AccountId: 011433970860 ContactId: 23ad9d5f-5b8f-4a66-89df-b7a7e0e25b21 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 265420 ms Total Talk Time (AGENT): 80391 ms Total Talk Time (CUSTOMER): 57206 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/04/23ad9d5f-5b8f-4a66-89df-b7a7e0e25b21_20250304T15:01_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling on APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, I'm trying to obtain status on a client for a patient. [AGENT][NEUTRAL] OK, I can help you with claim status. Can I please get your name and your callback number? [CUSTOMER][NEUTRAL] Yes, uh, my name is [PII] The phone number is [PII]. [AGENT][NEUTRAL] Thank you, [PII]. And what's the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] It is for [PII]. The the birthday is [PII]. [CUSTOMER][NEUTRAL] And the ID number is 1702708. [AGENT][NEUTRAL] OK, let me pull up Miss [PII] real quick. [AGENT][NEUTRAL] OK thank you and what's the date of service and the charge amount? [CUSTOMER][NEUTRAL] Uh, it is for [PII]. The amount is $236. [AGENT][NEUTRAL] OK, and then what is the charges after the primary insurance paid their part? [CUSTOMER][NEUTRAL] $30 even. [AGENT][NEUTRAL] Thank you and can you please give me the name of the facility that you're calling from? [CUSTOMER][NEUTRAL] DMH physician associates. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold, Miss [PII], while I look up this claim for you, and I will be right back. [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] Thank you, ma'am. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Mm [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you, [PII] for holding for me. I have the claim for you. The claim number is 3505965. [CUSTOMER][POSITIVE] No problem [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The claim was denied because office visits are not covered under the patient's policy. [CUSTOMER][POSITIVE] Got you. [CUSTOMER][NEUTRAL] Uh, when was it the [PII]? [AGENT][NEUTRAL] Let me look that up real quick for you. [AGENT][NEUTRAL] We received the claim on [PII] and processed it on [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Alrighty and I'm so sorry, what was your name? [AGENT][NEUTRAL] It's [PII] [CUSTOMER][NEUTRAL] I'm so sorry you said S? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Oh my gosh, yeah, can I get a reference number? [AGENT][NEUTRAL] Yes ma'am, you can use my name and today's date. [CUSTOMER][POSITIVE] Alright thank you so much for your help. [AGENT][POSITIVE] You're very welcome you have a good day and thank you for calling APL. [CUSTOMER][POSITIVE] Alright thank you. [AGENT][POSITIVE] You're welcome. Bye bye. [CUSTOMER][NEUTRAL] Mhm bye bye