AccountId: 011433970860 ContactId: 34aeb8d4-4213-4de0-8d41-e70716e009b5 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 261399 ms Total Talk Time (AGENT): 91579 ms Total Talk Time (CUSTOMER): 105980 ms Interruptions: 2 Overall Sentiment: AGENT=0.3, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/17/34aeb8d4-4213-4de0-8d41-e70716e009b5_20250317T15:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Lives. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] OK, sure, this is [PII] from provider office. I was checking on claim. [AGENT][NEUTRAL] OK, can I get a callback number? [CUSTOMER][NEUTRAL] [PII] direct line. [AGENT][NEUTRAL] Thank you. And what is the policy number you're calling on? [CUSTOMER][NEUTRAL] D 46802147. [AGENT][NEUTRAL] OK, that's not one of our policy numbers. Do you have the social for the patient? [CUSTOMER][NEUTRAL] No, I'm calling from the member insurance card. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Number [AGENT][NEUTRAL] OK, what is the last name? [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] OK, the member name is. [CUSTOMER][NEUTRAL] Last name [PII] [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII] First name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Are you saying [PII]? [CUSTOMER][NEUTRAL] Yeah, [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And you said the last name is spelled [PII]? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] This [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. Is there a member ID on the card? Because I'm not pulling the patient by name. [CUSTOMER][NEUTRAL] Yeah, the member ID on the card is ID policy number is 02. [CUSTOMER][NEUTRAL] 571782 [AGENT][NEUTRAL] Patients first and last name. [CUSTOMER][NEUTRAL] The patient name I provided you, it is [PII]. [AGENT][NEUTRAL] OK, date of birth? [CUSTOMER][NEUTRAL] And date of birth [PII]. [AGENT][POSITIVE] OK, thank you so much for verifying the policy and you did say you were calling for status today? [CUSTOMER][NEUTRAL] Yeah, I'm calling for claim status and can you spell your name? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] [PII] And what is the date of service you're checking? [CUSTOMER][NEUTRAL] You right. [CUSTOMER][NEUTRAL] I'm looking for the date of service [PII] charge amount 707. [CUSTOMER][NEUTRAL] I know. [AGENT][NEUTRAL] OK, I do not show we have any claims on file for data service [PII]. Is there anything else I can help you with? [CUSTOMER][NEUTRAL] OK, let me check. [CUSTOMER][NEUTRAL] Uh, what will be the address? [AGENT][NEUTRAL] Mailing address for claims is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] And what about the payer ID? [AGENT][NEUTRAL] Payer ID is 64556. [CUSTOMER][NEUTRAL] 605-56. And what is the time the filing? [AGENT][NEUTRAL] There is no timely filing for the policy? [CUSTOMER][NEUTRAL] And what is the member effective date? [AGENT][NEUTRAL] Hold one moment. [CUSTOMER][NEUTRAL] you [AGENT][NEUTRAL] I show the policy has been effective since [PII]. It is still active. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK, and what about the call reference number? [AGENT][NEUTRAL] To reference the call, you'll use my name and today's date. [CUSTOMER][NEUTRAL] What is the initial? [CUSTOMER][NEUTRAL] What is the initial? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK, fine. So thank you for helping me. You have a great day. [AGENT][POSITIVE] You're welcome. You have a wonderful day. Thank you for calling APL. Bye bye. [CUSTOMER][NEUTRAL] You too bye bye.