AccountId: 011433970860 ContactId: fa1ecbec-870a-4811-a36f-304cd273cfc1 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 268359 ms Total Talk Time (AGENT): 54194 ms Total Talk Time (CUSTOMER): 104133 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/07/fa1ecbec-870a-4811-a36f-304cd273cfc1_20250107T15:53_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII]. Good morning. I'm [PII] calling from Advent Health to check on claims. [AGENT][POSITIVE] All right, [PII], I'm happy to check on a claim for you today. What is the patient's policy number? [CUSTOMER][NEUTRAL] Just a moment. I'll help you with that. [CUSTOMER][NEUTRAL] Uh, you, you said your name is [PII] or [PII]. What is that? [AGENT][NEUTRAL] My name is [PII], that is spelled [PII]. [CUSTOMER][NEUTRAL] OK. Uh, your last initial? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] One moment I'll help you with that policy ID. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. The policy ID I have it at my end. [CUSTOMER][NEUTRAL] Uh, would be 019. [CUSTOMER][NEUTRAL] 40423 [AGENT][NEUTRAL] Alright, thank you and uh let me pull this up one moment and do you have a good call back number? [CUSTOMER][NEUTRAL] Yes, the good callback number. One moment. [CUSTOMER][NEUTRAL] It's going to be [PII]. It's a direct line and it has no extension. [AGENT][NEUTRAL] Thank you. May I please have the patient name and date of birth? [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] It's going to be [PII], uh, with the date of, so I mean with the date of birth, [PII]. [AGENT][NEUTRAL] Alright, thank you. And what is the date of service? [CUSTOMER][NEUTRAL] Uh, the date of service would be [PII] and the total charge $10,876.18. [AGENT][NEUTRAL] And do we have an amount after the primary? [CUSTOMER][NEUTRAL] Sorry, could you please repeat that? [AGENT][NEUTRAL] Do you have an amount after the primary? [CUSTOMER][NEUTRAL] Yes, the patients, uh, patient, I mean, the primary's patients responsibility is moved to uh American life. [AGENT][NEUTRAL] Do you have a bill amount after the primary? [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Yes, that would be $10,876.18. I've already provided. [AGENT][POSITIVE] OK, thank you so much so we do not have a claim on file for that bill amount. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] I do have a claim number I guess. No, we don't. One moment, let me check if I missed something. [CUSTOMER][NEUTRAL] Where I can help you to pull up the claim. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So you want me to resubmit it? [AGENT][NEUTRAL] It would need to be resubmitted, yes, I don't see a claim on file for that billed amount. [CUSTOMER][NEUTRAL] OK, you want me to submit it with the primary OB or just normally? [AGENT][NEUTRAL] Yes, it would need the primary EOB with it. [CUSTOMER][POSITIVE] OK, great. [CUSTOMER][NEUTRAL] Could you please help me with the mailing address to pay ID please? [AGENT][NEUTRAL] Ma [CUSTOMER][NEUTRAL] [PII], are you there? [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Uh, [PII], can you hear me? [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] [PII], are you there?