AccountId: 011433970860 ContactId: 2788daf9-71a8-41e8-9bf4-eeb03d276886 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 309839 ms Total Talk Time (AGENT): 94413 ms Total Talk Time (CUSTOMER): 67199 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/10/2788daf9-71a8-41e8-9bf4-eeb03d276886_20250210T15:59_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi, uh, my name is [PII] from provider office, um, checking on a claim. [AGENT][NEUTRAL] OK, I can verify claim status for you and [PII], what is that policy number, please? [CUSTOMER][NEUTRAL] Yes, the policy number is 02027756 M as in Mary, L as in Lima 8. [AGENT][NEUTRAL] OK, thank you. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Yeah, it's [PII]. [AGENT][NEUTRAL] OK, thank you. And verify the patient's name, date of birth. [CUSTOMER][NEUTRAL] Yeah, the patient is uh [PII]. [CUSTOMER][NEUTRAL] Date of birth [PII]. [AGENT][NEUTRAL] OK, thank you. And you say you're calling for a claim status for her, is that correct? [CUSTOMER][NEUTRAL] Uh yes. [AGENT][NEUTRAL] OK, and what was that date of service and amount of the charge? [CUSTOMER][NEUTRAL] It's [PII] for $415. [AGENT][NEUTRAL] OK, one moment. [AGENT][NEUTRAL] I do not show we received that claim and that policy number you gave had terminated, so I'll give you the current policy number when you're ready. [CUSTOMER][NEUTRAL] Give me a second. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, what's your name? [AGENT][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] So the, the policy number which I gave you was terminated on this date, [PII]. [AGENT][NEUTRAL] No, it terminated on [PII], and as I said, I can give you the current policy number when you're ready. [CUSTOMER][NEUTRAL] OK, give me that. [AGENT][NEUTRAL] OK, it is. [AGENT][NEUTRAL] 2481557. [CUSTOMER][NEUTRAL] That's it. So 248-1557. [AGENT][NEUTRAL] Correct. Effective [PII] and the policy is active. [CUSTOMER][NEUTRAL] So you guys also want to check like uh you guys uh [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] Um, cover the member deductible? [AGENT][NEUTRAL] Well, this is a secondary policy helps with primary insurance deductible, co-pay or co-insurance for coverage services. [CUSTOMER][NEUTRAL] And where we need to send the claim? [AGENT][NEUTRAL] Uh, mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Give me a sec. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Uh, do you have a reference number? [AGENT][NEUTRAL] Uh, no, sir. We don't give reference numbers. You may use my name in today's date. And is there anything else I can assist you with today? [CUSTOMER][POSITIVE] Oh no, that's it. Thank you so much. I appreciate. [AGENT][POSITIVE] You're welcome. Thank you for calling APL. Have a great day. [CUSTOMER][NEUTRAL] What is your [AGENT][NEUTRAL] I'm sorry?