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mail-body=&an style="background-color: #ffff80;">ppan>;quot;Thought you might want to see this:&an style="background-color: #ffff80;">ppan>;quot; data-email-subject=&an style="background-color: #ffff80;">ppan>;quot;Take a look at this link from UCSF&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;
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&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;If you have &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/billing-and-insurance/health-insurance&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;health insurance&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;, our billing office will first bill your insurance carrier. If your insurance pan style="background-color: #ffff80;">ppan>lan doesn&an style="background-color: #ffff80;">ppan>;#039;t cover a service or pan style="background-color: #ffff80;">ppan>rocedure or doesn&an style="background-color: #ffff80;">ppan>;#039;t cover the entire cost, you will be respan style="background-color: #ffff80;">ppan>onsible for the fees that are not covered.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
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353-3333&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;entry-number&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;icon-ui-pan style="background-color: #ffff80;">ppan>rint&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;field-number&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;(415) 353-3914&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;icon-ui-mail&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/cdn-cgi/l/email-pan 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#ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;#160;pan style="background-color: #ffff80;">ppan>rotected]&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;icon-decorative-hours&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an 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style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;icon-ui-location&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;field-street-1&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;505 Parnassus Ave., #0810&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;San Francisco&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;, &an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;field-state&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;CA&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;field-zipan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;94143-5631&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent column-layout col-2-66-33 col-xs-12 col-2-80-20&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent-content&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;left-col&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent rich-text pan style="background-color: #ffff80;">ppan>aragrapan style="background-color: #ffff80;">ppan>h1 col-xs-12&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent-content&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2&an style="background-color: #ffff80;">ppan>;gt; The No Surpan style="background-color: #ffff80;">ppan>rises Billing Act: pan style="background-color: #ffff80;">ppan>atient rights and pan style="background-color: #ffff80;">ppan>rotections&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;As of January 1, 2022, when pan style="background-color: #ffff80;">ppan>atients get emergency care or are treated by an out-of-network pan style="background-color: #ffff80;">ppan>rovider at an in-network hospan style="background-color: #ffff80;">ppan>ital or ambulatory surgical center, the No Surpan style="background-color: #ffff80;">ppan>rises Billing Act pan style="background-color: #ffff80;">ppan>rotects them against surpan style="background-color: #ffff80;">ppan>rise billing or balance billing. Find out more about your rights under the new act and &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/billing-and-insurance/no-surpan style="background-color: #ffff80;">ppan>rises-billing-act&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;pan style="background-color: #ffff80;">ppan>rotections against surpan style="background-color: #ffff80;">ppan>rise medical bills&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2&an style="background-color: #ffff80;">ppan>;gt;Notice: Opan style="background-color: #ffff80;">ppan>en Payments database&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;The &an style="background-color: #ffff80;">ppan>;lt;a rel=&an style="background-color: #ffff80;">ppan>;quot;noopan style="background-color: #ffff80;">ppan>ener noreferrer&an style="background-color: #ffff80;">ppan>;quot; href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://opan style="background-color: #ffff80;">ppan>enpan style="background-color: #ffff80;">ppan>aymentsdata.cms.gov/&an style="background-color: #ffff80;">ppan>;quot; target=&an style="background-color: #ffff80;">ppan>;quot;_blank&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Opan style="background-color: #ffff80;">ppan>en Payments database&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt; is a federal tool used to search pan style="background-color: #ffff80;">ppan>ayments made by drug and device compan style="background-color: #ffff80;">ppan>anies to pan style="background-color: #ffff80;">ppan>hysicians and teaching hospan style="background-color: #ffff80;">ppan>itals. For informational pan style="background-color: #ffff80;">ppan>urpan style="background-color: #ffff80;">ppan>oses only, a link to the federal Centers for Medicare &an style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>; Medicaid Services (CMS) Opan style="background-color: #ffff80;">ppan>en Payments webpan style="background-color: #ffff80;">ppan>age is pan style="background-color: #ffff80;">ppan>rovided here. The federal Physician Payments Sunshine Act requires that detailed information about pan style="background-color: #ffff80;">ppan>ayment and other pan style="background-color: #ffff80;">ppan>ayments of value worth over 10 dollars ($10) from manufacturers of drugs, medical devices and biologics to pan style="background-color: #ffff80;">ppan>hysicians and teaching hospan style="background-color: #ffff80;">ppan>itals be made available to the pan style="background-color: #ffff80;">ppan>ublic.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2&an style="background-color: #ffff80;">ppan>;gt;Statements and pan style="background-color: #ffff80;">ppan>ayments&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;MyChart pan style="background-color: #ffff80;">ppan>apan style="background-color: #ffff80;">ppan>erless statements&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;UCSF and our affiliate pan style="background-color: #ffff80;">ppan>ractices are now sending pan style="background-color: #ffff80;">ppan>apan style="background-color: #ffff80;">ppan>erless statements.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;If you have a MyChart account, you don&an style="background-color: #ffff80;">ppan>;#039;t have to do a thing: You&an style="background-color: #ffff80;">ppan>;#039;re already receiving pan style="background-color: #ffff80;">ppan>apan style="background-color: #ffff80;">ppan>erless statements. If you have a MyChart account, and you&an style="background-color: #ffff80;">ppan>;#039;d like to continue to receive a pan style="background-color: #ffff80;">ppan>apan style="background-color: #ffff80;">ppan>er statement, &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/mychart&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;log in to MyChart&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt; and choose &an style="background-color: #ffff80;">ppan>;quot;cancel pan style="background-color: #ffff80;">ppan>apan style="background-color: #ffff80;">ppan>erless billing&an style="background-color: #ffff80;">ppan>;quot; on the Billing Summary pan style="background-color: #ffff80;">ppan>age. Note: Transpan style="background-color: #ffff80;">ppan>lant and Repan style="background-color: #ffff80;">ppan>roductive Health guarantors are not eligible for MyChart at UCSF and will continue to receive pan style="background-color: #ffff80;">ppan>apan style="background-color: #ffff80;">ppan>er statements in the mail.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt; If you don&an style="background-color: #ffff80;">ppan>;#039;t have a MyChart account, we encourage you to enroll today. To get started, &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/signupan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;request an activation code&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;. If you already have an activation code, you can use it to &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/accesscheck.aspan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;compan style="background-color: #ffff80;">ppan>lete your MyChart registration&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Understanding your statement&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;Before billing you, UCSF Health will submit a claim to your &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/billing-and-insurance/health-insurance&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;health insurance&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt; pan style="background-color: #ffff80;">ppan>rovider, including Medicare and Medi-Cal if apan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>licable, and any secondary insurance. If you owe a balance that was not covered by your insurance, or if you are a self-pan style="background-color: #ffff80;">ppan>ay pan style="background-color: #ffff80;">ppan>atient, you will receive a statement by mail.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;UCSF Health pan style="background-color: #ffff80;">ppan>rovides pan style="background-color: #ffff80;">ppan>atients with a consolidated statement (pan style="background-color: #ffff80;">ppan>er guarantor) that includes fees for both hospan style="background-color: #ffff80;">ppan>ital and pan style="background-color: #ffff80;">ppan>rofessional services. Hospan style="background-color: #ffff80;">ppan>ital services include costs for room and board, ancillary services such as diagnostic tests (for exampan style="background-color: #ffff80;">ppan>le, X-rays, EKGs and laboratory tests) and medications. Professional services include care from the pan style="background-color: #ffff80;">ppan>hysicians who treated you during an outpan style="background-color: #ffff80;">ppan>atient visit or hospan style="background-color: #ffff80;">ppan>ital stay, as well as pan style="background-color: #ffff80;">ppan>hysicians who read and interpan style="background-color: #ffff80;">ppan>reted your test results (such as a radiologist).&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;If you have any questions about your statement, pan style="background-color: #ffff80;">ppan>lease call Patient Financial Services at (866) 433-4035. A sampan style="background-color: #ffff80;">ppan>le statement is available &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/-/media/pan style="background-color: #ffff80;">ppan>roject/ucsf/ucsf-health/pan style="background-color: #ffff80;">ppan>df/monthly_statement.pan style="background-color: #ffff80;">ppan>df&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;here&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt; to helpan style="background-color: #ffff80;">ppan> you understand your bill.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Payment opan style="background-color: #ffff80;">ppan>tions&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;Payment is due within 30 days of billing. We accepan style="background-color: #ffff80;">ppan>t pan style="background-color: #ffff80;">ppan>ersonal checks and major credit cards (Visa, MasterCard, American Expan style="background-color: #ffff80;">ppan>ress, and Discover).&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;You may use any of the following opan style="background-color: #ffff80;">ppan>tions to pan style="background-color: #ffff80;">ppan>ay your balance:&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;ul&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li&an style="background-color: #ffff80;">ppan>;gt;Online, via &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/mychart&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;MyChart&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li&an style="background-color: #ffff80;">ppan>;gt;Mail: Compan style="background-color: #ffff80;">ppan>lete and return the pan style="background-color: #ffff80;">ppan>ayment coupan style="background-color: #ffff80;">ppan>on attached to your statement&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li&an style="background-color: #ffff80;">ppan>;gt;Phone: Call (866) 433-4035 (automated pan style="background-color: #ffff80;">ppan>ayment system available 24/7)&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/ul&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2&an style="background-color: #ffff80;">ppan>;gt;Typan style="background-color: #ffff80;">ppan>es of coverage&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Medicare&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;If you are covered by Medicare, we will submit your claims to Medicare on your behalf. After Medicare makes its pan style="background-color: #ffff80;">ppan>ayment, we will bill your supan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>lemental or secondary insurance carrier for the remaining balance, as determined by Medicare. If you don&an style="background-color: #ffff80;">ppan>;#039;t have supan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>lemental or secondary insurance, you will be respan style="background-color: #ffff80;">ppan>onsible for the remaining balance. Please refer to your EOMB (Expan style="background-color: #ffff80;">ppan>lanation of Medicare Benefits) or your EOB (Expan style="background-color: #ffff80;">ppan>lanation of Benefits) from your supan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>lemental or secondary insurance for additional information.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Medi-Cal&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;Medi-Cal is California&an style="background-color: #ffff80;">ppan>;#039;s Medicaid pan style="background-color: #ffff80;">ppan>rogram, a medical assistance pan style="background-color: #ffff80;">ppan>rogram for low-income residents funded by the state and federal government. If you are covered under this pan style="background-color: #ffff80;">ppan>rogram, pan style="background-color: #ffff80;">ppan>lease pan style="background-color: #ffff80;">ppan>rovide an eligibility card or other pan style="background-color: #ffff80;">ppan>roof of eligibility for your month of service. Medi-Cal eligibility is determined on a month-to-month basis.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Self-pan style="background-color: #ffff80;">ppan>ay pan style="background-color: #ffff80;">ppan>atients&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;If you don&an style="background-color: #ffff80;">ppan>;#039;t have health insurance or are seeking care that is not covered by your insurance pan style="background-color: #ffff80;">ppan>lan, you are considered a self-pan style="background-color: #ffff80;">ppan>ay pan style="background-color: #ffff80;">ppan>atient. All self-pan style="background-color: #ffff80;">ppan>ay pan style="background-color: #ffff80;">ppan>atients at UCSF are eligible for a discount. For additional information about our discount pan style="background-color: #ffff80;">ppan>olicy, pan style="background-color: #ffff80;">ppan>lease call the Financial Counseling office at (415) 353-1966. &an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;To request an estimate for the out-of-pan style="background-color: #ffff80;">ppan>ocket cost for an upan style="background-color: #ffff80;">ppan>coming service, pan style="background-color: #ffff80;">ppan>lease call Financial Counseling&an style="background-color: #ffff80;">ppan>;#039;s Patient Estimate Program at (844) 678-6831. Financial counselors are available to discuss your opan style="background-color: #ffff80;">ppan>tions and offer guidance in the financial pan style="background-color: #ffff80;">ppan>lanning of your medical care or services. &an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2&an style="background-color: #ffff80;">ppan>;gt;What you&an style="background-color: #ffff80;">ppan>;#039;ll pan style="background-color: #ffff80;">ppan>ay&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Estimating your out-of-pan style="background-color: #ffff80;">ppan>ocket costs&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;At UCSF Health, we&an style="background-color: #ffff80;">ppan>;#039;re committed to helpan style="background-color: #ffff80;">ppan>ing pan style="background-color: #ffff80;">ppan>atients and their families make informed decisions about every aspan style="background-color: #ffff80;">ppan>ect of their care, including out-of-pan style="background-color: #ffff80;">ppan>ocket costs. Costs will be impan style="background-color: #ffff80;">ppan>acted by insurance pan style="background-color: #ffff80;">ppan>lan coverage, co-pan style="background-color: #ffff80;">ppan>ays and deductibles, if any, as well as by the wide range of services pan style="background-color: #ffff80;">ppan>rovided and other variables that affect costs. Use our online tool to helpan style="background-color: #ffff80;">ppan> calculate out-of-pan style="background-color: #ffff80;">ppan>ocket costs for our most common services.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;a rel=&an style="background-color: #ffff80;">ppan>;quot;noopan style="background-color: #ffff80;">ppan>ener noreferrer&an style="background-color: #ffff80;">ppan>;quot; href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://ucsfmychart.ucsfmedicalcenter.org/UCSFMychart/guestestimates&an style="background-color: #ffff80;">ppan>;quot; target=&an style="background-color: #ffff80;">ppan>;quot;_blank&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;button typan style="background-color: #ffff80;">ppan>e=&an style="background-color: #ffff80;">ppan>;quot;button&an style="background-color: #ffff80;">ppan>;quot; class=&an style="background-color: #ffff80;">ppan>;quot;btn btn-pan style="background-color: #ffff80;">ppan>rimary&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Get a pan style="background-color: #ffff80;">ppan>rice estimate online&an style="background-color: #ffff80;">ppan>;lt;/button&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Need assistance&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;Financial counselors are available to discuss your opan style="background-color: #ffff80;">ppan>tions and offer guidance in the financial pan style="background-color: #ffff80;">ppan>lanning of your medical care or services. Contact a Financial Counselor at the Patient Estimate Program at (844) 678-6831 or &an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/cdn-cgi/l/email-pan style="background-color: #ffff80;">ppan>rotection#3949584d505c574d5c4a4d5054584d5c794c5a4a5f175c5d4c&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;__cf_email__&an style="background-color: #ffff80;">ppan>;quot; data-cfemail=&an style="background-color: #ffff80;">ppan>;quot;c6b6a7b2afa3a8b2a3b5b2afaba7b2a386b3a5b5a0e8a3a2b3&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;[email&an style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;#160;pan style="background-color: #ffff80;">ppan>rotected]&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;strong&an style="background-color: #ffff80;">ppan>;gt;Financial assistance&an style="background-color: #ffff80;">ppan>;lt;/strong&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;If UCSF Patient Financial Services has advised you to apan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>ly for financial assistance, pan style="background-color: #ffff80;">ppan>lease compan style="background-color: #ffff80;">ppan>lete a financial assistance apan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>lication using &an style="background-color: #ffff80;">ppan>;lt;a rel=&an style="background-color: #ffff80;">ppan>;quot;noopan style="background-color: #ffff80;">ppan>ener noreferrer&an style="background-color: #ffff80;">ppan>;quot; href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://ucsfmychart.ucsfmedicalcenter.org/UCSFMyChart&an style="background-color: #ffff80;">ppan>;quot; target=&an style="background-color: #ffff80;">ppan>;quot;_blank&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;UCSF&an style="background-color: #ffff80;">ppan>;#039;s MyChart&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;. Families with an income at or below 400 pan style="background-color: #ffff80;">ppan>ercent of federal pan style="background-color: #ffff80;">ppan>overty guidelines generally qualify for 100 pan style="background-color: #ffff80;">ppan>ercent assistance. An Apan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>lication for Charity Assistance should be compan style="background-color: #ffff80;">ppan>leted after services are pan style="background-color: #ffff80;">ppan>rovided and is not a substitute for insurance or a guarantee of future services.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;table&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tbody style=&an style="background-color: #ffff80;">ppan>;quot;width:100%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; background-color: #8a8be2; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Family Size&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;background-color: #8a8be2; width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;100% Charity Assistance Income Level&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;1&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$60,240&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;2&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$81,760&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;3&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$103,280&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;nbspan style="background-color: #ffff80;">ppan>;&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;4&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$124,800&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;5&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$146,320&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;6&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$167,840&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;7&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$189,360&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;text-align:center; width:30%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;8&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:50%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;$210,880&an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;td style=&an style="background-color: #ffff80;">ppan>;quot;width:20%;&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/td&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tr&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/tbody&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/table&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;br/&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;Elective pan style="background-color: #ffff80;">ppan>rocedures require a depan style="background-color: #ffff80;">ppan>osit before service, unless the pan style="background-color: #ffff80;">ppan>atient is eligible for financial assistance. If you need to make a depan style="background-color: #ffff80;">ppan>osit or arrange a pan style="background-color: #ffff80;">ppan>ayment before an elective pan style="background-color: #ffff80;">ppan>rocedure, pan style="background-color: #ffff80;">ppan>lease call Financial Counseling at (415) 353-1966. To make pan style="background-color: #ffff80;">ppan>ayment arrangements or apan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>ly for financial assistance for an outstanding statement balance, call Patient Financial Services at (866) 433-4035.&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt; &an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;right-col&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent link-list meta-links col-xs-12&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent-content&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2 class=&an style="background-color: #ffff80;">ppan>;quot;heading1 title-anchor&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Key links&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;font-larger&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;ul class=&an style="background-color: #ffff80;">ppan>;quot;use-arrow-icon vertical-sort include-title col-count-2&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li class=&an style="background-color: #ffff80;">ppan>;quot;item0 odd first &an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;font-smaller&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/-/media/pan style="background-color: #ffff80;">ppan>roject/ucsf/ucsf-health/pan style="background-color: #ffff80;">ppan>df/pan style="background-color: #ffff80;">ppan>atient-financial-assistance-pan style="background-color: #ffff80;">ppan>olicy-full.pan style="background-color: #ffff80;">ppan>df&an style="background-color: #ffff80;">ppan>;quot; target&an style="background-color: #ffff80;">ppan>;gt;Patient Financial Assistance Policy (full version)&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li class=&an style="background-color: #ffff80;">ppan>;quot;item1 even &an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;font-smaller&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/-/media/pan style="background-color: #ffff80;">ppan>roject/ucsf/ucsf-health/pan style="background-color: #ffff80;">ppan>df/pan style="background-color: #ffff80;">ppan>atient-financial-assistance-pan style="background-color: #ffff80;">ppan>olicy-abbrev.pan style="background-color: #ffff80;">ppan>df&an style="background-color: #ffff80;">ppan>;quot; target&an style="background-color: #ffff80;">ppan>;gt;Patient Financial Assistance Policy (abbreviated version)&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li class=&an style="background-color: #ffff80;">ppan>;quot;item2 odd &an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;font-smaller&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://ucsfmychart.ucsfmedicalcenter.org/ucsfmychart/Authentication/Login&an style="background-color: #ffff80;">ppan>;quot; target=&an style="background-color: #ffff80;">ppan>;quot;_blank&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Financial Assistance submission via MyChart&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;li class=&an style="background-color: #ffff80;">ppan>;quot;item3 even last &an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;font-smaller&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;httpan style="background-color: #ffff80;">ppan>s://ucsfmychart.ucsfmedicalcenter.org/UCSFMychart/guestestimates&an style="background-color: #ffff80;">ppan>;quot; target=&an style="background-color: #ffff80;">ppan>;quot;_blank&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Get a Price Estimate Online&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/li&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/ul&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent article-cards cards-compan style="background-color: #ffff80;">ppan>onent col-xs-12&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent-content&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;h2 class=&an style="background-color: #ffff80;">ppan>;quot;heading1 title-anchor&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
Supan style="background-color: #ffff80;">ppan>pan style="background-color: #ffff80;">ppan>ort Services
&an style="background-color: #ffff80;">ppan>;lt;/h2&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;view-all&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/div&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;cards&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;card&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;compan style="background-color: #ffff80;">ppan>onent-content&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;card-content&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;a href=&an style="background-color: #ffff80;">ppan>;quot;/services/pan style="background-color: #ffff80;">ppan>atient-relations&an style="background-color: #ffff80;">ppan>;quot; class=&an style="background-color: #ffff80;">ppan>;quot;pan style="background-color: #ffff80;">ppan>hantom-link&an style="background-color: #ffff80;">ppan>;quot; title=&an style="background-color: #ffff80;">ppan>;quot;Patient Relations&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;&an style="background-color: #ffff80;">ppan>;lt;/a&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;img src=&an style="background-color: #ffff80;">ppan>;quot;/-/media/pan style="background-color: #ffff80;">ppan>roject/ucsf/ucsf-health/service/hero/pan style="background-color: #ffff80;">ppan>atient-relations-2x.jpan style="background-color: #ffff80;">ppan>g?h=376&an style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;w=974&an style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;ampan style="background-color: #ffff80;">ppan>;hash=53E4EF9CE10FC8059CFC68C6D9973D89&an style="background-color: #ffff80;">ppan>;quot; alt /&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan> class=&an style="background-color: #ffff80;">ppan>;quot;font-larger&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
Patient Relations
&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
We welcome feedback about your expan style="background-color: #ffff80;">ppan>erience at UCSF Health. Find out how to contact us with comments, questions or concerns.
&an style="background-color: #ffff80;">ppan>;lt;/pan style="background-color: #ffff80;">ppan>&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;field-read-more-link&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;span style="background-color: #ffff80;">ppan>an class=&an style="background-color: #ffff80;">ppan>;quot;include-ucsf-arrow&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;Read more&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;
&an style="background-color: #ffff80;">ppan>;lt;/span style="background-color: #ffff80;">ppan>an&an style="background-color: #ffff80;">ppan>;gt;
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&an style="background-color: #ffff80;">ppan>;lt;div class=&an style="background-color: #ffff80;">ppan>;quot;card&an style="background-color: #ffff80;">ppan>;quot;&an style="background-color: #ffff80;">ppan>;gt;
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