AccountId: 011433970860 ContactId: ec818ebe-4414-4e9f-b63f-ad61ac02691a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 216059 ms Total Talk Time (AGENT): 70731 ms Total Talk Time (CUSTOMER): 118094 ms Interruptions: 4 Overall Sentiment: AGENT=-0.2, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/17/ec818ebe-4414-4e9f-b63f-ad61ac02691a_20250617T16:14_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from Advent Health Welfare claim status. [AGENT][POSITIVE] OK, [PII], I'm happy to check on a claim. Do we have a policy number? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Shall I? [AGENT][NEUTRAL] Mhm. Go ahead. [CUSTOMER][NEUTRAL] 251-820-3. [AGENT][NEUTRAL] Thank you. Do you have a good callback number please for documentation? [CUSTOMER][NEUTRAL] [PII] Shah Iam. [AGENT][NEUTRAL] Thank you. Patient name and date of birth? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Date of birth? [AGENT][NEUTRAL] Data service. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] In the bill amount please. [CUSTOMER][NEUTRAL] $3,037.26. [AGENT][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] Oh. [CUSTOMER][NEUTRAL] Right. [CUSTOMER][NEUTRAL] I. [CUSTOMER][NEUTRAL] It. [CUSTOMER][NEUTRAL] When. [AGENT][NEUTRAL] So the claim was received on [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] The claim is processed on [PII]. [AGENT][NEGATIVE] Claim was denied. We need a detailed explanation of benefits from the primary. [CUSTOMER][NEUTRAL] You are. [CUSTOMER][NEUTRAL] OK OK mailing address, please. [AGENT][NEUTRAL] Mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] A minute. [CUSTOMER][NEUTRAL] Attention to? [AGENT][NEUTRAL] Claims [CUSTOMER][NEUTRAL] What [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Um, attention to claims department, uh, timely filing limit to submit this. [AGENT][NEUTRAL] Mhm. [AGENT][NEGATIVE] No timely no timely filing. [CUSTOMER][NEUTRAL] Well [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] They need a processed one? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Claim number. [AGENT][NEUTRAL] 36084999 [CUSTOMER][NEUTRAL] I think. [CUSTOMER][NEUTRAL] OK. May I get your name? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Call reference number? [AGENT][NEUTRAL] Call references my name with today's date. My name is spelled [PII] initial to my last name is [PII] and then today's date. [CUSTOMER][POSITIVE] OK, thank you. Bye-bye. Have a nice day.