AccountId: 011433970860 ContactId: 4f77f60f-2b29-449c-a47d-008823e6536d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 342730 ms Total Talk Time (AGENT): 110387 ms Total Talk Time (CUSTOMER): 116278 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/28/4f77f60f-2b29-449c-a47d-008823e6536d_20250528T17:08_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help? [CUSTOMER][NEUTRAL] Hi, yes ma'am, I'm calling to check claim status. [AGENT][NEUTRAL] OK, yeah, I could check on a claim for you. uh, what was your name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, [PII], was this for your individual policy or are you with a provider? [CUSTOMER][NEUTRAL] Provider. [AGENT][NEUTRAL] OK, can I get a good call back number from you in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you and then do you have that policy number? [CUSTOMER][NEUTRAL] Yes, policy number here for this member would be. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] 02587225 [AGENT][NEUTRAL] OK and then what was the name and date of birth for the member please? [CUSTOMER][NEUTRAL] [PII]. Date of birth for this member would be [PII]. [AGENT][NEUTRAL] Perfect, thank you for verifying that. What was the date of service for this claim? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, and then do you have that, go ahead, I'm sorry. [CUSTOMER][NEUTRAL] Total bill [CUSTOMER][NEUTRAL] 500 $588. [AGENT][POSITIVE] Got it OK thank you one moment please. [AGENT][NEUTRAL] Alright, I'm showing that we've received any claims for that date of service. [CUSTOMER][NEUTRAL] No claims on file? [AGENT][POSITIVE] Correct [AGENT][NEUTRAL] Um, I do have a mailing address, fax number, and a payer ID I can give you. [CUSTOMER][NEUTRAL] OK, I'll take the fax number. One moment. Claim not on file. 23 yeah fax and that fax number. [AGENT][POSITIVE] Sure, let me you're ready. [AGENT][NEUTRAL] It is 877. [AGENT][NEUTRAL] 365. [AGENT][NEUTRAL] 942 3. [CUSTOMER][NEUTRAL] And your name? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Is there a reference number for this one, [PII]? [AGENT][NEUTRAL] Sure, it'd be my first name, last initial and state, uh, so my last initial is [PII] Was there anything else I could help you with? [CUSTOMER][NEUTRAL] I do have one other one. [AGENT][NEUTRAL] Was this for the same member or a different number? [CUSTOMER][NEUTRAL] It's a different member. [AGENT][NEUTRAL] OK, if you would be just a moment, I will let you know when I'm ready for that, uh, next policy number. [CUSTOMER][NEUTRAL] OK, I'm pulling it up now just. [CUSTOMER][NEUTRAL] That next policy number here would be. [CUSTOMER][NEUTRAL] 1,423,890 [AGENT][NEUTRAL] OK, and then, uh, what was the name and date of birth for this please? [CUSTOMER][NEUTRAL] [PII]'s name here would be. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII], date of birth [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Got it thank you and uh what was the date of service for this one, please? [CUSTOMER][NEUTRAL] Data service for this claim here is for uh [PII]. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] For [PII]. [AGENT][NEUTRAL] OK, that was [PII] for [PII]. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Alright, so I don't show that we have any claims on file for this state of service either for this number. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And we sent it let me see if we how we sent this if we even sent it. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Yeah, we sent it via paper and we mailed it to [PII]. [AGENT][NEUTRAL] Um, we can verify that that address that you have is correct. Do you have the [PII] address? [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, so, uh, [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, so that is correct, um, might have just gotten lost I guess or we just hadn't received it yet, um, but yeah, you can either do that address fax number or I can give you that payer ID. [CUSTOMER][NEUTRAL] I just went ahead and um address is correct. [CUSTOMER][NEUTRAL] What's that payer ID? [AGENT][NEUTRAL] The payer ID is 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right. [CUSTOMER][POSITIVE] Thank you so much. [AGENT][POSITIVE] Of course, thanks for calling APL. I hope you have a great rest of your day. [CUSTOMER][POSITIVE] You as well. Thank you, ma'am. [AGENT][POSITIVE] Thank you bye bye. [CUSTOMER][NEUTRAL] Bye bye.