AccountId: 011433970860 ContactId: 60d2bb2f-210b-4633-8b25-ec0ffc2d0996 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 148160 ms Total Talk Time (AGENT): 47411 ms Total Talk Time (CUSTOMER): 75530 ms Interruptions: 1 Overall Sentiment: AGENT=0.4, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/19/60d2bb2f-210b-4633-8b25-ec0ffc2d0996_20250219T22:44_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] For calling ATL, this is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Hi, uh, this is, uh, [PII] from provider office. I'm here for a claim. [AGENT][NEUTRAL] OK, yeah, I can check on a claim for you. Uh, [PII], can I get a good call back number from you first in case we're disconnected? [CUSTOMER][NEUTRAL] And [CUSTOMER][POSITIVE] Yeah, for it [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] I'm sorry [PII] it kind of cut out there could you repeat that number? [CUSTOMER][NEUTRAL] Yeah, [PII]. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] OK, thank you and then do you have the policy number? [CUSTOMER][NEUTRAL] Yeah, the policy number when you're ready. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes, 023 09898. [AGENT][NEUTRAL] OK, thank you and what was the name and date of birth for the insured? [CUSTOMER][NEUTRAL] [PII], date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Alright, thank you for verifying that and what was the date of service for this claim? [CUSTOMER][NEUTRAL] Yeah, the date of service is. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] That was [PII]. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, and what was the bill amount, please? [CUSTOMER][NEUTRAL] The bill amount, $24,742.80. [AGENT][POSITIVE] OK, got it, thank you one moment. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][NEUTRAL] I'm sorry [PII], what was the name of the uh provider's office? [CUSTOMER][NEUTRAL] It's Fountain Hills Medical Center. Mhm. [AGENT][NEUTRAL] OK, thank you for verifying that. Give me just a moment it looks like we received this claim a couple of times. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] For the video. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] What. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah, that checking to see. [AGENT][NEUTRAL] OK, so I did find this claim, [PII], uh, looks like we paid a benefit of $325 and that didn't meet their maximum amount payable. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Mhm.