AccountId: 011433970860 ContactId: 496f99a8-95e0-47c0-aa0f-50fe60d569f7 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 245080 ms Total Talk Time (AGENT): 85349 ms Total Talk Time (CUSTOMER): 61240 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/10/496f99a8-95e0-47c0-aa0f-50fe60d569f7_20250110T20:50_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL. [AGENT][NEUTRAL] This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yes, my name is [PII] calling from A Upstate. I'm calling to check the status of a medical claim, please. [AGENT][NEUTRAL] OK, I can help you, Ms. [PII] with a medical claim. Um, what is your callback number, please, just in case our call gets disconnected? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] Thank you. And then what is the patient's name? [CUSTOMER][NEUTRAL] Patient's name is [PII] [AGENT][NEUTRAL] OK, thank you. And then what is [PII]'s date of birth? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And his policy number, please. [CUSTOMER][NEUTRAL] Yes, it is 02510922. [AGENT][NEUTRAL] OK let me pull that policy in. [AGENT][NEUTRAL] OK, and then what is the date of service? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the charge amount please? [CUSTOMER][NEUTRAL] $165.02. [AGENT][NEUTRAL] OK, and you said that you're calling from Aid upstate? [CUSTOMER][NEUTRAL] Yes ma'am. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold, Miss [PII], while I pull in that claim for you and I'll be right back. [CUSTOMER][POSITIVE] Alright, thank you. [AGENT][POSITIVE] You're very welcome. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] Hi Miss [PII], this is [PII] back with you again. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] So looking on data service of [PII], I do not find a claim on file. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, alright, I will refile thank you. [AGENT][NEUTRAL] You're very welcome. Do you need um the payer ID number or the address to send the claims to? [CUSTOMER][NEUTRAL] Um, let me see, yes, if you can verify the address please. [AGENT][NEUTRAL] Yes ma'am, it's PO Box 248,950, that's in [PII]. [CUSTOMER][NEUTRAL] 248 [AGENT][NEUTRAL] And the zip code is [PII]. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] OK, can you repeat that PO box again? I'm sorry. [AGENT][NEUTRAL] Yes, ma'am. It's 248,950. [CUSTOMER][NEUTRAL] Oh you said [PII]? [AGENT][NEUTRAL] Yes, [PII]. [CUSTOMER][NEUTRAL] Mhm. And the zip again? [AGENT][NEUTRAL] And then the zip, the zip it's [PII]. [CUSTOMER][POSITIVE] OK, alright, I will send that out. Thank you. [AGENT][POSITIVE] You're very welcome. I hope you have a good weekend and thank you for calling APL. [CUSTOMER][POSITIVE] Yes ma'am thank you bye bye. [AGENT][NEUTRAL] Bye-bye.