AccountId: 011433970860 ContactId: 511979f4-4c2f-4a9b-b449-944ceb4bc171 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 502049 ms Total Talk Time (AGENT): 129547 ms Total Talk Time (CUSTOMER): 107567 ms Interruptions: 1 Overall Sentiment: AGENT=0.4, CUSTOMER=-0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/09/511979f4-4c2f-4a9b-b449-944ceb4bc171_20250109T17:51_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling PL this is [PII] how may I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII]. I'm calling from provider's office and I want to check up on the claim status. [AGENT][NEUTRAL] OK [PII], I can help you with the claim status. Uh, can I please get your callback number, sir? just in case the call gets dropped. [CUSTOMER][NEUTRAL] Yes. Callback number is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, sir. And then what is the patient's name? [CUSTOMER][NEUTRAL] Patient name is [PII]. [AGENT][NEUTRAL] OK, and what's [PII]'s date of birth? [CUSTOMER][NEUTRAL] Date of birth is [PII]. [AGENT][NEUTRAL] And what is [PII]'s policy number? [CUSTOMER][NEUTRAL] Uh, sorry? [AGENT][NEUTRAL] What is [PII]'s policy number? [CUSTOMER][NEUTRAL] Policy number is 20022. [CUSTOMER][NEUTRAL] 8463 [CUSTOMER][NEUTRAL] 0 [CUSTOMER][NEUTRAL] M as in Mike, L as in Lima, 8. [AGENT][NEUTRAL] OK, thank you. What's the date of service for him? [CUSTOMER][NEUTRAL] Data service is [PII]. [AGENT][NEUTRAL] OK, and the charge amount? [CUSTOMER][NEUTRAL] Uh, charge amount is $1,904. [AGENT][NEUTRAL] OK. And then what is the [AGENT][NEUTRAL] Charge after the primary insurance paid their part. [CUSTOMER][NEUTRAL] Mm I think uh. [CUSTOMER][NEUTRAL] Give me a second. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Uh. [CUSTOMER][NEUTRAL] 16574 23. I think it's the same. [AGENT][NEUTRAL] OK, and what is the name of. [AGENT][NEUTRAL] Of the facility you're calling for. [CUSTOMER][NEUTRAL] Uh, it's Vascular Institute of the Rockies. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold, [PII]. I'm going to pull that claim in for you and I'll be right back. [CUSTOMER][NEUTRAL] OK, sure. [AGENT][POSITIVE] Thank you, sir. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Mm [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Hi [PII], this is [PII] so I do have the claim for you the claim number is 351. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 3633 [AGENT][NEUTRAL] The claim was processed. [AGENT][NEUTRAL] And a check was issued. [CUSTOMER][NEUTRAL] Hm. [AGENT][NEUTRAL] The check number is 200. [CUSTOMER][NEUTRAL] Sorry, your voice is breaking. Could you please repeat the process it? [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] The check was processed on [PII]. [AGENT][NEUTRAL] The check number. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The check number is 2006087. [CUSTOMER][NEUTRAL] Hm. [AGENT][NEUTRAL] The check cleared the bank on [PII]. [CUSTOMER][NEUTRAL] OK. And what's the allowed amount? [AGENT][NEUTRAL] The check amount was $904.83. [CUSTOMER][NEUTRAL] And OK. So it's a paid amount. [AGENT][NEUTRAL] That is the paid amount. [CUSTOMER][NEUTRAL] OK. And uh when did you receive a claim, claim? [CUSTOMER][NEUTRAL] Did you see them [AGENT][NEUTRAL] Let me look for you real quick. [AGENT][NEUTRAL] We received the claim on, let's see. [AGENT][NEUTRAL] We received the claim on [PII]. [AGENT][NEUTRAL] We process the claim on [PII]. [CUSTOMER][NEUTRAL] OK. Uh, is there any patient responsibility? [CUSTOMER][NEUTRAL] 03975. [AGENT][NEUTRAL] We don't give patient responsibility that's determined by the provider. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK. So that would be all, sorry. Thank you for the information. [AGENT][POSITIVE] Well thank you [PII] you have a great day and thanks for calling APL. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] 00, sorry, sorry. I want one more thing. Uh, please provide me the call reference number. [AGENT][NEUTRAL] Yes sir, you can use my name [PII] in today's date. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Thank you for the information, [PII]. [AGENT][POSITIVE] You're welcome, [PII]. Have a good day and thank you so much for calling APL. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][NEUTRAL] Bye-bye.