
Release readiness execution tied to controlled Epic change rollout
CereCore ties quarterly testing outcomes to controlled change rollout in Epic environments. NTT DATA ties release testing results into upgrade planning and configuration governance across environments.
Analyst-led change control that merges production governance and testing
Huron Consulting Group runs analyst-led governance that ties incident triage, configuration governance, and release testing into one operational cadence. Impact Advisors provides release readiness execution with quarterly release testing coordination and configuration governance for Epic production continuity.
Environment management across non-production and production for cutover safety
Nordic Global coordinates quarterly release testing and environment management across non-production and production to support upgrade readiness. Accenture coordinates quarterly testing, environment controls, and production cutover across multiple Epic modules.
Governance depth that aligns approvals and intake with Epic cadence
Optimum Healthcare IT coordinates quarterly release testing with upgrade readiness checks and operational change control workflows. Surety Systems uses analyst-led triage and structured clinical change workflows to coordinate release readiness and upgrade readiness across Epic environments.
Match the managed operating rhythm to release cadence, governance, and integration reality
Choose based on how each provider runs the end-to-end sequence from incident triage to controlled configuration change through quarterly testing and upgrade readiness. The decisive differences are whether governance is analyst-led, whether release testing outcomes directly drive rollout decisions, and whether integration execution depends on client-owned interface tooling.
Confirm the provider’s governance loop connects triage, approvals, and quarterly rollout
Avaap explicitly connects incident triage to quarterly Epic release readiness using ongoing configuration governance and change control. Huron Consulting Group uses analyst-led change control that ties incident triage, configuration governance, and release testing into one cadence.
Decide whether release testing results directly drive controlled rollout
CereCore ties quarterly testing outcomes to controlled change rollout inside Epic environments. Optimum Healthcare IT coordinates quarterly release testing with upgrade readiness checks and operational change control workflows.
Select the environment-management pattern that matches internal cutover ownership
Nordic Global coordinates quarterly release testing and environment management across non-production and production. Accenture coordinates environment controls and production cutover across multiple Epic modules with structured release management and upgrade readiness planning.
Choose a provider that fits module scope and prioritization capacity
CereCore is best suited for operational management and requires customer governance discipline for intake, prioritization, and approvals. NTT DATA uses large Epic delivery teams to support parallel module fixes during high release volume but can require more lead time for governance approvals.
Validate where integration work sits when interface tooling is not owned by the Epic queue
Optimum Healthcare IT states interoperability execution can depend on client-owned interface tooling. Surety Systems frames automation depth as dependent on how internal teams standardize interface and governance.
Teams that benefit from managed Epic operations tied to quarterly cadence
Enterprise Epic teams benefit when analysts run production support inside a governed release cycle that reduces drift between configuration intent and production reality. This buyer fit is strongest when release testing and upgrade readiness must stay synchronized across multiple Epic modules, multiple environments, and structured change control workflows.
Health systems running ongoing Epic production support with frequent quarterly release pressure
Avaap and CereCore both emphasize release readiness linked to quarterly testing and controlled change rollout, which fits organizations that cannot pause production incidents during release windows.
Clinical informatics and IT governance teams that require analyst-led change governance in the operating cadence
Huron Consulting Group ties incident triage, configuration governance, and release testing into one analyst-led operational cadence. Pivot Point Consulting coordinates release readiness with validation and production cutover support under one operating rhythm.
Enterprise environments that need consistent environment management across non-production and production
Nordic Global coordinates quarterly testing with environment management across non-production and production. Accenture coordinates environment controls and production cutover across multiple Epic modules.
Enterprises that manage complex governance across releases and need parallel module throughput
NTT DATA supports parallel module fixes during high release volume and ties release testing results into upgrade planning and configuration governance across environments.
Organizations whose interface execution and integration ownership is spread outside the Epic managed queue
Optimum Healthcare IT flags that interoperability execution can depend on client-owned interface tooling. Surety Systems notes automation depth depends on how internal teams standardize interface and governance.
Common buying mistakes that break epic managed change control
Managed Epic services can fail when governance responsibilities are unclear or when release testing outcomes are treated as a reporting activity instead of a decision input for controlled rollout. Most failures also trace back to intake prioritization gaps, weak approval cadence, or an assumption that interface work will be handled the same way by every provider.
Assuming the provider can run release governance without internal approval owners
Avaap warns governance requires active internal governance owners for approvals and build decisions. CereCore also requires customer governance discipline for intake, prioritization, and approvals.
Treating quarterly testing as a separate deliverable rather than a driver for controlled rollout decisions
CereCore ties quarterly testing outcomes to controlled change rollout, which signals testing must feed decisions. Optimum Healthcare IT aligns testing with upgrade readiness checks and operational change control workflows.
Overestimating integration automation when interface tooling is not owned by the provider
Optimum Healthcare IT states interoperability execution can depend on client-owned interface tooling. Surety Systems ties automation depth to how internal teams standardize interface and governance.
Buying for broad workflow optimization without confirming analyst coverage scope
Avaap notes workflow tuning depth varies by module and depends on available analyst capacity. Impact Advisors limits depth based on which Epic modules are in scope for the engagement.
Ignoring lead-time needs for enterprise governance approvals
NTT DATA frames structured change control as requiring more lead time for governance approvals. Accenture similarly requires strong client governance to align change control across workstreams.
How We Selected and Ranked These Providers
We evaluated Avaap, CereCore, Optimum Healthcare IT, Huron Consulting Group, Pivot Point Consulting, Nordic Global, NTT DATA, Accenture, Impact Advisors, and Surety Systems using feature coverage, operational ease, and value alignment. Features accounted for 40% of the ranking based on how each provider connects incident triage, configuration governance, release testing, and upgrade readiness into one operating cadence.
Ease and value each accounted for 30% based on how the operating rhythm depends on customer governance owners, intake discipline, and internal interface and cutover ownership. Avaap separated from the pack by connecting incident triage to quarterly Epic release readiness through ongoing configuration governance and change control, and by tying release management to upgrade readiness through Epic-certified analyst coverage.
Frequently Asked Questions About epic managed
How do Epic managed services connect incident triage to controlled change rollout?
Which providers handle HL7 v2 and FHIR interfaces as part of Epic application managed operations?
When a health system needs quarterly release testing, how is test execution coordinated across environments?
What breaks if a team cannot provide clear request intake and change acceptance criteria?
How do providers set up admin controls for Epic configuration governance and release approvals?
Which service delivery model fits teams that want hands-on operational staffing rather than advisory-only work?
How do Epic managed services approach environment management for test, staging, and production?
What tradeoff appears when interoperability work depends on the client’s existing interface engine approach?
How should teams onboard for Epic release readiness and upgrade preparation work?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
- Digital Transformation In IndustryTop 10 Best Enterprise Managed It Services of 2026
- Remote And Hybrid Work In IndustryTop 10 Best Co Managed It Services of 2026
- Business Process OutsourcingTop 10 Best Consulting Managed Services of 2026
- Technology Digital MediaTop 10 Best Managed Services Software of 2026
- Customer Experience In IndustryTop 10 Best Business Services Software of 2026
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