AccountId: 011433970860 ContactId: 31be0fe2-90cb-4f95-b97e-dcad7065e282 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 252029 ms Total Talk Time (AGENT): 71270 ms Total Talk Time (CUSTOMER): 150999 ms Interruptions: 3 Overall Sentiment: AGENT=0.4, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/12/31be0fe2-90cb-4f95-b97e-dcad7065e282_20250312T14:44_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yeah, hi, my name is [PII]. My last initial is [PII], calling for claim status. [AGENT][NEUTRAL] I can help you [PII] what's the policy number and a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] It that. [CUSTOMER][NEUTRAL] Can help me like what's the policy number and I needed. The policy number is 023893887. The response but uh we didn't receive the response for this day. That's why I called. [AGENT][NEUTRAL] The callback number? [CUSTOMER][NEUTRAL] [PII]. It's a direct line. The patient's name is [PII]. Date of birth [PII]. [AGENT][NEUTRAL] OK, thank you. And what is the patient's name and date of birth? [AGENT][NEUTRAL] Thank you for verifying that information, [PII] and you said that you're checking on claim status? [CUSTOMER][NEUTRAL] like you said if you're checking on status. Yes, correct. [AGENT][NEUTRAL] If you can verify the date of service and the total charge we can assist. [CUSTOMER][NEUTRAL] The date of service is [PII], and the total charges is $137 even. [AGENT][POSITIVE] Thank you, one moment. [CUSTOMER][NEUTRAL] the [CUSTOMER][POSITIVE] totally [AGENT][NEUTRAL] You said [PII]? [CUSTOMER][POSITIVE] Yes, correct. [AGENT][NEUTRAL] And the patient is [PII]? [CUSTOMER][POSITIVE] Miss [PII]. Yes, correct. [AGENT][NEUTRAL] I'm not showing a date of service of [PII] on file for [PII]. [CUSTOMER][NEUTRAL] the service of [PII]. OK, may I get the claims mailing address and timely filing limit. [AGENT][NEUTRAL] There's no timely filing limit to submit a claim. The claim's mailing address is [PII]. [CUSTOMER][NEUTRAL] No we like we could just submit a blank. [AGENT][NEUTRAL] 950. [CUSTOMER][NEUTRAL] He [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] The city of [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] 34-8950. [CUSTOMER][NEUTRAL] And may I get the payer ID? [AGENT][NEUTRAL] 60801. [CUSTOMER][NEUTRAL] And what's the uh time uh. [CUSTOMER][NEUTRAL] Member policy effective date and date. [AGENT][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] OK, could you please spell out your name for me at the part of the number. [AGENT][NEUTRAL] And did you need any other information other than the effective in term? [CUSTOMER][NEUTRAL] And did you need any other information other than the effect of the term, uh, sorry, uh, will you repeat me the pay ID one more time? [AGENT][NEUTRAL] 60801. [CUSTOMER][NEUTRAL] 0801. [CUSTOMER][NEUTRAL] And the zip code is [PII]- after that? [AGENT][NEUTRAL] 8950. [CUSTOMER][NEUTRAL] 970. Got it. And I need only the policy effective date. [AGENT][NEUTRAL] OK, I'm getting there give me one moment. [CUSTOMER][NEUTRAL] Getting there, give me one moment. [CUSTOMER][NEUTRAL] I also need the call reference number for our conversation. [AGENT][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] I know it's OK. [CUSTOMER][NEUTRAL] That not nobody. [CUSTOMER][POSITIVE] So the date is [PII]. Currently the policy is active. May I know your name, please? Thank you so much and have a nice day. [AGENT][NEUTRAL] And so the policy effective date is [PII]. Currently the policy is active and you'll use my name in today's date as reference for today's call. [PII] last [PII]. [AGENT][POSITIVE] You're welcome. Thanks for calling APLi. Have a good day as well. [CUSTOMER][POSITIVE] Yeah have a good day as well.