AccountId: 011433970860 ContactId: 5faf21dd-ed64-4faf-9021-5df5064b4e17 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 181399 ms Total Talk Time (AGENT): 64267 ms Total Talk Time (CUSTOMER): 55047 ms Interruptions: 1 Overall Sentiment: AGENT=0.6, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/17/5faf21dd-ed64-4faf-9021-5df5064b4e17_20250317T17:35_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from provider's office that to check on a claim. [AGENT][NEUTRAL] I can verify claim status. May I have a policy number? [CUSTOMER][NEUTRAL] Uh, just, let me help you with the policy number. [CUSTOMER][NEUTRAL] It is 01761792. [AGENT][NEUTRAL] May I have a good callback number for you? [CUSTOMER][NEUTRAL] Yeah, it is [PII]. [AGENT][NEUTRAL] May I have the patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh yes. The patient name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you for verifying that information. May I have a date of service? [CUSTOMER][NEUTRAL] Uh yes, data service is $627 2023 with the total charge amount of $355 even. [AGENT][NEUTRAL] For future reference, you may visit our website at [PII]. Check claim status as well. One moment. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Who is the provider on this claim? [CUSTOMER][POSITIVE] Oh yes, just give me a second so that I can help you with the details. [CUSTOMER][NEUTRAL] Uh, yeah. [CUSTOMER][NEUTRAL] The provider is [PII]. [AGENT][NEUTRAL] Is that the group? [CUSTOMER][NEUTRAL] The group name is Ana Clinic. [AGENT][POSITIVE] Thank you one moment. [AGENT][NEUTRAL] OK, I'm not seeing that we have received data service 627-2023 for 355355. [CUSTOMER][NEUTRAL] Yeah, can you please tell me, uh, is the patient active for data service manager effective and the term date for the patient? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] Policies effective [PII], policy terms, 8-1-2024. [CUSTOMER][NEUTRAL] What is the effective date? [CUSTOMER][NEUTRAL] [PII]. What is the timelyunding limit? [AGENT][NEUTRAL] There is no time limit to submit a claim. [CUSTOMER][NEUTRAL] Yeah, can you please spell out your name for me? [AGENT][NEUTRAL] [PII] Last initial is [PII] along with today's date. [CUSTOMER][NEUTRAL] Sorry. Can you please come again? Yeah, can you please come again? [AGENT][NEUTRAL] [PII] Last initial is [PII] [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] Is there anything else I can assist you with today? [CUSTOMER][POSITIVE] Uh, no, thank you so much. Have a nice day. [AGENT][POSITIVE] Thank you for calling American Public Life, [PII]. Have a great day. Bye-bye.