AccountId: 011433970860 ContactId: c03e3de7-811c-42c4-b05e-f9555973e52f Channel: VOICE LanguageCode: en-US Total Conversation Duration: 221320 ms Total Talk Time (AGENT): 109927 ms Total Talk Time (CUSTOMER): 132860 ms Interruptions: 7 Overall Sentiment: AGENT=1.4, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/21/c03e3de7-811c-42c4-b05e-f9555973e52f_20250421T19:59_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yeah, hi, my name is [PII] calling from [PII]'s office to check on a bill she. [AGENT][POSITIVE] OK, well, I'll be more than happy to assist you with the claim. And [PII], may I have a good contact number in case we're disconnected and the policy number? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah, it's [PII]. And it's a direct line and the policy number is uh. [CUSTOMER][NEUTRAL] 15730001. [AGENT][POSITIVE] Thank you for that. Hold on one moment. [CUSTOMER][NEUTRAL] OK [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] Yeah, the member's name is [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that. And may I have the date of service and the total bills for the claim? [CUSTOMER][POSITIVE] Thank [CUSTOMER][NEUTRAL] Yeah, the date of service is on number [PII] and for the total charge amount of $114 even. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] OK, hold on one moment. And again, just for the call, all the information provided is a verification of benefits, not a guarantee of payment. Hold on one moment while I look at the claim. [CUSTOMER][NEUTRAL] And again just for the call, all the information provided is a verification of benefits, not a guarantees payment. [AGENT][NEUTRAL] And can you verify the name of the provider's office on the claim? [CUSTOMER][NEUTRAL] It's Express Wellness urgent care. [AGENT][NEUTRAL] Alright, so I'm showing the claim was received on [PII]. [CUSTOMER][NEUTRAL] Alright, so I'm showing the claim was received on [PII]. [AGENT][NEUTRAL] My claim number is 354. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] 936 5. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And hold on. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] On [PII], we paid out on the claim to the provider a total of $50. [CUSTOMER][NEUTRAL] On [PII] we paid out a claim to the provider a total of $50. [AGENT][NEUTRAL] That was the benefit max for that day. [CUSTOMER][NEUTRAL] That [CUSTOMER][POSITIVE] All right. And the check was clear, right? [AGENT][NEUTRAL] Um, let me check on the check. Hold on one second. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] Let's check number 2021922 and I'm checking on that now. [CUSTOMER][NEUTRAL] That's check number 202192 and I'm checking on that now. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] So it um it was issued on [PII]. It's still showing as outstanding. So if you'd like, since it's been over 30 days, I can send a request to have this check checked on, and if it has in fact been cleared, we can provide a copy of the cleared check. If not, we can um request for it to be voided and reissued, sir. [CUSTOMER][NEUTRAL] So it um it was issued on [PII]. It's still showing as outstanding. So if you'd like, since it's been over 30 days, I can send a request to have it checked checked on and if it has in fact been cleared. [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Can you reissue the check once again because it costs 30 days, right? [AGENT][NEUTRAL] Right, as I stated, we can, I can send the request and we're gonna check on the check. If it has been cleared, we provide the clear check. If not, we'll reissue. [CUSTOMER][NEUTRAL] Right, as I stated, I can send the request and we can check the check has cleared. Yeah, sure. Can you do that? [AGENT][NEUTRAL] Yes, I am. Well then. [CUSTOMER][NEUTRAL] Can you send a request? Yes, sir. [AGENT][NEUTRAL] Was there anything else I can assist you with today, [PII]? [CUSTOMER][NEUTRAL] No. Can I get the reference number? [AGENT][NEUTRAL] Sure, so there's no call reference number, but you can use my name in today's date, which is [PII], first initial to my last name is [PII]. [CUSTOMER][POSITIVE] Sure, so there's no reference number, but you can use my name in today's date. All right. And thank you so much. Thank you so much for your assistance and have a rest of day. Bye for now. [AGENT][POSITIVE] You're very welcome. [AGENT][NEUTRAL] Bye bye.