AccountId: 011433970860 ContactId: 0bbdc02c-7794-4bb0-a0c1-5554777a1430 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 156399 ms Total Talk Time (AGENT): 51983 ms Total Talk Time (CUSTOMER): 68640 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=1.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/22/0bbdc02c-7794-4bb0-a0c1-5554777a1430_20250422T15:53_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling American Public Life. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. Last name initial [PII]. I'm from provider's office and I'm looking for a claim denier reason. Can you please help me with that? [AGENT][NEUTRAL] Sure. Could I get a callback number, [PII]? [CUSTOMER][NEUTRAL] Callback number is [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And extension is [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Thank you. The policy number you're calling on? [CUSTOMER][NEUTRAL] The policy number is [CUSTOMER][NEUTRAL] 025 [CUSTOMER][NEUTRAL] 951-36. [AGENT][NEUTRAL] The patient's name and date of birth. [CUSTOMER][NEUTRAL] Patient name is. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. Date of birth [PII]. [AGENT][NEUTRAL] OK, thank you for verifying the information and you did say you were calling for claim status or a claim denial reason. What is the data service? [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Data services [PII]. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And the amount $180 even 180. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, I do show the claim, uh, received this claim denied. The policy does not cover lab test. [AGENT][NEUTRAL] Is there anything else I can help you with? [CUSTOMER][NEUTRAL] See um. [CUSTOMER][NEUTRAL] Policy does not cover the lab test. OK, so can you bill $30 to patient? [AGENT][NEUTRAL] That is up to the provider. We do not determine patient responsibility. [CUSTOMER][POSITIVE] Got it. No problem. Thank you. And can you please provide me claim number also? [AGENT][NEUTRAL] Yes, sir. The claim number is 3569519. [CUSTOMER][POSITIVE] Got it. Thank you so much for your help. And can I get call reference number, please? [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] To reference our call, you'll use my name, [PII] [AGENT][NEUTRAL] And today's date. [CUSTOMER][POSITIVE] Alright, thank you so much have a great day. [AGENT][POSITIVE] You're welcome. You have a wonderful day yourself and thank you for calling APL. Bye bye. [CUSTOMER][POSITIVE] Thank you.