AccountId: 011433970860 ContactId: 8ac52e58-c2bf-4732-93f1-d3c27d38fa31 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 1000750 ms Total Talk Time (AGENT): 144001 ms Total Talk Time (CUSTOMER): 247085 ms Interruptions: 1 Overall Sentiment: AGENT=0.1, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/02/8ac52e58-c2bf-4732-93f1-d3c27d38fa31_20250602T17:10_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Like [CUSTOMER][NEUTRAL] Yeah, hi, [PII], this is [PII]. I'm calling from Blanchard Valley Regional Health. I need to check on a claim status. [AGENT][NEUTRAL] Sure I can help you with claim status. Um, can I get a good call back number in case we get disconnected? [CUSTOMER][NEUTRAL] Yeah, sure. The callback number is [PII]. [AGENT][NEUTRAL] And what's the policy number? [CUSTOMER][NEUTRAL] Yeah, just a minute. [CUSTOMER][NEUTRAL] The member's policy number is [CUSTOMER][NEUTRAL] D as in Delta 476-868-19. [AGENT][NEUTRAL] Do you have um a different policy number or it might show, um, [AGENT][NEUTRAL] A certificate number? [CUSTOMER][NEUTRAL] All right. Do you want me to check on the policy number again? [AGENT][NEUTRAL] Uh yes, please. It, it shouldn't have a number at the beginning of it, um. [CUSTOMER][NEUTRAL] All right, just give me 2 minutes. [AGENT][NEUTRAL] It might start in a 0. [CUSTOMER][NEUTRAL] Yeah, can I repeat the number? [AGENT][NEUTRAL] Hm, it might start with a 01 or 02 maybe? Do you see any number like that? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] All right, sorry, I don't have any other number. Actually, in the insurance card, it is starting with D. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] D. 476-868-19. Yeah. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Do you have their social security number? [CUSTOMER][NEUTRAL] Yeah, sure, just a. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, the SSN number is [PII]. [AGENT][NEUTRAL] OK, give me just a moment to look that up. [CUSTOMER][NEUTRAL] OK, sure. [AGENT][NEUTRAL] And what is the last name? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] Is that the first name or the last name? [CUSTOMER][NEUTRAL] Last name. [AGENT][NEUTRAL] Is it [PII]? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK give me just a moment. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] What's the first name? [CUSTOMER][NEUTRAL] All right. Just give me a moment. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] But it's [PII], that is the full name. [AGENT][NEUTRAL] You said [PII]? [CUSTOMER][NEUTRAL] Uh, can you take [CUSTOMER][NEUTRAL] You know. [CUSTOMER][NEUTRAL] No, it's not [PII], it's [PII]. Can I spell it? [AGENT][NEUTRAL] Uh yes, ma'am. [CUSTOMER][NEUTRAL] [PII], yeah, [PII]. [AGENT][NEUTRAL] [PII], correct? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, thank you so much. [CUSTOMER][NEUTRAL] OK. [AGENT][NEGATIVE] I'm not able to pull them up. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, just give me a moment, please. [AGENT][NEUTRAL] Let me see. [CUSTOMER][NEUTRAL] Yeah, please give me 2 minutes. [CUSTOMER][NEUTRAL] Yeah, hi, hello. So on my system, it is showing it is the only insurance and it's the only member ID showing. All right, then, uh, can you help me with another patient? [AGENT][NEUTRAL] Sure, do you want me to give you the number um to IMA for that last patient and you can check on their you can check on the claim through them. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][POSITIVE] Yeah, sure. Yes, please. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] It'll be 1800. [AGENT][NEUTRAL] 833. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] 4296. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And just let them know that we weren't able to pull them up. [CUSTOMER][NEUTRAL] All right. Actually, with the same number I have that. [AGENT][NEUTRAL] Yeah, yes, and then you'll click option 1 instead of option 2. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. OK. OK, sure. Yeah. [AGENT][NEUTRAL] OK, and what's the next patient? [CUSTOMER][NEUTRAL] Uh, just a minute. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] If the next patient is [PII]. Can I tell the member ID? [AGENT][NEUTRAL] Um, yes, what's the certificate number? [AGENT][NEUTRAL] For the member ID. [CUSTOMER][NEUTRAL] Just a minute. [CUSTOMER][NEUTRAL] You want the yeah, you want the SSN number? [AGENT][NEUTRAL] Um, well, do they have a policy, uh, a policy number? [CUSTOMER][NEUTRAL] Yeah, sure. [AGENT][NEUTRAL] And what is it? [CUSTOMER][NEUTRAL] Yeah, the policy number starts with D actually. D as in Delta 47670743. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And was that the member ID number? [CUSTOMER][NEUTRAL] Yeah, this is the member ID. [AGENT][NEUTRAL] OK [AGENT][NEUTRAL] OK, OK, I just want to make sure, um, and what is their social? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Just a minute. [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] I have [PII]. [AGENT][NEUTRAL] [PII], correct? [CUSTOMER][POSITIVE] Yes, yes, yes. Correct. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, give me just one moment. [CUSTOMER][NEUTRAL] OK, sure. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And what is their last name? [CUSTOMER][NEUTRAL] Yeah, just a minute. It's [PII]. [AGENT][NEUTRAL] Give me just a moment. [CUSTOMER][NEUTRAL] OK, sure. [AGENT][NEUTRAL] And what's the first name? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] And do you have the policy holder's name? [CUSTOMER][NEUTRAL] Uh, yes. Yeah, this is the policyholder's name. [AGENT][NEUTRAL] It is OK, that is the policy holder, OK, just making sure. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah, yeah. OK. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] In just a moment while I try to look them up for you. [CUSTOMER][NEUTRAL] OK, sure. [AGENT][NEUTRAL] I'm not showing a [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So, um, [CUSTOMER][NEUTRAL] So you can't able to pull up the patient? [AGENT][NEUTRAL] You have another patient? [CUSTOMER][NEUTRAL] OK. I don't have another patient. Actually, I have the, another dot for the same patient. [AGENT][NEUTRAL] Oh [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] All right. Um. [CUSTOMER][NEUTRAL] Yeah, can you just give me 2 minutes, please? Can I put your call on hold? [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Yeah, cross very everything, yeah. [CUSTOMER][POSITIVE] Yeah, thank you so much. [AGENT][NEUTRAL] Oh [CUSTOMER][POSITIVE] Yeah, hi, thank you for being on the hold. [CUSTOMER][NEUTRAL] Um, actually, upon checking on my system, uh, I don't have any other uh information regarding this. I need to check, double check up on my system. All right. Thank you so much for assisting. Can I get the call reference number? [AGENT][NEUTRAL] We don't have call reference numbers, but you can use my my name and last initial in today's date. So [PII] and today's date. [CUSTOMER][NEUTRAL] All right, [PII], right? [AGENT][NEUTRAL] Yes ma'am. [CUSTOMER][POSITIVE] OK. Yeah, thank you so much. [CUSTOMER][POSITIVE] Yeah, thank you so much. Have a great day. [AGENT][POSITIVE] OK, thank you for calling APL. Have a great day. [CUSTOMER][NEUTRAL] Bye bye. [AGENT][NEUTRAL] Bye.