Companion Document for Mandatory Reporting Non-GHP Entities The following is intended to be a companion document to the National Electronic Data Interchange Transaction Set Implementation Guide, Health Care Eligibility Benefit Inquiry and Response, ASC X12N 270/271 (004010X092A1).When a covered entity discloses information to another person, HIPAA states that the information should be relevant to that person's involvement in the patient's health care. For example, if a patient is incapable of agreeing, a provider might discuss payment for the treatment with another person directly involved in paying for the care.EDI policies, guidance materials and other tools can help potential applicants, as well as federal program staff, rapidly identify the economic development partners and resources (both federal and non-federal) that are best suited to a community’s specific economic development needs and priorities.EDI, which stands for electronic data interchange, is the intercompany communication of business documents in a standard format. The simple definition of EDI is a standard electronic format that replaces paper-based documents such as purchase orders or invoices. By automating paper-based transactions, organizations can save time and eliminate ... 6. On the next page, you will choose your entity type and your purpose of registration. a. Select “Business or Organization” if you do not represent a state, local, tribal or foreign government entity. i. If you are unsure whether or not you are a government entity, check with your government to confirm. Quasi-public entities generally do ...Business associates: A person or organization (other than a member of a covered entity’s workforce) using or disclosing individually identifiable health information to perform or provide functions, activities, or services for a covered entity.These functions, activities, or services include: Claims processing; Data analysis; Utilization ...Mar 28, 2023 · A non-governmental organization (NGO) is a group that functions independently of any government. It is usually non-profit. NGOs, sometimes called civil society organizations, are established on ... Companion Document for Mandatory Reporting Non-GHP Entities The following is intended to be a companion document to the National Electronic Data Interchange Transaction Set Implementation Guide, Health Care Eligibility Benefit Inquiry and Response, ASC X12N 270/271 (004010X092A1). EDI (electronic data interchange) is cost-saving business process automation used by trading partners to send and receive validated electronic documents data exchange from computer system to computer system in standard formats without human intervention. EDI documents include purchase orders, invoices, payment documents, bills of lading ... Mandatory Insurer Reporting for Non-Group Health Plans (NGHP) Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) added mandatory reporting requirements with respect to Medicare beneficiaries who have coverage under group health plan (GHP) arrangements as well as for Medicare beneficiaries who receive settlements, judgments, awards or other payment from liability ... Non-governmental organizations (NGOs) play a vital role in improving the lives of people who have been affected by natural disasters or are facing other challenges. NGOs can act as implementers, catalysts, and partners to provide essential goods and services to those in need.A non-governmental organization (NGO) is a group that functions independently of any government. It is usually non-profit. NGOs, sometimes called civil society organizations, are established on ...EDI Translation: The conversion of application data to and from a standard format. EDI Translator: Computer software used to perform the conversion of application data to and from a standard. Usually licensed rather than developed in-house. May have subsystems for mapping, auditing, and document management. Claims and encounter information; Enrollment and disenrollment; Referrals and authorizations ; Premium payment; HIPAA covered entities who conduct any of these transactions electronically must use an adopted standard from ASC X12N or NCPDP (for certain pharmacy transactions). Learn More. Learn more about transactions with the following fact sheets:Claim submitted to incorrect payer. Start: 01/01/1995. 117. Claim requires signature-on-file indicator. Start: 01/01/1995. 118. TPO rejected claim/line because payer name is missing. (Use status code 21 and status code 125 with entity code IN) Start: 01/01/1995 | Last Modified: 07/09/2007 | Stop: 01/01/2008.To start the Entity Information process as a Government Entity, select “Government” from the “Select Entity Type” drop-down menu. Based on your selection, the page will display the required fields for the Entity Type. All fields must be filled out unless they are specifically marked as “optional”. Note: Governments submitting ...EDI policies, guidance materials and other tools can help potential applicants, as well as federal program staff, rapidly identify the economic development partners and resources (both federal and non-federal) that are best suited to a community’s specific economic development needs and priorities.Nov 17, 2022 · The Unique Entity ID is the official identifier for doing business with the U.S. Government as of April 4, 2022. It is a 12-character alphanumeric ID assigned to an entity by SAM.gov. The federal government uses a system called SAM, which stands for System for Award Management. Any entity that is wants to apply for federal contracts or wants to ... National Provider Identifier (NPI) (Non-U.S. entities only) Your entity name and address will be validated by SAM.gov. If SAM.gov cannot validate your entity, you can create a help ticket with the Federal Service Desk from the page. Once you receive your Unique Entity ID, you can continue the registration.It also includes individuals who belong to communities that face discrimination based on sex, sexual orientation, and gender identity (including lesbian, gay, bisexual, transgender, queer, gender ...Feb 6, 2023 · Nonprofit vs not-for-profit organizations. There are four key differences between a nonprofit and a not-for-profit: Nonprofits are formed explicitly to benefit the public good; not-for-profits exist to fulfill an owner’s organizational objectives. Nonprofits can have a separate legal entity; not-for-profits cannot have a separate legal entity. If you have any questions about EEI filing exemptions and exclusions, please contact the U.S. Census Bureau at 1.800.549.0595, Option 3. For information regarding FedEx shipping processes and filing services, contact your FedEx Sales Representative or the FedEx EEI Filing Departments at 1.866.352.3252 or 1.877.339.2774. government operations. Federal agency contact information is included, and since so much information is available via the Internet, website addresses are included where appropriate. The Green Book continues to be available on the Internet and chapters can be printed as Portable Display Format (PDF) documents. We no longer print and mail hard ... the checkbox. If you restrict your information, it will not be visible to other non-federal entities or state and local governments who may wish to do business with you. However, your non-sensitive entity information remains available to federal government users and those who download the SAM public data file. Core DataFeb 10, 2023 · Electronic Data Interchange (EDI) provides for full electronic processing of all ordering transactions. It is restricted to high volume Vendors with at least 100 purchase orders per month. *GSA does not endorse any third-party EDI Vendors. entity: [noun] the existence of a thing as contrasted with its attributes.EDI Translation: The conversion of application data to and from a standard format. EDI Translator: Computer software used to perform the conversion of application data to and from a standard. Usually licensed rather than developed in-house. May have subsystems for mapping, auditing, and document management. EDI 811 Consolidated Service Invoice/Statement. EDI 812 Credit/Debit Adjustment. EDI 814 General Request, Response or Confirmation. EDI 816 Organizational Relationships. EDI 819 Joint Interest Billing and Operating Expense Statement. EDI 820 Payment Order/Remittance Advice. EDI 824 Application Advice.Dec 1, 2021 · EDI support furnished by Medicare contractors. The information in this section is intended for the use of health care providers, clearinghouses and billing services that submit transactions to or receive transactions from Medicare fee-for-service contractors. EDI is the automated transfer of data in a specific format following specific data ... EDI, which stands for electronic data interchange, is the intercompany communication of business documents in a standard format. The simple definition of EDI is a standard electronic format that replaces paper-based documents such as purchase orders or invoices. By automating paper-based transactions, organizations can save time and eliminate ...The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. The intent of the program is to allow covered entities to "stretch scarce federal resources as far as possible ... Information about Form W-9, Request for Taxpayer Identification Number (TIN) and Certification, including recent updates, related forms, and instructions on how to file. Form W-9 is used to provide a correct TIN to payers (or brokers) required to file information returns with IRS.Click “Register New Entity” under “Register/Update Entity” on your “My SAM” page 4. Select your type of Entity 5. Select “No” to “Do you wish to bid on contracts?” 6. Select “Yes” to “Do you want to be eligible for grants and other federal assistance?” 7. Complete “Core Data” Validate your DUNS information Jan 1, 2012 · Adopted Standards and Operating Rules. HIPAA required HHS to establish national standards for electronic transactions to improve the efficiency and effectiveness of the nation's health care system. These standards apply to all HIPAA covered entities: Health plans. Health care clearinghouses. Nonprofit vs not-for-profit organizations. There are four key differences between a nonprofit and a not-for-profit: Nonprofits are formed explicitly to benefit the public good; not-for-profits exist to fulfill an owner’s organizational objectives. Nonprofits can have a separate legal entity; not-for-profits cannot have a separate legal entity.HIPAA covered entities were required to comply with the Security Rule beginning on April 20, 2005. OCR became responsible for enforcing the Security Rule on July 27, 2009. As a law enforcement agency, OCR does not generally release information to the public on current or potential investigations. Register your entity or get a Unique Entity ID to get started doing business with the federal government. Get Started. Sign into your entity workspace to renew or update your entity. Renew Entity. Check the status of a recently submitted entity registration or renewal. Check Entity StatusThe Unique Entity ID is the official identifier for doing business with the U.S. Government as of April 4, 2022. Entities registering in SAM.gov are assigned a Unique Entity ID as a part of the registration process. Entity uniqueness continues to be validated by an entity validation service. Subcontracting reporting requires the Unique Entity ...the checkbox. If you restrict your information, it will not be visible to other non-federal entities or state and local governments who may wish to do business with you. However, your non-sensitive entity information remains available to federal government users and those who download the SAM public data file. Core DataNon-governmental entity means any person or entity, other than a Governmental Entity. "Nonpurpose Investment" means any Investment Property other than a Purpose Investment. Non-governmental entity means all entities that are not a governmental entity as that term is defined at N.C. Gen. Stat. §143-214.11 (a) (2). Contract opportunities are procurement notices from federal contracting offices. Anyone interested in doing business with the government can use this system to search opportunities. Opportunities include pre-solicitation notices, solicitation notices, award notices, and sole source notices. If you are looking for grant opportunities, visit our ...The EDI rule is a set of data transmission specifications that strictly govern the way data is electronically transferred from one computer to another. The rule specifically defines the different types of transactions that are covered under HIPAA and stipulates the exact format for each transaction record. government operations. Federal agency contact information is included, and since so much information is available via the Internet, website addresses are included where appropriate. The Green Book continues to be available on the Internet and chapters can be printed as Portable Display Format (PDF) documents. We no longer print and mail hard ... The unique entity identifier used in SAM.gov has changed. On April 4, 2022, the unique entity identifier used across the federal government changed from the DUNS Number to the Unique Entity ID (generated by SAM.gov). The Unique Entity ID is a 12-character alphanumeric ID assigned to an entity by SAM.gov. Non-governmental organizations (NGOs) play a vital role in improving the lives of people who have been affected by natural disasters or are facing other challenges. NGOs can act as implementers, catalysts, and partners to provide essential goods and services to those in need.As long as the corporation or LLC is a domestic or qualified foreign entity it will have to comply. Most other compliance statutes regulate only certain kinds of industries or activities. Filing and reporting requirements: Having to file documents or reports with a state agency is a common compliance requirement.Contract opportunities are procurement notices from federal contracting offices. Anyone interested in doing business with the government can use this system to search opportunities. Opportunities include pre-solicitation notices, solicitation notices, award notices, and sole source notices. If you are looking for grant opportunities, visit our ...Nov 17, 2022 · The Unique Entity ID is the official identifier for doing business with the U.S. Government as of April 4, 2022. It is a 12-character alphanumeric ID assigned to an entity by SAM.gov. The federal government uses a system called SAM, which stands for System for Award Management. Any entity that is wants to apply for federal contracts or wants to ... Dec 1, 2021 · How Electronic Claims Submission Works: The claim is electronically transmitted from the provider's computer to the MAC. The MACs initial edits are to determine if the claims meet the basic requirements of the HIPAA standard. If errors are detected at this level, the entire batch of claims would be rejected for correction and resubmission ... Nov 4, 2020 · An EDI implementation is a crucial step for any business, as it ensures that the organization is able to exchange electronic data with its trading partners seamlessly. EDI is a standard format for the electronic communication of business documents, such as purchase orders, invoices, and shipping notices. Federal tax obligations. Also known as payroll taxes, government entities must withhold federal income tax from employees' wages. Government entities may be required to withhold social security and Medicare taxes from employees' wages and pay a matching amount. State and local government entities may be covered by Section 218 agreements that ...Section 140.9 applies to private voluntary agencies, educational institutions, for-profit firms, other non-governmental entities and private individuals. A non-governmental entity that is not organized under the laws of the United States shall be subject to the review procedures and criteria set forth in § 140.6 (a) and (b).6. On the next page, you will choose your entity type and your purpose of registration. a. Select “Business or Organization” if you do not represent a state, local, tribal or foreign government entity. i. If you are unsure whether or not you are a government entity, check with your government to confirm. Quasi-public entities generally do ...Register your entity or get a Unique Entity ID to get started doing business with the federal government. Get Started. Sign into your entity workspace to renew or update your entity. Renew Entity. Check the status of a recently submitted entity registration or renewal. Check Entity StatusCompanion Document for Mandatory Reporting Non-GHP Entities The following is intended to be a companion document to the National Electronic Data Interchange Transaction Set Implementation Guide, Health Care Eligibility Benefit Inquiry and Response, ASC X12N 270/271 (004010X092A1).More Information. Law and Regulations. Publications. Contact Info. This course looks at the various factors to consider when determining whether an entity is governmental or non-governmental. Remember, Section 218 Agreements can only cover positions of the States, political subdivisions and interstate instrumentalities.Do you wish to enter EDI Information for your non-government entity? (yes or no) Disaster Response Information Do you wish to be included in the Disaster Response Registry? (yes or no) If yes, does your company require bonding to bid on contracts? (yes or no) If yes, provide in whole dollars: Construction bonding level, per contract May 21, 2021 · EDI X12 documents adhere to strict formatting rules that can help streamline moving data between organizations. Organizations worldwide use the EDI X12 format to exchange data between two or more trading partners. A single EDI X12 document is referred to as a transaction set. A transaction set is made up of data elements, segments, and envelopes. EDI Translation: The conversion of application data to and from a standard format. EDI Translator: Computer software used to perform the conversion of application data to and from a standard. Usually licensed rather than developed in-house. May have subsystems for mapping, auditing, and document management.Dec 1, 2021 · How Electronic Claims Submission Works: The claim is electronically transmitted from the provider's computer to the MAC. The MACs initial edits are to determine if the claims meet the basic requirements of the HIPAA standard. If errors are detected at this level, the entire batch of claims would be rejected for correction and resubmission ... Aug 29, 2023 · 1 About Registration. If you want to apply for federal awards as a prime awardee, you need a registration. A registration allows you to bid on government contracts and apply for federal assistance. As part of registration, we will assign you a Unique Entity ID. To see comprehensive instructions and checklist for entity registration, download ... May 26, 2022 · Use this tool to find out. HIPAA, or the Health Insurance Portability and Accountability Act of 1996, covers both individuals and organizations. Those who must comply with HIPAA are often called HIPAA covered entities. HIPAA covered entities include health plans, clearinghouses, and certain health care providers as follows: government operations. Federal agency contact information is included, and since so much information is available via the Internet, website addresses are included where appropriate. The Green Book continues to be available on the Internet and chapters can be printed as Portable Display Format (PDF) documents. We no longer print and mail hard ... Electronic Data Interchange (EDI) is the electronic interchange of business information using a standardized format; a process which allows one company to send information to another company electronically rather than with paper. Business entities conducting business electronically are called trading partners.It also includes individuals who belong to communities that face discrimination based on sex, sexual orientation, and gender identity (including lesbian, gay, bisexual, transgender, queer, gender ...May 21, 2021 · EDI X12 documents adhere to strict formatting rules that can help streamline moving data between organizations. Organizations worldwide use the EDI X12 format to exchange data between two or more trading partners. A single EDI X12 document is referred to as a transaction set. A transaction set is made up of data elements, segments, and envelopes. HIPAA for Professionals. To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique ...Dec 8, 2018 · Non-EDI routing is the transfer of data that does not fitinto a predefined EDI standard. Non-EDI data can include the followingtypes of files: Fixed-length flat files; Variable-length flat files (such as .csv files) XML files; Binary files (such as .pdf files) Sterling B2B CollaborationNetwork performstwo types of non-EDI processing: Content-based May 26, 2022 · Use this tool to find out. HIPAA, or the Health Insurance Portability and Accountability Act of 1996, covers both individuals and organizations. Those who must comply with HIPAA are often called HIPAA covered entities. HIPAA covered entities include health plans, clearinghouses, and certain health care providers as follows: 6. On the next page, you will choose your entity type and your purpose of registration. a. Select “Business or Organization” if you do not represent a state, local, tribal or foreign government entity. i. If you are unsure whether or not you are a government entity, check with your government to confirm. Quasi-public entities generally do ... Electronic Data Interchange (EDI) is a system or method for exchanging business documents with trading partners. These can be your suppliers, customers, carriers, 3PLs, or other supply chain connections. In this method, automation replaces paper documents and manual business processes to streamline incoming and outgoing document types like ...Apr 5, 2022 · Subject: Locate Your Entity UEI in SAM.gov, Grants.gov and JustGrants . This e-newsletter provides updates, information and resources to assist DOJ award applicants, recipients and other stakeholders in using JustGrants, DOJ’s grants management system, and ASAP, the U.S. Department of the Treasury’s payment management system. Click “Register New Entity” under “Register/Update Entity” on your “My SAM” page 4. Select your type of Entity 5. Select “No” to “Do you wish to bid on contracts?” 6. Select “Yes” to “Do you want to be eligible for grants and other federal assistance?” 7. Complete “Core Data” Validate your DUNS informationSecurity - 24/7/365 security monitoring using world-class industry standard security tools and protocols. On-Demand Staffing - If you have an employee on vacation, out sick or if you have a large order to fill, you can hire our EDI Staff as a temporary resource. Integration - Infocon's web-based EDI solution can integrate with Any ERP ...EDI Translation: The conversion of application data to and from a standard format. EDI Translator: Computer software used to perform the conversion of application data to and from a standard. Usually licensed rather than developed in-house. May have subsystems for mapping, auditing, and document management.EDI, which stands for electronic data interchange, is the intercompany communication of business documents in a standard format. The simple definition of EDI is a standard electronic format that replaces paper-based documents such as purchase orders or invoices.HIPAA for Professionals. To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique ...the checkbox. If you restrict your information, it will not be visible to other non-federal entities or state and local governments who may wish to do business with you. However, your non-sensitive entity information remains available to federal government users and those who download the SAM public data file. Core Data Feb 22, 2018 · The purpose of the form is to improve care coordination for a patient across multiple providers by making it easier to share protected health information in a secure manner. The form is applicable to all covered entities in Ohio. It is not required to be used, but a properly executed form must be accepted by the receiving entity. SAM registration – or entity registration as it is referred to – enables your business to receive a contract, or other form of assistance, directly from the federal government. Some programs offer awards or contracts to organizations, which then subcontract to other businesses. SAM registration allows you to bypass any intermediaries along ...EDI, also known as electronic data interchange, is exchange of business information in a standard and structured format. An example of EDI is when a buyer sends an order to a supplier, that order is known as an EDI 850. Buyers and trading partners, have specified EDI document types suppliers comply with, for this instance, the supplier will ...EDI Health Care Claim Transaction set (837) is used to submit health care claim billing information, encounter information, or both, except for retail pharmacy claims (see EDI Retail Pharmacy Claim Transaction). It can be sent from providers of health care services to payers, either directly or via intermediary billers and claims clearinghouses.Information about Form W-9, Request for Taxpayer Identification Number (TIN) and Certification, including recent updates, related forms, and instructions on how to file. Form W-9 is used to provide a correct TIN to payers (or brokers) required to file information returns with IRS.Click “Register New Entity” under “Register/Update Entity” on your “My SAM” page 4. Select your type of Entity 5. Select “Yes” to “Do you wish to bid on contracts?” 6. Complete “Core Data” Validate your DUNS information Enter Business Information (TIN, etc.) Enter CAGE code if you have one. If not, one will be assigned toClick “Register New Entity” under “Register/Update Entity” on your “My SAM” page 4. Select your type of Entity 5. Select “Yes” to “Do you wish to bid on contracts?” 6. Complete “Core Data” Validate your DUNS information Enter Business Information (TIN, etc.) Enter CAGE code if you have one. If not, one will be assigned to Electronic data interchange ( EDI) is the concept of businesses electronically communicating information that was traditionally communicated on paper, such as purchase orders, advance ship notices, and invoices. Technical standards for EDI exist to facilitate parties transacting such instruments without having to make special arrangements.Sole Proprietorship. This is the humblest business entity type. It’s simple to create a sole proprietorship, and it also simplifies the tax process. All you have to do is report your company’s gains or losses on your tax record. The only drawback is that it is tied to your personal assets. If your biz goes belly up, it could mean you risk ...Contract opportunities are procurement notices from federal contracting offices. Anyone interested in doing business with the government can use this system to search opportunities. Opportunities include pre-solicitation notices, solicitation notices, award notices, and sole source notices. If you are looking for grant opportunities, visit our ...
government operations. Federal agency contact information is included, and since so much information is available via the Internet, website addresses are included where appropriate. The Green Book continues to be available on the Internet and chapters can be printed as Portable Display Format (PDF) documents. We no longer print and mail hard ... . Mr_1e.htm
Federal tax obligations. Also known as payroll taxes, government entities must withhold federal income tax from employees' wages. Government entities may be required to withhold social security and Medicare taxes from employees' wages and pay a matching amount. State and local government entities may be covered by Section 218 agreements that ...EDI support furnished by Medicare contractors. The information in this section is intended for the use of health care providers, clearinghouses and billing services that submit transactions to or receive transactions from Medicare fee-for-service contractors. EDI is the automated transfer of data in a specific format following specific data ...EDI Translation: The conversion of application data to and from a standard format. EDI Translator: Computer software used to perform the conversion of application data to and from a standard. Usually licensed rather than developed in-house. May have subsystems for mapping, auditing, and document management.1 About Registration. If you want to apply for federal awards as a prime awardee, you need a registration. A registration allows you to bid on government contracts and apply for federal assistance. As part of registration, we will assign you a Unique Entity ID. To see comprehensive instructions and checklist for entity registration, download ...If you have any questions about EEI filing exemptions and exclusions, please contact the U.S. Census Bureau at 1.800.549.0595, Option 3. For information regarding FedEx shipping processes and filing services, contact your FedEx Sales Representative or the FedEx EEI Filing Departments at 1.866.352.3252 or 1.877.339.2774. Sep 30, 2021 · IRM 1.1.23.4 and 1.1.23.6 - Documented the reorganization of Government Entities and Shared Services (GE/SS). Exempt Organizations and Government Entities (EO/GE) are now under the same directorate. Shared Services is now its own function. the checkbox. If you restrict your information, it will not be visible to other non-federal entities or state and local governments who may wish to do business with you. However, your non-sensitive entity information remains available to federal government users and those who download the SAM public data file. Core DataDo you wish to enter EDI Information for your non-government entity? (yes or no) Disaster Response Information Do you wish to be included in the Disaster Response Registry? (yes or no) If yes, does your company require bonding to bid on contracts? (yes or no) If yes, provide in whole dollars: Construction bonding level, per contractStep 1. Filter based upon your claim rejection’s associated Payer ID Step 2. Filter by Claim Status Category Code Step 3. Filter by Claim Status Code Step 4. Filter by Entity Code (if applicable) Sorting Data: Data can be sorted by clicking the column header Filtering Data: Data can be filtered by using the search fields at the topClick “Register New Entity” under “Register/Update Entity” on your “My SAM” page 4. Select your type of Entity 5. Select “No” to “Do you wish to bid on contracts?” 6. Select “Yes” to “Do you want to be eligible for grants and other federal assistance?” 7. Complete “Core Data” Validate your DUNS informationthe checkbox. If you restrict your information, it will not be visible to other non-federal entities or state and local governments who may wish to do business with you. However, your non-sensitive entity information remains available to federal government users and those who download the SAM public data file. Core DataThe unique entity identifier used in SAM.gov has changed. On April 4, 2022, the unique entity identifier used across the federal government changed from the DUNS Number to the Unique Entity ID (generated by SAM.gov). The Unique Entity ID is a 12-character alphanumeric ID assigned to an entity by SAM.gov.Register your entity or get a Unique Entity ID to get started doing business with the federal government. Get Started. Sign into your entity workspace to renew or update your entity. Renew Entity. Check the status of a recently submitted entity registration or renewal. Check Entity Status.
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