AccountId: 011433970860 ContactId: 5e56fce7-18d9-4b75-b721-2a57b86170d8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 369190 ms Total Talk Time (AGENT): 102657 ms Total Talk Time (CUSTOMER): 123776 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/07/5e56fce7-18d9-4b75-b721-2a57b86170d8_20250407T16:55_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APL. My name is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yes, [PII], my name is [PII]. Last digit [PII]. I'm calling up from, uh, Cleveland Clinic, Florida. I was trying to check on the status of a claim. [AGENT][NEUTRAL] OK, I can assist with claim status. [PII], what is your callback number? [CUSTOMER][NEUTRAL] My direct line is [PII]. [AGENT][NEUTRAL] Thank you, what is the policy number? [CUSTOMER][NEUTRAL] 2 237-0301. [AGENT][NEUTRAL] That is not our policy number. Can you find another number, [PII]? [CUSTOMER][NEUTRAL] That's the number they're showing as their member ID for American Public Life. You guys are American Public Life, right? [AGENT][NEUTRAL] We are Ameri Public Life and again that's not one of our policy numbers I can look up the member by name one moment please. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And what is the member's last name? [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] Thank you and the first name? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And what is [PII]'s date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] OK, thank you so much one moment please. [AGENT][NEUTRAL] Yeah, well they want to locate a policy number for Ms. [PII], and I have a policy number of 02370301. [CUSTOMER][NEUTRAL] It's 023-70301. [AGENT][NEUTRAL] Yes, and what is that date of service and total charge amount? [CUSTOMER][NEUTRAL] Mm, probably I'm gonna find it because we billed it with the wrong number, but um. [AGENT][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] Data service is going to be. [CUSTOMER][NEUTRAL] [PII] for 220 $221. [AGENT][NEUTRAL] $221. OK, one moment. [AGENT][NEUTRAL] OK, I did not show that claim on file. There's no timely filing to submit a claim and also, um, you can submit claims via fax, of course, um, mail. [AGENT][NEUTRAL] Or payer ID and you can also check claim status on our secure website and also file claims that way as well but I can also go over the mailing address, payer ID and fax number for you. [CUSTOMER][NEUTRAL] No that's what I, I did check online but I. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Looks like I had the wrong ID, so, um, 246, so your IDs are eight digits. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK, and this one was 7, so 2468. [CUSTOMER][NEUTRAL] OK, out of curiosity, can you try and check another patient for me? [AGENT][NEUTRAL] I can, one moment. [CUSTOMER][NEUTRAL] I wanna make sure we're billing this so I'm looking in right and like OK. [AGENT][NEUTRAL] OK do you have a policy number? [CUSTOMER][NEUTRAL] Yeah this one is 02265119. [AGENT][NEUTRAL] OK, verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII], date of birth [PII]. [AGENT][NEUTRAL] OK, and that is the correct policy number and what is that date of service and bill amount? [CUSTOMER][NEUTRAL] OK, data services 662024. [CUSTOMER][NEUTRAL] And it was uh. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 66 2020 $443. [AGENT][NEUTRAL] OK, that was [PII] $443. [PII]. [AGENT][NEUTRAL] I did not show this claim on file for the member. [CUSTOMER][NEUTRAL] OK, let me ask you this you guys take electronic these are all on paper. [AGENT][NEUTRAL] Sure [AGENT][NEUTRAL] We do. [CUSTOMER][NEUTRAL] Do you take electronics? [CUSTOMER][NEUTRAL] And what do you know what your payer ID is? [AGENT][NEUTRAL] Of course, it is 60801. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Hm, OK, this is gonna, I have a ton of your guys' claims. OK, that's fine. I just have to check the website as long as I know that I'm in the correct website, which I am. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] If I'm not showing it I'll get them to send it electronically. OK, [PII], can you give me a call reference number please? [AGENT][NEUTRAL] Uh, we do not use call reference numbers only. You can use my name and today's date and my last initial is [PII]. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK perfect well thank you so much for your time I do appreciate it. [AGENT][POSITIVE] You're welcome, [PII], and thank you for calling APL. Thank you. Take care. [CUSTOMER][NEUTRAL] Mm bye bye. [AGENT][NEUTRAL] Bye.