AccountId: 011433970860 ContactId: 074cdbce-2225-439f-829d-931a493a53b5 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 316989 ms Total Talk Time (AGENT): 100643 ms Total Talk Time (CUSTOMER): 68897 ms Interruptions: 0 Overall Sentiment: AGENT=-1, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/21/074cdbce-2225-439f-829d-931a493a53b5_20250321T17:30_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] What? [AGENT][NEUTRAL] Thank you for calling ETL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yeah, hi, hi, my name is [PII] calling fromor's office, uh, to get the claim status. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status. Can I please get your callback number, sir? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you. And what's the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] The policy number is 02521747. [CUSTOMER][NEUTRAL] And the patient's name is [PII], I mean sorry, [PII], uh [PII]. [AGENT][NEUTRAL] OK, let me look up that policy number real quick. [AGENT][NEUTRAL] OK, and then what is the data service and the charge amount? [CUSTOMER][NEUTRAL] [PII] and the bill amount is $267 even. [AGENT][NEUTRAL] OK, and what's the charges after the primary insurance paid their part? [CUSTOMER][NEUTRAL] Uh, there's no after the, uh, primary insurance. You're the [CUSTOMER][NEUTRAL] Primary for this one. [AGENT][NEUTRAL] OK, and then can you please give me the name of the facility you're calling from? [CUSTOMER][NEUTRAL] MUSC Medical University Hospital Authority. [CUSTOMER][NEUTRAL] Could you please spell your name for me? [AGENT][NEUTRAL] Yes, it's uh [PII] [CUSTOMER][NEUTRAL] Me. [AGENT][NEUTRAL] Yes, sir. It's [PII] [CUSTOMER][NEUTRAL] Sorry, was just breaking. [AGENT][NEUTRAL] OK, uh, you spell my name [PII] [CUSTOMER][POSITIVE] Thank you, [PII]. [AGENT][NEUTRAL] You're welcome. I'm gonna put you on a brief hold while I look up this claim for you, [PII], and I'll be right back. [CUSTOMER][NEGATIVE] Yeah. You are on hold. [AGENT][NEUTRAL] Hm. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you for holding for me, [PII]. I've got um the insured pulled up and looking on data service of [PII]. I do not find a claim on file for the amount that was given. [CUSTOMER][NEUTRAL] OK, no problem. Can you please provide me the patient is eligible for the date of service? [AGENT][NEUTRAL] Yes, the effective date is [PII] and the policy is still active. [CUSTOMER][NEUTRAL] OK. Um, let me document that. [CUSTOMER][NEUTRAL] OK, what's the mailing address for this one? [AGENT][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] And that is in [PII]. [AGENT][NEUTRAL] And the zip code is [PII]. [CUSTOMER][NEUTRAL] OK, what's the time refunding limit for this one? [AGENT][NEGATIVE] We do not have a timely filing limit. [CUSTOMER][NEUTRAL] Submission claim submission. [CUSTOMER][NEUTRAL] Yeah, how much is the time the funding limit for claim submission? [AGENT][NEGATIVE] No timely filing. [AGENT][NEGATIVE] There's no timely filing limit. [CUSTOMER][NEUTRAL] OK. Can you please provide me the [CUSTOMER][POSITIVE] Uh, be ready for this one. [AGENT][NEUTRAL] Payer ID is 60801. [CUSTOMER][NEUTRAL] What's the call reference number for this one? [AGENT][NEUTRAL] You can use my name [PII] and today's date. [CUSTOMER][POSITIVE] OK, thank you, [PII]. Thank you so much for your assistance. It's nice talking to you. Have a wonderful great day for you. Bye-bye right now. [AGENT][POSITIVE] Thank you, [PII]. You have a great day too, and thanks for calling APL. Bye-bye, sir.