AccountId: 011433970860 ContactId: 973915b1-8739-4ead-a192-0ad1e67da9c0 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 348829 ms Total Talk Time (AGENT): 87697 ms Total Talk Time (CUSTOMER): 97186 ms Interruptions: 2 Overall Sentiment: AGENT=0.8, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/01/973915b1-8739-4ead-a192-0ad1e67da9c0_20250501T20:07_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APS. This is how may I help you? [CUSTOMER][NEUTRAL] Hi, I was, uh, calling to check status of a claim. [AGENT][NEUTRAL] OK, I can help you with claim status. Can I please get your name and your callback number? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK, thank you Miss [PII], and then what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] I am so sorry you are cutting out on me. I don't know if it's on your end or my end. Um, I think you want the patient's information. [AGENT][POSITIVE] Oh goodness, it might be mine. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] OK, um, [PII], um, date of your ID number. I'm sorry. [AGENT][NEUTRAL] Yes, please. [CUSTOMER][NEUTRAL] OK, uh, 01947661. [AGENT][NEUTRAL] OK, let me pull in that policy for us real quick, can you hear me at all? [CUSTOMER][POSITIVE] OK, thanks. [CUSTOMER][NEUTRAL] I can. It's like you're underwater. It's in and out. [AGENT][NEGATIVE] Oh no. Oh God. [CUSTOMER][POSITIVE] That's OK, we'll make it work. [CUSTOMER][NEUTRAL] Uh [AGENT][NEUTRAL] OK, I've got it pulled up. What is the data service and the charge? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEGATIVE] Let's see, um, there's just 2 and everything else paid, so I'm wondering if you even received this will not be past time like, um, data service 2224. [CUSTOMER][NEUTRAL] And 2724 um. [CUSTOMER][NEUTRAL] The total bill was $1190. [AGENT][NEUTRAL] OK, and then what were the charges after the primary paid? [CUSTOMER][NEUTRAL] Um, the charge after primary was 137. 28. [AGENT][POSITIVE] Thank you. And what's the name of the facility? [CUSTOMER][NEUTRAL] The Center for Cancer and Blood Disorders or Oncology hematology consultants. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold, Miss [PII], while I look and I'll be right back. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, thank you. OK. You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you for holding for me Ms. [PII]. So looking on the dates of service that you gave me, I do not find a claim on file. [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, 22 and 27. [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] OK, uh, is it past timely at this point? [AGENT][NEUTRAL] No, we don't have a time filing limit. [CUSTOMER][NEUTRAL] OK, um, do you have a fax number? [AGENT][NEUTRAL] Yes, ma'am. That's [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 3659423. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 9423. OK, do I need to put a cover sheet on them? [AGENT][NEUTRAL] You could put a cover sheet and just um make it to the claims department. [CUSTOMER][NEUTRAL] OK, and then you need the primary EOB as well? [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] OK, awesome, I will get that over to y'all. [AGENT][NEUTRAL] Otherwise, it'll, otherwise, you'll get a letter and they'll send you a letter and ask you for it. So, yeah, please send the EOB. [CUSTOMER][NEUTRAL] Yeah, no, that's fine. [CUSTOMER][POSITIVE] I will do that. Thank you so much for your help. I appreciate it. [AGENT][POSITIVE] OK, you're welcome, Miss [PII]. You have a wonderful night. Thanks for calling APL. [CUSTOMER][NEUTRAL] Alright bye. [CUSTOMER][NEUTRAL] Bye bye.