AccountId: 011433970860 ContactId: e5bb670d-9a29-44d2-a72b-458476da9544 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 296100 ms Total Talk Time (AGENT): 102534 ms Total Talk Time (CUSTOMER): 117245 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/14/e5bb670d-9a29-44d2-a72b-458476da9544_20250314T14:06_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I'm calling from Coral Springs Medical Center. I was calling to check a claim that we had sent in back in October. [AGENT][POSITIVE] Great. I'm happy to check on the claim for you today. Do we have the patient's policy number? [CUSTOMER][NEUTRAL] Uh, yes, it is. [CUSTOMER][NEUTRAL] This is outpatient 02404339. [CUSTOMER][NEUTRAL] ML 8. [AGENT][POSITIVE] Alright, thank you for that let me pull this up. [AGENT][NEUTRAL] And what's the patient's name and date of birth? [CUSTOMER][NEUTRAL] Um, [PII] [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK thank you and then what is the data service? [CUSTOMER][NEUTRAL] Data service is 10-1724. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] And the bill amount is. [CUSTOMER][NEUTRAL] $500. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Well, the total bill is 2,252, but the total requested amount is 500. [AGENT][NEUTRAL] That was what was sent to us, OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] I don't know how you guys listed if it's total amount or that's why I wanted to make sure I told you about um. [AGENT][NEUTRAL] Yeah, some sometimes it'll come through as just the amount after the primary, um, let's see. [AGENT][NEUTRAL] Mhm [AGENT][NEUTRAL] Let me just check [AGENT][NEUTRAL] Alright, so I'm not seeing any claims on file for 10-1724. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] OK, we sent to [PII]. Is that correct? [AGENT][POSITIVE] Mhm. Yeah, that is correct. [CUSTOMER][NEUTRAL] OK, what is the um what is the payer ID for you? [AGENT][NEUTRAL] Uh, the payer ID is 60801. [AGENT][NEUTRAL] And I can also give you the fax if you want to resend it that way also. [CUSTOMER][POSITIVE] Awesome thank you. [AGENT][NEUTRAL] Uh, fax is going to be 877. [CUSTOMER][NEUTRAL] Go. [AGENT][NEUTRAL] 365. [AGENT][NEUTRAL] 942 3. [CUSTOMER][NEUTRAL] OK, let me verify because it's early and I've only had one cup of coffee. 877-336-59423. [AGENT][POSITIVE] No problem. [AGENT][POSITIVE] Mhm. Correct. [CUSTOMER][NEUTRAL] Perfect and you said payer ID is 60801. [AGENT][NEUTRAL] Yes ma'am. [CUSTOMER][POSITIVE] Thank you so much. I appreciate you confirming all of that and I will get it faxed over today hopefully um and then as far as the outpatient, uh, policy number that I provided, that was, uh, what was on her card, um, that's good, right? [AGENT][NEUTRAL] Um, they actually have a different policy number that's active, um, as of [PII] last year. Do you want that number? It's different. [CUSTOMER][NEUTRAL] The 024 [CUSTOMER][POSITIVE] I would love it because I know a lot of them changed for the new year, so. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] Um, OK, so. [CUSTOMER][NEGATIVE] It's been messing up everything. [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] The active policy is going to be 02. [AGENT][NEUTRAL] 47. [AGENT][NEUTRAL] 3451. [AGENT][NEUTRAL] And the effective date on this is [PII]. [AGENT][NEUTRAL] And I did check both policies just to see if there was any claim under either of them, and I didn't see anything under either, so. [CUSTOMER][NEUTRAL] And it did [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, OK, and then I just wanna verify 02473451? [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][POSITIVE] Awesome thank you so much for your time today I greatly appreciate it. [AGENT][POSITIVE] You're welcome. Anything else I can help with? [CUSTOMER][POSITIVE] No, that's it have a great day. [AGENT][POSITIVE] Alright you too thanks for calling APL bye bye. [CUSTOMER][NEUTRAL] Bye-bye.