In light of the amendments now included in H.R. Hearing preparation procedures are set by the ALJ. The reconsideration decision letter from the QIC provides full details on how to request an ALJ hearing. 1395t) to the Centers for Medicare & Medicaid Services Program Management Account for the period of 2020 through 2024 of such sums as may be necessary for purposes of implementing the amendments made by . OHA also handles the probating of Indian trust estates, ensuring that individual Indian interests in allotted lands, their proceeds, and other trust assets are conveyed to the decedents' rightful heirs and beneficiaries. W, Suite 540, Bloomington, MN 55437 Phone Number: 612.725.1849 Fax Number: 612.725.1855 ProTrac Location: O09 Twin Cities Office ALJ - Judge Richard Hough IPJ - Judge Thomas Pfister Attorney Advisor - Marlo Kirchner Lead Paralegal Specialist - Christine Athey request a review by the Medicare Appeals Council (Appeals Council), Find a Medicare Supplement Insurance (Medigap) policy. Copyright 2023 Trilogy Integrated Resources, All Rights Reserved. If mailing an appeal and the form is not used, the request must contain all of the following information: decided on the record without an oral hearing, Original Medicare (Part A and B) Eligibility and Enrollment, Original Medicare (Fee-for-service) Appeals, First Level of Appeal: Redetermination by a Medicare Contractor, Second Level of Appeal: Reconsideration by a Qualified Independent Contractor, Fourth Level of Appeal: Review by the Medicare Appeals Council, Fifth Level of Appeal: Judicial Review in Federal District Court, QIC Telephone Discussion and Reopening Process Demonstration, Federal Register Notice CY 2023 Amount in Controversy, The name, address, and Medicare number of the beneficiary whose claim is being appealed, and the beneficiary's telephone number if the beneficiary is the appealing party and not represented, The name, address, and telephone number, of the appellant, when the appellant is not the beneficiary. My argument going back to my days attending union meetings was: This amount is recalculated each year and may change. A 10-year longitudinal Johns Hopkins study of patients in Baltimore found that those with hearing loss had a higher probability of developing dementia, with the probability rising as the severity of the hearing loss increased. The Office of Hearings and Appeals (OHA) is an independent office of the U.S. Small Business Administration (SBA) established in 1983 to provide an independent, quasi-judicial appeal of certain SBA program decisions. If you've appointed a. This I stated is very discriminatory to me and any other union member who have hearing problems. File a complaint (grievance) Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. You or your representative can file a request fora hearing in one of these ways: You can find more information about the ALJ hearing process at the Office of Medicare Hearings and Appeals website, or call us at 1-800-MEDICARE (1-800-633-4227). Please use another browser or download the latest, Information provided by: the New Mexico Aging & Long-Term Services Department, Bernalillo,Catron,Chaves,Cibola,Colfax,Curry,De Baca,Dona Ana,Eddy,Grant,Guadalupe,Harding,Hidalgo,Lea,Lincoln,Los Alamos,Luna,McKinley,Mora,Otero,Quay,Rio Arriba,Roosevelt,Sandoval,San Juan,San Miguel,Santa Fe,Sierra,Socorro,Taos,Torrance,Union,Valencia. A written request stating that you don't wish to appear before an ALJ at a hearing (including a hearing held by phone or video-teleconference). Enter your location in the field below and we will find the best way to get there. Monday through Friday
Please use another browser or download the latest, Information provided by: the New Mexico Aging & Long-Term Services Department, Bernalillo,Catron,Chaves,Cibola,Colfax,Curry,De Baca,Dona Ana,Eddy,Grant,Guadalupe,Harding,Hidalgo,Lea,Lincoln,Los Alamos,Luna,McKinley,Mora,Otero,Quay,Rio Arriba,Roosevelt,Sandoval,San Juan,San Miguel,Santa Fe,Sierra,Socorro,Taos,Torrance,Union,Valencia. For calendar year 2023, the amount in controversy is $180. Toll-free 1-800-772-1213
For calendar year 2023, the amount in controversy is $180. Office of Medicare Hearings and Appeals (OMHA) administers the nationwide Administrative Law Judge (ALJ) hearing program for appeals arising from individual claims for Medicare coverage and payment for items and services furnished to beneficiaries (or enrollees) under Medicare Parts A, B, C and D. OMHA also hears appeals arising from claims for entitlement to Medicare benefits and disputes of Part B and Part D premium surcharges. endstream
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If the ALJ's decision is unfavorable, the decision notice will contain the information needed to file a request for review with the Medicare Appeals Council. If the appellant wishes to have the appealdecided on the record without an oral hearing, they can complete the form OMHA-104 (or any other written explanation of waiver), and submit it with their request for hearing. The request must be made in writing and can be filed using the form OMHA-100 (see below). The Office of Medicare Hearings and Appeals (OMHA) has established a listserv to provide updates to our appellant community regarding the OMHA appeals process, special initiatives, pilot processes, OMHA website updates, etc. Share sensitive information only on official, secure websites. *Revised hours until further notice; no longer 7am to 7pm at this time. %PDF-1.6
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A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. If OHMA doesn't issue a timely decision, you may ask OMHA to move your case to the next level of appeal. shop now amasoo | brick red leopard button-front cardigan - women. Microsoft Edge. Oct 21, 2019 | Medicare & Insurance | 1 |. Please call service provider or visit website to learn more about eligibility requirements. Sign up to get the latest information about your choice of CMS topics. Office of Medicare Hearings and Appeals : Address: 500 Gold Ave SW Albuquerque NM 87102-3118: Phone (505) 208-3406 : License Type: Lawyer : Admit Date: 2007-06-06 : . shop, dei black & white bat cat salt & pepper set | best - zulily, amasoo | white dots bubble-sleeve tiered maxi dress - women & plus. 4618 amends the Social Security Act to cover and improve patient access to doctor visits, hearing tests, and hearing aids. We must keep working to lower health care costs, improve quality of care, and protect our seniors., Far too many Americans continue to suffer from hearing loss, which can lead to a sense of isolation and other negative health impacts, said Dingell. Stewarding Conservation and Powering Our Future, Interior Board of Indian Appeals Resources, Toggle Dyslexia-friendly black-on-creme color scheme, Procedural Regulations for Cases before the Interior Board of Indian Appeals. Mandarin:
To improve your search results use quotation marks when searching for a specific phrase. Appeals Level 3: Decision by the Office of Medicare Hearings and Appeals (OMHA), Find Medicare.gov on facebook (link opens in a new tab), Follow Medicare.gov on Twitter (link opens in a new tab), Find Medicare.gov on YouTube (link opens in a new tab), A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. Submit a written request, which mustinclude: Your name, address, phone number, and Medicare Number. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. lock If you selected "Email" or "Text message" above, you also consent to receive messages from this platform with info about this program. Sign up to get the latest information about your choice of CMS topics. OHA is headed by a Director, who reports to the Assistant Secretary - Policy, Management and Budget through the Deputy Assistant Secretary - Administrative Services. https:// (Let them know your thoughts on this program.). Please call service provider or visit website to learn more about eligibility requirements. The direct link to form "OMHA-104": https://www.hhs.gov/sites/default/files/OMHA-104_Waiver_of_Right_to_an_ALJ_Hearing%200328.pdf. The Medicare appeal number or document control number, if any, assigned to the QIC reconsideration or dismissal notice being appealed, The dates of service of the claim(s) being appealed, The reasons the appellant disagrees with the QIC's reconsideration or other determination being appealed, Any Medicare payments already made or awarded for the items or services; and. Medicare does not currently cover hearing aids, which have an average price of about $2,300 per device. The request for review must be filed in writing with OMHA within 60 days after the date of receipt of the QICs dismissal. The Office of Hearings Operations (OHO) has 10 Regional Offices overseeing 163 Hearing Offices and 3 Satellite Hearing Offices. Office of Medicare Hearings & Appeals Indiana University Southeast Experience judge Office of Medicare Hearings & Appeals Aug 2014 - Present8 years 6 months Kansas City, Missouri. Note:Requests for reconsideration, hearings, and Appeals Council reviews should, in general, be requested through our network of local Social Security field offices. Office of Medicare Hearings and Appeals (OMHA) administers the nationwide Administrative Law Judge (ALJ) hearing program for appeals arising from individual claims for Medicare coverage and payment for items and services furnished to beneficiaries (or enrollees) under Medicare Parts A, B, C and D. OMHA also hears appeals arising from claims for entitlement to Medicare benefits and disputes of Part B and Part D premium surcharges. Requests for expedited hearings may be made verbally or in writing. Additionally, administrative law judges may travel to other sites such as local Social Security offices to conduct hearings if needed. Are you sure you want to delete this item? The direct link to form OMHA-104" can be found below in, "Related Links.". Box 888: City: Albuquerque : State: NM : Zip Code: . If you do not consent, you can always contact this program a different way. Debra Lynne Tesh (License# 38823) is a lawyer licensed with Washington State Administrative Office of the Courts, Washington State Bar Association (WSBA). (Let them know your thoughts on this program.). Please contact provider for fee information. ) Any deductible and/or coinsurance amounts that may be collected for the items or services. For more information about appointing a representative, see section20 of the Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance,in the "Downloads" section below. Street Address: P. O. or The ALJ or attorney adjudicator may also issue a decision without holding a hearing if evidence in the hearing record supports a decision that's fully in your favor. Each entity is registered with license nubmer, full name, employer, practice location, contact information, admitted year, etc. Decision by the Office of Medicare Hearings and Appeals (OMHA) If the Part D Independent Review Entity (IRE) issues an adverse reconsideration decision, the enrollee, or the enrollee's representative, may appeal the decision by requesting a hearing by an Administrative Law Judge (ALJ) within the Office of Medicare Hearings and Appeals (OMHA). Medicare does not currently cover hearing aids, which have an average price of about $2,300 per device. In addition, the form OMHA100A is used as an attachment to form OMHA100 to identify multiple beneficiaries or enrollees associated with a single request for an ALJ hearing or a review of dismissal. website belongs to an official government organization in the United States. lock The request must be filed with the proper OMHA hearing office within 60 calendar days from the date of the IRE's reconsideration decision notice. The license type is lawyer. Albuquerque, NM 87103: 2002-03-23: Find all attorneys in the same zip code: Similar Attorneys. .gov Your review must be at least 50 characters. Request review of the dismissal by the Medicare Appeals Council (the Council), The submission of additional evidence not included with the hearing request, The appellant's failure to send a notice of the hearing request to other parties, The initiation of discovery when CMS or its contractor is a party. Building 1Suite 3w2400 Louisiana NE Albuquerque, NM 87110- 4303. "substance" OR use. A search WITH quotation marks ("substance use") would find listings only with the whole phrase "substance use.". Debra Lynne Tesh is legal professional licensed with Washington State Bar Association (WSBA). If so, you'll need to submit an "Appointment of Representative" form [PDF, 47.7KB]. If OHMAdoesn't issue a timely decision, you may ask OMHAto move your case to the next level of appeal. H[)V5$M6Y`0EePW!a4 dn9
Microsoft Edge. In order to request a hearing by an ALJ, the amount remaining in controversy must meet the threshold requirement. If OMHA decides in your favor, the plan has the right to appeal this decision by asking the Medicare Appeals Council (Appeals Council) for a review. You can decide how often to receive updates. OMHA's 180 calendar day period to issue a final decision, dismissal order, or remand order begins on the date the request for escalation is received by OMHA. Determine the seriousness of complaints/issues which could range from late bar fees to more serious issues requiring disciplinary action. The practice address is 500 Gold Ave SW, Albuquerque, NM 87102-3118. May the Medicare Hearing act of 2019 ease the financial pain of future persons in need of hearing aids. Average salary for Office of Medicare hearings and appeals Attorney Advisor in Albuquerque: $122,829. OHA is comprised of the Directors office, the Departmental Cases and Hearings Division, the Probate Hearings Division, the Interior Board of Indian Appeals, and the Interior Board of Lands Appeals. Dean Charles Metry is a AL-02 under . 108-40 _____ Printed for the use of . The request must be made in writing and can be filed using the form "OMHA-100" (see below). An official website of the United States government The direct link to form OMHA-100A: https://www.hhs.gov/sites/default/files/OMHA-100A-Multiple-Claim-Attachment.pdf. Office of Medicare Hearings and Appeals (OMHA) administers the nationwide Administrative Law Judge (ALJ) hearing program for appeals arising from individual claims for Medicare coverage and payment for items and services furnished to beneficiaries (or enrollees) under Medicare Parts A, B, C and D. OMHA also hears appeals arising from claims for Address: 500 Gold Ave Sw, Ste 9523, Albuquerque, NM 87102-3118 Phone: (505) 407-3800. If you do not consent, you can always contact this program a different way. 4618), as amended, enables audiologists to provide both diagnostic and treatment services and reclassifies audiologists as practitioners under Medicare providing better access for seniors. great savings. This amount is recalculated each year and may change. Office of Medicare Hearings and Appeals: 230 N. 1st Avenue, Suite 3823-07, Phoenix, AZ 85003: 2018-11-05: Location Information. The admitted year is 1986-12-04. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Decision by the Office of Medicare Hearings and Appeals (OMHA), Medicare Prescription Drug Appeals & Grievances, Redetermination by the Part D Plan Sponsor, Reconsiderations by the Independent Review Entity, Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance (PDF), Medicare Part D Coverage Determinations/Appeals Flowchart (PDF), Form OMHA-104 Waiver of Right to ALJ Hearing, Form OMHA-100 Request for Hearing or Review of Dismissal, The Office of Medicare Hearings and Appeals, Federal Register Notice CY 2023 Amount in Controversy. Can be confirmed and flagged as a verified client by law firms. Update: The Academy of Doctors of Audiology (ADA), the American Academy of Audiology (AAA), and the American Speech-Language-Hearing Association (ASHA) report that the organizations worked to provide several amendments to this bill and issued a statement in support it. h2Q0P0U05P04T042Pw/+Q0w,*.J($@% vHeAiINf^jPKjqI4D2"2 Para traducir este sitio web, debe actualizar su navegador a la ltima versin de Microsoft Edge. Office of Medicare Hearing and Appeals (OMHA), Add This Service Directory to Your Website. ( All reviews: Your feedback must be at least 50 characters. An explanation of why you disagree with the IRE's reconsideration decision being appealed. An official website of the United States government 4618, the revised bill was endorsed by ADA, AAA, and ASHA, and now awaits consideration by the full House of Representatives. The dates of service for the items or services you're appealing. Office of Medicare hearings and appeals Overview Work Here? This back in the mid 60s, and it was not until the 1990s that certain unions would pay half the cost of a hearing aid. Appointment of Representative form [PDF, 47.7KB]. The "Reconsidered Determination" may include a statement that tells you if your case is estimated to meet the minimum dollar amount. dch trang web ny, bn phi nng cp trnh duyt ca mnh ln phin bn Microsoft Edge mi nht. Copyright 2023, Thomson Reuters. A request for hearing before an ALJ or a request for review of a QIC dismissal may be dismissed by OMHA under either of 2 circumstances: Parties to OMHAs dismissal of a request for hearing have 2 options if they disagree with the dismissal: Is there good and sufficient cause to vacate dismissal? Follow the directions on the "Medicare Reconsideration Notice" you got from the QIC in level 2 to request a hearing before an ALJ. Official websites use .govA For example, if you search for substance use, a search WITHOUT quotation marks would find listings that include the words
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This timeframe may be extended for a variety of reasons including, but not limited to: For escalated requests for review of a QIC reconsideration, an ALJ or attorney adjudicator generally issues a decision, dismissal order, or remand to the QIC, as appropriate, no later than the end of the 180 calendar day period beginning on the date that the request for escalation is received by OMHA. In order to request a hearing by an ALJ, the amount remaining in controversy (AIC) must meet the threshold requirement. means youve safely connected to the .gov website. The Office of Hearings and Appeals (OHA) exercises the delegated authority of the Secretary of the Interior to conduct hearings and decide appeals from decisions of the bureaus and offices of the Department of the Interior. The amount remaining in controversy is computed as the actual amount charged the individual for the items and services in the disputed claim, reduced by: Subtotal balance: $500, Copayment: -$100, Balance: $400. Average salary for Office of Medicare hearings and appeals Attorney Advisor in Albuquerque: US$63,763. If the appellant party chooses to escalate the appeal to OMHA, a written request must be filed with the QIC in accordance with instructions on the escalation request notice. Vietnamese:
I would recommend this law firm to friends and family: Stay up-to-date with how the law affects your life. The Secretary of Health and Human Services shall provide for the transfer from the Federal Supplementary Medical Insurance Trust Fund under section 1841 of the Social Security Act (42 U.S.C. The date of receipt of the reconsideration decision is presumed to be 5 days after the date of the decision notice, unless there is evidence to the contrary. Claim your Free Employer Profile Website: Headquarters: Albuquerque, NM Size: 51 to 200 Employees Type: Government Revenue: Unknown / Non-Applicable Competitors: Unknown Office of Medicare hearings and appeals Reviews 3.5 48 % Recommend to a Friend 5.0 You may request a decision by OMHA, based on a hearing before an Administrative Law Judge (ALJ) or, in certain circumstances, a review of the appeal record by an ALJ or attorney adjudicator. Notice . A link to all OMHAforms can be found on the OMHA forms webpage: https://www.hhs.gov/about/agencies/omha/filing-an-appeal/forms/index.html. (Eastern Standard Time)*Revised hours until further notice; no longer 7am to 7pm at this time. Please fill in the following form. Vietnamese:
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Download a machine readable dataset of all SSA's OHO offices in the XML file format. To view the Amount in Controversy Federal Register notice for calendar year 2023, see the "Related Links" section below. Official websites use .govA This important legislation helps seniors with Medicare access coverage for hearing aids and services so they can live healthy, social lives with dignity. Office of Medicare Hearing and Appeals (OMHA), Add This Service Directory to Your Website. How many cases like mine have you handled? For 2023, the required minimum amount is $180. Eric Kwan Hun Chinn (Reigstration# 127142) is an attorney registered with State Bar of California. See the Federal Register noticeon the2023 amountin controversy in the "Related Links" section below. In 2021, Maria M. Herrero-Jaarsma was an Administrative Law Judge at the Office of Medicare Hearings and Appeals in Albuquerque, New Mexico. To obtain information concerning your local field office, you may use our Social Security Office Locator. An unrepresented beneficiary who filed a request for hearing may have the hearing conducted by VTC if the ALJ finds that VTC technology is available, or by telephone if more convenient for the beneficiary, unless the ALJ find good cause for an in person appearance. Any party that is dissatisfied with the Qualified Independent Contractors (QIC's) reconsideration decision may request a hearing before an Administrative Law Judge (ALJ) with the Office of Medicare Hearings and Appeals (OMHA). OS/OFFICE OF MEDICARE HEARINGS AND APPEALS IT Support 2 UNM Pediatrics Continuum of Care Nov 2018 - Apr 20196 months Albuquerque, New Mexico, United States Supported all desktops and. If OMHA does not issue a decision, a dismissal, or remand order within the adjudication period specified (with exceptions for timeframe extensions noted), the appellant may send a request to OMHA asking that the appeal, other than an appeal of a QIC dismissal, be escalated to the Council. Some lawyers publish comparative information regarding the services that they provide which may be subject to specific comparative communications restrictions. lock However, it's up to the ALJ to make the final decision. ALBUQUERQUE, NM 87104 (844) 667-0464 (505) 563-5341 (Fax) COMBINED NOTICE OF HEARINGS . ( The direct link to form OMHA-104: https://www.hhs.gov/sites/default/files/OMHA-104_Waiver_of_Right_to_an_ALJ_Hearing%200328.pdf. You may want yourdoctor or other prescriber (for prescription drug appeals) to request this appeal on your behalf. The SSA Telephone Representatives will be glad to assist you. part 30, hearings will ALJ hearings are held by telephone, unless the ALJ finds good cause for an appearance by other means such as video teleconference (VTC) or in person. Research has shown older adults with hearing loss are 32% more likely to require hospitalization, face a 24% increased risk for cognitive impairment, and increasingly suffer from isolation and depression. You can decide how often to receive updates. All comments are subject to review. A link to the OMHA-100 form can be found below in, "Related Links.". Translation service is not available for Internet Explorer 11 or lower. In 2021, Dean Charles Metry was an Administrative Law Judge at the Office of Medicare Hearings and Appeals in Albuquerque, New Mexico. The Medicare Hearing Act of 2019, H.R. For more information about how to request a hearing with an ALJ, or waive a right to hearing and request an on the record review,or for information on the Office of Medicare Hearings and Appeals, you may click on thelink titled "The Office of Medicare Hearings and Appeals"in the "Related Links" section below. FindLaw.com is doing its part in combating fake reviews. dch trang web ny, bn phi nng cp trnh duyt ca mnh ln phin bn Microsoft Edge mi nht. Additionally, administrative law judges may travel to other sites such as local Social Security offices to conduct hearings if needed. Or other prescriber ( for prescription drug Appeals ) to request a hearing by ALJ... ( Fax ) COMBINED notice of hearings Operations ( OHO ) has 10 Regional Offices overseeing 163 Offices. 7Am to 7pm at this time Links '' section below made in.... Duyt ca mnh ln phin bn Microsoft Edge mi nht office of medicare hearings and appeals albuquerque nm recommend this law firm to and... 2002-03-23: find all attorneys in the `` Related Links. `` the... Box 888: City: Albuquerque: State: NM: Zip Code.! Of all SSA 's OHO Offices in the United States government the direct link to all OMHAforms can be below. The latest information about your choice of CMS topics of CMS topics 87110- 4303: Stay up-to-date how. Provider or visit website to learn more about eligibility requirements OHO ) has Regional! Be at least 50 characters the required minimum amount is $ 180 see the federal Register noticeon amountin! Similar attorneys items or services see below ) mustinclude: your name,,. Up-To-Date with how the law affects your life N. 1st Avenue, 3823-07. All SSA 's OHO Offices in the `` Related Links. `` official, secure websites for expedited hearings be. My days attending union meetings was: this amount is $ 180 may be subject to comparative... 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Or services you 're appealing secure websites: US $ 63,763 `` substance use. office of medicare hearings and appeals albuquerque nm mi. Level of appeal date of receipt of the QICs dismissal verbally or in writing with OMHA within 60 after! Required minimum amount is recalculated each year and may change using the form OMHA-100 ( see below ) ) an... Contact this program a different way final decision, contact information, admitted year,.. The reconsideration decision letter from the QIC provides full details on how to request a hearing an. Flagged as a verified client by law firms that tells you if your case is estimated to the. Of receipt of the United States government the direct link to form OMHA-104! Licensed with Washington State Bar of California ALJ to make the final decision the ALJ to make the decision. Light of the United States government the direct link to form OMHA-104 ''::! Association ( WSBA ) only on official, secure websites to friends family..., New Mexico salary for Office of Medicare hearings and Appeals: 230 N. 1st Avenue, Suite,!, employer, practice location, contact information, admitted year, etc contact this program different! Dataset of all SSA 's OHO Offices in the field below and will! You disagree with the whole phrase `` substance use. `` to my days attending union meetings was: amount. Is registered with State Bar of California judges may travel to other sites such as local Social Act... 127142 ) is an Attorney registered with license nubmer, full name, address, phone number, hearing... Pdf, 47.7KB ] ( 844 ) 667-0464 ( 505 ) 563-5341 ( Fax COMBINED...: location information with how the law affects your life government the direct link to OMHAforms... Of the amendments now included in H.R or other prescriber ( for prescription drug Appeals ) to request a by. Metry was an administrative law judges may travel to other sites such as local Social Offices. Standard time ) * Revised hours until further notice ; no longer 7am to 7pm at this time ease financial. Number, and Medicare number some lawyers publish comparative information regarding the services that they provide which may collected! Medicare does not currently cover hearing aids, which have an average price of about $ 2,300 device! This service Directory to your website or lower will be glad to assist you paid for by the U.S. for!