AccountId: 011433970860 ContactId: 2ffb97ed-4cf1-4e47-885b-c242be8332e7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 287299 ms Total Talk Time (AGENT): 78182 ms Total Talk Time (CUSTOMER): 74628 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/02/2ffb97ed-4cf1-4e47-885b-c242be8332e7_20250402T16:44_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hey, my name is [PII]. I'm calling from provider office. and I'm looking for the status of claims. So would you be able to help me? [AGENT][NEUTRAL] So [AGENT][NEUTRAL] Yes, I can help with claim status, [PII]. Do you have a good callback number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] And policy number of the patient? [CUSTOMER][NEUTRAL] Uh sorry? [AGENT][NEUTRAL] Oh [AGENT][NEUTRAL] The policy number of the patient? [CUSTOMER][NEUTRAL] OK. Member ID is F as in Frank, E as in Echo, 840,204,820. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Um, that's not one of our numbers. Do you have the, uh, last name of the patient? [CUSTOMER][NEUTRAL] Uh, what, uh, what do you want? [AGENT][NEGATIVE] That number didn't work. That's not one of our numbers. Our numbers don't start with two letters. [AGENT][NEUTRAL] So it's just strictly numbers um do you have the last name or the social? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Last name is [PII] [AGENT][NEUTRAL] OK, I'm pulling that up. What's the first name? [CUSTOMER][NEUTRAL] Uh first name is [PII] [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] OK, I'm pulling that up, see if I have this on file. Hold on one moment. [AGENT][NEUTRAL] Um, [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] What kind of plan does she have? Do you know? I've got a lot of Patricia's in here. [AGENT][NEUTRAL] So, [CUSTOMER][NEUTRAL] So medical claim and uh [CUSTOMER][NEUTRAL] Perha [CUSTOMER][NEUTRAL] So are you able to find any details for this member? [AGENT][NEUTRAL] I have, I have several [PII]'s, like dozens. [AGENT][NEUTRAL] So do you have a social security number? [CUSTOMER][NEUTRAL] Social Security full social security number or 4 digits? [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] You want entire social security number? [AGENT][NEUTRAL] Yes, the social security number. [CUSTOMER][NEUTRAL] It is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, let me see if that pulls her up. [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Actually, for this member, like we have submitted a bill and it was a PO Box 6012. [CUSTOMER][NEUTRAL] Uh, Ridgeland MS 391586012. [AGENT][NEUTRAL] Um, that's not our PO box. [AGENT][NEUTRAL] And I'm not pulling up under that social. Do you have a group number? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] 840. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Yeah, I don't show any um members under this policy. Looks like. [AGENT][NEUTRAL] This lapsed in [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. Uh, no issues. Can you please confirm your name? [AGENT][NEUTRAL] Uh, my name is [PII]. [CUSTOMER][NEUTRAL] [PII], OK. [CUSTOMER][POSITIVE] OK, definitely I think that's all from my side and thank you so much for assisting me. [AGENT][POSITIVE] OK, thanks for calling APL have a good day. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Bye.