AccountId: 011433970860 ContactId: 9dbb620e-7a47-469b-b83e-1bf1c4059bc2 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 259839 ms Total Talk Time (AGENT): 83720 ms Total Talk Time (CUSTOMER): 108151 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/07/9dbb620e-7a47-469b-b83e-1bf1c4059bc2_20250207T17:14_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] calling American Public Life. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I'm [PII] from provider's office. I'm looking for the claim status. [AGENT][NEUTRAL] OK, I can help you with that. Could I get a callback number? [CUSTOMER][NEUTRAL] [PII] and this is a direct line. [AGENT][NEUTRAL] OK. May I get the policy number you're calling on? [CUSTOMER][NEUTRAL] Yeah, sure. It's 1129521. [AGENT][NEUTRAL] Patient's name and date of birth? [CUSTOMER][NEUTRAL] Um, first name is [PII]. Last name is uh [PII]. [CUSTOMER][NEUTRAL] And date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you for verifying the policy and you did say you were calling for status today. What is the date of service you're checking? [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] It's uh [PII], but the bill charge of $16 even. [CUSTOMER][NEUTRAL] And may I have your name, please? [AGENT][NEUTRAL] My name is [PII]. I do not show we've received the claim for [PII]. [CUSTOMER][POSITIVE] Uh, sorry, I apologize. It's [PII]. I'm really sorry. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] I do not show we have a claim on file for [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Not on file. And uh may I have the policy effective date for this patient? [AGENT][NEUTRAL] Policy effective [PII]. [AGENT][NEUTRAL] Policy term on [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And may I have your payer ID? [AGENT][NEUTRAL] Payer ID is 60801. [CUSTOMER][NEUTRAL] 608-601. [AGENT][NEUTRAL] 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Yes [CUSTOMER][NEUTRAL] OK. And uh your mailing address for some the claims? [AGENT][NEUTRAL] Smelling [AGENT][NEUTRAL] Mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And. [CUSTOMER][NEUTRAL] The timely filing for submitted the claim? [AGENT][NEGATIVE] There is no timely filing. [CUSTOMER][NEUTRAL] And the call reference? [AGENT][NEUTRAL] To reference the call, you'll use my name and today's date. And is there anything else I can help you with? [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Yeah, actually, I do have another claim for the same patient. [AGENT][NEUTRAL] What is the date of service? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] I do not show we have [PII] on file. [CUSTOMER][NEUTRAL] OK. Uh, I do have another data services. Just give me a moment. [CUSTOMER][NEUTRAL] The next member uh data services [PII]. [AGENT][NEUTRAL] [PII] not on file. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] The next data service is [PII]. [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] [PII], not on file. [CUSTOMER][NEUTRAL] Uh, I do have a last member, uh, I, sorry, data service which is [PII]. [AGENT][NEUTRAL] [PII], not on file. [CUSTOMER][POSITIVE] Thank you for the confirmation. And thank you so much for that. Have a great day. Bye-bye. Thank you. [AGENT][POSITIVE] You're welcome you have a wonderful weekend. Thank you for calling APL bye bye. [CUSTOMER][POSITIVE] Thank you bye.