AccountId: 011433970860 ContactId: f6e897a3-5e3d-4d35-b205-8851a92010d1 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 176080 ms Total Talk Time (AGENT): 87092 ms Total Talk Time (CUSTOMER): 82045 ms Interruptions: 8 Overall Sentiment: AGENT=1, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/10/f6e897a3-5e3d-4d35-b205-8851a92010d1_20250110T20:54_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII]. I'm looking for a claim status calling from the products office. [AGENT][POSITIVE] It would be my pleasure to assist you with claim status. What is your name again, please? [CUSTOMER][NEUTRAL] Yes, my name is [PII] [AGENT][NEUTRAL] [PII], thank you. And a callback number please, [PII]. [CUSTOMER][NEUTRAL] Mhm, it is [PII] and my extension is [PII]. [AGENT][NEUTRAL] Thank you, [PII], and the policy number for the patient? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] 02519478 [AGENT][NEUTRAL] And the patient's name and date of birth, please. [CUSTOMER][NEUTRAL] It is. [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Data of birth is [CUSTOMER][NEUTRAL] [PII]. [AGENT][POSITIVE] Alright, thank you, and it would be my pleasure to assist you with that claim status. What is the date of service? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the bill amount, please, sir? [CUSTOMER][NEUTRAL] My [CUSTOMER][NEUTRAL] $148 even. [AGENT][NEUTRAL] All right, thank you and what is the facility name? [CUSTOMER][NEUTRAL] Pennsylvania urgent Care Center. [AGENT][NEUTRAL] Alright, thank you. Well, [PII], I can help you with that claim status. We did receive the claim on [PII]. [CUSTOMER][POSITIVE] Yeah yeah I can get one. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEGATIVE] It was processed and denied on [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And this claim was denied because the services were rendered after the policy turned. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] The patient's policy turned on 10-124. [CUSTOMER][POSITIVE] OK, thank you so much. [AGENT][POSITIVE] My pleasure. [CUSTOMER][NEUTRAL] Do you see any other active policies on the date of service? [AGENT][NEUTRAL] Not with, yeah, not with our company and I can provide that claim number if you need. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, I'm ready for that. [AGENT][NEUTRAL] The claim number is 354. [CUSTOMER][NEUTRAL] They [AGENT][NEUTRAL] 5520. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And can I call up from. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Call reference number is my name and today's date. [AGENT][NEUTRAL] And I spell my name, [PII] [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] CIA [AGENT][NEUTRAL] First initial, last name, [PII]. [CUSTOMER][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] Oh OK. [CUSTOMER][POSITIVE] Thank you so much. Have a nice day. [AGENT][POSITIVE] My pleasure. Well, [PII], thank you for calling APL. I hope you have a wonderful afternoon and a happy weekend. Thank you for calling APL. [CUSTOMER][NEUTRAL] Uh, I don't know. Not a problem. Can I move to the next question. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][NEUTRAL] Bye-bye. [CUSTOMER][NEUTRAL] Communication