AccountId: 011433970860 ContactId: 83204b46-d457-4be8-8555-7ed0853b7d13 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 275440 ms Total Talk Time (AGENT): 107808 ms Total Talk Time (CUSTOMER): 80858 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=2.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/23/83204b46-d457-4be8-8555-7ed0853b7d13_20250523T14:07_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. [PII] with Homestead Hospital. I need to check one claim, please. [AGENT][NEUTRAL] OK [PII], I can help you. What is your callback number? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you. And what is the policy number, please? [CUSTOMER][NEUTRAL] It is 01944012 M17. [AGENT][POSITIVE] OK, thank you very much. [AGENT][NEUTRAL] One moment please. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] It's [PII] [PII]. [AGENT][NEUTRAL] OK, thank you. And what is the date of service and the total charge amount for claim status? [CUSTOMER][NEUTRAL] [PII] this year, we built 31,905. [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] OK, so this is an old policy, this policy termed as of [PII]. [AGENT][NEUTRAL] Give me one moment to check for an active policy for this number. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] I that. [AGENT][NEUTRAL] OK, I can provide you with the correct policy number when you're ready for that. [CUSTOMER][POSITIVE] I'm ready. [AGENT][NEUTRAL] OK, it is 02556472. [CUSTOMER][NEUTRAL] 472. OK, so you probably don't have the claim, you can't have it processed with the correct number? [AGENT][NEUTRAL] I'm, I'm gonna check. [CUSTOMER][NEUTRAL] You know we faxed it over on [PII]. [AGENT][NEUTRAL] OK, I'm still checking for that for you. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] No, I don't show it to be on file. [AGENT][NEUTRAL] Can I please verify? [CUSTOMER][NEUTRAL] OK, all right, I'll get it. [CUSTOMER][NEUTRAL] Oh, go ahead. [AGENT][NEUTRAL] A fax number with you, it is [PII]. [CUSTOMER][NEUTRAL] Yeah, that's where it was faxed on [PII] but with the wrong policy number, so maybe they just threw it out. [CUSTOMER][NEUTRAL] I know. [AGENT][NEUTRAL] Um, I'm sorry, give me one second. You said the date of service again was [PII]? [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] OK, thank you. Let me, let me revise that. Thank you. [CUSTOMER][NEUTRAL] Of [PII]. [CUSTOMER][POSITIVE] You're welcome. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] So my apologies, we received the claim on [PII] and it was processed on let's see. [AGENT][NEUTRAL] [PII] with the payment in the amount of [AGENT][NEUTRAL] $8,191.11. [CUSTOMER][POSITIVE] Wow, they pay the whole thing. They must have a great policy. I've never seen them pay out that much. I thought it was like a $2500 or $5000 limit. Awesome. Do you have a check number by any chance? [AGENT][NEUTRAL] I do. Let me get that for you, [PII], one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] One moment here. [AGENT][NEUTRAL] OK, the check number shows 2042546. [CUSTOMER][POSITIVE] Awesome alright well thank you so much. What's your name again? I forgot to write it down. I'm sorry. [AGENT][NEUTRAL] No problem. My name is [PII]. We do not use reference numbers, [PII]. You can use my name in today's date. Last initials [PII]. Anything else I can help you with? [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][POSITIVE] That's all. Thank you and have a great weekend. [AGENT][POSITIVE] You as well thanks for calling APL take care bye. [CUSTOMER][POSITIVE] Thanks.