AccountId: 011433970860 ContactId: a197efa4-4173-4b81-bcb3-d1489a597708 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 291910 ms Total Talk Time (AGENT): 107535 ms Total Talk Time (CUSTOMER): 113452 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/17/a197efa4-4173-4b81-bcb3-d1489a597708_20250617T19:02_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling American Public Life. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], how are you today? [AGENT][POSITIVE] I'm great. How are you? [CUSTOMER][NEUTRAL] I'm doing well. I'm not sure if I've contacted the right location, but I have a member whose claim was not paid um for physical therapy. [AGENT][NEUTRAL] And do you have a claim number? [CUSTOMER][NEUTRAL] I don't have a claim number. Uh, we switched over systems and then the claim number didn't come over. I have the member's policy number and date of birth. [AGENT][NEUTRAL] OK. OK. I'll take the policy number. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] I have it as AH 0452411. [AGENT][NEUTRAL] OK, that is not our policy number. I can do a name search. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Um, the name is [PII], last name [PII] [AGENT][NEUTRAL] I'm sorry, was that [PII]? [CUSTOMER][NEUTRAL] Uh, to begin with, yes ma'am, [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And then date of birth. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And may I have your name and a good callback number? [CUSTOMER][NEUTRAL] It's just Ky the letters um B as in Bravo letter to my last name, and the direct line to the office is [PII]. [AGENT][POSITIVE] Thank you one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK and the name didn't pull up. It's [PII] [CUSTOMER][NEUTRAL] Oh, the last name. I'm sorry, no, the, the first name is [PII] last [PII] [PII] [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Thank you for verifying that, one moment. [AGENT][NEUTRAL] And thank you for verifying that information. Please be advised that verification of coverage does not guarantee the payment of a claim. So I have the policy number is 02299176. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And do you have a data service? [CUSTOMER][NEUTRAL] Yes ma'am, it's gonna be for uh [PII]. [AGENT][NEUTRAL] And total bill amount? [CUSTOMER][NEUTRAL] $490. [AGENT][NEUTRAL] Thank you for future reference, you may visit our website at [PII] to check claim status as well. [AGENT][NEUTRAL] Let's see. [AGENT][NEUTRAL] 1212. [CUSTOMER][NEUTRAL] Do you mind giving me that um. [CUSTOMER][NEUTRAL] Policy number one more time so I can make sure that I put it incorrectly on our end. [AGENT][NEUTRAL] Yes, ma'am. It's 02. [AGENT][NEUTRAL] 299176. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] You're welcome and I'm not showing we have received data service 12-12-2024. [AGENT][NEUTRAL] As of today, [AGENT][NEUTRAL] Would you like to fax it over? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Let me see you. [CUSTOMER][NEUTRAL] 1212 24 yeah if yeah I can uh fax it over. [AGENT][NEUTRAL] Fax number is [PII]. [AGENT][NEUTRAL] 365. [AGENT][NEUTRAL] 942-3 attention claims. [CUSTOMER][NEUTRAL] Alright, and then I'm sorry, what was your name? [AGENT][NEUTRAL] It's [PII] Last initial is [PII] [CUSTOMER][NEUTRAL] And is there a reference number for our call, Miss [PII]? [AGENT][NEUTRAL] It will be my name along with today's date. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Ma [CUSTOMER][NEUTRAL] Um, and then do you see yourself as primary on this member or this, or can you tell that? [AGENT][NEUTRAL] No, um, this person, [PII] is, uh, dependent on this policy. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Alrighty, I do appreciate your time, Miss [PII]. I will try to figure this one out. [AGENT][POSITIVE] You are so welcome and thank you for calling American Public Life, Casey have a great day. Bye bye. [CUSTOMER][NEUTRAL] You too.