AccountId: 011433970860 ContactId: aeff5e37-3e66-46ad-88e7-0e49994e152f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 284720 ms Total Talk Time (AGENT): 113046 ms Total Talk Time (CUSTOMER): 106828 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/06/aeff5e37-3e66-46ad-88e7-0e49994e152f_20250606T13:13_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hey, good morning, [PII], um, this is [PII]. Can I check on a couple claims please? [AGENT][POSITIVE] Sure, I'll be more than happy to help you with the claim status. And [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Sure [PII]. [AGENT][NEUTRAL] Thank you. And may I have the member's policy number? [CUSTOMER][NEUTRAL] Sure can the right one. I have a 02442238. [AGENT][NEUTRAL] Thank you, hold on one moment. And are the claims for the same member or there multiple members? [CUSTOMER][NEUTRAL] Uh, I think it's same number. Let me check my list here. [CUSTOMER][NEUTRAL] Same number, yes ma'am. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And are you gonna need explanation of benefits for each claim we go over? [CUSTOMER][NEUTRAL] Uh, yes, mhm. [AGENT][NEUTRAL] OK, what's a good fax number for you? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] And should I put attention, [PII]? [CUSTOMER][POSITIVE] That's great, sure. [AGENT][NEUTRAL] Alright, and just to make sure I have it [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] All right, thank you. And may I have, um, or can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you, and all the information provided is a verification of benefits, not a guarantee of payment. And may I have the dates of service and the total bill for the claims? [CUSTOMER][NEUTRAL] Sure, I have um [PII]. [CUSTOMER][NEUTRAL] Uh, let's see, there should be one for $343. [CUSTOMER][NEUTRAL] And another one for $112. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Oh, you can give them all to me at once if you like. [CUSTOMER][NEUTRAL] OK, um. [CUSTOMER][NEUTRAL] And then [CUSTOMER][NEUTRAL] 228 of 25 for 168, did I give you that one? I'm sorry. [AGENT][NEUTRAL] No, no, you didn't give me that one. Just the [PII]. [CUSTOMER][NEUTRAL] No, I don't think so. OK. [CUSTOMER][NEUTRAL] OK, so, so yeah, those 3 dates. [AGENT][NEUTRAL] Oh, OK. Wait a minute, 3, so I only have the [PII] and the 28th. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Two for the [PII] and one for the, were both of those amounts for the [PII], the 343, and the 112? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yes, they were two separate claims. [AGENT][NEUTRAL] OK, and then one for the [PII], 168. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] The [PII]. [CUSTOMER][NEUTRAL] Yes ma'am mhm. [AGENT][NEUTRAL] OK, hold on one second. Oh, you're fine. [CUSTOMER][NEUTRAL] Sorry, excuse you. [AGENT][NEUTRAL] Hold on one moment, so. [CUSTOMER][NEUTRAL] Us. [AGENT][NEUTRAL] It'll all be under this one. [AGENT][NEUTRAL] So I'm not showing any claims on file for either of those dates. [CUSTOMER][NEUTRAL] OK, alright, um. [CUSTOMER][NEUTRAL] I do have the correct ID number though. [AGENT][NEUTRAL] Yes, that is the policy number. [CUSTOMER][NEUTRAL] OK, alright, so let's see, where should these be um mailed to? [CUSTOMER][NEUTRAL] Yeah, because I don't [AGENT][NEUTRAL] So you can, um, so the mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Zip code is [PII]. [CUSTOMER][NEUTRAL] OK, alright, so I can mail them there and how about can I do, can I fax them? [AGENT][NEUTRAL] Yes, our fax number is [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Alright, very good. [CUSTOMER][NEUTRAL] Alright, and um do you give out any reference numbers for our call or should I just use your name? [AGENT][NEUTRAL] So there's no call reference number, but yes, you can use my name and today's date. The first initial to my last name is [PII]. [CUSTOMER][POSITIVE] [PII]. Alright, appreciate your help. Thank you so very much. [AGENT][POSITIVE] You're very welcome and thanks for calling APL. I hope you have a great weekend. [CUSTOMER][POSITIVE] Thank you take care bye bye. [AGENT][POSITIVE] Thank you, bye bye.