AccountId: 011433970860 ContactId: 87cdb8d1-a1fd-46d4-93ab-a7df067a05d1 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 202360 ms Total Talk Time (AGENT): 69994 ms Total Talk Time (CUSTOMER): 49874 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/02/87cdb8d1-a1fd-46d4-93ab-a7df067a05d1_20250402T18:42_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, this is [PII] calling from Memorial Savannah to check on claim status. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] [PII] it's a direct line. [AGENT][NEUTRAL] OK, thank you. Do you have the policy number, the patient? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And the patient name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII] [AGENT][NEUTRAL] OK, thank you, and you said claim status is that correct? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] And what's that date of service? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the bill charges? [CUSTOMER][NEUTRAL] $22,283. [AGENT][NEUTRAL] 22,000 [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I [AGENT][NEUTRAL] Uh, looks like we need a copy of the primary explanation of benefits. [CUSTOMER][NEUTRAL] Um, so you're showing there's another insurance that's primary? [AGENT][NEUTRAL] So this is a secondary policy, um, and it will only pay after the primary insurance pays. [AGENT][NEUTRAL] Um, let me see if I can see who is the primary. [AGENT][NEUTRAL] I've got Florida Blue. [CUSTOMER][NEUTRAL] OK, do you have the uh um policy number because I do see a Florida blue on here that starts with a XJBH. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Um, I don't think I do. Let me see. I think I just love the name. [AGENT][NEUTRAL] Yeah, we just have the name that's it. [CUSTOMER][NEUTRAL] OK, do you have um. [CUSTOMER][NEUTRAL] A claim number? [AGENT][NEUTRAL] Yes, claim number is. [AGENT][NEUTRAL] Claim number is 3567812. [CUSTOMER][NEUTRAL] And when was it received? [AGENT][NEUTRAL] That was received on. [AGENT][NEUTRAL] 224 25, and then denied on 22525. [CUSTOMER][NEUTRAL] Alright, is there anything else besides, uh, needing that EOB from the primary or is that all that's needed? [AGENT][NEUTRAL] Uh, it shows that that's all that's needed. [CUSTOMER][NEUTRAL] You your name was [PII]? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Alright, is there a claim, I mean the reference number for the phone call with you? [AGENT][NEUTRAL] Uh, reference number is just my name, [PII], first initial, last name, D as in dog, and then today's date. Can I help with anything else, [PII]? [CUSTOMER][POSITIVE] No, that's all thanks for your help have a nice day. [AGENT][POSITIVE] All right, thank you for calling APL have a good day.