AccountId: 011433970860 ContactId: 69c1da8b-462e-415a-be2a-320c78438f8f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 500170 ms Total Talk Time (AGENT): 150445 ms Total Talk Time (CUSTOMER): 101137 ms Interruptions: 2 Overall Sentiment: AGENT=0.6, CUSTOMER=-0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/01/69c1da8b-462e-415a-be2a-320c78438f8f_20250401T16:24_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. How may I help you today? [CUSTOMER][NEUTRAL] Hi, [PII]. This is [PII] calling from the provider's office checking on claims. [AGENT][NEUTRAL] All right, I'll be glad to help you, but I am so sorry I did not catch your name. [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][POSITIVE] OK, [PII], thank you. Alrighty, [PII], thank you for that. Now go ahead and give me a good policy number. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh, it's 134951. [CUSTOMER][NEUTRAL] 7 M as in Mary, L as in Lima, number 8. [AGENT][NEUTRAL] Alright, thank you [PII] for that information. Now while I'm pulling this up, go ahead and give me a good return telephone call number. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Alrighty [PII], thank you so much for all that information. Now, your patient's name and date of birth today, please, ma'am. [CUSTOMER][NEUTRAL] Uh, it's [PII]. Date of birth, [PII]. [AGENT][NEUTRAL] Well, looks like he is the insured on this medical supplemental plan. Now you did say you want to check status of a claim. Is that correct, [PII]? [CUSTOMER][NEUTRAL] So. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Data service. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what's your total bill? Mhm. [CUSTOMER][NEUTRAL] And the total [CUSTOMER][NEUTRAL] Mhm. The total charge amount, it's [CUSTOMER][NEUTRAL] Uh, just give me a moment. [CUSTOMER][NEUTRAL] It's $418.47. [AGENT][POSITIVE] Alrighty, thank you for that, [PII], and hold on just a moment. Let's see, get it pulled up. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] That [AGENT][NEUTRAL] Hm [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Uh, data service 24. [CUSTOMER][NEUTRAL] Uh [AGENT][NEUTRAL] Where's your bill from? What's the doctor provider's name? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] I checking one moment. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Alright, give me just a minute to do some checking. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] You [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] You said that total is 41847? [CUSTOMER][POSITIVE] That's right. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Let's see. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah [AGENT][NEGATIVE] Mm, I don't have anything for that amount at all. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] I sure do not, [PII], so you can go ahead and get that claim resubmitted because apparently we don't have it and we do not have a timely filing limit. You want me to give you your address or tell me where you mailed it to? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, can you help me with the address? [AGENT][POSITIVE] Yes, I sure can. It's to American Public Life. [AGENT][NEUTRAL] Claims department. [AGENT][NEUTRAL] Or you can initial that APL claims department. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And that is to [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] We are in [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Our zip is [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII]. Is this policy active? [AGENT][NEUTRAL] Yes, ma'am. [AGENT][POSITIVE] Yes, ma'am, it is active. [CUSTOMER][NEUTRAL] Can you help me with the effect today? [AGENT][NEUTRAL] Let's see, effective date [PII] current. [CUSTOMER][NEUTRAL] OK, got it. And you said there's no timely filing limit. [AGENT][NEUTRAL] That is correct, no timely filing limit. [CUSTOMER][NEUTRAL] OK, got it. I do have one more member to check on. Can you assist me with that? [AGENT][NEUTRAL] I can, but hold on just a moment for I'm gonna put you on a brief hold, OK? [CUSTOMER][NEUTRAL] And also there will be. You are on hold. [AGENT][NEUTRAL] Mm. [AGENT][NEUTRAL] Mm [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Mm [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] Hm. [AGENT][NEUTRAL] Mm, yeah, couple of minutes. [AGENT][NEUTRAL] Hm. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Hm. [AGENT][NEGATIVE] No, my back hurts. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] OK, [PII], thank you so much for holding. OK, uh, you were saying you had uh one more other policy number, is that correct? [AGENT][NEUTRAL] Hello. [AGENT][NEUTRAL] But