AccountId: 011433970860 ContactId: d3c6ef40-6760-4c81-b853-adc7bd10b7c4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 227199 ms Total Talk Time (AGENT): 81066 ms Total Talk Time (CUSTOMER): 91615 ms Interruptions: 1 Overall Sentiment: AGENT=0.6, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/d3c6ef40-6760-4c81-b853-adc7bd10b7c4_20250121T19:09_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] She [CUSTOMER][NEUTRAL] Yeah, hello, [PII]. I'm [PII] calling from provider's office regarding our claims. [AGENT][NEUTRAL] OK, yeah, I could check on a claim for you, [PII], uh, can I get a good call back number from you first in case we're disconnected? [CUSTOMER][NEUTRAL] Callback number is [PII] that line extension. [AGENT][NEUTRAL] Alright thank you and then uh do you have the policy number? [CUSTOMER][NEUTRAL] Yeah, like, upon checking, I don't have any policy number. Can you please verify with the member's first name and the last name? [AGENT][NEUTRAL] Um, I can try, yeah, uh, if you wouldn't mind spelling out the first and last name for me. [CUSTOMER][NEUTRAL] And my first name is uh [PII]. Mhm. [AGENT][NEUTRAL] That was [PII] [CUSTOMER][NEUTRAL] No, no, no. Actually, uh, it's [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and then uh the last name please? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Last name is [PII]. [AGENT][NEUTRAL] That was [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] 00 OK thank you one moment. [CUSTOMER][NEUTRAL] That [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] OK. Do you have the date of birth for this insured? [CUSTOMER][NEUTRAL] Yeah, sure. Date of birth is uh [PII]. [AGENT][POSITIVE] OK, thank you. I do believe I found them see. [AGENT][NEUTRAL] Alright, and what was the date of service for this claim, [PII]? [CUSTOMER][NEUTRAL] The service is uh [PII]. [CUSTOMER][NEUTRAL] Uh, with the bill amount of? [CUSTOMER][NEUTRAL] $340 even. [AGENT][NEUTRAL] 340. OK, thank you one moment please. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, I'm not showing that we received uh that claim for this individual. [CUSTOMER][NEUTRAL] OK, stating that uh you find the number but you are unable to find the claim for the data service, right? [AGENT][NEUTRAL] Correct. Yes. Did you want me to give you that policy number, [PII]? [CUSTOMER][NEUTRAL] Yeah, sure, please. Could you please help me with the policy number? [AGENT][NEUTRAL] Yeah, it is 02. [AGENT][NEUTRAL] 54. [AGENT][NEUTRAL] 3961. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 61. OK, got it. Could you please, like, I just wanted to make sure, are you the primary payer or the secondary payer for this number? [AGENT][NEUTRAL] This is a secondary medical policy. [CUSTOMER][NEUTRAL] OK, you are stating that, uh, you are secondary, right? You're secondary payer, am I right? [AGENT][POSITIVE] That's correct. That's correct. [CUSTOMER][NEUTRAL] Got it. Could you please help me the call reference? [AGENT][NEUTRAL] Reference number would just be my first name, last initial, and today's date. Uh so my name is spelled [PII] Now was there anything else I could help you with, [PII]? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Nothing else, [PII]. That's the information I need and I just need the timely what is the timely filing limit to submit the claim. [AGENT][NEUTRAL] All right. [AGENT][NEGATIVE] There is no timely there's no timely filing limit. [CUSTOMER][NEUTRAL] OK, I just wanted to make sure the payer ID is 60801, right? [AGENT][NEUTRAL] Of course. [AGENT][POSITIVE] That's correct. [CUSTOMER][POSITIVE] OK, thank you, thank you, [PII]. Uh, that's the information needed. Thank you for assisting me. [AGENT][NEUTRAL] Of course. [AGENT][POSITIVE] Yeah, thanks for calling APL. Have a great rest of your day. [CUSTOMER][NEUTRAL] I