AccountId: 011433970860 ContactId: 383f179e-7b89-4b9f-b43b-7dca72c15b70 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 281720 ms Total Talk Time (AGENT): 48588 ms Total Talk Time (CUSTOMER): 100971 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/30/383f179e-7b89-4b9f-b43b-7dca72c15b70_20250430T18:55_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], um, my name is [PII] with LaW calling from Florida's office regarding, um, medical claim status. Uh, could you please help me with that? [AGENT][NEUTRAL] Yes, I can help you with claim status. [PII]. Do you have a good callback number? [CUSTOMER][NEUTRAL] Yes, so it's [PII]. [AGENT][NEUTRAL] And the policy number of the patient? [CUSTOMER][NEUTRAL] Yes, I do. The policy number is 01612903. [AGENT][POSITIVE] I'm sorry, could you repeat that one more time? I'm sorry about that. [CUSTOMER][NEUTRAL] Sure. It's 01612903. [AGENT][NEUTRAL] Patient name and date of birth? [CUSTOMER][NEUTRAL] Uh, it's [PII]. [CUSTOMER][NEUTRAL] [PII] or date of birth, it shows of [PII]. [AGENT][NEUTRAL] And date of service and build them up. [CUSTOMER][NEUTRAL] Um, yeah, data service [PII] total charge is $19,550 even 19,550. [AGENT][NEUTRAL] OK, looks like we received it. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] OK, we received it a few times. Let me find where the claim is. [CUSTOMER][NEUTRAL] Calling. [CUSTOMER][POSITIVE] Good [CUSTOMER][NEUTRAL] Really. [CUSTOMER][NEUTRAL] the [CUSTOMER][NEUTRAL] I know. [CUSTOMER][NEUTRAL] So. [CUSTOMER][NEUTRAL] That's the same. [AGENT][NEUTRAL] What was the total bill charges? [CUSTOMER][NEUTRAL] Uh, again, it's $19,550 even 19,550. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] Uh, looks like we received it, um, and a payment was made to the patient. [CUSTOMER][NEUTRAL] Manna Way. [AGENT][NEUTRAL] The patient submitted it. [CUSTOMER][NEUTRAL] Say it one more time. [AGENT][NEUTRAL] The patient submitted the claim for reimbursement? [CUSTOMER][NEUTRAL] So the patient submit the claim to you? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] that [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] So in this case what we do we need to get the payment from the patient? [AGENT][NEUTRAL] you need to contact them about any information on it, correct. [CUSTOMER][NEUTRAL] May I know the allowed and paid amount? [AGENT][NEUTRAL] You'll have to contact the patient for information on the claim since it was paid to them and we're secondary. [CUSTOMER][NEUTRAL] Hi [CUSTOMER][NEUTRAL] All right. Can I get the claim number? [AGENT][NEUTRAL] 358-4159. [CUSTOMER][NEUTRAL] So. [CUSTOMER][NEUTRAL] Uh, [PII], can I get the call reference number please? [AGENT][NEUTRAL] It's my name and today's date. [CUSTOMER][NEUTRAL] The last initial please. [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Thank you so much for the information. Have a good one take care. [AGENT][POSITIVE] Thank you for calling APL you as well. Bye bye.