AccountId: 011433970860 ContactId: 71238544-531c-4dbb-99e4-80ab27ae2e00 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 351109 ms Total Talk Time (AGENT): 88528 ms Total Talk Time (CUSTOMER): 107887 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/2025/02/12/71238544-531c-4dbb-99e4-80ab27ae2e00_20250212T19:30_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from the provider office to check on a claim status. [AGENT][NEUTRAL] OK, I could check on a claim for you. Uh, [PII], can I get a good call back number from you first in case we're disconnected? [CUSTOMER][NEUTRAL] Yeah, the callback number is [PII]. [AGENT][NEUTRAL] Thank you. Do you have the policy number? [CUSTOMER][NEUTRAL] Yeah, the policy number is [CUSTOMER][NEUTRAL] 01943513 M as in Mike L as in Lima and the number 8. [AGENT][NEUTRAL] Thank you and then what was the name and date of birth for the insured? [CUSTOMER][NEUTRAL] Yeah, the patient's name is [PII]. [CUSTOMER][NEUTRAL] And the date of birth is [PII]. [AGENT][NEUTRAL] OK thank you for verifying that [PII] what was the date of service for this claim? [CUSTOMER][NEUTRAL] It's [PII] and the total charge amount is 30, I'm sorry, $2320 even. [AGENT][NEUTRAL] OK, and that was [PII], is that correct? [CUSTOMER][NEUTRAL] Yes, it's, it's [PII]. [AGENT][NEUTRAL] OK thank you one moment. [AGENT][NEUTRAL] Uh, I'm sorry, what was the name of the, uh, provider's office this was with? [CUSTOMER][NEUTRAL] Athea Florida Palms West Hospital. [AGENT][NEUTRAL] Do you have that tax ID by chance? [CUSTOMER][NEUTRAL] It's, yeah, the tax ID is [PII]. [AGENT][NEUTRAL] OK thank you one moment please. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] OK, so we did receive this claim [PII], uh, looks like we're needing a copy of the primary EOB. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] May I know when the claim has been received? [AGENT][NEUTRAL] Yes, so this claim was received me just a moment. That was [PII]. [AGENT][NEUTRAL] And it was processed [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Needs primary you will be, right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] OK. May I know the claim number? [AGENT][NEUTRAL] Yes, it is 346-89008. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Shall we fax the primary UB? [AGENT][NEUTRAL] You can uh let me know when you're ready for that fax number. [CUSTOMER][NEUTRAL] Yes. Could you please provide me the fax number? [AGENT][NEUTRAL] Yeah it's 877. [AGENT][NEUTRAL] 365. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 942 3. [CUSTOMER][NEUTRAL] 3. [CUSTOMER][NEUTRAL] 9423. Yeah, could you please verify it once again, which is 8773659423, right? [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][NEUTRAL] Yeah. May I know the timely filing limit to send the AOB? [AGENT][NEGATIVE] There is no timely filing limit. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] One moment, please. I'll be checking for that. [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Primary EOB. [CUSTOMER][NEUTRAL] Uh, one moment please. It is. [CUSTOMER][NEUTRAL] OK. Could you please spell out your name and provide me the call reference number and thank you for being in a hold. [AGENT][NEUTRAL] Of course, um, so the reference number would just be my first name, last initial, and today's date. Uh, my name is spelled [PII] Was there anything else I could help you with, sir? [CUSTOMER][POSITIVE] Uh, thank you for the assistance. Have a great day. That's all for today. [AGENT][POSITIVE] OK, yeah, thanks for calling APL. I hope you have a great rest of your day. [CUSTOMER][NEUTRAL] Bye bye. [AGENT][NEUTRAL] Bye bye.