AccountId: 011433970860 ContactId: 4bb513f8-f73b-407d-8df6-460d361b060b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 293980 ms Total Talk Time (AGENT): 106198 ms Total Talk Time (CUSTOMER): 81464 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/15/4bb513f8-f73b-407d-8df6-460d361b060b_20250115T20:31_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling ATL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Yeah, hi, my name is [PII] calling from provider office looking for claim status. [AGENT][NEUTRAL] Sure, I can assist you with claim status, Mr. [PII]. And may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] OK, I didn't get the first digits. Can you repeat the first digits? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII] [AGENT][POSITIVE] Oh thank you. [AGENT][NEUTRAL] And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Yeah, sure. Uh, that's going to be 421-355. [AGENT][NEUTRAL] OK, one moment. [CUSTOMER][NEUTRAL] And can you spell out your name, please? [AGENT][NEUTRAL] So, that's [PII] [PII]. [AGENT][NEUTRAL] May I have the name and date of birth of the patient? [CUSTOMER][NEUTRAL] Yeah, the patient name, [PII], and date of birth, [PII]. [AGENT][POSITIVE] OK perfect thank you. [AGENT][NEUTRAL] What is the date of service and the amount of the claim? [CUSTOMER][NEUTRAL] Uh, date of service, [PII] and the amounting $344 even. [AGENT][NEUTRAL] OK, thank you. And this was for dental? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] That was [PII], correct? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. OK. [AGENT][NEUTRAL] We have no claims on file for December. [CUSTOMER][NEUTRAL] OK. Can you help me with the payer ID? [AGENT][NEUTRAL] The payer ID is 60801. [CUSTOMER][NEUTRAL] And what's the mailing address? [AGENT][NEUTRAL] The mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Are you done? [CUSTOMER][NEUTRAL] Can you spell it for me, [PII]? [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] That's going to be [PII]. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. Mhm. [CUSTOMER][NEUTRAL] Give me a moment. [PII], then what's the zip code? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] and how we can submit a claim electronically by paper mail or by fax? [AGENT][NEUTRAL] You can either fax it, mail it or send it electronically. [CUSTOMER][NEUTRAL] What's professional [AGENT][NEUTRAL] The fax number is [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] And what's going to be the effective date of the policy? [AGENT][NEUTRAL] OK, the policy effective date is, let me get that for you. [AGENT][NEUTRAL] [PII] and it is active at the moment. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Yes, [PII]. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] And what's the timely filing limit? [AGENT][NEGATIVE] We don't have timely filing limits. [CUSTOMER][NEUTRAL] Got it. And what's the reference number? [AGENT][NEUTRAL] We don't have reference numbers, you can use my name in today's date. [CUSTOMER][POSITIVE] Uh, thank you for your wonderful time. Have a wonderful day. Bye for now. [AGENT][POSITIVE] You're as well. Thank you for calling.