AccountId: 011433970860 ContactId: c432c3fc-0c75-4a5a-bb8f-755a826cf830 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 278839 ms Total Talk Time (AGENT): 79303 ms Total Talk Time (CUSTOMER): 108174 ms Interruptions: 0 Overall Sentiment: AGENT=0.2, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/25/c432c3fc-0c75-4a5a-bb8f-755a826cf830_20250625T16:52_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. This is [PII]. May I help you? [CUSTOMER][NEUTRAL] Hi, [PII] calling from Po office looking for claim status. Could you please assist me? [AGENT][NEUTRAL] Sure, I can verify claim status for you. And your name is again? [CUSTOMER][NEUTRAL] Yeah, my name is [PII]. [AGENT][NEUTRAL] OK, and [PII], what is the policy number, please? [CUSTOMER][NEUTRAL] Yeah, the policy number is 02337056. [AGENT][NEUTRAL] OK, thank you. One moment. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Like, um, it's my first. [CUSTOMER][NEUTRAL] Yeah. My callback number is [PII]. This is direct line. There is no extension. [AGENT][NEUTRAL] OK, thank you. And the patient's name, date of birth? [CUSTOMER][NEUTRAL] Yeah, patient first name is [PII], the last name is [PII]. [CUSTOMER][NEUTRAL] The date of birth will be [PII]. [AGENT][NEUTRAL] OK, thank you. And what was the date of service and amount of the charge? [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] Yeah, the data service is [CUSTOMER][NEUTRAL] Uh yeah, it is [PII]. The total charge amount is $283. 38 cents. [AGENT][NEUTRAL] And the balance after primary? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] And you said the date of service was [PII] of this year? [CUSTOMER][NEUTRAL] Yeah, of course. [AGENT][NEUTRAL] I do not show that claim has been received. Uh, can you verify the mailing address the claim was submitted to? [CUSTOMER][NEUTRAL] Once again, it is [PII], right? [AGENT][NEUTRAL] Correct. We have not received the claim. Can you verify the address it was submitted to? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah, it's OK. Can we go with the next date of service? It is [PII]. [AGENT][NEUTRAL] OK, uh, amount of the charge? [CUSTOMER][NEUTRAL] Yeah, it is $900. 74 cents. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Uh, we have not received that claim. [CUSTOMER][NEUTRAL] Yeah, OK. One second. Yeah, the next address is [PII]. [AGENT][NEUTRAL] Uh, we have not received the claim. [CUSTOMER][NEUTRAL] Yeah, OK. [CUSTOMER][NEUTRAL] Hm [CUSTOMER][NEUTRAL] One second. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah, could you please verify the, the last date of service is uh [PII]. [AGENT][NEGATIVE] We have not received the claim. [CUSTOMER][NEUTRAL] Yeah, when you received the last claim? [CUSTOMER][NEUTRAL] This [PII] [AGENT][NEUTRAL] Sorry [AGENT][NEUTRAL] I'm not sure. You have to give me dates of service so I can look. So we hadn't received any claims for the uh for any claims for [PII]. [CUSTOMER][NEUTRAL] Yeah, it is [CUSTOMER][NEUTRAL] It is [PII] [CUSTOMER][NEUTRAL] Yeah, it is [PII]. [AGENT][NEGATIVE] We have not received it. [CUSTOMER][NEUTRAL] Yeah, it's OK. [CUSTOMER][NEUTRAL] One just a minute. [CUSTOMER][NEUTRAL] What's it not quite yeah, could you please provide me the payer ID. [AGENT][NEUTRAL] 60801. [CUSTOMER][NEUTRAL] 2160801, right? [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] 801. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yeah, it is active for the date of service? [AGENT][NEUTRAL] Yes, policy is active. Effective date is [PII] and the policy is active. [CUSTOMER][NEUTRAL] Effect today, yeah. [CUSTOMER][NEUTRAL] Yeah, when [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] [PII], right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Yeah, OK. Your name and call reference number? [AGENT][NEUTRAL] Uh, you may use my name at today's date and it's [PII], last initial [PII] in [PII]. [CUSTOMER][POSITIVE] Thank you for the information. Have a wonderful day. bye. Take care. [AGENT][POSITIVE] You too thanks for calling APL.