AccountId: 011433970860 ContactId: 9935d11d-9b12-4551-ad24-66e22943dd74 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 169520 ms Total Talk Time (AGENT): 49360 ms Total Talk Time (CUSTOMER): 65792 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/14/9935d11d-9b12-4551-ad24-66e22943dd74_20250514T19:56_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hello, [PII]. Hello [PII]. This is [PII] calling from provider's office checking on claim status. Can you please help me with this? [AGENT][NEUTRAL] Happy to check on a claim. Can I get the patient policy number? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yes, one moment. It's 1449226 M as in Mike, L as in Lima. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] Before that, I would like to tell you that this call is being recorded for quality and training purposes. Are you OK with it? [AGENT][NEUTRAL] Yes, that's fine. [CUSTOMER][NEUTRAL] So the member's name is [PII]. [CUSTOMER][NEUTRAL] business [AGENT][NEUTRAL] Date of birth? [CUSTOMER][NEUTRAL] Date of birth is [PII]. [AGENT][POSITIVE] Thank you. Data service? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Date of service is [PII]. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And the build out. [CUSTOMER][NEUTRAL] It's $667 even. [AGENT][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Oh. [AGENT][NEUTRAL] All right. Thank you for your patience on that. So, it looks like we did receive a claim for that date of service. The claim was denied. The services were rendered after the patient was active. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK, so what was the term and active date of the member? [AGENT][NEUTRAL] The effective date on the policy is [PII]. [AGENT][NEUTRAL] This policy terminated [PII]. [CUSTOMER][POSITIVE] OK. Thank you so much for all the information. Can you please spell out your name for me? [AGENT][NEUTRAL] My name is spelled [PII] My last initial is [PII]. [CUSTOMER][NEUTRAL] OK, what will be the call reference number? [AGENT][NEUTRAL] It is my name with today's date. [CUSTOMER][POSITIVE] OK. Thank you so much. Have a great day. [AGENT][NEUTRAL] You too, bye bye.