AccountId: 011433970860 ContactId: 5505b80d-9006-420d-be9f-96b30a966805 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 379079 ms Total Talk Time (AGENT): 122658 ms Total Talk Time (CUSTOMER): 63561 ms Interruptions: 1 Overall Sentiment: AGENT=0.7, CUSTOMER=-0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/27/5505b80d-9006-420d-be9f-96b30a966805_20250127T15:05_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII] and I'm calling from Wichita Falls Gastroenterology. I'm looking for a claim status for a patient. [AGENT][NEUTRAL] [PII], what is your callback number if disconnected? [CUSTOMER][NEUTRAL] Sure, it is [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. What is the policy number please, [PII]? [CUSTOMER][NEUTRAL] It is 112. [CUSTOMER][NEUTRAL] 1325. [AGENT][NEUTRAL] OK, that was 1121325. Thank you. Verify the patient's name and date of birth. [CUSTOMER][POSITIVE] Correct. [CUSTOMER][NEUTRAL] [PII] [PII], [PII]. [AGENT][NEUTRAL] Thank you. And again, you're calling for claim status. I can assist you, [PII]. You can also check claim status by visiting our secure portal at [PII]. What is the date of service and total charge amount, please? [CUSTOMER][NEUTRAL] On [PII] and the bill amount is $795. [AGENT][NEUTRAL] OK, thank you, [PII]. One moment, please. [AGENT][NEUTRAL] And let me just repeat that to make sure I have that correct. I have it as [PII], total charge amount $795 total. We do not have that claim on file. [CUSTOMER][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Got it. [CUSTOMER][NEUTRAL] OK. Can you check one more date of service? [PII]. [CUSTOMER][NEUTRAL] And the bill amount is $255. [AGENT][NEUTRAL] OK, one moment, I'll check that for you as well. One moment. [AGENT][NEUTRAL] OK, I showed that claim not to be on file as well. May, may I place you on hold? I just wanna check to see if we have one claim in line to be reviewed and processed. I just want to check to see if this is one of the claims that you're asking about if you could hold for me. OK, thank you. [CUSTOMER][POSITIVE] Sure, sure. No problem. [CUSTOMER][NEGATIVE] Yeah. You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Hello, [PII]. [AGENT][NEUTRAL] Are you there? OK, thank you so much for your patience. Thank you. I'm still waiting for that image to populate, but I can go ahead and verify your mailing address, fax number and payer ID with you until this comes up. Sorry about that. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, no problem. Can you also confirm the PL ID? [AGENT][NEUTRAL] Yes, of course. Our payer ID is 60801. [CUSTOMER][NEUTRAL] 60801. [AGENT][POSITIVE] Yes, that is correct. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK. And our fax number is [PII]. [AGENT][NEUTRAL] I'm so sorry. [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And thank you, and our mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII] and my apologies um [PII] is still has not populated yet the claim so I cannot tell if. [AGENT][POSITIVE] We have received one of the claims. I'm so sorry. [CUSTOMER][NEUTRAL] No problem. Can you give me [CUSTOMER][NEUTRAL] OK. Can you give me the reference number for this card? [AGENT][NEUTRAL] We do not use reference numbers. You can use my name [PII] last initial [PII], and today's date. Anything else I can help you with, [PII]? [CUSTOMER][POSITIVE] No, thank you so much. That's all the information I needed. Have a nice day. [AGENT][POSITIVE] Uh thank you for calling APL. Take care bye.