AccountId: 011433970860 ContactId: 809e328e-6f97-4468-ac1d-38392881267f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 224929 ms Total Talk Time (AGENT): 94815 ms Total Talk Time (CUSTOMER): 61839 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/24/809e328e-6f97-4468-ac1d-38392881267f_20250324T13:00_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yeah, hi. Uh, this is [PII]. I'm calling from facility for claim status. [AGENT][NEUTRAL] I can help you with that, [PII]. What is a good callback number? [CUSTOMER][NEUTRAL] Uh, it's [PII]. [AGENT][NEUTRAL] Thank you, [PII]. And what is the policy number for the patient? [CUSTOMER][NEUTRAL] Mm, yes. Uh, it's 02454242 M as in Mike, L as in Lima, 8. [AGENT][NEUTRAL] Thank you, [PII]. And what is the patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh, it's [PII]. [CUSTOMER][NEUTRAL] [PII]. And date of birth is [PII]. [AGENT][POSITIVE] All right, thank you. [AGENT][POSITIVE] [PII], it would be my pleasure to assist you with that claim status. Do you have the claim number or date of service? [CUSTOMER][NEUTRAL] Uh, date of service [PII]. [AGENT][NEUTRAL] And [PII], what is the bill amount, please? [CUSTOMER][NEUTRAL] Uh, it was for $10,192.71. [AGENT][NEUTRAL] And that is for a facility fee? [CUSTOMER][NEUTRAL] Mm, just a minute. [CUSTOMER][NEUTRAL] Oh yes. [AGENT][NEUTRAL] OK. [PII], I'm checking for 112124. I do not have a facility fee claim on file for [PII]. [CUSTOMER][NEUTRAL] Mhm. Got it. And uh [CUSTOMER][NEUTRAL] May I know the time you're filing to BCM? [AGENT][NEGATIVE] There's no timely filing. [CUSTOMER][NEUTRAL] Sorry? [AGENT][NEGATIVE] There is no timely filing. [CUSTOMER][NEUTRAL] OK, no time problem. And can I have the claim mailing address? [AGENT][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the zip code is [PII]. [AGENT][NEUTRAL] And you can also fax that with the primary EOB directly to our claims department. [AGENT][NEUTRAL] At 877. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 365. [AGENT][NEUTRAL] 942 3. [CUSTOMER][NEUTRAL] 2 3.4. And can I have the member eligibility active from mine too? [AGENT][NEUTRAL] Yes sir, the effective date on the policy is [PII]. [AGENT][NEUTRAL] And policy is active. [CUSTOMER][NEUTRAL] OK, got it. And uh [CUSTOMER][NEUTRAL] Uh, can I have the call reference for this call? [AGENT][NEUTRAL] Call reference number is my name and today's date, and I spell my name [PII] [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Mhm. [AGENT][POSITIVE] First initial last name, [PII]. And [PII], it was a pleasure to assist you with that claim status. Is there anything else I can help you with today? [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][POSITIVE] No, that's all I have. Thank you. Have a good day. [AGENT][POSITIVE] Thank you for calling APL. I hope you have a wonderful day. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][NEUTRAL] Bye-bye.