AccountId: 011433970860 ContactId: f306d739-f021-40e2-a51c-f6ae3bd638f9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 651239 ms Total Talk Time (AGENT): 125986 ms Total Talk Time (CUSTOMER): 163215 ms Interruptions: 1 Overall Sentiment: AGENT=0.8, CUSTOMER=-0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/19/f306d739-f021-40e2-a51c-f6ae3bd638f9_20250519T15:37_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hello. [AGENT][NEUTRAL] Hello, this is [PII] with APL. How may I help you? [CUSTOMER][NEUTRAL] Hi, I'm [PII] calling from Pror billing office. I want to discuss about the current status. [AGENT][NEUTRAL] OK, I can help you with claim status. May I please get your name again, sir? [CUSTOMER][NEUTRAL] Uh, sorry? [AGENT][NEUTRAL] Your name and your callback number? [CUSTOMER][NEUTRAL] Can you [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, callback number is [PII]. [AGENT][NEUTRAL] OK, and can you spell your first name for me please sir? [AGENT][NEUTRAL] Will you spell your name for me? [CUSTOMER][NEUTRAL] Yeah, I am [PII]. [CUSTOMER][NEUTRAL] First name is [PII] and the last name is [PII] [AGENT][POSITIVE] Thank you, sir. [AGENT][NEUTRAL] And then may I please get the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Patient, uh, first name is [PII] and the last name is uh [PII]. And the date of birth is uh [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And the date of service is. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. And then what is [PII]'s policy number, please? [CUSTOMER][NEUTRAL] Policy number is 02486015. [AGENT][NEUTRAL] OK, let me pull up his policy real quick. [AGENT][NEUTRAL] OK, and then what is uh the data service for [PII] you said was 5-2024. What is the charge amount? [CUSTOMER][NEUTRAL] Total charge amount is $569. [AGENT][NEUTRAL] OK, and what is the provider's name? [CUSTOMER][NEUTRAL] And just wait a minute. [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK dokey, I'm gonna put you on a quick hold while I look up this claim and I'll be right back sir. [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you for holding for me, Ali. So looking on data service of [PII], I do not find a claim on file for this member. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] You didn't find this claim? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] What will be the alternate of this claim status? [AGENT][NEUTRAL] Uh, there's no claim on file? [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Mm, OK, just wait a minute, uh, let me talk to my supervisor. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] Yes, sir. [CUSTOMER][NEUTRAL] Mm, can you please give me the electronic address of that claim? [AGENT][NEUTRAL] Uh, yes, to file the claim is 60801. [CUSTOMER][NEUTRAL] Uh, just wait a minute, let me know. [AGENT][NEUTRAL] Yes sir. [CUSTOMER][NEUTRAL] Uh, [CUSTOMER][NEUTRAL] Uh, thanks for waiting. Uh, can you please tell me? [AGENT][NEUTRAL] Yes, the [AGENT][NEUTRAL] Payer ID number to file the claim is 60801. [CUSTOMER][NEUTRAL] 801. And what's the policy number? [AGENT][NEUTRAL] The policy number is the same one that you gave me? [CUSTOMER][NEUTRAL] OK. Uh, uh, just wait a little moment. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] 68 [CUSTOMER][NEUTRAL] 660801. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] It's said the [CUSTOMER][NEUTRAL] Uh, what is this? [AGENT][NEUTRAL] That is the payer ID number to electronically file the claim. [CUSTOMER][NEUTRAL] Your ID number? [CUSTOMER][NEUTRAL] Uh, to electronic. [AGENT][NEUTRAL] Are you there? [CUSTOMER][NEUTRAL] Yeah, I'm here. And uh what's the mailing address? [AGENT][NEUTRAL] The mailing address is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] That is in [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Oh [PII]. [AGENT][NEUTRAL] And the state is [PII]. [CUSTOMER][NEUTRAL] Uh, state is uh. [CUSTOMER][NEUTRAL] OK. [PII] is a state or city? [AGENT][NEUTRAL] Both. It's [PII]. [CUSTOMER][NEUTRAL] OK. [PII] is a city. Thank you. And uh what's the state? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And the zip code is [PII]. [CUSTOMER][NEUTRAL] ZIP code [PII]. [AGENT][NEUTRAL] 24. [CUSTOMER][NEUTRAL] 24. OK. [CUSTOMER][NEUTRAL] Um, what's uh. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Reference number? [AGENT][NEUTRAL] You can use my name, [PII] [CUSTOMER][NEUTRAL] OK, sorry. [AGENT][NEUTRAL] And today's date. [CUSTOMER][NEUTRAL] Sorry. [CUSTOMER][NEUTRAL] Today's date? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [PII]. [CUSTOMER][NEUTRAL] [PII]. Am I right? [AGENT][POSITIVE] Yes, you're correct. [CUSTOMER][NEUTRAL] Uh, OK. Uh, I'm repeating this 1. 60801 is the payer ID number to find the electronic claim. [CUSTOMER][NEUTRAL] And the mailing address is [PII]. And the ZIP code is [PII]. Car reference number is uh rory uh. [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Yes, that's correct. [CUSTOMER][POSITIVE] OK. Thank you so much, sir. Have a good day. [AGENT][POSITIVE] You have a wonderful week and thank you for calling APL. [AGENT][NEUTRAL] Bye bye. [CUSTOMER][POSITIVE] Thank you so much. [CUSTOMER][NEUTRAL] Bye.