AccountId: 011433970860 ContactId: c6e8a4de-12e0-4d38-bb44-04620d088130 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 531179 ms Total Talk Time (AGENT): 98524 ms Total Talk Time (CUSTOMER): 87473 ms Interruptions: 0 Overall Sentiment: AGENT=1.7, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/07/c6e8a4de-12e0-4d38-bb44-04620d088130_20250307T23:11_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL this is [PII] how may I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII]. I'm calling from the provider's office for the claim status. [AGENT][NEUTRAL] OK, I can help you with claim status. Can you please give me your name again and your callback number? [CUSTOMER][NEUTRAL] It's [PII] and the callback number is [PII]. It's a direct line. [AGENT][POSITIVE] OK, thank you so much for giving me that information. Can I please have the member's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Its [PII] and date of birth is [PII]. [AGENT][NEUTRAL] OK, and what's the member's policy number? [CUSTOMER][NEUTRAL] The policy number [CUSTOMER][NEUTRAL] 10572777 M as in Mike L as in Lima, number 4. [AGENT][NEUTRAL] OK, let me pull up that policy real quick. [AGENT][NEUTRAL] OK, and what is the data service and the charge amount? [CUSTOMER][NEUTRAL] The date of services for [PII], charged amount is $11,031. [CUSTOMER][NEUTRAL] 26 cents. [AGENT][NEUTRAL] Thank you, sir. And then what is the charge amount after the primary insurance paid their part? [CUSTOMER][NEUTRAL] It's uh $300. [AGENT][NEUTRAL] OK, and can you please give me the name of your facility? [CUSTOMER][NEUTRAL] It's Florida West Side Hospital. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold, [PII], while I look up this claim for you and I will be right back. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Uh. [AGENT][NEUTRAL] Mm. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] Thank you [PII] for holding for me. I have the claim for you. [CUSTOMER][NEUTRAL] Yeah. So this claim is being paid, right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] So I just need that EOP so we haven't received that EOB, uh, so that's the reason for the call. [AGENT][NEUTRAL] Oh, OK. Well, I can make sure you get the EOB. Let me look that up for you, sir. [CUSTOMER][NEUTRAL] Yeah, sure. So it's been allowed and paid for $250 right? Uh, it was paid through the check to, uh, the check number is 228-2025 and it was issued on [PII], right? [AGENT][POSITIVE] Yes, that's correct. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Yes, sir. Uh, let me look it up again. Yes, sir. [CUSTOMER][NEUTRAL] OK, sir. [AGENT][NEUTRAL] Let me look up the [CUSTOMER][NEUTRAL] Yup, can you please send that to you with the fax for me? [AGENT][POSITIVE] Yes, sir. Give me just a moment and I'll and I'll get that together for you, sir. [CUSTOMER][NEUTRAL] Sure. [AGENT][POSITIVE] Alright, thank you. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] OK, [PII], can you give me your fax number, please? [CUSTOMER][NEUTRAL] Yeah, the fax number is [PII]. [CUSTOMER][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] Just [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] OK. I'm gonna put you on a brief hold while I send this fax and I'll be right back. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] OK, thank you for holding for me [PII]. I've got that fax on its way to you now. [CUSTOMER][POSITIVE] OK, thank you for that. So that's all I have for the day and thank you for for now. [AGENT][NEUTRAL] OK, you said that's all for today? [AGENT][NEUTRAL] You need my the call reference number? [CUSTOMER][POSITIVE] Yes, thank you. [CUSTOMER][POSITIVE] Yeah, sure. Thank you for that. I do have that. Thank you for that. It's name and today's date, right? [AGENT][POSITIVE] Oh, OK, good. That's right. You got it. [CUSTOMER][POSITIVE] Thank you. Bye for now. [AGENT][NEUTRAL] OK. Well, you have