AccountId: 011433970860 ContactId: e63ed7e3-dfc5-427f-8ac6-d9f18d899246 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 191389 ms Total Talk Time (AGENT): 60411 ms Total Talk Time (CUSTOMER): 92399 ms Interruptions: 0 Overall Sentiment: AGENT=0.2, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/12/e63ed7e3-dfc5-427f-8ac6-d9f18d899246_20250312T13:58_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII], initially [PII] calling for Christa's mother, Frances Hospital Taylor, looking for claim status. [AGENT][NEUTRAL] Can you spell your first name for me? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And what's the policy number? [CUSTOMER][NEUTRAL] The policy number is 01648523. [AGENT][NEUTRAL] And I get callback number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII], it's a direct line? [AGENT][NEUTRAL] Thank you. What's the patient's name and date of birth? [CUSTOMER][NEUTRAL] Yeah, and the patient name is. [CUSTOMER][NEUTRAL] [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that information, [PII] and you said you're checking status of a claim? [CUSTOMER][NEUTRAL] Yeah, yes. [AGENT][NEUTRAL] And the date of date of service in charge? [CUSTOMER][NEUTRAL] [PII] and the total bill amount is $392 even. [CUSTOMER][POSITIVE] Absolutely. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] What are the procedure codes on the claim? [CUSTOMER][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] It's 9300536415. [CUSTOMER][NEUTRAL] 188 [AGENT][NEUTRAL] OK, I'm not showing that claim received for [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] May I know the member's policy effective termination date? [AGENT][NEUTRAL] Policy effective date is [PII] currently active at this time? [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK, the secondary, right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Thank you. May I know the claim mailing address? [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. Is there any pay ID? [AGENT][NEUTRAL] 60801. [CUSTOMER][NEUTRAL] 60801. OK. May I know the timely following limit? [AGENT][NEGATIVE] To submit a claim, there's no timely. [CUSTOMER][NEUTRAL] No time. OK. [AGENT][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Anything else? [CUSTOMER][NEUTRAL] May I get the call reference number? No, nothing. Thank you. [AGENT][NEUTRAL] Mhm. You'll use, you'll use my name in today's state as your reference. It's [PII], you can also check status online at [PII]. And did you have any other questions today? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] No, nothing. Thank you. [AGENT][POSITIVE] Alrighty well thank you for calling APL. Have a good day. [CUSTOMER][POSITIVE] OK, bye. Thank you.