AccountId: 011433970860 ContactId: c39bc688-fa37-4422-af3e-792d4b8e1cef Channel: VOICE LanguageCode: en-US Total Conversation Duration: 996989 ms Total Talk Time (AGENT): 160185 ms Total Talk Time (CUSTOMER): 119992 ms Interruptions: 2 Overall Sentiment: AGENT=0.1, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/23/c39bc688-fa37-4422-af3e-792d4b8e1cef_20250123T21:08_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling ATL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yes [PII], this is [PII] at River Valley Primary Care Services, and I need to check uh claim status and payment on a claim. [AGENT][NEUTRAL] OK, I can help you with claim status. Can I please get your phone number, Ms. [PII], just in case our call gets disconnected? [CUSTOMER][NEUTRAL] Yes, it's [PII]. [CUSTOMER][NEUTRAL] [PII]. I had to think about that a minute. [AGENT][NEUTRAL] You don't call yourself. [CUSTOMER][NEUTRAL] No, I hear you. I was like, well, wait a minute, which number am I gonna give today? [AGENT][NEUTRAL] Oh [AGENT][NEUTRAL] That's OK. OK, Ms. [PII], what is the uh the patient's name? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] It is gonna be [PII]. [CUSTOMER][NEUTRAL] Do you have a [AGENT][NEUTRAL] OK. And what is [PII]'s date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Thank you, and [PII]'s policy number, please? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] It's gonna be D 445-04748. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Do you have [PII]'s social security number because that policy number is not going to pull in for me because that's the IMA number? [CUSTOMER][NEUTRAL] OK, uh, yes, it is going to be 448-060-439. [AGENT][POSITIVE] OK, thank you so much let me pull her in that way. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK. I've got it pulled up. [AGENT][NEUTRAL] And what is the date of service? [CUSTOMER][NEUTRAL] And they the service is gonna be [PII] for $12. [AGENT][NEUTRAL] OK, let me look that up real quick. [CUSTOMER][NEUTRAL] We got some information back but it says claims services pending further review so I wasn't for sure if you guys were needing something or. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And the claim number that you have is the 353-8212? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] That's what I'm finding too. [AGENT][NEUTRAL] Let me see what it says now. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] I am showing that $50 was paid with check number 2018585. [AGENT][NEUTRAL] Let me check that real quick. [CUSTOMER][NEUTRAL] Let me see here 11:20. [CUSTOMER][NEUTRAL] For a $12 charge? [AGENT][NEUTRAL] Yeah, we paid [AGENT][NEGATIVE] Oh, they had that wrong. We paid $12 with check number 2018585 and I went to River Valley Primary Care. [CUSTOMER][NEUTRAL] Give me. [CUSTOMER][NEUTRAL] OK, give me that check number again. [AGENT][NEUTRAL] 2018585. [CUSTOMER][NEUTRAL] OK, was that like a paper check or EFT? [AGENT][NEUTRAL] That was a paper check. There was also another charge for procedure 81003. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The bill amount was $38. [AGENT][NEUTRAL] Yeah, that's what happened is it was $38 and we paid it with check number 2018584. [AGENT][NEUTRAL] Let me see. [AGENT][POSITIVE] Oh, I'm sorry. [AGENT][NEUTRAL] Please forgive me, that did not go to you. That one was not yours. So your check payment is the. [CUSTOMER][NEUTRAL] Uh, that [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] 2018585 for the amount of $12. And that was done on [CUSTOMER][NEUTRAL] OK, when did that go out? [AGENT][NEUTRAL] Yes ma'am, let me look. [CUSTOMER][NEUTRAL] I didn't mean to cut you off there. I'm sorry. [AGENT][NEUTRAL] No, that's fine. [AGENT][NEUTRAL] That check was issued on [PII]. [CUSTOMER][NEUTRAL] Has it been cash, do you know? [AGENT][POSITIVE] No, ma'am. It's still outstanding. [CUSTOMER][POSITIVE] It's still outstanding. OK, can you tell me the address that it was sent to? [AGENT][NEUTRAL] Yes ma'am, it was sent to [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Is that [PII]? [CUSTOMER][NEUTRAL] Uh huh uh huh, [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK, OK, yeah, that's right, that's right, I'll just look and see um it might be coming around, you know how slow mail is and stuff. [AGENT][NEGATIVE] Yes, ma'am. Yes, it's terrible. [CUSTOMER][NEUTRAL] I hear you. [CUSTOMER][NEUTRAL] OK, do you have a reference number for me, hon? [AGENT][NEUTRAL] Yes, ma'am. You can use my name, [PII], in today's date. [CUSTOMER][POSITIVE] OK, thank you so much and you have a good rest of your day. [AGENT][POSITIVE] You too, Ms. [PII]. You have a blessed one. Thanks for calling APL. [CUSTOMER][NEUTRAL] Uh huh bye bye. [AGENT][NEUTRAL] Bye-bye. [AGENT][NEGATIVE] Oh crap. [AGENT][NEUTRAL] out [AGENT][NEUTRAL] Or [AGENT][NEUTRAL] Yes.