AccountId: 011433970860 ContactId: 6dda16a2-f9ee-4eb5-959f-998c82ebfea3 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 295170 ms Total Talk Time (AGENT): 97281 ms Total Talk Time (CUSTOMER): 85582 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/23/6dda16a2-f9ee-4eb5-959f-998c82ebfea3_20250123T20:41_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL, this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hey [PII], my name is [PII] calling from the wireless service checking all the time status. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status and in case this call is disconnected, may I have your callback number? [CUSTOMER][NEUTRAL] Mhm. Sure. Callback number is [PII] direct line. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And may I have the patient's policy number, please? [CUSTOMER][NEUTRAL] Mhm. Sure, patient number is 022. [CUSTOMER][NEUTRAL] 16876. [AGENT][POSITIVE] Thank you, and that was 02216876. [AGENT][NEUTRAL] And that number was [AGENT][NEUTRAL] 02216876 [CUSTOMER][POSITIVE] Yeah, that's right. [AGENT][NEUTRAL] Thank you and may I have the patient's name and date of birth, please? [CUSTOMER][NEUTRAL] Uh-huh. Patient name is [PII] and [CUSTOMER][NEUTRAL] His date of birth is on [PII]. [AGENT][NEUTRAL] Thank you. And may I have the date of service and the billed amount of the claim? [CUSTOMER][NEUTRAL] Sure, date of service on [PII] and the bill amount is $191 even. [AGENT][NEUTRAL] Thank you. So it's for data service of [PII] 4 $91. [CUSTOMER][NEUTRAL] Um, yeah, 1921. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Show that claim was received on [PII]. It was processed on [PII]. I show a benefit was issued for $50 and that was the max payable for that data service. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] So the balance $141 is that the patient responsibility? [AGENT][NEUTRAL] We don't have any involvement in your handling of any remaining claim amounts. [CUSTOMER][NEUTRAL] All right. [AGENT][NEUTRAL] $50 is the max payable under this coverage. [CUSTOMER][NEUTRAL] Oh, I should just mention that and do you have a claim number for me? [AGENT][NEUTRAL] Yes, the claim number is 3511155. [CUSTOMER][NEUTRAL] All right. And what's the patient's plan name? [AGENT][NEUTRAL] Hospital indemnity. [CUSTOMER][NEUTRAL] Hospital integrity, all right. [AGENT][NEUTRAL] Is there anything else I can assist you with today, [PII]? [CUSTOMER][POSITIVE] Thank you so much. I'll do. [CUSTOMER][NEUTRAL] Yeah, we have the payment details so it was paid. [AGENT][NEUTRAL] It was paid by single check. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Check number. [AGENT][NEUTRAL] 2004877. [CUSTOMER][NEUTRAL] And do you have issue date on the clear date? [AGENT][NEUTRAL] The check was issued on the [PII]. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][POSITIVE] I currently show the check is outstanding. [CUSTOMER][NEUTRAL] Alright, that's why we haven't receive the payment yet. And do you have the address it was sent to? [AGENT][NEUTRAL] It was mailed to the [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] [PII], I'm just give that yet. So would you be able to raise a check raiseer for that? [AGENT][POSITIVE] Yes, we'll submit a request. Is there anything else I can assist you with today? [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Um, no, that's it. Thank you, and do you have a call reference for me? [AGENT][NEUTRAL] It'll be just my name and that's [PII] [CUSTOMER][NEUTRAL] All right. [CUSTOMER][POSITIVE] Thanks Mo [PII]. Have a great day. And this also turn on time for the day, sir? [AGENT][POSITIVE] You're welcome. Thanks for calling APO. [AGENT][NEUTRAL] I'm sorry, can you repeat that? [CUSTOMER][NEUTRAL] Um, turnaround time for the tracer. [AGENT][NEUTRAL] It should be within 2 business days. [CUSTOMER][NEUTRAL] All right. [CUSTOMER][POSITIVE] Appreciate that. Thanks so much have a great. [AGENT][POSITIVE] You too, thanks for calling APL bye.