Changes to the Terms; Additional Terms
We reserve the right to revise these Terms at any time. You agree to review this Site and the Terms periodically to ensure that you are aware of any modifications. We do not make changes that have a retroactive effect, unless we are legally required to do so. Your continued use of the Site also constitutes Acceptance of all amended Terms. The amended Terms supersede all previous versions of the Terms. For this reason, we encourage you to review these Terms each time you access or use the Site and to print out a copy of these Terms for your records.
Certain services offered by or through the Site such as shipping, returns or promotions, may be subject to additional terms and conditions presented in conjunction with them or otherwise on the Site. In certain cases, you must agree to the additional terms before using such services. These Terms and additional terms will apply equally. If any additional term is inconsistent with any provision in these Terms, the additional term will prevail.
Ownership; License Grant
The contents and information accessible on this Site, including, for example, its "look and feel" (e.g., text, graphics, images, logos, and button icons), editorial content, literary content, scientific content, notices, software, educational materials, video, audio, photographic or other materials ("Information") are owned or licensed by us, our business associates, and/or other third parties and are protected under both United States and foreign copyright, trademark and other laws.
We grant to you a limited, personal, nonexclusive, revocable and nontransferable license (without the right to sublicense) to access and use the Site subject to these Terms. Permission to reprint or electronically reproduce any Information in whole or in part for any other purpose is expressly prohibited, unless prior written consent is obtained from us and/or the respective copyright holder(s). You may contact us at the address in the "Contacting Us" section at the end of these Terms. You acknowledge that any proprietary Information and intellectual property embodied in the Site are not, have not been and will not be licensed or otherwise disclosed to you. In addition, you acknowledge that the HTML code that we create to generate the pages of the Site is protected by copyright laws and is not licensed to you. All rights not expressly granted herein are reserved by us.
If you believe that any Site Information infringes your copyright in any work, please contact us at the email address shown in the "Contacting Us" section at the end of these Terms. Any such notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive right that has allegedly been infringed; (b) identification of the copyrighted work claimed to have been infringed, or if more than one copyrighted work is to be covered by the same notification, a representative list of such works; (c) identification of the material that is claimed to be infringing or to be the subject of infringing activity and that is to be removed or access to which is to be disabled and information reasonably sufficient to permit us to locate the material (please reference the URL); (d) your address, telephone number and email address; (e) a statement by you that that you have a good faith belief that the use of the material in the manner complained of is not authorized by the copyright owner, its agent or the law; and (f) a statement that the information provided by you in the copyright notice is accurate, and that you are the copyright owner or authorized to act on behalf of the copyright owner. ANY PERSON WHO KNOWINGLY MATERIALLY MISREPRESENTS THAT MATERIAL OR ACTIVITY IS INFRINGING CAN BE LIABLE FOR DAMAGES, COSTS AND ATTORNEYS’ FEES UNDER SECTION 512(f) (LIMITATIONS OF LIABILITY RELATING TO MATERIAL ONLINE) OF THE COPYRIGHT ACT.
Use of the Site; Responsibilities
Use of the Site. The Information on this Site is provided to you solely for your internal business use. You may not access or use this Information for commercial, competitive, or any other purposes. You may not modify, republish, transmit or distribute any of the Information without the express written consent from us. Failure to adhere to these Terms could subject you to serious penalties under federal copyright law. In any event, you agree not to modify, amend, reduce the size of or in any way obliterate any warnings, liability limitations, disclosures or notices (including any copyright or trademark notice) associated with the Information.
In turn, you grant us and our affiliated companies, successors and assigns, an irrevocable, unrestricted, unconditional, worldwide, non-exclusive, royalty-free right and license (including the right to assign, transfer and sublicense) to use, store, copy, edit, modify, reproduce, distribute, broadcast, translate, made derivative works of, publicly perform, display and otherwise fully exploit in any way Your Content (as defined below) on the Site (if applicable) for any purpose, subject to the express terms of this Site. In the event that you post Your Content (if such posting is available on this Site) to this Site, you understand that while such posted information may no longer be publicly viewable via this Site, it may remain stored on servers and other hardware for an indefinite period of time, including, without limitation, the devices of other Site users who have accessed or downloaded Your Content.
Your Representations and Responsibilities. You agree to comply with your responsibilities and obligations as stated in these Terms. You represent and warrant that you are at least of the age of majority (i.e., the legal age is 18 years of age in most, but not all, states) in the state from which you are accessing this Site and that you possess the legal right and ability to enter into these Terms and to access and use the Site in the capacity indicated in your registration information (if applicable) in accordance with these Terms.
If you are asked or required to register and establish a user name and password for access to this Site, you are solely responsible for maintaining the confidentiality of such user name and password you use to access the Site. We may use your user name, password, and account for the purposes of maintaining, modifying, remediating, testing, enhancing, and improving this Site and Our Apps, including, without limitation, to provide technical support to you, troubleshoot issues on this Site, and improve the user experience (collectively, "Permitted Purposes"), and you hereby consent to our use of your user name, password, and account for the Permitted Purposes. Except for the activities that occur as a result of our use of your user name, password, and account for the Permitted Purposes, you are fully responsible for all activities that occur under your password or account. If you are asked to register, certain personal information may be requested from you when asked to create a password-protected account. You agree to (i) immediately notify us of any unauthorized use of your password or account or any other breach of security, and (ii) ensure that you exit from your account at the end of each session. You agree to take reasonable measures to ensure that no unauthorized person or entity shall have access to the Site using your user name or password. In the even that you are required to register and create an account ("Account") on this Site, you agree that you will maintain your Account information to ensure it is always current, complete and accurate and that, if you provide untrue, incomplete, misleading or inaccurate information, we have the right to terminate your Account and use of the Site at any time without notice to you. You agree to allow us to take reasonable measures as necessary to verify the accuracy and completeness of the information you submit as part of any registration process related to the creation or use of your Account. You further agree that you will use your Account and the Site for your internal business purposes only. Except for the activities that occur as a result of our use of your Account for the Permitted Purposes, you are responsible for all activities that occur through your Account, whether or not authorized by you. Please do not permit anyone else to access your Account. We will not be liable for any loss or damage arising from your failure to comply with this provision.
You are responsible for complying with all laws, rules and regulations that apply to your use of the Site. In the event that you may have the opportunity to upload, transmit or post any content to or through the Site, (collectively, "Your Content"), you agree that you are solely responsible for the accuracy, quality and legality of information, data or materials and for ensuring that Your Content complies with these Terms. You hereby grant us a worldwide license to use, reproduce, transmit, display and adapt Your Content as it deems necessary or desired for us to operate the Site in accordance with these Terms. You understand that we may remove Your Content from the Site if we determine that it violates these Terms or for any other reason.
Except as specifically permitted in these Terms or expressly authorized in writing by us, you agree that you will not (directly or indirectly):
Our Responsibilities. We are responsible for providing the Site in accordance with these Terms and all applicable laws, rules and regulations. We are not responsible for providing any equipment and services that you may need to access and use the Site. We do not render medical advice. We do not guarantee that the Site is accessible on any particular equipment or device or with any particular software or service plan. We always reserve the right (but not the obligation) to improve, enhance or modify the Site. We will use commercially reasonable efforts to make the Site available to you 24 hours per day, seven (7) days per week, excluding scheduled maintenance time, unavailability caused by you or any software, hardware or service not provided by us, unscheduled downtime and/or any cause beyond our reasonable control (including without limitation nature disasters, wars, terrorist act, civil disturbances, acts of any government or agency thereof, strikes or other labor problems, Internet service or other third party service providers’ failures or delays and systemic electrical, telecommunications or other utility outages or failures).
Interactive Areas* (*only if applicable to this Site)
If available on this Site, we may, from time-to-time, provide areas on the Site to which you or others can post messages or transmit communications ("Interactive Areas"). As a condition of your use of such Interactive Areas, you warrant to us that you will not use the Interactive Areas for any purpose that is unlawful or prohibited by these Terms. You are responsible for material that you send to any Interactive Area. We reserve the right to deny you access to any part of this service at our sole discretion. We also reserve the right to record communications or materials posted in Interactive Areas as part of our monitoring activities. We reserve the right (but are not obligated) to monitor, block, edit or remove communications or materials that we determine, in our sole discretion, to be (a) abusive, libelous, defamatory or obscene, (b) fraudulent, deceptive, or misleading, (c) in violation of a copyright, trademark, or other intellectual property right of another, or (d) offensive or otherwise unacceptable to us. We make no endorsement, representation or warranty with respect to statements made by you or any user in such Interactive Areas.
Mobile Services Terms* (*only if applicable to this Site)
If available on this Site, we may offer mobile applications ("Our Apps") from time to time for download from a mobile application marketplace, webpages that are optimized for viewing on a mobile device and text message (SMS/MMS) alerts or other programs (collectively, the "Mobile Services"). If we do offer Our Apps through this Site and you do use any of the Mobile Services, the additional terms and conditions described in this section ("Mobile Terms") will also apply to you. Your use of any the Mobile Services confirms your agreement and Acceptance to these Mobile Terms, as well as the Terms of this Site. Your use of Our Apps may be subject to separate terms and conditions based on the operating system and type of mobile device on which you install them.
To use the Mobile Services, you must own (or have the right to use) a mobile device with wireless service and an Account. You are solely responsible for all message and data fees related to you use of your mobile device to access the Mobile Services. All such fees are billed by and payable to your mobile service provider or other third-party service provider. Please contact your participating mobile service provider for pricing plans, participation status and details. You understand that wireless service through Wi-Fi or a participating mobile service provider may not be available in all areas at all times and may be affected by product, software, coverage or other service changes made by your mobile service provider or otherwise. We are not liable for any delay, interruption or other transmission error related to your mobile device or mobile service.
If you use any of Our Apps and/or Mobile Services and your mobile device is lost, stolen or exchanged for a new device, you must immediately report it, and your name and user ID, to the Premier Solutions Center at 877-777-1552 before terminating service with the carrier. You authorize us to disable your account on the lost, stolen or exchanged device.
Third Party Websites, Products and Services, Disclosure of Affiliations, Copyright Notices
This Site may contain links to third-party websites (e.g., social media platforms) operated by others or information about third-party products and services. We often provide links to and information about third-party websites, products and services and do so for your convenience and informational purposes only. We do not control such websites and are not responsible for the content and performance of these websites or for your transactions with them. Unless expressly stated otherwise, we do not investigate, verify, monitor, endorse or recommend any third-party website, product or service or make any representation or warranty, either expressed or implied, about any third-party website, product or service or the accuracy, reliability or completeness of information about them. Prior to accessing a third-party website or purchasing or using any third-party product or service, we recommend that you investigate and evaluate whether the third-party website, product or service meets your needs. You acknowledge and agree that we are not responsible for any damages or losses caused or alleged to have been caused by your use of any third-party sites, or from the products, content, material or information presented by or available through those sites. If you find that a third-party product offered for sale by us is not as described or does not meet your requirements, your sole remedy is to return it in unused condition in accordance with the applicable return policy.
We may work with a variety of third parties to provide Information that is available on this Site, and to provide links to other websites. These third parties may include for example, but are not limited to, accrediting bodies, content providers, technology providers, and suppliers of medical products, information and services. These entities may supply information for posting on or access through this Site, and, solely in the case of accrediting bodies, if applicable, may set standards applicable to certain Information, but they do not control the Information or the operation of this Site.
This Site may include content which is owned by a third-party and the following copyright notices apply to such third-party content, as applicable:
Reports are produced, in part, by using 3M Company's proprietary computer software created, owned and licensed by 3M Company. All copyrights in and to the 3M™ Software are owned by 3M Company or its affiliates. All rights reserved.
AHA Survey Data
Source: AHA Annual Survey, Health Forum, LLC, a subsidiary of the American Hospital Association. AHA Annual Survey © 2020 Health Forum, LLC.
AHA UB-04 codes
UB-04 Manual and UB-04 Data File. OFFICIAL UB-04 DATA SPECIFICATIONS MANUAL, 2020, is copyrighted by American Hospital Association ("AHA"), Chicago, Illinois. No portion of the OFFICIAL UB-04 MANUAL may be reproduced, sorted in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior express, written consent of AHA.
AMA CPT® codes
CPT copyright 2019 American Medical Association. All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
U.S. Government End Users. CPT is commercial technical data, which was developed exclusively at private expense by the American Medical Association (AMA), 330 North Wabash Avenue, Chicago, Illinois 60611. Use of CPT in connection with this product shall not be construed to grant the Federal Government a direct license to use CPT based on FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items).
LOINC® names and codes
This material contains content from LOINC® (http://loinc.org). LOINC is copyright© 1995-2019, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license.
Multum consumer drug information
Copyright 2020 Cerner Multum, Inc. All rights reserved.
This product uses publicly available data courtesy of the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product.
SNOMED Clinical Terms®
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
Privacy and Security
Disclaimer of Warranties; Limitations of Liability
YOUR USE OF THE SITE IS AT YOUR OWN RISK. EXCEPT AS EXPRESSLY PROVIDED OTHERWISE HEREIN, THIS SITE AND ALL SERVICES, CONTENT AND INFORMATION MADE AVAILABLE ON OR THROUGH THIS SITE ARE PROVIDED ON AN "AS IS", "WHERE IS" AND "AS AVAILABLE" BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE SPECIFICALLY DISCLAIM ALL WARRANTIES AND CONDITIONS OF ANY KIND, INCLUDING ALL IMPLIED WARRANTIES AND CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, NON-INFRINGEMENT, FREEDOM FROM DEFECTS, LACK OF OR CORRECTION OF ERRORS, LACK OF VIRUSES, LACK OF WORMS OR TROJAN HORSES, RELIABILITY, ACCURACY OR TIMELINESS OF INFORMATIONAL CONTENT, UNINTERRUPTED USE AND ALL WARRANTIES IMPLIED FROM ANY COURSE OF DEALING OR USAGE OF TRADE.
YOU AGREE THAT IN NO EVENT WILL WE, NOR OUR OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS BE LIABLE (Y) FOR DAMAGES OF ANY KIND, INCLUDING DIRECT, INDIRECT, SPECIAL, EXEMPLARY, INCIDENTAL, CONSEQUENTIAL OR PUNITIVE DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES, LOSS OF USE, LOSS OF DATA OR PROFITS, LOSS OF SERVICE OR BUSINESS INTERRUPTION), HOWEVER CAUSED AND UNDER ANY THEORY OF LIABILITY, WHETHER ARISING IN ANY WAY IN CONNECTION WITH THESE TERMS AND WHETHER IN CONTRACT, STRICT LIABILITY, TORT (INCLUDING NEGLIGENCE OR OTHERWISE) OR OTHERWISE EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE OR (Z) FOR ANY OTHER CLAIM, DEMAND OR DAMAGES WHATSOEVER RESULTING FROM OR ARISING OUT OF OR IN CONNECTION WITH YOUR USE OF THE SITE OR ANY SERVICES OR INFORMATION MADE AVAILABLE ON OR THROUGH THE SITE INCLUDING, BUT NOT LIMITED TO, ANY FAILURE OR INTERRUPTION OF THE SYSTEM, OR RESULTING FROM THE ACT OR OMISSION OF ANY OTHER PARTY INVOLVED IN MAKING THIS SYSTEM OR THE DATA CONTAINED THEREIN AVAILABLE TO YOU, OR FROM ANY OTHER CAUSE RELATING TO YOUR ACCESS TO OR YOUR INABILITY TO ACCESS THE SYSTEM OR MATERIALS, WHETHER OR NOT THE CIRCUMSTANCES GIVING RISE TO SUCH CAUSE MAY HAVE BEEN WITHIN OUR CONTROL OR OF ANY VENDOR PROVIDING SOFTWARE OR SERVICES SUPPORT, AS MAY BE APPLICABLE. YOU SHALL BE SOLELY RESPONSIBLE FOR ANY DAMAGE OR LOSS OF DATA THAT RESULTS FROM THE DOWNLOADING OR USE OF ANY INFORMATION AND FOR ANY RESULTS OR LACK OF RESULTS FROM THE USE OF SUCH DATA. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF CERTAIN WARRANTIES OR THE LIMITATION OR EXCLUSION OF LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES. ACCORDINGLY, SOME OR ALL OF THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU.
WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, WE SHALL NOT BE LIABLE FOR ANY CLAIMS OR LOSSES IN CONNECTION WITH ERRORS, OMISSIONS, OR INACCURACIES OF INFORMATIONAL CONTENT, OR ANY DECISION MADE IN RELIANCE ON THE INFORMATION CONTAINED ON OR ACCESSIBLE THROUGH THE SITE. YOUR SOLE REMEDY FOR ANY CLAIMS IN CONNECTION WITH THIS SITE IS TO DISCONTINUE USING THIS SITE AND THE RELATED CONTENT AND SERVICES. THE FOREGOING LIMITATION SHALL APPLY AND SURVIVE NOTWITHSTANDING ANY FAILURE OF ESSENTIAL PURPOSE OF ANY REMEDY. IN ANY EVENT, YOU AGREE THAT WE SHALL HAVE NO LIABILITY WHATSOEVER AS A RESULT OF YOUR USE OR PURCHASE (IF APPLICABLE) OF ANY THIRD-PARTY PRODUCT OR SERVICE FOR WHICH INFORMATION MAY BE PROVIDED ON THIS SITE.
Notwithstanding the provisions of this section, should we, our officers, directors, employees, affiliates, or our licensors or agents be found liable for any damages with respect to any Claims (defined below in the "Indemnification" section) alleged or brought, you expressly and irrevocably acknowledge and agree that in no event shall any such award of damages exceed the sum of one hundred dollars ($100.00) in United States currency. You acknowledge and agree that the above limitations of liability together with the other provisions in these Terms that limit liability are essential terms and that we would not be willing to grant you the rights set forth in these Terms but for your agreement to the above limitations of liability.
You agree to indemnify and defend us and our directors, officers, employees, agents and affiliates from and against all losses, liabilities, actual or pending claims, actions, proceedings, suits, damages, expenses, costs of defense, including reasonable attorneys’ fees, brought against us by any third party arising from or related to these Terms or your reliance on the Site, use of the Site or access to the Site (or use by any other person accessing the Site on your behalf or using your credentials) or any violation of these Terms, the rights of a third party or applicable law (including but not limited to infringement of third parties' worldwide intellectual property rights or negligent or wrongful conduct) by you or any other person accessing the Site using your user name and password (collectively, "Claims"). We reserve the right, at its own expense, to assume the exclusive defense and control of any matter subject to indemnification hereunder. In any event, no settlement that affects the rights or obligations of us may be made without our prior written approval.
These Terms automatically terminate when you fail to comply with any term or condition of them. When these Terms terminate, your right to use the Site automatically terminates and you must immediately destroy any copies you may have made of our Information. We may modify or terminate your access to the Site at any time for any reason or no reason at all, with or without notice to you. Termination will not limit any of our other rights or remedies. The provisions of these Terms, which by their nature would continue beyond termination or expiration of these Terms, shall survive such termination or expiration.
Jurisdictional Issues; Taxes
We make no representation that this Site is appropriate for or available to locations outside the United States of America. Use of the Site outside of the United States of America is at your own risk and you are responsible for compliance with all applicable laws. We reserve the right to limit the availability of the Site to any geographic area. Any software on the Site is further subject to United States export controls. If downloadable software is made available through this Site, no software may be downloaded or otherwise exported or re-exported: (a) into (or to a national or resident of) Cuba, Iraq, Libya, North Korea, Iran, Syria or any other country designated by Sponsor and/or the United States Treasury's Office of Foreign Assets Control; or (b) to anyone on the U.S. Treasury Department's list of Specially Designated Nationals or the U.S. Commerce Department's Table of Deny Orders. By downloading or using any software from or through the Site (if made available), you represent and warrant that you are not located in, under the control of or a national or resident of any such country or on any such list.
You are solely responsible for any and all duties, taxes, levies or fees (including any sales, use or withholding taxes) imposed on or in connection with your use of the Site by any taxing authority.
Notice to California Residents
Under California Civil Code Section 1789.3, California residents are entitled to the following specific consumer rights information:
The provider of this Site is:
Premier Healthcare Solutions, Inc.
13034 Ballantyne Corporate Place
Charlotte, NC 28277
To file a complaint regarding the Site or to receive further information regarding use of the Site, please send a letter to the above address or contact us via e-mail at firstname.lastname@example.org (with "California Resident Request" as the Subject Line). You may also contact the Division of Consumer Affairs, Consumer Information Division in writing at 1625 North Market Blvd., Suite N-112, Sacramento, California 95814, by telephone at 800.952.5210 / 916-445-1254 or via the Internet at www.dca.ca.gov.
(a) These Terms inure to the benefit of and will be binding upon you and your successors and assigns, respectively.
(b) These Terms may be assigned by us but you may not assign them without the prior express written consent of us.
(c) If we fail or you fail to perform any obligation under these Terms and the other party does not enforce such obligation, the failure to enforce on any occasion will not constitute a waiver of any obligation and will not prevent enforcement on any other occasion.
(d) Nothing contained in these Terms will be deemed to constitute that we or you are the agent or representative of the other or as joint venturers or partners.
(e) If either we or you are prevented from performing or are unable to perform any obligation under these Terms due to any cause beyond the reasonable control of the party invoking this provision, the affected party's performance will be extended for the period of delay or inability to perform due to such cause.
(f) Any cause of action or claim you may have with respect to us must be commenced within one (1) year after the claim or cause of action arises.
(g) Headings and captions are for convenience only.
(h) These Terms and all related documentation will be drafted in English.
Governing Law and Forum
These Terms shall be governed by and construed in accordance with the laws of the State of North Carolina without regard to its provisions relating to conflicts of law. You agree that any legal action or proceeding between us and you for any purpose concerning these Terms or the parties' obligations hereunder shall be brought exclusively in a court of competent jurisdiction sitting in Mecklenburg County, North Carolina, United States of America. In light of the nature of these Terms, you understand and agree that money damages may be insufficient to rectify breach. Consequently, we will be entitled to seek preliminary and equitable relief upon a breach of these Terms by you.
These Terms comprise the full and final understanding between you and us and merges and supersedes any and all other agreements, understandings or representations, written or oral, with respect to the subject matter hereof. These Terms may not be modified except by a writing (in paper or electronic form) signed by you and by an authorized representative of us and referring specifically to these Terms. Neither the course of conduct between the parties nor trade practice shall act to modify any provision of these Terms.
The provisions of these Terms are severable, and in the event any provision hereof is determined to be invalid or unenforceable for any reason, such invalidity or unenforceability shall not in any way affect the validity or enforceability of the remaining provisions.
Notice to You
We may deliver notice to you under these Terms by means of electronic mail, a general notice on the Site, or by written communication delivered by first-class U.S. mail to your address on record with us as part of your registration information.
To contact us with any questions or concerns in connection with these Terms, or to provide any notices under these Terms, please contact us at:
Attn: Web Solutions
13034 Ballantyne Corporate Place
Charlotte, NC 28277