AccountId: 011433970860 ContactId: 9543644b-e473-4be6-807c-e02d1853589f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 214520 ms Total Talk Time (AGENT): 66639 ms Total Talk Time (CUSTOMER): 70187 ms Interruptions: 0 Overall Sentiment: AGENT=0.2, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/22/9543644b-e473-4be6-807c-e02d1853589f_20250522T16:12_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], uh, my name is [PII], and I'm calling from the provider's office regarding a claim. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] OK, thank you. And the policy number for that patient? [CUSTOMER][NEUTRAL] I have 023893887. [AGENT][NEUTRAL] Patient name and date of birth? [CUSTOMER][NEUTRAL] Patient's name is [PII] and it's [PII]. [AGENT][NEUTRAL] And date of service and bill charges? [CUSTOMER][NEUTRAL] I have let me pull up the claim. Uh, it's gonna be for data service of $327.25 dollars. Total charge is $51. [AGENT][NEUTRAL] OK, looks like we received at [PII]. [AGENT][NEUTRAL] Uh, process 411 and let's see. [AGENT][NEUTRAL] Uh, looks like we were needing a primary explanation of benefits. [CUSTOMER][NEUTRAL] OK, where can I fax that to? [AGENT][NEUTRAL] Uh, fax number is [PII]. [CUSTOMER][NEUTRAL] And who do I put attention? [AGENT][NEUTRAL] Uh, claims, and then if you'll get, uh, write down the claim number 358813-3. [CUSTOMER][NEUTRAL] 123. OK, I do have that. Um, I think that should be it. Um, can I get a reference number for this one, [PII]? [AGENT][NEUTRAL] Uh, reference is just my name, [PII], first initial to last name, [PII], and today's date. [CUSTOMER][POSITIVE] Awesome. I do have one more claim for you. I'm thinking this must be in the same family group, um, so I'm thinking it might be denied the same thing, but I just wanna double check. [AGENT][NEUTRAL] OK, uh, hold on one moment. [AGENT][NEUTRAL] And you said same family. [CUSTOMER][NEUTRAL] I believe so. Let me just pull up cause it has the same last name. Yeah, same family, different child. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] OK, what was that, uh, name and date of birth? [CUSTOMER][NEUTRAL] Uh, his name is [PII] and it's [PII]. [AGENT][NEUTRAL] And [AGENT][NEUTRAL] And what was that date of service and bill charges? [CUSTOMER][NEUTRAL] 327 of $25 for $51. [AGENT][NEUTRAL] Uh, looks like received 49, process 414 and [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] Uh, same thing, and that claim number is 3589037. [CUSTOMER][POSITIVE] Awesome. OK, I'll fax those to um EOBs over to you guys then. Thank you so much, [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Thanks for calling APL. I hope you have a great trip. Bye bye. [CUSTOMER][POSITIVE] Take care. [CUSTOMER][NEUTRAL] You too bye bye.