AccountId: 011433970860 ContactId: 810f2b3a-9613-4907-940c-0b4fe2618de5 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 315190 ms Total Talk Time (AGENT): 128478 ms Total Talk Time (CUSTOMER): 90415 ms Interruptions: 0 Overall Sentiment: AGENT=1.7, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/29/810f2b3a-9613-4907-940c-0b4fe2618de5_20250529T18:36_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII]. I'm calling from Swedish American Hospital and um I'm calling on two claims for the same member that we are missing uh checks for. [AGENT][NEUTRAL] OK, let's take a look. Uh, do you have their policy number? [CUSTOMER][NEUTRAL] I do. It is 02350217. [AGENT][NEUTRAL] All right. [AGENT][NEUTRAL] And then, if I could get the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Alright, thank you. And then what is the data service on the first one? [CUSTOMER][NEUTRAL] The first one I have is date of service [PII]. [AGENT][NEUTRAL] OK, and then the bill amount. [CUSTOMER][NEUTRAL] $1,265. [AGENT][NEUTRAL] Do you have a different amount after primary pay by chance? [CUSTOMER][NEUTRAL] Um, $307.40. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] All right, [PII], so yeah, this one it looks like we did send a check for 30,740. It does still show outstanding. It was sent to [PII]. Is that correct? [CUSTOMER][NEUTRAL] Let me check real quick. [CUSTOMER][POSITIVE] I believe that sounds right, um, yep, [PII] yep, that is, that is correct. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, let's see this was done on. [AGENT][NEUTRAL] OK, so yeah, it looks like this was sent back in January, so you guys should definitely have that right now. Do you want the check number? [CUSTOMER][NEUTRAL] Um, I think I do have the check number. Does it show that it's been cleared or is it still outstanding? [AGENT][POSITIVE] Mm. That's outstanding still. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I is that something that we could cancel and have a new check reissued because if we don't have it. [AGENT][NEGATIVE] Yeah, yeah, we can void and. [CUSTOMER][NEUTRAL] By now it's probably. [AGENT][NEGATIVE] Yeah, we can definitely void that one and reissue it. [CUSTOMER][POSITIVE] OK perfect. [AGENT][NEUTRAL] Um, what's the other data service? [CUSTOMER][NEUTRAL] It is. [CUSTOMER][NEUTRAL] Um. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] OK now. [AGENT][NEUTRAL] Hm [CUSTOMER][NEUTRAL] Um, [PII]. [AGENT][NEUTRAL] And it's built out 34935 after primary. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yep. [AGENT][POSITIVE] Alright, this one was processed on the same day, the [PII], so you definitely should have had it. Let me make sure it still shows outstanding. [AGENT][POSITIVE] OK, yeah, this one's set the benefit for 349.35. It's still outstanding as well, so we can void and reissue this one. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] Alright, so, uh, the process on that, [PII], is I'll go ahead and submit the request. Um, our claims department just verifies, of course, the check is outstanding. Uh, once that's been verified, then we'll of course reissue and put out a new check. Did you need anything else from any of those claims or anything like that? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Nope, that was all I need. I had all the other info, just, just not the check. [AGENT][POSITIVE] Alright, sounds good. We appreciate you calling APL. I hope you have a good rest of your day. [CUSTOMER][NEUTRAL] Um, oh, sorry, before you leave, do you have a reference number or is it just your name? [AGENT][POSITIVE] No worries. [AGENT][POSITIVE] Oh, yeah, absolutely. It's just my name with today's date. [CUSTOMER][POSITIVE] OK perfect thank you so much I appreciate your help and I hope you have a good day. [AGENT][POSITIVE] You're very welcome. You too. Bye-bye.