AccountId: 011433970860 ContactId: fa0da9a2-d120-4803-94bd-818c4e876c99 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 473660 ms Total Talk Time (AGENT): 35446 ms Total Talk Time (CUSTOMER): 57643 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/22/fa0da9a2-d120-4803-94bd-818c4e876c99_20250422T21:32_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling on provider's office to check on our client status. Could you please transfer the call to client's department? [AGENT][POSITIVE] I'm happy to check on a claim for you, [PII]. What's the patient's policy number? [CUSTOMER][NEUTRAL] 02185085 M as in Mike L as in Lima 7. [CUSTOMER][NEUTRAL] May I have your name, please? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] The patient's name. [CUSTOMER][NEUTRAL] Patient name is [CUSTOMER][NEUTRAL] I'm [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] and the patient's date of birth is [PII] and the patient's date of services [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] The bill amount is 42, yes, [PII] and the bill amount is $42,639 even. [CUSTOMER][NEUTRAL] What [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Are you there? [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yes, may I have the claim status? [AGENT][NEUTRAL] The claim it looks like was received on [PII]. [AGENT][NEGATIVE] Denied the same day, requesting the explanation of benefits from the primary. [CUSTOMER][NEUTRAL] Uh. [CUSTOMER][NEUTRAL] OK, may I have the copy of you with the fax? I have a fax number. [AGENT][NEUTRAL] Go ahead. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Is there anything else I can check on for you? [CUSTOMER][NEUTRAL] Just wait for a moment. [AGENT][NEUTRAL] And then did you need me to check on anything else today? [AGENT][NEUTRAL] Are you still there? [AGENT][NEUTRAL] [PII] is still on the line, is anybody there? [AGENT][NEUTRAL] Hello?