AccountId: 011433970860 ContactId: f547ea89-ae10-4a13-afb2-4683be8d9c90 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 153380 ms Total Talk Time (AGENT): 63718 ms Total Talk Time (CUSTOMER): 74334 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=1.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/17/f547ea89-ae10-4a13-afb2-4683be8d9c90_20250317T12:34_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Good morning, [PII]. My name is [PII] calling from provider's office to check claim status on the claim we have faxed over back in November, please. [AGENT][NEUTRAL] I'm sure [PII], I can assist you with claim status. Um, first, could I get a good callback number just in case we're disconnected? [CUSTOMER][NEUTRAL] Sure, it's a direct line, [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, thank you. Now, I need the policy number, please. [CUSTOMER][NEUTRAL] We have 1618522 letter M for Michael, number 8. [AGENT][POSITIVE] OK, thank you. Let's see. [CUSTOMER][POSITIVE] You're welcome. [AGENT][NEUTRAL] And please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] Uh, [PII]. Date of birth [PII]. [AGENT][NEUTRAL] And the date of service and bill charges on the claim, please? [CUSTOMER][NEUTRAL] This was for [PII] for $381 even. [AGENT][NEUTRAL] OK, thank you. And one moment, please. [CUSTOMER][POSITIVE] OK, thanks. [AGENT][NEUTRAL] OK, yes, ma'am. We received that claim on [PII]. The claim processed on [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And the claim denied because office visits are not covered under the policy, and I have the claim number here. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, offer is not covered on the policy. OK. All right, I'm ready for the policy, um, claim number. Mhm. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] The claim number is 3533454. [CUSTOMER][NEUTRAL] OK. And do you give reference numbers for this call, please? [AGENT][NEUTRAL] Um, yes, for the reference number, you can use my name and today's date. Um my name is [PII] spelled [PII] and my last initial is [PII] and today's date. Is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][POSITIVE] That's all. Thank you so much for your help. You have a great day and week. [AGENT][NEUTRAL] You do the same, [PII]. Thank you for calling APL. Mm bye. [CUSTOMER][POSITIVE] Thank you bye bye.