AccountId: 011433970860 ContactId: 2683a21c-e61a-4616-9b76-7be15d31144a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 266220 ms Total Talk Time (AGENT): 67741 ms Total Talk Time (CUSTOMER): 117572 ms Interruptions: 3 Overall Sentiment: AGENT=0.2, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/15/2683a21c-e61a-4616-9b76-7be15d31144a_20250515T18:07_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hey, hi, this is [PII]. I'm calling from provider's office uhhukoni claim status. [AGENT][NEUTRAL] Hey Ma, I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] Uh, sure. My callback number is [PII]. [AGENT][NEUTRAL] OK, thank you. And you have the policy number for the patient? [CUSTOMER][NEUTRAL] Uh yeah [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Sure. Uh, the policy number is 02404596 M as in Mike L as in Lima 8. [CUSTOMER][NEUTRAL] 4009837. [AGENT][NEUTRAL] And patient name and date of birth? [CUSTOMER][NEUTRAL] Patient's first name is [PII] and the last name is um [CUSTOMER][NEUTRAL] [PII]. Patient's date of birth is [PII]. [AGENT][NEUTRAL] And date of service and bill charges? [CUSTOMER][NEUTRAL] The date of service was um [CUSTOMER][NEUTRAL] [PII] and the bill amount was $542 even. [AGENT][NEUTRAL] No, we received the claim 42-2025. It was processed 44-2025. [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] And [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Oh yes, it's [PII] I'm sorry. [AGENT][NEUTRAL] Um, office visits are not covered on the policy. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It's not covered, right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. What's the. [CUSTOMER][NEUTRAL] And uh patient have any uh like uh [CUSTOMER][NEUTRAL] As for the insurance. [CUSTOMER][NEUTRAL] OK. Uh, what is the plan name? [CUSTOMER][NEUTRAL] The claim was pending from valet to for it. [AGENT][NEUTRAL] Uh, plan name is. [AGENT][NEUTRAL] Excuse me. [CUSTOMER][NEUTRAL] They have. [AGENT][NEUTRAL] That's Medlink, S as in Sierra, F as in Frank, M as in Mary. [CUSTOMER][NEUTRAL] Mm. It is. [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] Medlink SFM. [CUSTOMER][NEUTRAL] I'm sorry, it's 2024. [CUSTOMER][NEUTRAL] Uh, before the SSM, what you said, I didn't understand. [AGENT][NEUTRAL] That's Medlink. It's M as in Mary, E as in Echo, D as in Delta, L as in Lima, I as in India, N as in November, K as in kite. [CUSTOMER][NEUTRAL] Hm. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Merli SSM. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. Uh, can you please, uh, hold on a minute? [AGENT][NEUTRAL] I'm sorry? [AGENT][NEUTRAL] Hey there, I, I didn't hear you. I'm sorry. [AGENT][NEUTRAL] Hello. [AGENT][NEUTRAL] Hello? [AGENT][NEUTRAL] Hello, can you hear me? [CUSTOMER][NEUTRAL] Yes, uh, uh, I'm here. [AGENT][NEUTRAL] OK. Uh, what was the question? [CUSTOMER][NEUTRAL] OK, you have claim number? [AGENT][NEUTRAL] Claim number is [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] Yes, can you hear me? [CUSTOMER][NEUTRAL] Hm. [AGENT][NEUTRAL] It's 358 [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] 5393. [CUSTOMER][NEUTRAL] Hm? [CUSTOMER][NEUTRAL] [PII]. Can you please uh spell out your name for me? [AGENT][NEUTRAL] It's [PII], it's [PII] [CUSTOMER][POSITIVE] OK. Uh thank you, [PII]. Thanks for the [CUSTOMER][POSITIVE] Patiently assisting me. Have a good day. Take care. Bye. [AGENT][POSITIVE] Thank you for calling APL. You too. Bye-bye.