functional medicine

We Treat the Root Cause of Your Health Issues through Functional Medicine

At Balanced Roots we treat YOU, not just your symptoms.


Using advanced diagnostic testing and whole-body analysis, we gain a deeper understanding of your unique biology. Guidance from our functional medicine practitioners allows us to craft
personalized treatment plans that address your full health picture—no one-size-fits-all solutions; just programs tailored to you.


Through nutrition support, lifestyle adjustments, nervous system care, and ongoing guidance from a dedicated health coach, our programs
empower you to make lasting progress toward long-term health and wellness.

Balanced Healthcare provider physically examining a male patient
Balanced Healthcare provider taking a child's heart rate / blood pressure

Concierge Direct Primary Care

Welcome to Balanced Healthcare, a concierge direct primary care medical practice where you'll receive high quality, personalized, convenient, and affordable healthcare to help you live a healthier life.

The current healthcare system is struggling, but Direct Primary Care (DPC) is paving the way to help resolve the obstacles and frustration that burden patients and providers alike.

Balanced Healthcare provider checking a child's pulse with a pulsometer
Cora Mattie using a medical device during a patient consultation
Medical provider checking a patient’s pulse with a blood pressure cuff

We Treat the Root Cause of Your Health Issues through Functional Medicine

At Balanced Roots we treat YOU, not just your symptoms.


Using advanced diagnostic testing and whole-body analysis, we gain a deeper understanding of your unique biology. Guidance from our functional medicine practitioners allows us to craft
personalized treatment plans that address your full health picture—no one-size-fits-all solutions; just programs tailored to you.


Through nutrition support, lifestyle adjustments, nervous system care, and ongoing guidance from a dedicated health coach, our programs
empower you to make lasting progress toward long-term health and wellness.

Why Functional Medicine?

Simple – To uncover the root cause of your health concerns by honoring your unique story and supporting your wellness as a whole person. This allows us to craft a personalized treatment plan tailored to your needs, considering every aspect of your health.


Whether you're struggling with chronic health issues, seeking preventive care, or looking to optimize your wellbeing, our team
blends medical expertise, holistic care, and a wider range of diagnostic tools to guide your health transformation.

Why Are We Different?

Icon of a heart with medical folder and stethoscope

Addressing the Real Causes of Your Health Concerns

Having practiced traditional medicine, we saw firsthand how treating symptoms alone wasn't enough – leaving too many underlying health issues unresolved. Now our practice digs deeper, examining how every system in your body influences each other to uncover and address the real causes of your health concerns.

Icon of a clipboard with a checklist and target,

Personalized Treatment Plans Designed for Your Unique Health Need

We believe in the power of collaborative care, working closely with you to develop tailored treatment plans that integrate lifestyle modifications, nutrition, and both conventional and alternative therapies. Our approach isn't about quick fixes or band-aid solutions – instead, we take the time to understand your unique health story and work with you to achieve lasting wellness.

Icon of a female doctor with a stethoscope

Personalized Care Combining Functional Medicine with Traditional Medical Expertise

Our providers are trained to blend natural, lifestyle-based approaches with proven medical treatments so your care plan is fully personalized to your needs. Whether you need advanced testing, supplements, medications, or a combination, we work with you to find the right path forward.

Why Health Coaching Matters

Our functional medicine program includes a dedicated health coach to provide personalized support every step of the way. You'll get custom meal plans, shopping guides, and recipes support in building and implementing nutritional recommendations tailored to your needs, making nutrition changes simple and sustainable.


Your coach will also help you
improve sleep, energy, and mood with practical lifestyle adjustments. You'll receive exercise guidance to build strength at your own pace and learn breathing techniques and meditation for stress relief and relaxation. Each phase is designed to support your body’s natural healing and long-term wellness.

OUR functional MEDICINE PROVIDERS

Taylor Archer, PA-C | Functional Medicine Practitioner

Taylor Archer, PA-C | Functional Medicine Practitioner

Taylor’s unwavering commitment to addressing root causes and empowering patients to achieve lasting wellness has made her a highly effective and compassionate practitioner. She is passionate about staying at the forefront of medical advancements and continuously pursues ongoing education to incorporate the latest science, research, and knowledge into her practice.


Having trained in both conventional and functional medicine, Taylor has the valuable advantage of drawing from a broader range of effective diagnostic and treatment methods. This means not being limited to just one approach so she can utilize strategies from multiple disciplines to support healing and empower lasting wellness.


At Balanced Roots, Taylor specializes in delivering transformative care for patients with chronic or complex conditions. Her approach combines a deep understanding of functional physiology, biochemistry, and evidence-based strategies to provide comprehensive, integrative care. She strives to empower patients to take control of their health and live vibrant, fulfilling lives.

Having trained in both conventional and functional medicine, Taylor has the valuable advantage of drawing from a broader range of effective diagnostic and treatment methods. This means not being limited to just one approach so she can utilize strategies from multiple disciplines to support healing and empower lasting wellness.


At Balanced Roots, Taylor specializes in delivering transformative care for patients with chronic or complex conditions. Her approach combines a deep understanding of functional physiology, biochemistry, and evidence-based strategies to provide comprehensive, integrative care. She strives to empower patients to take control of their health and live vibrant, fulfilling lives.

Jillian Ramage, FNP-C  | Functional Medicine Practitioner

Jillian Ramage, FNP-C  | Functional Medicine Practitioner

Jillian Ramage, FNP-C  | Functional Medicine Practitioner

Laura Greenberg, PA-C  | Functional Medicine Practitioner

Laura Greenberg, PA-C  | Functional Medicine Practitioner

EXPERT GUIDANCE FROM HEALTH COACHES WITH 40+ YEARS OF COMBINED EXPERIENCE

Sarah Moraes, RN | Functional Health Coach

Sarah Moraes, RN | Functional Health Coach

Rebecca von Boeck, NBC-HWC, BSW | Functional Health Coach

Rebecca von Boeck is a National Board-Certified Health & Wellness Coach (NBC-HWC) with a bachelor’s degree in social work, as well as a health coach certificate and a Coaching Intensive Practicum certificate from the Institute for Integrative Medicine.

Rebecca von Boeck, NBC-HWC, BSW | Functional Health Coach

Rebecca von Boeck is a National Board-Certified Health & Wellness Coach (NBC-HWC) with a bachelor’s degree in social work, as well as a health coach certificate and a Coaching Intensive Practicum certificate from the Institute for Integrative Medicine.


She has dedicated her life to helping individuals create sustainable, meaningful change. With a compassionate, client-centered approach, Rebecca blends behavioral science with holistic wellness strategies to support clients in areas such as stress, sleep, nutrition, and habit change. Drawing from both coaching and social work foundations, she empowers clients to build resilience, clarity, and momentum toward their personal goals.

Rebecca von Boeck, NBC-HWC, BSW | Functional Health Coach

Rebecca von Boeck is a National Board-Certified Health & Wellness Coach (NBC-HWC) with a bachelor’s degree in social work, as well as a health coach certificate and a Coaching Intensive Practicum certificate from the Institute for Integrative Medicine.


She has dedicated her life to helping individuals create sustainable, meaningful change. With a compassionate, client-centered approach, Rebecca blends behavioral science with holistic wellness strategies to support clients in areas such as stress, sleep, nutrition, and habit change. Drawing from both coaching and social work foundations, she empowers clients to build resilience, clarity, and momentum toward their personal goals.

Our Functional Medicine Programs

Balanced Essentials

Not getting the answers you need from traditional medicine—but not ready to commit to a full functional medicine program? Balanced Essentials is a starting point for those feeling stuck, overwhelmed, or unsure what to do next. In just 1–2 visits, we blend conventional and functional approaches, using deep-dive labs to uncover patterns and potential root causes. You'll walk away with a clear snapshot of your health and thoughtful recommendations to consider—whether that means continuing on your own, bringing findings to another provider, or exploring next steps with our more comprehensive Balanced Pathways program.

What's Included?

Balanced Essentials Pricing

Balanced Pathways

Ready to go deeper and do the work to truly heal? Balanced Pathways is our full functional medicine program designed for individuals ready to take a comprehensive, root-cause approach to their health. We blend the best of conventional and alternative care, using deep-dive diagnostics (think gut health, hormones, micronutrients, toxins, inflammation markers, and more) to uncover what’s really driving your symptoms. Over the course of 8 months, our licensed medical practitioners and certified health coaches work with you to build and implement a personalized plan—leveraging a much broader toolkit for meaningful healing and long-term change.

What's Included?

Balanced Pathways Pricing

Balanced Core

Balanced Healthcare Functional Primary Care Membership

Transitioning from a full functional medicine program but missing your primary care essentials?


Balanced Core is our Direct Primary Care plan with a functional medicine edge—perfect for maintaining progress after diving deeper into functional health. Enjoy direct access to your practitioner, proactive care, and seamless primary care support—designed to keep you thriving.

Balanced Functional Lab Panel

In addition to the comprehensive bloodwork included in your program, your provider may recommend additional testing—either conventional or advanced functional tests—to gain a deeper understanding of your health. These may include evaluations of the microbiome, gut function, hormonal balance, micronutrient and mineral status, mitochondrial health, and organic acids. We partner with trusted, evidence-based laboratories such as Genova Diagnostics, Diagnostic Solutions, Precision Analytical (DUTCH), and others. All additional testing is offered at significantly discounted pricing and is selected based on your individual needs, goals, and preferences.


PLEASE NOTE:

Some labs may appear in multiple categories within our comprehensive panel. This is intentional, as certain biomarkers provide insight into more than one body system. The panel is designed to give a full-picture view of your health, and overlapping listings reflect the interconnected nature of functional medicine.

Blood & Bone Marrow Health

  • Complete Blood Count (CBC) WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelets

    Measures key components of your blood, including red and white blood cells, hemoglobin, and platelets. Helps detect signs of anemia, infection, inflammation, and overall blood health.

  • Iron Panel – Serum Iron, TIBC, UIBC, % Iron Saturation

    Provides a detailed look at iron status and how well your body is transporting and using iron—important for detecting anemia or iron overload.

  • Ferritin

    Measures stored iron in the body. Low levels may indicate iron deficiency; high levels could signal inflammation or overload.

  • Vitamin B12 + Folate

    Checks levels of two key nutrients for red blood cell production, brain function, and DNA synthesis. Deficiencies may lead to fatigue, memory issues, or anemia.

  • Methylmalonic Acid (MMA)

    Assesses vitamin B12 activity at the cellular level. Elevated levels can signal a B12 deficiency even when blood levels appear normal.

  • Homocysteine

    Measures an amino acid linked to cardiovascular and neurological health. High levels may indicate B vitamin deficiencies or increased heart disease risk.

Hormonal & Endocrine Function

  • Thyroid Stimulating Hormone (TSH)

    Evaluates thyroid function by measuring how much TSH your pituitary gland produces. Helps detect underactive or overactive thyroid conditions.

  • Triiodothyronine, Free (Free T3)

    Measures the active form of T3 hormone circulating in your blood. Helps assess how well your thyroid is functioning at a cellular level.

  • Thyroxine, Free (Free T4)

    Checks the level of free T4 hormone, which plays a key role in metabolism and energy regulation. Helps identify thyroid imbalances.

  • Triiodothyronine, Total (T3)

    Measures both bound and unbound T3 in your blood. Gives a fuller picture of thyroid hormone activity.

  • Thyroxine, Total (T4)

    Measures the total amount of T4 hormone in your blood, including the portion bound to proteins. Useful for assessing overall thyroid hormone production.

  • T3 Uptake

    Estimates how much T3-binding protein is available in the blood. Helps interpret total T3 and T4 levels and assess thyroid hormone availability.

  • Reverse T3, Serum

    Measures the inactive form of T3. Elevated levels can block active T3, often seen in chronic stress or illness.

  • Thyroid Peroxidase Antibodies (TPO-Ab)

     Detects antibodies that target thyroid enzymes. High levels may indicate autoimmune thyroid disorders like Hashimoto’s thyroiditis.

  • Thyroglobulin Antibody

    Measures antibodies against thyroglobulin, a protein used by the thyroid to produce hormones. Often tested to evaluate autoimmune thyroid conditions.

  • Fasting Insulin

    Measures insulin levels after fasting. Helps assess insulin resistance, prediabetes, and metabolic function.

Metabolism & Mitochondrial Function

  • Hemoglobin A1c

    Shows your average blood sugar levels over the past 2–3 months. A key test for diagnosing and managing prediabetes and diabetes.

  • Comprehensive Metabolic Panel (CMP)

    Assesses blood sugar, electrolytes, kidney, and liver function. Offers a broad view of your metabolic health and how well your organs are functioning.

  • Methylmalonic Acid (MMA)

    Assesses vitamin B12 activity at the cellular level. Elevated levels can signal a B12 deficiency even when blood levels appear normal.

  • Homocysteine

     Measures an amino acid linked to cardiovascular and neurological health. High levels may indicate B vitamin deficiencies or increased heart disease risk.

Heart Health

  • Lipid Panel – Total Cholesterol, HDL, LDL, Triglycerides, VLDL

    Measures cholesterol levels, including HDL, LDL, triglycerides, and VLDL. Important for assessing heart health and cardiovascular risk.

  • Cardiac C-Reactive Protein (CRP), High Sensitivity (CRP-hs)

    Detects low levels of inflammation in the body. Elevated CRP-hs is associated with increased cardiovascular risk.

  • Homocysteine

    (Also listed under metabolism) – Elevated levels can indicate cardiovascular risk and B-vitamin deficiency.


  • Uric Acid

    Measures uric acid levels in the blood. High levels may indicate gout or risk for kidney stones and can be linked to metabolic and heart disease.

  • Fatty Acid Balance – Omega-3, Omega-6, EPA, DHA, AA, Ratio Analysis

    Assesses the balance of key fatty acids involved in heart, brain, and inflammatory health. Helps identify dietary imbalances and inflammation risk.

Brain & Nervous System Support

  • Vitamin B12 + Folate

    (Also listed under Blood Health) – Crucial for brain function and nerve health. Deficiency can lead to memory issues, fatigue, and neurological symptoms.

  • Methylmalonic Acid (MMA)

    (Also listed under metabolism) – Reflects B12 status at the cellular level; helps catch early deficiency impacting the nervous system.

  • Homocysteine

    (Also listed under cardiovascular and metabolism) – Elevated levels may impair brain function and increase cognitive decline risk.

Liver & Detox Function

  • Gamma-glutamyl transferase (GGT)

    Evaluates liver enzyme activity and bile duct function. Elevated levels may indicate liver damage, alcohol use, or bile flow obstruction.

  • Comprehensive Metabolic Panel (CMP) - Glucose, Calcium, Sodium, Potassium, CO2, Chloride, BUN, Creatinine, Total Protein, Albumin, Globulin, A/G Ratio, ALP, ALT, AST, Bilirubin

    Assesses multiple organ systems by measuring blood sugar, electrolyte balance, kidney function, and liver enzymes—offering a broad picture of metabolic and liver health.

  • Uric Acid

    Measures uric acid levels in the blood. Elevated levels may be linked to gout, kidney dysfunction, or poor clearance of metabolic waste.

  • Zinc

    Assesses zinc levels, an essential mineral involved in detoxification, immune defense, and wound healing.

  • Copper

    Measures copper levels, which support antioxidant activity, iron metabolism, and enzyme function—especially important in liver and neurological health.

Immune & Inflammatory Response

  • Antinuclear Antibodies (ANA), Qualitative, by Multiplex Immunoassay (w/oReflex)

    Screens for autoantibodies that may signal autoimmune conditions such as lupus, Sjögren’s syndrome, or rheumatoid arthritis. It helps identify immune system dysfunction early.

  • Thyroid Peroxidase Antibodies (TPO-Ab)

    Detects antibodies against thyroid peroxidase, an enzyme essential to thyroid hormone production. Elevated levels may indicate autoimmune thyroid disorders like Hashimoto’s thyroiditis.

  • Thyroglobulin Antibody

    Measures antibodies that attack thyroglobulin, a key thyroid protein. Often used to assess autoimmune thyroid disease and monitor thyroid cancer treatment.

  • Sedimentation Rate, Modified Westergren (ESR)

    Measures how quickly red blood cells settle in a tube. A non-specific but useful marker of systemic inflammation in the body.

  • Cardiac C-Reactive Protein (CRP), High Sensitivity (CRP-hs)

    Detects very low levels of inflammation in the bloodstream. Often used to assess cardiovascular risk and monitor chronic inflammatory conditions.

Musculoskeletal & Electrolyte Balance

  • Magnesium

    Supports nerve and muscle function, bone strength, and energy production. Deficiency may lead to cramps, weakness, or arrhythmias.

  • Comprehensive Metabolic Panel (CMP) - Glucose, Calcium, Sodium, Potassium, CO2, Chloride, BUN, Creatinine, Total Protein, Albumin, Globulin, A/G Ratio, ALP, ALT, AST, Bilirubin

    (Also listed under liver/detox and metabolism) – Includes key electrolytes like calcium, sodium, potassium, and chloride, essential for muscle and bone health.

Nutrient & Vitamin Status

  • 25-Hydroxyvitamin D2, 25-Hydroxyvitamin D3, Total

    Measures both forms of vitamin D to evaluate total levels in the body. Critical for bone health, immune support, and mood regulation.

  • Magnesium

    (Also listed under musculoskeletal health) – A cofactor in hundreds of enzyme reactions, important for nerve function, energy, and bone strength.

  • Zinc

    (Also listed under detox) – Essential for immune defense, skin health, wound healing, and DNA synthesis.

  • Copper

    (Also listed under detox and neurological health) – Required for nervous system function, energy production, and iron metabolism.

  • Vit B12 + Folate

    (Also listed under blood and brain health) – Supports red blood cell formation, DNA synthesis, and nerve protection.

  • Methylmelonic Acid (MMA)

    (Also listed under B12 status) – Functional marker that can detect early vitamin B12 deficiency.

  • Homocysteine

     (Also listed in several categories) – Elevated levels may indicate B-vitamin deficiency and increased risk of chronic disease.

Add-On Labs

The following labs may serve as potential add-ons based on individual needs.

Advanced Lipid & Metabolic Markers

  • NMR Panel + Lipids + IR (-Graph)

    Offers a detailed look at lipoprotein particle numbers and sizes, as well as insulin resistance, giving a clearer risk profile for cardiovascular disease.

  • Lp(a)

    A genetic marker linked to increased cardiovascular risk.

  • Apolipoprotein B (ApoB)

     Indicates the number of atherogenic particles in the blood, a key risk factor for heart disease.

  • Apolipoprotein A1 (ApoA1)

    A component of HDL particles, ApoA1 is a marker of protective cardiovascular function.

  • Leptin

    A hormone involved in appetite regulation and fat metabolism, often elevated in obesity or metabolic dysfunction.

  • Adiponectin

    A protein hormone involved in regulating glucose levels and fatty acid breakdown, often decreased in insulin resistance and obesity.

Digestive Function

  • Amylase & Lipase

    Enzymes that help break down carbohydrates and fats, used to assess pancreatic function.

  • t-Transglutaminase (tTG) IgA and Total IgA

    Key markers for celiac disease and gluten sensitivity.

Inflammatory & Autoimmune Markers

  • Rheumatoid Factor (RF)

    A common marker for rheumatoid arthritis and other autoimmune diseases.

  • Cyrex Array

    A specialized panel for identifying autoimmune reactivity to specific antigens.

Infectious Disease Screening

  • HIV Ag/Ab

    Detects HIV antigens and antibodies.

  • Syphilis

    Screens for syphilis infection.

  • Viral Hepatitis (HBV, HCV)

    Assesses for hepatitis B and C infections.

  • Chlamydia, Gonorrhea, Trichomonas

    Common STIs screened via PCR.

  • HSV 1 and 2

    Screens for herpes simplex virus infections.

  • Lyme Antibodies

    Detects past or current Lyme disease.

  • Epstein-Barr Virus (EBV) Panel

    A comprehensive panel for assessing exposure and immune response to EBV.

  • Cytomegalovirus (CMV) Panel

    Screens for current or prior CMV infection.

Hormonal & Reproductive Health

  • Cortisol

    A stress hormone that helps regulate metabolism and immune response.

  • Insulin Growth Factor (IGF-1)

    Reflects growth hormone activity and plays a role in muscle and tissue growth.

  • Anti-Mullerian Hormone (AMH)

    A marker of ovarian reserve used in fertility assessment.

  • Human Chorionic Gonadotropin (hCG)

    A hormone used to detect pregnancy or monitor certain cancers.

Nutrient & Mineral Testing

  • Iodine

    Essential for thyroid hormone production.

  • Selenium - Whole Blood

    Reflects long-term selenium status, crucial for antioxidant defenses and thyroid function.


  • Aluminum

    Screens for aluminum exposure or toxicity.

  • Vitamin A (Retinol)

    Supports vision, immunity, and cellular health.

  • Vitamin B6

    Vital for metabolism, neurotransmitter function, and immune health.

  • Phosphorus

    An essential mineral involved in bone health and energy storage.

  • Parathyroid Hormone (PTH)

    Regulates calcium and phosphorus levels, often assessed in bone and kidney health.

Allergy & Immune Profiling

  • Allergen Profile, Environmental

    Tests for sensitivities to environmental allergens such as pollen, mold, and pet dander.

  • Allergen Profile, Food

    Identifies potential immune reactions to common dietary triggers.

Other

  • ABO Grouping and Rho (D) Typing

    Determines blood type and Rh factor for transfusion or pregnancy planning.

  • Lactic Acid Dehydrogenase (LDH) & LDH Isoenzymes

    General markers of tissue damage, used in the evaluation of conditions affecting the heart, liver, and muscles.

Balanced Core

*Available only once you complete the Balanced Pathways program.


We help individuals maintain their progress and long-term wellness with ongoing functional medicine support—without the fear of losing momentum or committing to unnecessary costs.

  • What's Included?

    1. Functional Medicine Support  

    • Unlimited Functional Medicine Provider Visits to monitor health and make necessary adjustments
    • Focus on maintaining progress achieved in the previous program.

    2. Personalized Care Plan Updates

    • Adjustments to treatment strategies based on new health concerns, lifestyle changes, or lab results.
    • Continuation of tailored lifestyle, nutrition, and supplementation protocols.

    3. Monitoring and Maintenance

    • Regular review of key health metrics and symptoms.
    • Targeted follow-up on specific areas like hormone levels, gut health, or inflammation.

    4. Labs

    • Balanced Functional Lab Panel ($500 Value) –NOT if they already did this in Essentials or Pathways
    • +Additional Labs PRN (discount cash-pay prices)
    • Routine or follow-up lab testing based on individual needs (discount self-pay prices)

    5. Ongoing Direct Email Support with Your Functional Medicine Practitioner and Health Coach

    • Unlimited email support during regular business hours for questions or minor adjustments between visits.
    • Timely responses for ongoing concerns to ensure continuity of care.

    6. Unlimited Access to Resource Library

    • Educational materials, handouts, and guides to support healthy lifestyle habits.

    7. Workshops and Webinars

    • Monthly Virtual or In-Person
    • Topics may include stress management, sleep hygiene, meal prep, nutrition, skin care, etc.

    8. Additional Discounted 1:1 Health Coaching Sessions


    9. Member Pricing on IV and Peptide Therapy


    10. Direct Primary Care and Urgent Care

    • High quality comprehensive primary care 
    • Preventive / Maintenance services, including routine screenings and annual wellness visits. 
    • Chronic illness management 
    • Medication management 
    • Seamless integration of functional and conventional medicine 
    • Unlimited $0 visits
    • Direct messaging with your provider
    • Access to urgent care for acute illnesses or injuries, ensuring timely, coordinated care when you need it.
    • After-hours, holiday, and weekend access for urgent issues  
    • Telehealth and virtual care 
    • Same and next business day appointments 
    • In-office procedures
  • Balanced Core Pricing

    $??? / Month


    Pay annually and save 5%!

  • Get These Exclusive Bonuses When You Sign Up

    Sign up today and save $100 on your first month (or 10% on a 6-month plan), plus get access to exclusive wellness resources to help you sustain your progress!


    $100 Off First Month Or 10% Off First 6-Month Package

    Save $100 on your first month (or 10% on a 6-month plan)


    Long-Term Wellness Success Kit 

    Includes a habit tracker, journal prompts, and lifestyle optimization strategies.


    Exclusive Workshop/Webinar Access

    Free access to a premium workshop (nutrition, stress management, detox strategies, etc.).

HSA/FSA Disclaimer

Many HSA and FSA plans allow reimbursement for services provided by licensed PAs and NPs when medically necessary and used for the diagnosis, treatment, or prevention of a specific medical condition. Health coaching services may also be eligible if prescribed by a licensed provider and used for the diagnosis, treatment, or prevention of a diagnosed medical condition.


Coverage is not guaranteed—please confirm eligibility with your HSA/FSA provider prior to seeking reimbursement.

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