AccountId: 011433970860 ContactId: 8d0c6b08-0880-4c45-980b-32078f712c01 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 313230 ms Total Talk Time (AGENT): 108719 ms Total Talk Time (CUSTOMER): 83841 ms Interruptions: 1 Overall Sentiment: AGENT=0.6, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/28/8d0c6b08-0880-4c45-980b-32078f712c01_20250128T16:50_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, I'm a [PII]. [CUSTOMER][NEUTRAL] This is [PII]. You're calling from provider's office to check on a claim status, and the last name is [PII]. [AGENT][POSITIVE] OK, I'm so sorry. I cannot hear you very well at all. It is very quiet. [CUSTOMER][NEUTRAL] I'm audible now? Hello? [AGENT][NEUTRAL] Uh, [AGENT][NEUTRAL] Yes, could you repeat that? [CUSTOMER][NEUTRAL] My first name is [PII]. I'm calling from provider's office to check on appliances. [AGENT][NEUTRAL] Check on a claim. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, uh, can I get a good call back number from you, [PII] in case we're disconnected? [CUSTOMER][NEUTRAL] [PII]. It's a direct call, no extension. [AGENT][NEUTRAL] OK, thank you. Do you have the policy number? [CUSTOMER][NEUTRAL] Yes, one moment. [CUSTOMER][NEUTRAL] Yes, the policy number is 02088985. [AGENT][NEUTRAL] OK, thank you. And what was the name and date of birth for the insured? [CUSTOMER][NEUTRAL] The patient's first name is [PII] and the last name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you for verifying that, what was the date of service for this claim? [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][POSITIVE] Get that service this one [CUSTOMER][NEUTRAL] [PII] with the bill amount of [CUSTOMER][NEUTRAL] $45,269 even. [AGENT][NEUTRAL] OK, that was [PII] for $45,269. [CUSTOMER][NEUTRAL] Yes, could you please spell your name for the documentation? [AGENT][NEUTRAL] My name is [PII] [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] Yes, thank you one moment. [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] OK, so we did receive this claim, Allen, uh, we are missing a copy of the primary EOB. [CUSTOMER][NEUTRAL] Uh, can I get the receipt details the valid for this claim? [AGENT][NEUTRAL] Yes, we received this claim [PII]. [AGENT][NEUTRAL] And it was processed [PII]. [CUSTOMER][NEUTRAL] One moment, uh, I'm checking whether already the [CUSTOMER][NEUTRAL] Tell me the has been sent out one moment. [CUSTOMER][NEGATIVE] Gotcha. [CUSTOMER][NEUTRAL] Can I get the mailing address family phone number and the pay ID? [AGENT][NEUTRAL] Yes, there is no timely filing limit. Our mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And that is in [PII] City, [PII]. [AGENT][NEUTRAL] Zip code is [PII]. [CUSTOMER][NEUTRAL] Can I get the pay ID for this? [AGENT][NEUTRAL] Pay ID is 60801. [CUSTOMER][NEUTRAL] 60801. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Is there any fax number for this? [AGENT][NEUTRAL] Yes, we do have a fax number. It is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Can I get the claim number for uh. [AGENT][NEUTRAL] Is there anything else I can help you with, [PII]? Yes, claim number is, yes, 3542. [CUSTOMER][NEUTRAL] Can I get the claim number? [AGENT][NEUTRAL] 477. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, can I, can I get the call reference number? [AGENT][NEUTRAL] Reference number would just be my first name, last initial, and today's date. Uh, so my last initial is [PII] Was there anything else I can help you with, [PII]? [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][POSITIVE] Nothing much. Thank you so much for your assistance. Good day. Bye for now. [AGENT][POSITIVE] Of course, yeah, thanks for calling APL you too bye bye.