AccountId: 011433970860 ContactId: 726b2c57-0ba8-4299-b350-c85b0e4b90e2 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 281040 ms Total Talk Time (AGENT): 110108 ms Total Talk Time (CUSTOMER): 87473 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/14/726b2c57-0ba8-4299-b350-c85b0e4b90e2_20250314T13:42_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII]. My name is [PII]. I'm calling on behalf of Nicholas Children's Hospital to check a couple claim statuses. [AGENT][NEUTRAL] I can verify claim status. [PII], may I have your policy number? [CUSTOMER][NEUTRAL] Um, yes, the first one is. [CUSTOMER][NEUTRAL] First policy number I have is 020. [CUSTOMER][NEUTRAL] 03104 M as in Mike L for Larry number 8 [AGENT][POSITIVE] Thank you. May I have a good callback number for you? [CUSTOMER][NEUTRAL] Uh yes, [PII]. [AGENT][NEUTRAL] Thank you. May I have the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Um, date of birth for this one? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] Thank you for verifying that information. May I have a date of service? [CUSTOMER][NEUTRAL] Yes, it's 107 of 24. [AGENT][NEUTRAL] In total bill amount? [CUSTOMER][NEUTRAL] $5,215.75. [AGENT][NEUTRAL] Thank you for future reference, you may visit our website at [PII] check claim status as well. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] This one processed under claim number 3,567,400. It looks like the primary insurance did not pay. [CUSTOMER][NEUTRAL] Bye. [AGENT][NEUTRAL] This claim processed and denied on [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Would you like a copy of this COB faxed over? [CUSTOMER][POSITIVE] Um, yes, that would be, that would be good. Let me. [CUSTOMER][NEUTRAL] My fax number? [CUSTOMER][NEUTRAL] It's [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] I have [PII]. I'll fax that over. [CUSTOMER][NEUTRAL] But. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] And I'm ready for your next policy number or is it the same? [CUSTOMER][NEUTRAL] Um, it's different, yeah, it's a different policy number. [CUSTOMER][NEUTRAL] Um, the next one is 02013321. [AGENT][POSITIVE] Thank you, one moment. [AGENT][NEUTRAL] Patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And data service. [CUSTOMER][NEUTRAL] 11025 through 111 of 25? [AGENT][NEUTRAL] And total bill amount? [CUSTOMER][NEUTRAL] Uh, $17,567.44. [AGENT][POSITIVE] Thank you one moment. [AGENT][NEUTRAL] This one processed under claim number 3574501. Looks like it paid a benefit amount of $1,925.81 to the provider. [CUSTOMER][NEUTRAL] It [AGENT][NEUTRAL] This claim processed on. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] And [AGENT][NEUTRAL] Would you like a copy of that EOB as well? [CUSTOMER][NEUTRAL] Um, yes, please. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I'll fax that one over too. Is there another policy number? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Um, no, actually that's the only two that I had, um, uh, just the reference number and that'll be it. [AGENT][NEUTRAL] It will be my name, which is [PII] Last initial is [PII] along with today's date. [CUSTOMER][POSITIVE] All right, and I thank you so much for your help today and I hope you have a great weekend. [AGENT][POSITIVE] [PII], you're so welcome, and thank you for calling American Public Life. Have a great day. Bye-bye. [CUSTOMER][NEUTRAL] You too.