AccountId: 011433970860 ContactId: f7073800-c599-4ca1-bf5b-293d8ad2ff3d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 249020 ms Total Talk Time (AGENT): 104903 ms Total Talk Time (CUSTOMER): 83906 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/28/f7073800-c599-4ca1-bf5b-293d8ad2ff3d_20250328T19:33_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, I was following up on an open claim for a patient of ours. [AGENT][NEUTRAL] Um, yes, ma'am. I can assist you with claim status. Um first, could I get a good callback number just in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, my direct line is [PII]. [AGENT][NEUTRAL] OK. Thank you. Um, now, could I get the policy number, please? [CUSTOMER][NEUTRAL] Yes, I have 025. [CUSTOMER][NEUTRAL] 20891. [CUSTOMER][NEUTRAL] Right, that's what [AGENT][NEUTRAL] OK. And could I please get your name and a good callback number just in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, my name is [PII] [AGENT][NEUTRAL] OK, and your callback number, please? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. And please verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] His name is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] Thank you, [PII]. And what's the date of service and bill charges on the claim? [CUSTOMER][NEUTRAL] I'm looking at [PII] and it is the amount of 476. [AGENT][NEUTRAL] OK, let's see. [CUSTOMER][POSITIVE] Sorry it's good it's good it's good. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] File a claim [AGENT][NEUTRAL] OK. Yes, ma'am. We received that claim on [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Sorry, waiting on my system. OK, we received that claim on January, right, thank you. We received that claim on [PII]. It processed on [PII]. The claim number is 354-7147 and it paid out for $154 even. [CUSTOMER][NEUTRAL] No, you're fine. [CUSTOMER][NEUTRAL] It was [CUSTOMER][NEUTRAL] And do you know how I, how it was paid? [AGENT][NEUTRAL] Um, yes, ma'am. It was a single check and that check number is 2022. [AGENT][NEUTRAL] 306 and it was mailed to the address on the claim. It was mailed on. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Mm. [CUSTOMER][POSITIVE] And it it show outstanding still? [AGENT][POSITIVE] Yeah, that's what I'm pulling up now, the check information. Yes, ma'am. It's showing that it's still outstanding. [CUSTOMER][NEUTRAL] they [CUSTOMER][NEUTRAL] Would you be able to reprocess and reissue that? [AGENT][POSITIVE] Um, yes, ma'am. I'll send a request to have it reprocessed and reissued, and you can check on the status of it within 7 to 10 business days. [CUSTOMER][NEUTRAL] 7 to 10 business days. [AGENT][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] All right. [CUSTOMER][NEUTRAL] Alright, and um just to confirm is it the um [PII] office or the the treating office which is on um in [PII]? [AGENT][NEUTRAL] The one in [PII]. [CUSTOMER][NEUTRAL] [PII], OK, perfect. I just wanted to confirm that. Alright, and can I have um your name one more time and the reference number? [AGENT][NEUTRAL] Um, yes, the reference number is my name and today's date. My name is [PII]. Um it's spelled [PII] Last initial is [PII], and today's date. Is there anything else that I can assist you with? [CUSTOMER][POSITIVE] That is it for me. Thank you so much, [PII]. [AGENT][POSITIVE] OK, thank you, [PII] for calling APL. You have a great weekend, bye. [CUSTOMER][NEUTRAL] You too bye. [AGENT][POSITIVE] OK thanks.