AccountId: 011433970860 ContactId: c51d836e-8e66-4362-8ed6-1ad7a4c52088 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 491880 ms Total Talk Time (AGENT): 134890 ms Total Talk Time (CUSTOMER): 118539 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/19/c51d836e-8e66-4362-8ed6-1ad7a4c52088_20250519T13:40_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK, [PII], this is [PII] calling on the products office which I can claim. [AGENT][POSITIVE] Sure, I can help you with claim status. Can I get a good call back number in case we get disconnected? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh, callback number is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what's the policy number? [CUSTOMER][NEUTRAL] The policy number is 01936826. [CUSTOMER][NEUTRAL] Right [AGENT][NEUTRAL] 36826. OK, one moment. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And can I get the patient's name and date of birth? [CUSTOMER][NEUTRAL] The patient name is [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Thank you so much one moment. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And do you have the date of service or the claim number? [CUSTOMER][NEUTRAL] Data service? [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It's uh [PII]. [AGENT][NEUTRAL] I'm sorry, could you repeat that, please? [CUSTOMER][NEUTRAL] OK, it's [PII]. [CUSTOMER][NEUTRAL] [PII], I mean [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] OK, thank you so much. [CUSTOMER][NEUTRAL] Hey. [AGENT][NEUTRAL] You said [PII], right, not [PII]. [CUSTOMER][NEUTRAL] Yeah, [PII]. [AGENT][POSITIVE] OK, just wanted to make sure thank you so much. [AGENT][NEUTRAL] I'm not seeing any claims for that date. [PII]. [CUSTOMER][NEUTRAL] 7172. [CUSTOMER][NEUTRAL] Can you check, is it rejected or something? [AGENT][NEUTRAL] I'm sorry, what was that? [CUSTOMER][NEUTRAL] Uh, uh, OK, so. [CUSTOMER][NEUTRAL] Submitted on 444149 in [PII]. [AGENT][NEUTRAL] Are you, I'm sorry, are you giving me a different date? [CUSTOMER][NEGATIVE] No, no, no. [AGENT][NEUTRAL] OK, fine. [CUSTOMER][NEUTRAL] OK. You said you know, can you confirm the mailing address? [AGENT][NEUTRAL] Oh, the claim mailing address? [AGENT][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] In [PII]. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. May I know the timeframe to submit the claim? [AGENT][NEUTRAL] We do not have timely filings so you can file it whenever um you're able to. [CUSTOMER][NEUTRAL] OK, can you also check the policy, uh, patient's policy effect and the term date? [AGENT][NEUTRAL] Sure. [AGENT][NEUTRAL] One moment. [AGENT][NEUTRAL] It looks like this policy is active with an effective date of [PII]. [CUSTOMER][NEUTRAL] And do it? [AGENT][NEUTRAL] Uh, it's still active. [CUSTOMER][NEUTRAL] OK, OK. Selective. [CUSTOMER][NEUTRAL] OK. Uh, can you provide me the reference number? [AGENT][NEUTRAL] Fax number is 877, 0, sorry. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] I mean, reference number, call reference number? [AGENT][NEUTRAL] Oh call reference number. I'm so sorry we don't have call reference numbers. You can use my name and last initial, so [PII]. [AGENT][NEUTRAL] In today's date. [CUSTOMER][NEUTRAL] OK. Actually, I have one more claim with me. Can you check, and help me in that as well? [AGENT][NEUTRAL] Is it for a different patient? [CUSTOMER][NEUTRAL] Yeah, different patient. [AGENT][NEUTRAL] OK, give me one moment, let me finish this one up. [CUSTOMER][NEUTRAL] Sure. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] One moment. [CUSTOMER][POSITIVE] Sure, sure. Take your time. [AGENT][NEUTRAL] Alright, and what's the 2nd policy number? [CUSTOMER][NEUTRAL] 01982592 M as in Mike, L as in Lima, and 8 number 8. [AGENT][NEUTRAL] OK, one moment. [AGENT][NEUTRAL] And the patient's name and date of birth? [CUSTOMER][NEUTRAL] OK. The name is [PII] and the date of birth is [PII]. [AGENT][POSITIVE] OK, thank you so much, and what's the date of service? [CUSTOMER][NEUTRAL] You did. [CUSTOMER][NEUTRAL] The data of service on the claim is [PII]. [AGENT][NEUTRAL] OK. One moment. [AGENT][NEUTRAL] And I'm not showing a claim for that date either. [CUSTOMER][NEUTRAL] OK. For this also you, you're not getting any claim, right? [AGENT][NEUTRAL] Correct, there's no claim for [PII]. [CUSTOMER][NEUTRAL] OK. And the mailing address for this one is going to be the same or different? [AGENT][NEUTRAL] Yes, it's the same. [CUSTOMER][NEUTRAL] OK, and did you don't have it. Can you provide me the uh policy that you any term date for this number? [AGENT][NEUTRAL] OK, this policy is active with an effective date of [PII]. There is no lapse date because it's still active. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 01, can you spell your name? That's [PII], right? [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][POSITIVE] OK. Uh thanks for your assistance. [AGENT][NEUTRAL] OK, is there anything else I can help you with? [CUSTOMER][NEUTRAL] Oh, that's all. [AGENT][POSITIVE] Alright [PII], well thank you for calling APL and have a great day. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] You too. Bye for now. [AGENT][NEUTRAL] Alright bye.