AccountId: 011433970860 ContactId: c7a8aac0-a695-498b-b2ef-7f0655626c07 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 282040 ms Total Talk Time (AGENT): 65430 ms Total Talk Time (CUSTOMER): 87090 ms Interruptions: 1 Overall Sentiment: AGENT=1, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/27/c7a8aac0-a695-498b-b2ef-7f0655626c07_20250527T14:22_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yeah. Hi, [PII]. My name is [PII]. It is [PII] and my initial is [PII]. Actually, I'm calling from University of Miami to look on a claim status. Could you help me with that? [AGENT][NEUTRAL] All right, Bri, happy to check on the claim. What's the policy number? [CUSTOMER][POSITIVE] Thank you for that. Yeah. [CUSTOMER][NEUTRAL] It's gonna be 021. [CUSTOMER][NEUTRAL] 89716 [CUSTOMER][NEUTRAL] M like Mary, L as in Lima, number 8. [AGENT][POSITIVE] Thank you, one moment. [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] May I have the patient's name and date of birth? [CUSTOMER][NEUTRAL] Sure. My last name is [CUSTOMER][NEUTRAL] [PII], and the date of birth is [PII]. [AGENT][NEUTRAL] Thank you. What's the date of service? [CUSTOMER][NEUTRAL] Sure, looking for [PII]. [AGENT][NEUTRAL] Did you say [PII]? [CUSTOMER][NEUTRAL] Um, no, I said [PII]. [AGENT][POSITIVE] Thank you and the build them out. [CUSTOMER][NEUTRAL] It's $2,794 even. [AGENT][POSITIVE] Alright thank you let me take a look. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] All right, I'm not showing that we have any claims on file for [PII]. [CUSTOMER][NEUTRAL] All right, I'm not sure [CUSTOMER][NEUTRAL] OK, [PII], just give me a moment. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Uh, can you please confirm the member's policy effective date, uh, for my documentation purpose? [AGENT][NEUTRAL] [PII]. Patient is still active. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] May I know the claims timely filing limit as well as the payer ID? [AGENT][NEUTRAL] Uh, the payer ID is 60801. [CUSTOMER][NEUTRAL] I. [AGENT][NEUTRAL] What was your other question? [CUSTOMER][NEUTRAL] Uh, claims timely filing limit to resubmit. [AGENT][NEGATIVE] No timely filing. [CUSTOMER][NEUTRAL] OK. Is there any mailing address? [AGENT][NEUTRAL] That would be [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Zip code is [PII]. [CUSTOMER][NEUTRAL] Got that. Give me a moment. [CUSTOMER][NEUTRAL] OK. Thank you for the information, [PII]. I would like to have the call reference number for our conversation. I don't have any further question on the state of service. [AGENT][NEUTRAL] Uh, call reference, call reference is gonna be my name with today's date. My name is [PII], that's [PII], last initial [PII], and then today's date. [CUSTOMER][POSITIVE] Got it. Thank you for the information. [AGENT][POSITIVE] You're welcome. Have a good day. [CUSTOMER][POSITIVE] Yeah, stay safe. Bye.