AccountId: 011433970860 ContactId: c7c3ac3c-19a8-4a77-89de-fada0b6f65a8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 335869 ms Total Talk Time (AGENT): 103297 ms Total Talk Time (CUSTOMER): 69603 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/29/c7c3ac3c-19a8-4a77-89de-fada0b6f65a8_20250529T16:40_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII]. My name is [PII]. I'm calling to check on a claim status. Could you please help? [AGENT][NEUTRAL] Yes, [PII], I can help you with the claim. May I please get your callback number, sir? [CUSTOMER][NEUTRAL] Yeah, sure, the callback number will be [PII] and that's a direct line. [AGENT][NEUTRAL] Thank you, sir. And then what is the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Yeah, the patience. [CUSTOMER][NEUTRAL] Nameless. [CUSTOMER][NEUTRAL] Faso [CUSTOMER][POSITIVE] That's cool [CUSTOMER][NEUTRAL] And the date of both those. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And the member ID will be 02446354 M as in [PII]. [AGENT][POSITIVE] Thank you, sir. Let me look up that policy for us real quick. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Alright, I do see that Fosto has an active policy. What is his data service and [AGENT][NEUTRAL] The charge amount [CUSTOMER][NEUTRAL] On data service will be. [CUSTOMER][NEUTRAL] [PII] for the total bill amount of $742 even. [AGENT][NEUTRAL] OK, and the charges after the primary insurance pay their part? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] And what is that amount? [CUSTOMER][NEUTRAL] Uh, it's $217.62. [AGENT][NEUTRAL] Thank you, sir. And then what is the name of the facility you're calling from, Astro? [CUSTOMER][NEUTRAL] Jackson Memorial Hospital. [AGENT][NEUTRAL] OK, I'm gonna put you on a quick hold while I look up this claim for us and I'll be right back sir. [CUSTOMER][NEUTRAL] Yeah, sure. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you for holding for me Astro. So looking on data service of [PII], I do not find the claim on file. [CUSTOMER][NEUTRAL] OK. And when are the patient uh effective date and termination date? [AGENT][POSITIVE] Yes sir, let me get that for you. [AGENT][NEUTRAL] The effective date of the policy is [PII] and the policy is still current and active. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And may I know the mailing address to send the claim? [AGENT][NEUTRAL] Yes sir, that would be [PII]. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] That's in [PII]. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] And the zip code is [PII]. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [CUSTOMER][NEUTRAL] And may I know the payer ID? [AGENT][NEUTRAL] That would be 60801. [CUSTOMER][NEUTRAL] Thank you. How many time be filing limit to submit a claim. [AGENT][POSITIVE] You're welcome, sir. [AGENT][NEGATIVE] We do not have a timely filing limit. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Can make the call reference number. [AGENT][NEUTRAL] You can use my name [PII] and today's date. [CUSTOMER][POSITIVE] Thank you, [PII]. Thank you for listening and have a great day. [AGENT][POSITIVE] You have a great day too, [PII]. Thank you so much for calling APL that's everything I can help you with? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] OK. Well, you take care. Bye-bye, [PII]. [CUSTOMER][NEUTRAL] You too. Bye-bye.