AccountId: 011433970860 ContactId: 462a77e0-26fd-48be-a33c-c5974643b90d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 374410 ms Total Talk Time (AGENT): 98691 ms Total Talk Time (CUSTOMER): 201758 ms Interruptions: 1 Overall Sentiment: AGENT=1, CUSTOMER=-0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/11/462a77e0-26fd-48be-a33c-c5974643b90d_20250211T18:47_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling API. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Oh yes, what's your name again? I'm sorry? [AGENT][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] How are you? [AGENT][POSITIVE] I'm good. How are you? [CUSTOMER][NEUTRAL] Dude, this is [PII]. I just noticed that there's um actually [CUSTOMER][NEUTRAL] I uh uh bills for services that were done to my wife. [CUSTOMER][NEUTRAL] That the share or something, pay something, and we still had to pay. [CUSTOMER][NEGATIVE] $600 and I think you received that, but it, it wasn't, wasn't paid. [CUSTOMER][NEUTRAL] Um, I just submitted. [CUSTOMER][NEUTRAL] The confirmation number. [CUSTOMER][NEUTRAL] OSC 93279 [AGENT][NEUTRAL] OK. Yes, sir. I can look that up for you. Um, first, could I get your name again and a good callback number just in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, it's [PII]. [CUSTOMER][NEUTRAL] [PII] is my cell phone. [CUSTOMER][NEUTRAL] Or at work. [CUSTOMER][NEUTRAL] You want the the work number just in case? [AGENT][NEUTRAL] Mhm. [AGENT][POSITIVE] Yeah, that's fine. Thank you. [CUSTOMER][NEUTRAL] [PII]. OK, you don't want it? [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I repeat [PII]. [AGENT][NEUTRAL] Yes, well, [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, got it. [CUSTOMER][NEUTRAL] Basic. Mhm. [AGENT][NEUTRAL] And now I need your policy number, please. [CUSTOMER][NEUTRAL] Policy number 2152694. [CUSTOMER][NEUTRAL] And this is a service done in [PII]. [CUSTOMER][NEUTRAL] Last year. [AGENT][NEUTRAL] And please verify your date of birth and your mailing address. [CUSTOMER][NEUTRAL] Yeah, it's uh [PII]. [CUSTOMER][NEUTRAL] [PII], although the service was for my for my wife. [CUSTOMER][NEUTRAL] And um mailing address [PII]. [AGENT][NEUTRAL] OK, and verify your email address to make sure we have the correct one on file. [CUSTOMER][NEUTRAL] Uh, you got the [PII]? [AGENT][NEUTRAL] Yes, sir. That's the one we're showing. [AGENT][NEUTRAL] OK, and what's the date of service on the claim you're calling about? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, let's see. [CUSTOMER][NEUTRAL] And they get submitted the paperwork. [CUSTOMER][NEUTRAL] The explanation or confirmation or explanation of benefits I don't know. [CUSTOMER][NEUTRAL] And I submitted the, the original bill that you actually paid only 5628. [CUSTOMER][NEUTRAL] And a copy of a of of another bill. [AGENT][NEUTRAL] OK. Yes, sir. I do, yes, sir. I do show the documentation that you submitted today and it's actually in line to be processed. Um, we just ask that you allow 5 to 7 business days for processing. So you can go online and check the status or give us a call back to check on the status of it. But I do show that we have received it and it's in line to be processed. [CUSTOMER][NEUTRAL] You very. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Yeah, but I want. [CUSTOMER][NEUTRAL] Right, and I wanted to put a note there, but I can't. I just submitted this paper. I wanted to put a note that says. [CUSTOMER][NEUTRAL] I don't know if I should send it via email again, but [CUSTOMER][NEUTRAL] That we already paid $600. [CUSTOMER][NEUTRAL] And we get an additional $110 that I have to be paid. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEGATIVE] You already actually was submitted before and you, you guys pay $56 only $56.28 dollars. [CUSTOMER][NEUTRAL] I don't know if I'm the same date. I know this is a different date on the same bill. I'm sorry, the density, the bone density. [CUSTOMER][NEUTRAL] Oh, OK, OK. [AGENT][NEUTRAL] Yeah, because I'm not showing. [CUSTOMER][NEUTRAL] It's just that the radios on the on the same bill they they um [CUSTOMER][NEUTRAL] Well, the one from [PII]. [CUSTOMER][NEUTRAL] My insurance paid. [CUSTOMER][NEUTRAL] An amount and you pay the difference. [CUSTOMER][NEUTRAL] But it was on the same bill. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] For other services. [CUSTOMER][NEUTRAL] They were done in [PII]. [CUSTOMER][NEUTRAL] So I don't know where Ra is the, the imaging. [AGENT][NEUTRAL] OK, so. [CUSTOMER][NEUTRAL] Say so but I wanna make sure if you can put a note that we actually already paid $600 and also we paid our out of our pocket and also that uh the, the new bill for $110. [CUSTOMER][NEUTRAL] For additional material that I have to use, apparently I just talk to them. [AGENT][NEUTRAL] OK. Actually, I'm not able, I'm not able to add notes to it because um I'm not the one working on it and like I said, we'd have to allow 5 to 7 business days, but you can add that note and resubmit it. [CUSTOMER][NEUTRAL] How can I put [CUSTOMER][NEUTRAL] Uh, [AGENT][NEUTRAL] If you would like to do that. [CUSTOMER][NEUTRAL] I, how can I do? I what? [AGENT][NEUTRAL] Um, you can add the note that you um just suggested that you wanted me to add to it. Add that same note to the documentation and resubmit it. [CUSTOMER][NEUTRAL] Oh, it's oh, added the note on the documentation that I'm scanning. OK. What about if I send an email with that? [AGENT][NEUTRAL] Right. [AGENT][NEUTRAL] No, we can't take it through email anymore because of the HIPAA. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] OK, alright, let me see if I can do it that way. So put the note on the attachments that I documenting. OK, alright. [AGENT][NEUTRAL] Yes, sir. [AGENT][NEUTRAL] OK. Is there anything [CUSTOMER][POSITIVE] All right, thank you for your help. [AGENT][POSITIVE] Is there anything else I can assist you with? OK, I thank you again for calling APL on this though. Have a great day. Mm bye. [CUSTOMER][NEUTRAL] No, that's it. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thanks.