AccountId: 011433970860 ContactId: 8df47dd7-4e9f-447c-8db3-d05ddeb18c34 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 201710 ms Total Talk Time (AGENT): 48817 ms Total Talk Time (CUSTOMER): 65275 ms Interruptions: 0 Overall Sentiment: AGENT=1.2, CUSTOMER=1.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/16/8df47dd7-4e9f-447c-8db3-d05ddeb18c34_20250616T15:16_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling American Public Life. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi. [CUSTOMER][NEUTRAL] Hi, [PII]. This is [PII]. I'm calling for Lauderdale Academic Dermatology, and I'm calling to check on a claim status. [AGENT][NEUTRAL] Can I get a callback number for you [PII]? [CUSTOMER][NEUTRAL] Yes, the callback number is [PII] with the extension of [PII]. [AGENT][NEUTRAL] Thank you, the policy number you're calling on? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] The policy number that would be uh [CUSTOMER][NEUTRAL] 02486627 [AGENT][NEUTRAL] Patient's name and date of birth. [CUSTOMER][NEUTRAL] The baking name as well. [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] And what is the data service you're checking? [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] The date of service is [PII] with a total charge amount of $204 even. [AGENT][POSITIVE] OK, thank you so much for verifying the policy. [AGENT][NEUTRAL] And providing the information, it looks like the claim was received and the claim was denied. Office visits are not covered under the patient's plan. [CUSTOMER][NEUTRAL] OK, just give me a moment. [CUSTOMER][POSITIVE] Thank you so much. [CUSTOMER][POSITIVE] Oh, thank you so much for your patience. And can I get the claim receipt and denial date? [AGENT][NEUTRAL] The claim denied on [PII]. [CUSTOMER][NEUTRAL] And the receipt the same, right? Or it's it different? [AGENT][NEUTRAL] The received date is [PII]. [CUSTOMER][NEUTRAL] [PII]. Got it. [CUSTOMER][NEUTRAL] OK, can you please allow me a moment for one minute? [AGENT][NEUTRAL] Sure. [CUSTOMER][POSITIVE] Thank you so much. [CUSTOMER][POSITIVE] Thank you so much for your patience. And can I get the claim number? [AGENT][NEUTRAL] Claim number is 3606402. [CUSTOMER][NEUTRAL] Got it. And so the call reference for this. [AGENT][NEUTRAL] To reference the call, you'll use my name [PII] and today's date. [CUSTOMER][POSITIVE] Thank you so much. That's all I have for today. Thank you so much for your assistance. You have a great day. Bye-bye. Thank you so much. [AGENT][POSITIVE] You're welcome. You have a wonderful day. Thank you for calling APL. Bye-bye. [CUSTOMER][NEUTRAL] Bye.