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good afternoon my name is Andrew Bluestein vice chairman of Garfunkel wild and I want to welcome everyone to our webinar today the webinars title is resolving payer obstacles and given the amount of people who are signed up something tells me that people are having obstacles with payers so hopefully today you will learn some strategies on how to deal with that before we start and I introduce our speakers let me just run through a quick commercial the first is for our firm Garfunkel wild many of you who have signed up are already clients so you know that what we do is we are counsel to the healthcare industry and we have offices in New York Connecticut and New Jersey and we can help you with all of your legal needs and also this is a joint presentation we have Grassi health care advisors LLC who is promoting this with us Graci supports organizations in achieving and maintaining revenue integrity performance we have used them very often they are excellent at educating providers and helpi