AccountId: 011433970860 ContactId: 80488ae2-44db-477d-9c2e-83dd3383261c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 269899 ms Total Talk Time (AGENT): 75311 ms Total Talk Time (CUSTOMER): 102673 ms Interruptions: 4 Overall Sentiment: AGENT=0.3, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/12/80488ae2-44db-477d-9c2e-83dd3383261c_20250312T17:54_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][POSITIVE] Thank you for calling ACL. [CUSTOMER][NEUTRAL] Yeah, hi, my name is [PII]. My last initial is [PII], calling for claim status. And could you please spell your name for me? [AGENT][NEUTRAL] Yes, it's [PII] [AGENT][NEUTRAL] And [PII], what is your callback number? [CUSTOMER][POSITIVE] Thank you so much. [CUSTOMER][NEUTRAL] My callback number is [PII]. It's a direct line. [AGENT][NEUTRAL] Thank you sir, and I can help you with the claim status. Can you please give me the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] Status can you the patient's name. [CUSTOMER][NEUTRAL] Number? Sure. The patient's name is [PII]. The policy number is 023893887. Date of birth, [PII]. [AGENT][NEUTRAL] OK, let me pull up that policy real quick. [CUSTOMER][NEGATIVE] Mm, actually why it gets breaking. [AGENT][NEUTRAL] OK, I do have the policy pulled up. Can you please give me the date of service? [CUSTOMER][NEUTRAL] I do have the policy for. [AGENT][NEUTRAL] And the charge amount. [CUSTOMER][NEUTRAL] And the service. [CUSTOMER][NEUTRAL] And the charge amount. The date of service is [PII] and the total charges is $158 even. [AGENT][NEUTRAL] OK and then what is the charge amount after the primary insurance paid their part? [CUSTOMER][NEUTRAL] What is the charge amount after the primary insurance pay their part? $30 copay. [AGENT][NEUTRAL] OK, and can you please give me the name of the facility you're calling from? [CUSTOMER][NEUTRAL] MU USC Medical University Hospital. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, I'm gonna put you on a brief hold while I look up this claim for you, [PII], and I'll be right back. [CUSTOMER][NEUTRAL] On a brief hold while I look at this claim right I'll be right back. OK. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you for holding for me, [PII]. So looking on data service of [PII], uh, with the charge amount of $158 before primary and $30 after primary, I do not find the claim on file. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] $8 before primary and 3 after primary. [CUSTOMER][NEUTRAL] OK, so may I get the member policy effective date and term date? [AGENT][NEUTRAL] Yes, sir. [AGENT][NEUTRAL] The effective date. [CUSTOMER][NEUTRAL] Yes sir. [AGENT][NEUTRAL] I [CUSTOMER][NEUTRAL] That's the day. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the policy is still active. [CUSTOMER][POSITIVE] And the policy is still active. So thank you so much for assisting with these claims in a kind manner. Have a nice day. [AGENT][POSITIVE] You too you have a blessed one. Thanks for calling APL [PII] bye bye. [CUSTOMER][POSITIVE] Too you have a well thanks for calling bye bye.