AccountId: 011433970860 ContactId: d3c7d94d-a9cc-462c-858c-ea49255742e4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 553739 ms Total Talk Time (AGENT): 133451 ms Total Talk Time (CUSTOMER): 117152 ms Interruptions: 0 Overall Sentiment: AGENT=0.1, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/18/d3c7d94d-a9cc-462c-858c-ea49255742e4_20250418T20:28_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Hi this is from [PII] office. [AGENT][NEUTRAL] I'm sorry, what was your name? [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] I, I didn't get your name. What is your name? [CUSTOMER][NEUTRAL] Ha [CUSTOMER][NEUTRAL] My name is [PII] [AGENT][NEUTRAL] OK, [PII] and how can I help you today? [CUSTOMER][NEUTRAL] For claim status? [AGENT][NEUTRAL] OK, uh, do you have a good callback number I issue? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. And the policy number of the patient? [CUSTOMER][NEUTRAL] 01221549 M as in Mike L as in Lima 8. [AGENT][NEUTRAL] Uh, can I get that number one more time? It didn't pull up the policy. [CUSTOMER][NEUTRAL] 01221549 M as in Mike L as in Lima 8. [AGENT][NEUTRAL] Patient name and date of birth? [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] But correct. [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And what was the date of service? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the bill charges? [CUSTOMER][NEUTRAL] $16,328.20. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEUTRAL] OK, it looks like, let me see. [AGENT][NEUTRAL] So [AGENT][NEUTRAL] Sorry, trying to pull up the claim. Just a moment. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And that was for [PII], is that correct? [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Um, looks like we've processed that on, let me get that date. [AGENT][NEUTRAL] OK, it was received on [PII]. [AGENT][NEUTRAL] That was processed [PII]. [AGENT][NEUTRAL] We made a payment of 7. [CUSTOMER][NEUTRAL] Wait a minute. [CUSTOMER][NEUTRAL] [PII] is received date. What is the process? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII], right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] The client was paid uh right? [AGENT][NEUTRAL] Yes, we made a payment of 700. [CUSTOMER][NEUTRAL] Wait a minute. [CUSTOMER][NEUTRAL] What is pay date? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. Allowed amount? [AGENT][NEUTRAL] It's this is a secondary policy, so it just pays a dollar amount according to the policy. [AGENT][NEUTRAL] So it paid 700. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Is there any patient responsibility? [AGENT][NEUTRAL] And we don't determine patient responsibility as a secondary policy. [CUSTOMER][NEUTRAL] Was payment done through check or EFT? [AGENT][NEUTRAL] Che [CUSTOMER][NEUTRAL] OK, what is the check number? [AGENT][NEUTRAL] 202-715-6 [CUSTOMER][NEUTRAL] Is single check or bulk check? [AGENT][NEUTRAL] A single check? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] What is the check issue date? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII], right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] What is the check mailing address? [AGENT][NEUTRAL] Uh, hold on one moment. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh, [PII], after. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Is the check is cash? [AGENT][NEUTRAL] I don't show the check has been cash. [CUSTOMER][NEUTRAL] Uh, what is the cash encashment date? [AGENT][NEUTRAL] Is the what? [CUSTOMER][NEUTRAL] And cashment date. [AGENT][NEGATIVE] It's not been cashed. [CUSTOMER][NEUTRAL] OK. I check payment is cleared or not? [AGENT][NEGATIVE] It is not cleared. [CUSTOMER][NEUTRAL] How many days to clear the check? [AGENT][NEUTRAL] We don't show the check is cleared. Would you like us to see if it has and then do a reissue? [CUSTOMER][NEUTRAL] OK, can you please fax the EOB? [CUSTOMER][NEUTRAL] Hey [AGENT][NEUTRAL] What's the fax number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. Can I help with anything else? [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] What is the time, what is the timely filing limit for the EOB? [AGENT][NEUTRAL] The timely filing for the EOB? [AGENT][NEUTRAL] I, I'll fax it to you in just a few minutes. Is that what you're asking? [CUSTOMER][NEUTRAL] Yeah, you. [CUSTOMER][NEUTRAL] Yeah. It will come? [AGENT][NEUTRAL] Yeah, it just takes a couple of minutes. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, claim number. [CUSTOMER][NEUTRAL] That [AGENT][NEUTRAL] Claim number is 3561789. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 3561789, right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Uh, can you please spell your name? Sorry for that. [AGENT][NEUTRAL] [PII], it's [PII] [AGENT][NEUTRAL] First initial to last name, [PII]. [CUSTOMER][NEUTRAL] All the. [AGENT][NEUTRAL] It's my name and today's date. [CUSTOMER][POSITIVE] Thank you so much. [AGENT][NEUTRAL] OK, thank you for calling APL. [CUSTOMER][POSITIVE] Thank you for this information. [AGENT][POSITIVE] Have a great day. [CUSTOMER][POSITIVE] Have a great day. [AGENT][POSITIVE] Thank you.