AccountId: 011433970860 ContactId: 044a3be6-c502-4fd7-a5b9-fa0989f86488 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 125370 ms Total Talk Time (AGENT): 40050 ms Total Talk Time (CUSTOMER): 44966 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/11/044a3be6-c502-4fd7-a5b9-fa0989f86488_20250411T17:02_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] For calling APL, my name is [PII]. How can I assist you today? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] calling from Atrium Health. I'm calling to check claim status for a patient. [AGENT][POSITIVE] I'd be happy to assist with claim status today, [PII], if I can get a good call back number for you. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And what is the policy number? [CUSTOMER][NEUTRAL] 01802792. [AGENT][NEUTRAL] Patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] And what is the date of service for the claim? [CUSTOMER][NEUTRAL] [PII] for $541. [AGENT][NEUTRAL] And your tax ID. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you for that. I do show that the claim was denied because office visits are not covered under the policy. [CUSTOMER][NEUTRAL] OK, and may I have the claim number? [AGENT][NEUTRAL] 343-66997 [CUSTOMER][NEUTRAL] And the date it was received? [AGENT][NEUTRAL] We received a claim on [PII], claim denied [PII]. [CUSTOMER][NEUTRAL] OK, and office business are an exclusion? [AGENT][NEUTRAL] On this policy, yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And may I have the first initial to your last name and a reference number? [AGENT][NEUTRAL] Reference is just my name [PII] last initial [PII], and the date and time of the call. Was there anything else I could assist with today? [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][POSITIVE] No, that's it thank you. [AGENT][POSITIVE] Thank you for calling APL you have a good day. [CUSTOMER][NEUTRAL] You too.