AccountId: 011433970860 ContactId: 8c8c5244-66ef-4c58-88da-6fbbb04d2d9e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 285630 ms Total Talk Time (AGENT): 75912 ms Total Talk Time (CUSTOMER): 117240 ms Interruptions: 1 Overall Sentiment: AGENT=0.6, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/05/8c8c5244-66ef-4c58-88da-6fbbb04d2d9e_20250205T13:33_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling this is. How may I help you? [CUSTOMER][NEUTRAL] Hi, good morning. I'm sorry, what's your name? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Hi [PII], yeah, good morning. My name is [PII]. I'm calling to check uh claim status for one of your members. [AGENT][NEUTRAL] OK, I can help you, [PII]. What's the policy number? [CUSTOMER][NEUTRAL] Uh, that is going to be 1177427. [CUSTOMER][NEUTRAL] M for Mary, L for Lima, and number 4. [AGENT][NEUTRAL] I get phone number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And the patient's name and date of birth? [CUSTOMER][NEUTRAL] Uh, [PII] [PII]. [AGENT][NEUTRAL] You gave me policy number 1177427? [CUSTOMER][NEUTRAL] Uh huh. [AGENT][NEUTRAL] Spell the patient's first name? [CUSTOMER][NEUTRAL] Uh [PII] [AGENT][NEUTRAL] And spelling of the last name? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] One moment. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] I gave you her birthday, right? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] One moment. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] And repeat her date of birth for me. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And your name is [PII]? [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] It [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] OK, let me give you the correct policy number. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] It's 1877201. [AGENT][NEUTRAL] And you stated that you're that you're checking claim status? [CUSTOMER][NEUTRAL] OK, you. [CUSTOMER][NEUTRAL] Uh, yeah, and you say that uh that policy uh correct number is 1877201? [AGENT][POSITIVE] Correct. [AGENT][NEUTRAL] And if you can provide the date of service and the total charge? [CUSTOMER][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Uh, yeah, it's [PII]. [CUSTOMER][NEUTRAL] And it was for 37,116 with 10 cents. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Is this a hospital charge? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, I'm not showing the facility charge on file for this patient. [CUSTOMER][NEUTRAL] OK, and correct me with uh. [CUSTOMER][NEUTRAL] I should say confirm me the um. [CUSTOMER][NEUTRAL] You claim mailing address [PII]. [AGENT][NEUTRAL] Yep, [PII]. [AGENT][NEUTRAL] Go ahead. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, that's in [PII], correct? [AGENT][NEUTRAL] Mhm. State of [PII]. [CUSTOMER][NEUTRAL] All right. Yeah. [AGENT][NEUTRAL] 73 1 24. [CUSTOMER][NEUTRAL] Yes, I got it. OK, excellent. OK, [PII], thank you. Oh, and then you know what, you do have a fax where I can fax a claim, right? [AGENT][NEUTRAL] We do. [CUSTOMER][NEUTRAL] May I please have that? [AGENT][NEUTRAL] Uh [AGENT][NEUTRAL] The fax number is 877. [AGENT][NEUTRAL] 365. [AGENT][NEUTRAL] 942-3 attention claims. [CUSTOMER][NEUTRAL] OK, [PII]. [AGENT][NEUTRAL] Correct. Anything else I can help with? [CUSTOMER][NEUTRAL] OK, do I get a call reference number or just your name? [AGENT][NEUTRAL] You'll use my name in today's state as your reference. [PII], and any other questions? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] No, that's all I need thank you very much have a good day bye bye. [AGENT][POSITIVE] You're, you're welcome. Thanks for calling ATL. Have a good day.