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The notation c.11381-?_11524+?del describes a deletion of exon 35 detected via MLPA with the ? indicating that it is unknown how far into the neighboring introns the deletion extends

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For example, differing processes and timelines for appeals can create confusion for beneficiaries who must keep track of whether Medicare or Medicaid covers the specific services they receive even though they may be enrolled in a DSNP responsible for providing these services