AccountId: 011433970860 ContactId: d1e025bb-6297-480d-b45f-e0558e4bb5fe Channel: VOICE LanguageCode: en-US Total Conversation Duration: 203520 ms Total Talk Time (AGENT): 94972 ms Total Talk Time (CUSTOMER): 60101 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/09/d1e025bb-6297-480d-b45f-e0558e4bb5fe_20250109T22:04_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII] and I was calling to check the status of a dental claim for a patient. [AGENT][NEUTRAL] OK, well, I can help you with the dental claim, and [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] Yes ma'am, uh, phone number is [PII]. [AGENT][NEUTRAL] Thank you for that. And may I have the member's policy number? [CUSTOMER][NEUTRAL] It is 227-7461. [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] And [CUSTOMER][NEUTRAL] Um, to be honest, I don't know how to say the first name. It is [PII] Last name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that. And all the information provided is a verification of benefits, not a guarantee of payment. And may I have the date of service for the claim? [CUSTOMER][NEUTRAL] Data service is uh [PII]. [AGENT][NEUTRAL] And the total bills? [CUSTOMER][NEUTRAL] $272. [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] So I'm showing, oh, I'm sorry, can you verify the name of the provider's office on the claim? [CUSTOMER][NEUTRAL] Uh, this is for provider [PII] and it should be underneath the office of the dentist office Fallon. [AGENT][NEUTRAL] Oh, wait a minute. What's your tax ID? [CUSTOMER][NEUTRAL] Tax ID is [PII]. [AGENT][NEUTRAL] Oh no, this is it. Oh, it came on, it came over [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Yes, um, but I have the claim here. So we received the claim on [PII]. [AGENT][NEUTRAL] And that claim number is 354. [AGENT][NEUTRAL] 2519. [AGENT][NEUTRAL] And on [PII], we paid um out to the provider $199.80. [AGENT][NEUTRAL] Did you need that checking information? [CUSTOMER][POSITIVE] Yes ma'am, if you don't mind. [AGENT][NEUTRAL] Sure, hold on one moment, let me get it for you. [AGENT][NEUTRAL] Alright, so it was a single check, um, number 201. [AGENT][NEUTRAL] 887 7 [AGENT][NEUTRAL] It was issued on [PII]. [AGENT][NEUTRAL] Of [PII]. And it was mailed to [PII]. [AGENT][NEUTRAL] That zip code is [PII]. [CUSTOMER][POSITIVE] OK perfect. [CUSTOMER][NEUTRAL] OK great that was actually the only patient I was calling in regards to today. [AGENT][NEUTRAL] Alright, was there anything else I can help you with? [CUSTOMER][NEUTRAL] No, ma'am, not at this time. [AGENT][POSITIVE] All right. Well, thank you so much for calling APL. I hope you have a great day and happy New Year. [CUSTOMER][POSITIVE] Yes ma'am thank you you as well. [AGENT][POSITIVE] Thank you, thank you. Bye-bye. [CUSTOMER][NEUTRAL] Bye bye.