AccountId: 011433970860 ContactId: 3162d759-d57f-41cb-a8c3-bbccac99e71b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 220250 ms Total Talk Time (AGENT): 88862 ms Total Talk Time (CUSTOMER): 69543 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/13/3162d759-d57f-41cb-a8c3-bbccac99e71b_20250613T18:10_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] and I'm calling from the medical provider needing to verify receipt of a claim submitted, please. [AGENT][NEUTRAL] OK, I can check on the claim for you and [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, my direct line is area code [PII]. [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] Yes, that policy ID it is 1462939. [AGENT][POSITIVE] Thank you hold on. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] First name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And may I have the date of service and total bill for the claim? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes, the data service is [PII]. This is a total bill for the amount of, oh, let me go back. I'm sorry, one second, 3 $3,912. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Alright, so the claims just came up. I'm just waiting for them now. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Alright, so I'm showing the claim was received on [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And I'm sorry, can you verify the name of the provider's office on the claim? [CUSTOMER][NEUTRAL] Yes, Norman Regional Hospital. [AGENT][NEUTRAL] Thank you. Um, and the claim number is 359. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 69 [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 36 [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And on [PII], the claim, um, we paid out on the claim to the provider, a total of $408.12. [CUSTOMER][NEUTRAL] OK, 408-12 paid OK. [AGENT][NEUTRAL] And did you need the check information or anything? [CUSTOMER][POSITIVE] Yes please. [AGENT][NEUTRAL] OK, hold on one moment. [CUSTOMER][NEUTRAL] And if it's a single payment. [AGENT][NEUTRAL] Yes, it was a single check, um, in the amount of 40812, um, check number 204. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 2418. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It was issued on May. [CUSTOMER][NEUTRAL] And check date? [CUSTOMER][NEGATIVE] Oh sorry. [AGENT][NEUTRAL] It was [AGENT][NEUTRAL] It was issued on [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And it cleared on [PII]? [CUSTOMER][NEUTRAL] Alright [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Alright, I will check for receipt of that payment. May I have a call reference number? [AGENT][NEUTRAL] Sure, so there's no call reference number, but you can use my name and today's date. The first initial to my last name is [PII]. [CUSTOMER][POSITIVE] OK, alright, [PII], thank you so much for verifying. I do appreciate your help thank you. [AGENT][NEUTRAL] You're welcome, [PII]. Was there anything else I can assist you with? [CUSTOMER][NEUTRAL] That's it for now. [AGENT][POSITIVE] Alright, thanks for calling APL. I hope you have a great day. [CUSTOMER][NEUTRAL] Same to you bye bye. [AGENT][POSITIVE] Thank you bye bye.