AccountId: 011433970860 ContactId: 34400be9-a771-4b41-97dc-e4ce69cffc0b Channel: VOICE LanguageCode: en-US Total Conversation Duration: 261100 ms Total Talk Time (AGENT): 107872 ms Total Talk Time (CUSTOMER): 71538 ms Interruptions: 2 Overall Sentiment: AGENT=1.9, CUSTOMER=1.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/26/34400be9-a771-4b41-97dc-e4ce69cffc0b_20250226T13:06_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Good morning, [PII]. This is [PII]. How are you today? [AGENT][POSITIVE] I'm good, [PII]. How are you doing today? [CUSTOMER][POSITIVE] Good, thank you. Um, [PII], I need to check. I'm sorry, uh, glad that we're halfway through the week. [AGENT][POSITIVE] Good. [AGENT][NEUTRAL] Yeah. [AGENT][POSITIVE] Yes, ma'am. Well, how can I help you again today, [PII]? [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] I need to check status on the claim, please. [AGENT][NEUTRAL] OK, so you have one claim to check status on, is that correct? [CUSTOMER][POSITIVE] Yes, please. Yes. [AGENT][NEUTRAL] Ma'am, I can help you with that. And [PII], what is your callback number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you. And the member's policy number, please, [PII]. [CUSTOMER][NEUTRAL] Um, yes, the policy numbers, um. [CUSTOMER][NEUTRAL] Sorry, 0, let me see, 1871832 ML 8. [AGENT][NEUTRAL] OK, thank you. One moment, please. [AGENT][NEUTRAL] Hi [PII], any information that I do provide for you today would be a verification of benefits and not a guarantee of payment. What is your patient's name and date of birth? [CUSTOMER][NEUTRAL] Um, [PII], [PII]. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And the date of service and total bill amount for him, please. [CUSTOMER][NEUTRAL] Data service [PII] 24 in the amount of $632. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] So give me just a moment to look at just a couple of things, please. You're welcome. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] OK, [PII]. So the original claim was received on [PII]. [AGENT][NEUTRAL] It was processed on [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And give me just one second. [AGENT][NEUTRAL] And there was a benefit paid in the amount of $30. [AGENT][NEUTRAL] On this claim? [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And that was paid on single check. [AGENT][NEUTRAL] 2024679. [CUSTOMER][POSITIVE] Perfect. And um do you happen to have a claim number, [PII]? [AGENT][NEUTRAL] Yes, ma'am. 355-593-6. [CUSTOMER][NEUTRAL] OK. 3555-936. [AGENT][POSITIVE] That is correct. Yes, ma'am. Uh-huh. And then I believe. [CUSTOMER][POSITIVE] Thank you so much. [AGENT][NEUTRAL] Oh, you're welcome, and I believe you already have our portal website, [PII], for our portal in case you need the the [PII]. OK, I thought that you did, but um, I just wanted to make sure. OK. Well, is there anything else I can help you with? [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Uh, yeah, we do. [CUSTOMER][POSITIVE] Thank you so much, sweetheart. You have a great week. No, that would be it. Thank you so much and you have a wonderful day. [AGENT][POSITIVE] Yes, ma'am. I hope you do too, [PII], and thank you so much for calling APL. [CUSTOMER][POSITIVE] Thank you bye bye. [AGENT][NEUTRAL] I am. Bye-bye.