AccountId: 011433970860 ContactId: d3222015-80fe-45ab-a334-e01353f211a3 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 170169 ms Total Talk Time (AGENT): 71622 ms Total Talk Time (CUSTOMER): 34536 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/29/d3222015-80fe-45ab-a334-e01353f211a3_20250529T20:21_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. I'm calling on a claim status. [AGENT][NEUTRAL] Um, yes, ma'am. I can assist you with claim status. Um, first, could I get your name and a good callback number? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] OK, thank you, [PII]. Now I need the policy number, please. [CUSTOMER][NEUTRAL] Yes, it is. [CUSTOMER][NEUTRAL] 020. [CUSTOMER][NEUTRAL] 30186 M as in Mike L as in Lima 8. [AGENT][NEUTRAL] Thank you. Now, please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] OK, now I need the date of service and bill charges on the claim. [CUSTOMER][NEUTRAL] Original claim is for. [CUSTOMER][NEUTRAL] $342. [AGENT][NEUTRAL] And the date of service? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, thank you. One moment. [AGENT][NEUTRAL] You said that was for [PII] for $300? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, yes, we received that claim on [PII]. [AGENT][NEUTRAL] Um, it processed on [PII]. [AGENT][NEUTRAL] The claim number is 3589094. [AGENT][NEGATIVE] And it paid out for 2, I'm sorry, it paid out for $2.08 even. Um, the first line denied because office visits are not covered under the policy. [CUSTOMER][POSITIVE] Perfect. [CUSTOMER][NEUTRAL] Can I get a reference number? [AGENT][NEUTRAL] Um, yes, ma'am. For the reference number, you can use my name and today's date. My name is [PII]. It's spelled [PII] My last initial is [PII] and today's date. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] No, that will be all thank you. [AGENT][POSITIVE] OK, thank you, [PII], for calling APL. Have a great rest of your day. Mm bye. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you.