AccountId: 011433970860 ContactId: 10cb0933-2a21-4c7f-b8d8-094f79bc2136 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 220929 ms Total Talk Time (AGENT): 71221 ms Total Talk Time (CUSTOMER): 96653 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/30/10cb0933-2a21-4c7f-b8d8-094f79bc2136_20250530T13:43_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] For calling American Public Life, this is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII]. My name is [PII] calling from provider's office. [CUSTOMER][NEUTRAL] I need a claim status. [AGENT][POSITIVE] OK, I can help you with that. Can I get a callback number for you, [PII]? [CUSTOMER][NEUTRAL] Sure. My callback number is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] OK, thank you. Can I get the policy number you're calling on? [CUSTOMER][NEUTRAL] Sure. The policy number is 01822967 M as in Mike L as in Lima 8. [AGENT][NEUTRAL] The patient's name and date of birth? [CUSTOMER][NEUTRAL] Number 8. [CUSTOMER][NEUTRAL] Uh, patient name is [PII]. [CUSTOMER][NEUTRAL] And before we begin I would like to let you know that this call is being recorded for quality and training purposes. [AGENT][NEUTRAL] OK. Could I get the date of birth for the patient, please? [CUSTOMER][NEUTRAL] You [CUSTOMER][NEUTRAL] Date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you so much for verifying the account and you did say status. What is the date of service you're checking? [CUSTOMER][NEUTRAL] Yeah, date of service is [PII]. [AGENT][NEUTRAL] OK, I do not show we have a claim on file for [PII]. [CUSTOMER][NEUTRAL] Uh, this claim is, uh, paid from primary and, uh, claim, uh, sent to you yesterday only. [CUSTOMER][NEUTRAL] By paper. [AGENT][NEUTRAL] You said yesterday? [CUSTOMER][NEUTRAL] Yeah, primary shared you the claim via paper on yesterday. [AGENT][NEUTRAL] OK, if it was just sent on yesterday, it wouldn't be in our system. [CUSTOMER][NEUTRAL] OK, so may I know uh what would be the turnaround time and uh when it will reflect in your system? [AGENT][NEUTRAL] How was the, the claim sent? Was it mailed? [CUSTOMER][NEUTRAL] Via paper. [AGENT][NEUTRAL] Electronically. [CUSTOMER][NEUTRAL] Paper claim bill. [CUSTOMER][NEUTRAL] Uh, yeah, I guess electronically. [AGENT][NEUTRAL] OK, and what, what payer, OK, OK. [CUSTOMER][NEUTRAL] Let me check, OK? [CUSTOMER][NEUTRAL] Please allow me a minute. [CUSTOMER][NEUTRAL] Uh, the claim bill via paper claim, uh, via paper through paper claim and, uh, via mailing address. [AGENT][NEUTRAL] So it was mailed on yesterday. [CUSTOMER][NEUTRAL] Yes, they mailed on yesterday. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. So the mail is gonna take, I would say, call back in a week just to make sure it's received. [AGENT][NEUTRAL] I mean, by mail, it's gonna take a few days to come by mail. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, no problem. Thank you so much for helping me with this information. May I know your name? [AGENT][NEUTRAL] My name is [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][POSITIVE] Thank you so much, [PII]. Can you please help me with the call reference number? [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] Yes, to reference our call, you'll use my name and today's date. [CUSTOMER][POSITIVE] Today is right. Thank you so much, [PII]. [AGENT][POSITIVE] You're welcome. Have a wonderful day. [CUSTOMER][POSITIVE] Have a nice day. Bye-bye. [AGENT][POSITIVE] Thank you for calling APL bye bye.