AccountId: 011433970860 ContactId: 3af89068-6949-4695-b67c-09334b96ce03 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 155360 ms Total Talk Time (AGENT): 53018 ms Total Talk Time (CUSTOMER): 63500 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/21/3af89068-6949-4695-b67c-09334b96ce03_20250521T16:15_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello ma'am. My name is [PII]. I'm calling from the provider's office to check on a claim status. [AGENT][POSITIVE] Hi, [PII]. Happy to check on a claim for you. What's the patient's policy number? [CUSTOMER][NEUTRAL] Yes ma'am. Give me one second. The patient's policy number would be 01480370 M as in Mike L as in Lima number 8. [AGENT][NEUTRAL] Thank you. And may I have the patient name and date of birth? [CUSTOMER][NEUTRAL] Yes, ma'am. Patient's first name is [PII], last name is [PII]. Date of birth would be on [PII]. [AGENT][NEUTRAL] All right, thank you. And then what is the date of service? [CUSTOMER][NEUTRAL] Yes ma'am. The data service would be on [PII]. [AGENT][NEUTRAL] In the Pelmo. [CUSTOMER][NEUTRAL] Ma'am, it would be $348 even. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] All right, thank you for that. So we did receive a claim for this state of service. Claim was received on [PII]. Claim was denied [PII]. Office visits are not covered under the member policy. [CUSTOMER][NEUTRAL] OK, I understand, ma'am. It's uh not uh. [CUSTOMER][NEUTRAL] Well, could you provide me with the claim number for this one, ma'am? [AGENT][NEUTRAL] And that would be 358-768-87. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 768-7. Thank you for that, ma'am. That would be it for today. Could you provide me a call reference number, ma'am? [AGENT][NEUTRAL] Call references my name with my last initial and today's date. My name again is [PII], that's [PII] Last initial is [PII]. [AGENT][NEUTRAL] And then today's date. [CUSTOMER][POSITIVE] OK, thank you, ma'am and I really hope you have a great day ahead. [AGENT][NEUTRAL] You as well bye. [CUSTOMER][NEUTRAL] So [CUSTOMER][NEUTRAL] So