AccountId: 011433970860 ContactId: 7f4dc323-5a92-4bbb-8f14-8fb520b43890 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 240360 ms Total Talk Time (AGENT): 49371 ms Total Talk Time (CUSTOMER): 75634 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/13/7f4dc323-5a92-4bbb-8f14-8fb520b43890_20250613T18:13_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello [PII], my name is [PII], and this call is regarding to inquire status of a claim. Could you please help me out? [AGENT][NEUTRAL] I can help you with claim status. [PII]. Can I get a good call back number in case we get disconnected? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] My callback number is [PII]. [AGENT][NEUTRAL] And do you have the policy number with you? [CUSTOMER][NEUTRAL] Yes, I do. The policy ID is 2510239. [AGENT][NEUTRAL] Give me one moment to look that up. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] Can you verify the patient's name and date of birth for me please? [CUSTOMER][NEUTRAL] Sure. The patient's name is [PII] [CUSTOMER][NEUTRAL] And the date of birth is [PII]. [AGENT][POSITIVE] Thank you so much for verifying that with me. [CUSTOMER][POSITIVE] Mhm you're welcome. [AGENT][NEUTRAL] And do you have the claim number or the date of service? [CUSTOMER][NEUTRAL] Yeah, I have the date of service. It's April 25th of this year. [AGENT][NEUTRAL] Alright, give me just a moment. [CUSTOMER][NEUTRAL] With the bill amount of 200 and, yeah, sure, please take it in. [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] 200 and what? [CUSTOMER][NEUTRAL] $247 is the bill amount. [AGENT][POSITIVE] OK, thank you so much. Give me just one moment. [CUSTOMER][POSITIVE] Sure, take your time. [AGENT][NEUTRAL] And you said it was [PII]? [CUSTOMER][POSITIVE] Yeah, that's right. [AGENT][NEUTRAL] I'm not seeing a claim for that date of service. [CUSTOMER][NEUTRAL] All right. I understand that's a claim on claim not on file, right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] I understand that. Could you please verify me your payer ID, the right payer ID? [AGENT][NEUTRAL] It's 60801. 0, hold on one second. Let me see. [CUSTOMER][NEUTRAL] Yeah, [AGENT][NEUTRAL] Yes, it's 60801. [CUSTOMER][NEUTRAL] All right, I got that. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Could you please tell me what the timely filing limit is? [AGENT][NEUTRAL] So we don't have timely filing limits as long as the policy was active during the date of service. [CUSTOMER][POSITIVE] All right. I understand that. Let me please resubmit the claim. I'll get back to you soon. [CUSTOMER][POSITIVE] Thank you so much for your assistance. Hope you have a great weekend. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Thank you for calling APL. I hope you have a great day. [CUSTOMER][NEUTRAL] Yeah bye bye. [AGENT][NEUTRAL] Bye [CUSTOMER][NEUTRAL] Yeah