AccountId: 011433970860 ContactId: 619e972d-9f52-4ece-9a9a-de00719f96c0 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 263529 ms Total Talk Time (AGENT): 79717 ms Total Talk Time (CUSTOMER): 89947 ms Interruptions: 2 Overall Sentiment: AGENT=0.8, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/04/619e972d-9f52-4ece-9a9a-de00719f96c0_20250304T21:02_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, good afternoon. You said your name is [PII]? [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] You spell it. How do you spell it? [PII]? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] 00, that's quick. And the initial of your last name, [PII]. [AGENT][NEUTRAL] Yes ma'am, and what's your name? [AGENT][NEUTRAL] Your name is [PII] and the initial for my last name is [PII] [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] And mine is [PII] [AGENT][NEUTRAL] Gee, OK, thank you. And what is your callback number, [PII]? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you. And how can I help you today? [CUSTOMER][NEUTRAL] I have a claim that we built and I need to know what the status is. [AGENT][NEUTRAL] OK, I can help you with claim status [PII]. Can you please give me the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Policy number is 01861194MLH. [CUSTOMER][NEUTRAL] Name is [PII]. [CUSTOMER][NEUTRAL] And her birthday is [PII]. [AGENT][NEUTRAL] OK, let me pull up her policy real quick for us. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, I've got my logros pulled up. Can you please give me her um date of service and the charge amount? [CUSTOMER][NEUTRAL] Uh, [PII] for $2,269. [AGENT][NEUTRAL] OK, and then what was the charges after the primary insurance paid their part? [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEGATIVE] They didn't pay anything. No, they didn't pay anything. They put it to patients deductible, yeah. [AGENT][NEGATIVE] They did not [AGENT][NEUTRAL] OK and then what is the name of the facility you're calling for? [CUSTOMER][NEUTRAL] South Miami Hospital. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold while I pull in this claim for us and I'll be right back. [CUSTOMER][NEUTRAL] Uh-huh. Thanks. You are on hold. [AGENT][POSITIVE] Thank you, ma'am. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you so much, [PII], for holding for me. So looking on data service of [PII], I do not file a claim on file for Milagros for the amount that you have given. No, not for the amount you've given. [CUSTOMER][POSITIVE] No problem. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] Uh, OK, alright, so I guess I have to send it. Let me see APL. [AGENT][NEUTRAL] Yes ma'am. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Good, do I send it um fax? [CUSTOMER][NEUTRAL] Oh, do I send it to the secure APO portal? [AGENT][POSITIVE] You can do it through the portal that'll be fine. [CUSTOMER][NEUTRAL] OK, perfect. Is there a reference for the call? [AGENT][NEUTRAL] Yes, ma'am. You can use my name, [PII], and today's date. [CUSTOMER][POSITIVE] OK. Perfect. Thank you so much. Have a wonderful day. Bye-bye. [AGENT][POSITIVE] All right. Thank you, Ms. [PII]. You too. Bye bye, ma'am.