AccountId: 011433970860 ContactId: 2bc12a95-dd64-4f19-8bab-d244f4d4037f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 263309 ms Total Talk Time (AGENT): 92526 ms Total Talk Time (CUSTOMER): 59467 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/03/2bc12a95-dd64-4f19-8bab-d244f4d4037f_20250603T17:51_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Good afternoon. So my name is [PII]. I'm calling from Holy Cross Hospital, trying to see if you received a claim um on a patient. [AGENT][NEUTRAL] OK, sure, I can assist you with claims, Miss [PII]. May I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Sure. [PII]. [AGENT][NEUTRAL] Thank you. And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Sure. That number is. [CUSTOMER][NEUTRAL] 01699697 ML 7 [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] May I have the name and date of birth of the patient? [CUSTOMER][NEUTRAL] [PII] No, [PII]. [AGENT][NEUTRAL] Thank you. And Miss [PII], may I have the date of service and the amount of the claim? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Sure, data services [PII]. Total charge was $1,4776. [AGENT][POSITIVE] Thank you, thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, let me pull this ERB one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] All right, we processed the claim on [PII]. [AGENT][NEUTRAL] And we send a benefit amount of 300 to the provider and it looks like that is the maximum per day benefit under this policy. [CUSTOMER][NEUTRAL] So the claim paid 300? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. Is there a claim number? [AGENT][NEUTRAL] Yes, um, the claim number is 3,604,660. [CUSTOMER][NEUTRAL] OK. And uh was that paid by check, single check? [AGENT][NEUTRAL] Mhm. It was a paper check, a single check. [AGENT][NEUTRAL] You need a check number. Mhm. The check number is 2046018. [CUSTOMER][NEUTRAL] And the check number? [CUSTOMER][NEUTRAL] And was it mailed to our Atlanta PO box? [AGENT][NEUTRAL] Um, let me check, um, let's see. [AGENT][NEUTRAL] [PII]. Mhm. [CUSTOMER][POSITIVE] Thank you so much and can I get a call reference number please? [AGENT][NEUTRAL] We don't have reference numbers. You can use my name in today's state if you will. Um, do you need the spelling of my name or any other information? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, that's [CUSTOMER][NEUTRAL] Yes the spelling of your name. [AGENT][NEUTRAL] All right. That's [PII]. [CUSTOMER][POSITIVE] Thank you so much for your help. [AGENT][POSITIVE] You're welcome and thank you for calling APL. Have a good day. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you.