AccountId: 011433970860 ContactId: f1a89ed5-3548-407e-8664-2ae9888b9a87 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 302910 ms Total Talk Time (AGENT): 98837 ms Total Talk Time (CUSTOMER): 105606 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/09/f1a89ed5-3548-407e-8664-2ae9888b9a87_20250409T12:40_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Uh, hi, [PII]. [PII] calling from Medical University Hospital Authority checking on our campus. [AGENT][POSITIVE] OK, well, I'll be more than happy to help you with the claim status and your name is [PII] as well? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, and [PII], may I have a good contact number in case we're disconnected and the policy number? [CUSTOMER][NEUTRAL] [PII] is the deadline. [AGENT][NEUTRAL] And the policy number whenever you're ready. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah. The number, policy number is 02372298. [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] Patient name is [PII]. [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 um date of service and the total bills for the claim? [CUSTOMER][NEUTRAL] [PII] amount is 100 and. [CUSTOMER][NEUTRAL] Uh, $34 even. [AGENT][NEGATIVE] OK, can you repeat the, can you repeat the data service and the total bill, the phone is breaking up. [CUSTOMER][NEUTRAL] Uh. [CUSTOMER][NEUTRAL] [PII]. The amount is $134 even. [AGENT][NEUTRAL] OK, and now you're saying [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK, hold on one moment. [AGENT][NEUTRAL] OK, so there's no claim on file for [PII] for [PII]. [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] No claim on file. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] OK. For documentation purpose, we already uh we submit the claim on [PII] through electronically. Let me verify the uh payer ID. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] It's 42011. [AGENT][NEUTRAL] No, hold on one moment, let me get it for you. [AGENT][NEUTRAL] Hold on one moment. I just wanna open up another window so I don't mess up these notes. Hold on one second. So our payer ID is 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] You [CUSTOMER][NEUTRAL] 60801. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] Uh, let me verify the mailing address. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII], which is correct. [AGENT][NEGATIVE] Not for this policy. Um, no, not for this one. So the [PII] for this policy is [PII]. [CUSTOMER][NEGATIVE] Not for the top [CUSTOMER][NEUTRAL] 54 8. [AGENT][NEUTRAL] 950. [CUSTOMER][NEUTRAL] 50 [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Come. [AGENT][NEUTRAL] And the zip code is [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Ma patient policy effective on termination date. [AGENT][NEUTRAL] So the policy is still active, it's been effective since [PII]. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] A timely filing limit to submit the claim. [AGENT][NEGATIVE] Then there's no timely filing as long as the policy was active on the data service. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] All right, [PII], was there anything else I can assist you with today? [CUSTOMER][NEUTRAL] Uh, can I get the call reference number? [AGENT][NEUTRAL] Um, so there's no call reference number, but you can use my name in today's date. The first initial to my last name is [PII]. [CUSTOMER][NEUTRAL] That's it, ma'am. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] Uh, thank you so much. Have a great day. Bye-bye. Take care. [AGENT][POSITIVE] Thank you you also and thanks for calling APL bye bye.