AccountId: 011433970860 ContactId: 62813687-3a2a-4633-8318-7d94b7144d36 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 201119 ms Total Talk Time (AGENT): 68033 ms Total Talk Time (CUSTOMER): 41902 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/16/62813687-3a2a-4633-8318-7d94b7144d36_20250616T19:29_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Yes, my name is [PII]. I'm calling from Allergy Partners, and I have a question about a claim. [AGENT][NEUTRAL] May I have a callback number, please? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] And may I have the policy number? [CUSTOMER][NEUTRAL] It is 02140634. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] It is [PII]. [CUSTOMER][NEUTRAL] Date of birth is [PII]. [AGENT][POSITIVE] And thank you so much [PII] for verifying the policy. You're calling in for a status of a claim. [CUSTOMER][NEUTRAL] Yes, ma'am. [AGENT][NEUTRAL] May I have the date of service and total bill? [CUSTOMER][NEUTRAL] It is [PII] and total amount. [CUSTOMER][NEUTRAL] The old [CUSTOMER][NEUTRAL] It's $52. [AGENT][NEUTRAL] Thank you, and I'm pulling that information up for you now. And you can also check claim status via our secured portal that is [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] So for that claim it does show that we received it on [PII]. [AGENT][NEUTRAL] It's processed on [PII]. [AGENT][NEUTRAL] That claim number is 348. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 9470. That claim showed that it processed and it denied. [AGENT][NEUTRAL] Sorry about that. The system froze. [AGENT][NEUTRAL] It shows that it applied towards the member's deductible. So that has a deductible that hadn't been met with us. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, and I just need to get a reference number for this call. [AGENT][NEUTRAL] OK, the reference will be my first name, [PII], last initial of [PII] and today's date. [CUSTOMER][POSITIVE] OK, thank you so much for your help. [AGENT][POSITIVE] You're welcome. Thank you for calling American Public Life. Have a great rest of your day. [CUSTOMER][POSITIVE] Thank you, you too. [AGENT][POSITIVE] Thank you, bye.