AccountId: 011433970860 ContactId: 2d8cb416-5335-4ae9-852a-0339c89b96b2 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 266850 ms Total Talk Time (AGENT): 107934 ms Total Talk Time (CUSTOMER): 58182 ms Interruptions: 2 Overall Sentiment: AGENT=1.3, CUSTOMER=1.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/21/2d8cb416-5335-4ae9-852a-0339c89b96b2_20250421T12:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] And thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Good morning [PII]. My name is [PII]. I'm calling from a provider's office for claim status please. [AGENT][NEUTRAL] OK, so you're needing to check claim status, is that correct? [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] Yes ma'am, I can help you with that. And [PII], what is your callback number, please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you and the member's policy number please. [CUSTOMER][NEUTRAL] That would be 02477. [AGENT][NEUTRAL] Hi, [PII]? [CUSTOMER][NEUTRAL] Hello, can you hear me? [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] I can. [AGENT][NEUTRAL] Yes, ma'am, I can hear you. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, that would be 02477114. [AGENT][NEUTRAL] OK, [PII], thank you. Give me a moment please to get the uh member's information. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Hold on. [AGENT][NEUTRAL] And any information, [PII] that I do provide would be a verification of benefits and not a guarantee of payment. What is your patient's name and their date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And what is the date of service and total bill amount for him, please? [CUSTOMER][NEUTRAL] [PII] and the amount of $1800 even. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] Oh, you're welcome. [AGENT][NEUTRAL] OK, so I do show that this claim was received on [PII]. [AGENT][NEUTRAL] It was [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Assessed on [PII]. [CUSTOMER][NEUTRAL] Hello [PII], I lost you. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Can you hear me? [CUSTOMER][NEUTRAL] Yes, now I can hear you again, mhm. [AGENT][NEUTRAL] So there was a benefit paid in the amount of $1100 OK, 1,0001. [AGENT][NEUTRAL] $123.70. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And do you need the check number? [CUSTOMER][POSITIVE] Yes please. [AGENT][NEUTRAL] 2039763. [CUSTOMER][POSITIVE] OK, [PII], thank you very much. [AGENT][NEUTRAL] And if you need a copy of this explanation of it, you're welcome. You will be receiving one with the check. However, we do have a portal that you could print out from, [PII], and the website for the portal is located at [PII]. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Oh OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII] ending in [PII] correct. [PII] OK. [AGENT][NEUTRAL] [PII]. Yes, ma'am. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Got it, got it. OK, thank you again, [PII] thank you. [AGENT][NEUTRAL] Uh-huh. All right. Well, you're welcome. And can I help you with anything else this morning? [CUSTOMER][POSITIVE] That will be all. Have a great day. [AGENT][POSITIVE] Uh, I hope you have a great day too, [PII], and thank you again for calling APL. [CUSTOMER][NEUTRAL] Bye bye. [AGENT][NEUTRAL] Bye-bye.