AccountId: 011433970860 ContactId: baa2f27f-cc7c-47e7-a603-3e0bcc6ed34e Channel: VOICE LanguageCode: en-US Total Conversation Duration: 254389 ms Total Talk Time (AGENT): 85923 ms Total Talk Time (CUSTOMER): 80050 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=-0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/21/baa2f27f-cc7c-47e7-a603-3e0bcc6ed34e_20250121T13:54_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I'm calling to check on a claim. I'm not sure if I'm in the right place or not. [AGENT][NEUTRAL] May I have your name? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] [PII], thank you, and your call back number if we are disconnected? [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] OK, thank you and [PII], what is that policy number? [CUSTOMER][NEUTRAL] It is. [CUSTOMER][NEUTRAL] D 43,731,510. [AGENT][NEUTRAL] OK, it'll be different policy number for APL. Give me one moment please. [AGENT][NEUTRAL] What is the patient's last name? [CUSTOMER][NEGATIVE] Uh, it's [PII]. [AGENT][NEUTRAL] OK, um. [CUSTOMER][NEUTRAL] That's the last name. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] OK, thank you and if you could spell that for me? [CUSTOMER][NEUTRAL] Yeah, give me one second. [AGENT][NEUTRAL] Oh, OK. [CUSTOMER][NEUTRAL] Oops. [CUSTOMER][NEUTRAL] It is. [CUSTOMER][NEGATIVE] Oh, come on. [CUSTOMER][NEUTRAL] It is. [CUSTOMER][NEUTRAL] Oh, I gotta read my notes. [CUSTOMER][NEUTRAL] Eligible. It's [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, just like this one, OK, and the first name, thank you. [CUSTOMER][NEUTRAL] Uh, [PII]. [AGENT][NEUTRAL] Is that spelled [PII]? [CUSTOMER][NEUTRAL] It's [PII] [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And verify the date of birth please for the patient. [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][POSITIVE] OK, thank you so much for the information. I was able to locate the policy for APL. Let me provide you with the policy number please, when you're ready. It will be different from the member ID number. [CUSTOMER][NEUTRAL] OK, let me get a OK, policy number. [AGENT][NEUTRAL] 251-728-5 [CUSTOMER][NEUTRAL] OK 7285. [AGENT][NEUTRAL] OK, and you're calling for claim status and what date of service and charge amount? [AGENT][NEUTRAL] Please. [CUSTOMER][NEUTRAL] Um, it's [PII] for a total of $133.12. [AGENT][NEUTRAL] OK, one moment. [AGENT][NEUTRAL] OK, and just to repeat that was [PII], 2024 $133.12 for Leo. OK, OK, thank you so much. I do not show that we have received that claim. Um, no claim is on file. [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So we're sending this to payer ID 64556, is that correct? [AGENT][NEUTRAL] Let me check that for you one moment. [AGENT][NEUTRAL] Yes, 645-556. That is correct. [CUSTOMER][NEUTRAL] OK, so let me get this resubmitted and I'll change the pay I mean the member's ID number. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, can I just get a call reference number? [AGENT][NEUTRAL] We do not use call reference numbers. You can use my name [PII] last initial [PII], and today's date. Anything else I can help you with please, [PII]? [CUSTOMER][POSITIVE] Nope, that'll be all thank you so much I appreciate your help. [AGENT][POSITIVE] You're welcome and thank you for calling AP I'll take care bye. [CUSTOMER][NEUTRAL] Bye bye.