AccountId: 011433970860 ContactId: 28614aee-381f-4c6c-869e-0389d9549056 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 192729 ms Total Talk Time (AGENT): 68939 ms Total Talk Time (CUSTOMER): 71924 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/30/28614aee-381f-4c6c-869e-0389d9549056_20250130T16:57_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Uh, hi [PII]. My name is [PII], and I'm calling with the Children's Hospital of Philadelphia for one of our members, um. [CUSTOMER][NEUTRAL] I'm calling because you are listed as a secondary. I wanted to verify coverage and to see where to submit initial claim. [AGENT][NEUTRAL] OK, do you have a phone number I can get in case we get disconnected I can call you back? [CUSTOMER][NEUTRAL] Sure, [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] OK, and extension. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] Yes, it is listed as 021. [CUSTOMER][NEUTRAL] 44068 [AGENT][NEUTRAL] Thank you, [PII]. Hold on one moment, please. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] And what's the patient's name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And her date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you, [PII]. And you were needing. [AGENT][NEUTRAL] Had questions on the policy. [CUSTOMER][NEUTRAL] Uh, yes, ma'am. Uh, her, um, was she effective on [PII]? [AGENT][NEUTRAL] OK, I can look that up for you. Yes, ma'am. The policy was effective [PII]. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] What is your timely filing for initial claims? [AGENT][NEGATIVE] We do not have timely filing. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And where would we submit uh or how to submit claims you guys? [AGENT][NEUTRAL] We have a portal online service center that you can upload it to, or you can mail it to PO Box. [CUSTOMER][NEUTRAL] That. [AGENT][NEUTRAL] 248. [AGENT][NEUTRAL] 950. [AGENT][NEUTRAL] Oklahoma City. [AGENT][NEUTRAL] Oklahoma [AGENT][NEUTRAL] [PII] 1 24. [AGENT][NEUTRAL] Or you can fax it. [CUSTOMER][NEUTRAL] Bye [AGENT][NEUTRAL] To 877. [AGENT][NEUTRAL] 3659423. [CUSTOMER][NEUTRAL] Alright, I appreciate that information, Ms. [PII]. Um, would there be a reference number for our call today? [AGENT][NEUTRAL] We do not have reference numbers. You can use my name in today's date. [CUSTOMER][POSITIVE] Alright, I appreciate that. Thank you so much. [AGENT][POSITIVE] Thank you, [PII] for calling APL. You have a good day. [CUSTOMER][POSITIVE] Alright you too thanks. [AGENT][POSITIVE] Thank you. Bye-bye. [CUSTOMER][NEUTRAL] Yeah.