AccountId: 011433970860 ContactId: 96cb2547-644e-43a9-a99c-55f2ee0f7cdc Channel: VOICE LanguageCode: en-US Total Conversation Duration: 231320 ms Total Talk Time (AGENT): 82638 ms Total Talk Time (CUSTOMER): 79029 ms Interruptions: 1 Overall Sentiment: AGENT=0.5, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/11/96cb2547-644e-43a9-a99c-55f2ee0f7cdc_20250611T13:24_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Hi, this is [PII] here calling on behalf of provider's office. I need a claim status. Could you just help me with that, please? [AGENT][NEUTRAL] I can verify claim status. May I have a policy number? [CUSTOMER][NEUTRAL] 02445904. [AGENT][NEUTRAL] May I have a good callback number for you? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] May I have the patient's name and date of birth? [CUSTOMER][NEUTRAL] That is [PII] and date of birth is [PII]. [AGENT][NEUTRAL] Thank you for verifying that information. May I have a data service? [CUSTOMER][NEUTRAL] 57 of 2024 with a bill amount of $175. [AGENT][POSITIVE] Thank you for verifying that information for future. [CUSTOMER][NEUTRAL] Getting [CUSTOMER][NEUTRAL] Can I get your name one second if you don't mind? [AGENT][NEUTRAL] It's [PII] Last initial is [PII] [AGENT][NEUTRAL] For future reference, you may visit our website at [PII] to check claim status as well. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] This processed under claim number 3457478 and it was denied for eligibility. [AGENT][NEUTRAL] This client [CUSTOMER][NEUTRAL] Uh, give me a moment here. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Can I get the claim received date? [AGENT][NEUTRAL] Claim was received on [PII]. [CUSTOMER][NEUTRAL] And processed on. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Denied for? [AGENT][NEUTRAL] Eligibility. It looks like this plan termed 4-14-2024, there is no active policy on file. [CUSTOMER][NEUTRAL] Turn on. Could you just repeat that? [AGENT][NEUTRAL] Uh. [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] Can I get you to update once again? [AGENT][NEUTRAL] 4 14 2024. [CUSTOMER][NEUTRAL] 4:14, OK. [CUSTOMER][NEUTRAL] Um, can I just request you be denied EOB? [AGENT][NEUTRAL] May I have a fax number? [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Sure, uh, the fax number is [PII]. [AGENT][NEUTRAL] I will fax this right over. Is there anything else I can assist you with today? [CUSTOMER][NEUTRAL] No, thank you. And what will be the that? [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] What will be the turnaround time to receive the EOB? [AGENT][NEUTRAL] As long as it takes to transmit over, I'm sending it over right now. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I mean we call it upfront. [AGENT][NEUTRAL] It will be my name, [PII] Last initial is [PII] along with today's date. [CUSTOMER][POSITIVE] Oh, OK. Thank you so much, [PII]. I help the patient. It was a great help. Thank you. [AGENT][POSITIVE] You're so welcome, and thank you for calling American Public Life, [PII]. Have a great day. Bye-bye. [CUSTOMER][POSITIVE] Have a great day bye.