AccountId: 011433970860 ContactId: 063f963f-efc5-4f5e-9522-cc9791bfeadb Channel: VOICE LanguageCode: en-US Total Conversation Duration: 234100 ms Total Talk Time (AGENT): 52588 ms Total Talk Time (CUSTOMER): 83281 ms Interruptions: 0 Overall Sentiment: AGENT=0.3, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/10/063f963f-efc5-4f5e-9522-cc9791bfeadb_20250610T20:34_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I'm [PII] calling from the provider's office to check on a claim status. [AGENT][NEUTRAL] Hey [PII], I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] Yes, ma'am. It is [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you. And the policy number for the patient? [CUSTOMER][NEUTRAL] It is 02450365. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] Patient name and date of birth? [CUSTOMER][NEUTRAL] Uh, the first name is, I spell it it's [PII] and the last name is [PII]. [CUSTOMER][NEUTRAL] Date of birth is [PII]. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] Data service and bill charges. [CUSTOMER][NEUTRAL] Uh, just a moment. [CUSTOMER][NEUTRAL] Date of service is uh [PII] and it's up to [PII]. [CUSTOMER][NEUTRAL] And the bill charge [CUSTOMER][NEUTRAL] $19,753 even. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] It looks like we don't have that claim on file. Can you resubmit? [CUSTOMER][NEUTRAL] Uh yes, ma'am. Could you please provide me the payment ID? [AGENT][NEUTRAL] ID is 0801. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] That's [CUSTOMER][NEUTRAL] It is 0801. [AGENT][NEUTRAL] 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Could you please provide me the claim mailing address? [AGENT][NEUTRAL] My mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Thank you so much, ma'am. Could you please provide me the timely filing limit? [AGENT][NEGATIVE] There's no timely filing limit. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] May I know the plan type? [AGENT][NEUTRAL] It's a secondary policy. [CUSTOMER][NEUTRAL] Uh, it is supplemental policy. [AGENT][NEUTRAL] Yes, a supplemental secondary policy, yes. [CUSTOMER][NEUTRAL] Yeah, [CUSTOMER][NEUTRAL] May I know the effective date and term we of the member's plan? [AGENT][NEUTRAL] effective date is [PII]. There's no term date, it's active. [CUSTOMER][NEUTRAL] May I know the group number? [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Number 261-88. [CUSTOMER][POSITIVE] Thank you so much. May I know the, uh, one moment. [CUSTOMER][POSITIVE] Yes, ma'am. Thank you so much. Lastly, could you please provide me your call reference number? [AGENT][NEUTRAL] The reference number is my name is [PII], and today's date. [CUSTOMER][POSITIVE] Yes, ma'am. Thank you so much for your assistance and have a great day. Thank you. [AGENT][POSITIVE] Thanks for calling APL you as well. [CUSTOMER][NEUTRAL] Uh