AccountId: 011433970860 ContactId: 734e7f27-7394-4be5-bdc7-858fc8dc3bae Channel: VOICE LanguageCode: en-US Total Conversation Duration: 425989 ms Total Talk Time (AGENT): 86306 ms Total Talk Time (CUSTOMER): 125500 ms Interruptions: 0 Overall Sentiment: AGENT=0.3, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/21/734e7f27-7394-4be5-bdc7-858fc8dc3bae_20250421T16:56_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII]. I'm calling on behalf of the provider office to check the status of a medical claim. [AGENT][NEUTRAL] OK. Do you have a phone number I can get in case we get disconnected, I can call you back. [CUSTOMER][NEUTRAL] Yeah, um, that will be [PII]. [AGENT][NEUTRAL] And do you have the policy number? [CUSTOMER][NEUTRAL] Yeah, um, it's 02444692 M for Mary, L for Lima, number 7. [AGENT][NEUTRAL] And the patient's name? [CUSTOMER][NEUTRAL] Um, [PII]. [AGENT][NEUTRAL] Date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, [PII], and you were wanting claim status? [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] OK, I can help you with that. What data service? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Total charge? [CUSTOMER][NEUTRAL] $175,777.80. [AGENT][NEUTRAL] So this was for a doctor's charge or facility bill? [CUSTOMER][NEUTRAL] Facility bill. [AGENT][NEUTRAL] Hold on one moment. [CUSTOMER][NEUTRAL] All right. [AGENT][NEUTRAL] OK, we do have that claim in. We paid $442.81. [CUSTOMER][NEUTRAL] Alright, and what was the payment made? [AGENT][NEUTRAL] Oh, just a moment, I can hear you. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK, and what's the, uh, sorry, what was the payment method that was used? [AGENT][NEUTRAL] Paper check. [CUSTOMER][NEUTRAL] Alright and. [CUSTOMER][NEUTRAL] When was the, what, what's the check number and when was it, when was it issued? [AGENT][NEUTRAL] It was issued for 825. [AGENT][NEUTRAL] The check number is 2037809. [CUSTOMER][NEUTRAL] Alright, one second. [CUSTOMER][NEUTRAL] 203-7809 is that the check number? [AGENT][NEUTRAL] Hold on just a moment, let me look again. [AGENT][NEUTRAL] 203-780-9. [CUSTOMER][NEUTRAL] OK. Got it. [CUSTOMER][NEUTRAL] Um, [CUSTOMER][NEUTRAL] So I would like to know what's the what's that claim number? [AGENT][NEUTRAL] 358-612-6. [CUSTOMER][NEUTRAL] Right, and when was the claim received? [AGENT][NEUTRAL] Hold on just a moment, let me check. [CUSTOMER][NEUTRAL] Alright. [AGENT][NEUTRAL] 4425. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK, and was the check cashed already? [AGENT][POSITIVE] No, it's still outstanding. It cannot be reissued for 30 days. [CUSTOMER][NEUTRAL] for [CUSTOMER][NEUTRAL] One second. [CUSTOMER][NEUTRAL] All right, and. [CUSTOMER][NEUTRAL] What's the mailing address where the check was sent? [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah, OK, yeah, that's uh. [CUSTOMER][NEUTRAL] Correct mailing address. [CUSTOMER][NEUTRAL] Um. [CUSTOMER][NEUTRAL] Alright, we'll just, we'll just wait for the, for the check to be cashed out and if 30 day passes and have be, I mean the payment is not reflected on the. [CUSTOMER][NEUTRAL] On our system we'll we'll be calling back so [PII], what's the call reference number? [AGENT][NEUTRAL] We do not have call reference numbers. You can use my name in today's date. [CUSTOMER][POSITIVE] All right, thank you and thank you for the information you provided me for your help. I hope you have a wonderful day. [AGENT][POSITIVE] Thank you, [PII] for calling APL. You as well. Bye-bye.