AccountId: 011433970860 ContactId: e873e080-8f64-427c-addf-09711529b485 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 307640 ms Total Talk Time (AGENT): 69474 ms Total Talk Time (CUSTOMER): 75442 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/08/e873e080-8f64-427c-addf-09711529b485_20250408T13:54_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How can I help you? [AGENT][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Hi ma'am, uh, hello, this is [PII]. [CUSTOMER][NEUTRAL] Uh, no, I'm calling from provider office. I'm looking for a claim status, ma'am. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] The callback number is [PII] with the extension number is [PII]. [AGENT][NEUTRAL] And policy number of the patient? [CUSTOMER][NEUTRAL] Policy number is 759081. [AGENT][NEUTRAL] Patient name and date of birth? [CUSTOMER][NEUTRAL] What your name is [PII]. [CUSTOMER][NEUTRAL] And the date of birth is [PII]. [AGENT][POSITIVE] Great, thank you. [AGENT][NEUTRAL] And date of service? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] The data service is 9-19-2024 and the bill amount is 160. [AGENT][NEUTRAL] Uh, it was received on [PII], denied [PII]. [AGENT][NEUTRAL] And [AGENT][NEUTRAL] Uh, services rendered after policy lapsed. [AGENT][NEUTRAL] So the services were rendered after coverage was terminated. [CUSTOMER][NEUTRAL] Services render after uh after curbage. [AGENT][NEUTRAL] Yes, uh, termination date [PII]. [CUSTOMER][NEUTRAL] And what is the effective date? [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] What is the effective date and the termination date? [AGENT][NEUTRAL] Effective date [PII], termination [PII]. [CUSTOMER][NEUTRAL] OK, oh, OK, OK, OK. [CUSTOMER][POSITIVE] Coverage terminated OK. [CUSTOMER][NEUTRAL] Uh, is there any other insurance that's showing active? [AGENT][NEUTRAL] Um, [AGENT][NEUTRAL] Uh, no, I don't show anything else, um, active. It's the only policy. [CUSTOMER][NEUTRAL] Give me, give me 11 moment only. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, [PII]. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Do you have the claim number, ma'am? [AGENT][NEUTRAL] Uh yes. [CUSTOMER][NEUTRAL] Please give me the claim number. [AGENT][NEUTRAL] Claim number is. [AGENT][NEUTRAL] 3554725 [CUSTOMER][NEUTRAL] 4725. [CUSTOMER][NEUTRAL] OK, for the same patient, I have 2 more data service. Could you please give me the claim number? [AGENT][NEUTRAL] OK, what's the date of service? [CUSTOMER][NEUTRAL] The data services [PII]. [CUSTOMER][NEUTRAL] Sorry, [PII] [AGENT][NEUTRAL] Uh, that claim is 354-024-8. [CUSTOMER][NEUTRAL] And the last uh data service is uh 115-2024. [AGENT][NEUTRAL] Uh, that claim is 353-432-5. [CUSTOMER][POSITIVE] OK, thank you so much, ma'am. [AGENT][POSITIVE] OK, thank you for calling APL. Have a great day. [CUSTOMER][NEUTRAL] You too bye any reference number? [AGENT][NEUTRAL] Uh, reference number is just my name, [PII], first initial last name, [PII], and today's date. [CUSTOMER][POSITIVE] Thank you ma'am. [AGENT][POSITIVE] Thank you. Have a good day. [CUSTOMER][NEUTRAL] You