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While we have a sizable international community of physicians active on Medscape already, we are investing to drive deeper penetration in particular markets. We have an initiative underway to greatly expand our in-language content. We now have French, German and recently launched Spanish editions of Medscape. A Portuguese edition is coming later this year, although we worked quickly in recent weeks to launch our Zika content in multiple languages including Portuguese, in certain markets like China and Japan we‚ve elected to work with local market partners to localize our content and expand our reach. From a monetization perspective, in 2015 revenue from our international operations, which is primarily Medscape, grew 24 to 57 million. Excluding the impact of currency fluctuations, international revenue growth would have been 29 in 2015.

The providers accuse the insurers of developing processing software. that automatically ldquo;downcodesrdquo; claims. submitted by doctors to reduce the. reimbursement rate.]