AccountId: 011433970860 ContactId: 7c76c5bc-9e6d-4bb5-8012-78fe11a16b71 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 449660 ms Total Talk Time (AGENT): 77263 ms Total Talk Time (CUSTOMER): 131374 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/2025/06/09/7c76c5bc-9e6d-4bb5-8012-78fe11a16b71_20250609T20:26_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from provider's office checking on a claim status. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] OK, thank you. And what was the policy number for the patient? [CUSTOMER][NEUTRAL] Uh, it's 60801. [AGENT][NEUTRAL] Um, that's our payer ID. Do you have like the policy certificate number or? [CUSTOMER][NEUTRAL] Mhm. Here we have a [CUSTOMER][NEUTRAL] Sorry. [CUSTOMER][NEUTRAL] Let me check once. Could you please wait a moment? [AGENT][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] Or I can look it up by the last name if the policy is not available. [CUSTOMER][NEUTRAL] Uh, can you please check the, uh, claim through the patient name? [AGENT][NEUTRAL] Yes, what's the last name? [CUSTOMER][NEUTRAL] Patient name, date of birth? [CUSTOMER][NEUTRAL] OK. The last. [CUSTOMER][NEUTRAL] The last name is [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Right. [AGENT][NEUTRAL] OK, and what, and what was the first name? [CUSTOMER][NEUTRAL] It's [PII] [AGENT][NEUTRAL] OK, and the first name was [PII] or [PII]? [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] What was the rest of it? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] I S [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Let me [AGENT][NEUTRAL] And the date of birth? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] And the date of service and bill charges? [CUSTOMER][NEUTRAL] Uh, it's [PII], and the bill amount is $1,261 even. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Looks like let's see. [AGENT][NEUTRAL] OK, I don't have the claim on file, but this policy terminated [PII]. [CUSTOMER][NEUTRAL] And for [PII]. So it's already, the patient is not at you on the date of service, it's me. [AGENT][NEUTRAL] Correct, there's no active policy. [CUSTOMER][NEUTRAL] What's that up too late? [AGENT][NEUTRAL] 10 1 14. [CUSTOMER][NEUTRAL] 10, 1, 14 or 10, 4, 14? [CUSTOMER][NEUTRAL] Do [AGENT][POSITIVE] Uh, actually I'm so sorry it's 9115 sorry about that. [CUSTOMER][NEUTRAL] 91 2015, right? [AGENT][NEUTRAL] Yes [CUSTOMER][NEUTRAL] So that's the date and the date to date is [PII]. [AGENT][NEUTRAL] Yes [CUSTOMER][NEUTRAL] Right. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, do you find the patient? [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] Uh, so you found the patient, right, with the name and date of birth? [AGENT][NEUTRAL] I did, yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Uh, could you please check whether the patient renewed the policy or not? [AGENT][NEUTRAL] I don't show an active policy on file. [AGENT][NEUTRAL] With the information you've provided. [CUSTOMER][NEUTRAL] Uh-huh. OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, if you don't mind, could you please tell me the policy ID of the patient? [AGENT][NEUTRAL] 1102762. [CUSTOMER][NEUTRAL] Hm. [CUSTOMER][NEUTRAL] Mm. That's it. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, could you please, um, [CUSTOMER][NEUTRAL] Spell your name [AGENT][NEUTRAL] It's [PII]. It's [PII] [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] OK. What's the insurance number? [AGENT][NEUTRAL] A call reference is my name and today's date. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] OK, thanks for calling APL. I hope you have a good day. [CUSTOMER][NEUTRAL] OK, bye-bye.