AccountId: 011433970860 ContactId: 63889469-f599-4666-b35d-c31cdb7eecaa Channel: VOICE LanguageCode: en-US Total Conversation Duration: 212029 ms Total Talk Time (AGENT): 74128 ms Total Talk Time (CUSTOMER): 61640 ms Interruptions: 0 Overall Sentiment: AGENT=1.4, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/12/63889469-f599-4666-b35d-c31cdb7eecaa_20250212T14:14_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yes, good morning, [PII]. This is [PII] calling from Sinai Medical Center. I need to get the status of the claim, please. [AGENT][POSITIVE] OK, well, I'll be more than happy to help you with the claim status [PII], and may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Sure, [PII]. [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] 01826185. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Um, [PII] at [PII]. [AGENT][NEUTRAL] One minute. [AGENT][NEUTRAL] Alright, and thank you so much for verifying his information and all the information provided is a verification of benefits, not a guarantee of payment. And may I have the date of service for the claim you like me to check on? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the total bills? [CUSTOMER][NEUTRAL] 16,570 with 39 cents after primary paid, 1,269 even. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEUTRAL] Alright, so I'm showing the claim was received on [PII]. [AGENT][NEUTRAL] The claim number is 35595006. [CUSTOMER][NEUTRAL] 9506, correct? [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] And on [PII], the claim was paid out to the provider. [AGENT][NEUTRAL] A total of $1,269. [CUSTOMER][NEUTRAL] So the whole entire check, um. [CUSTOMER][NEUTRAL] And that was when? [AGENT][NEUTRAL] Say that again. [CUSTOMER][NEUTRAL] When it was paid? [AGENT][NEUTRAL] On [PII]. [CUSTOMER][NEUTRAL] On the [PII], OK. [AGENT][NEUTRAL] And it was a single check. I do have the check number. Would you like the check number? [CUSTOMER][NEUTRAL] Yes, just give me a moment. [CUSTOMER][NEUTRAL] What is the check number? [AGENT][NEUTRAL] 202 [AGENT][NEUTRAL] 6075. [CUSTOMER][NEUTRAL] That was a single payment, right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Reference number. [AGENT][NEUTRAL] There's no call reference number, but you can use my name in today's date. My name is [PII]. [CUSTOMER][POSITIVE] OK, perfect. Thank you very much that was all. [AGENT][POSITIVE] Alright, well, thank you so much for calling APL Genesis. I hope you have a great day. [CUSTOMER][NEUTRAL] You too, bye. [AGENT][POSITIVE] Thank you, bye bye.