AccountId: 011433970860 ContactId: f7394405-a712-4c45-a7e6-888b9640b2af Channel: VOICE LanguageCode: en-US Total Conversation Duration: 202809 ms Total Talk Time (AGENT): 91572 ms Total Talk Time (CUSTOMER): 88216 ms Interruptions: 1 Overall Sentiment: AGENT=0.4, CUSTOMER=1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/28/f7394405-a712-4c45-a7e6-888b9640b2af_20250128T18:27_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi how are you? Can you hear me? [AGENT][NEUTRAL] Yeah how are you? Yes. [CUSTOMER][POSITIVE] Good thank you. OK, I don't know what's going on with my headset, so I'm gonna leave that off. Sorry about that. You said [PII], can you spell your name for me? [AGENT][NEUTRAL] That's OK. [AGENT][NEUTRAL] Sure, it's [PII]. [CUSTOMER][NEUTRAL] OK, and my name is [PII] is [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Calling to see if you could provide claim status for me. [AGENT][POSITIVE] Absolutely I could check on a claim for you. Uh, really quick, uh, [PII], can I get a good call back number from you in case we're disconnected? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Sure it's [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] All right, thank you. Uh, do you have the policy number? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes ma'am, it's 01972971. [AGENT][NEUTRAL] OK, thank you. And uh what was the name and date of birth for the insured? [CUSTOMER][NEUTRAL] Yes, ma'am. [CUSTOMER][NEUTRAL] It is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you for verifying that. Uh, what was the date of service for this claim? [CUSTOMER][NEUTRAL] Data service in question is [PII], and the original bill amount is $324. [AGENT][NEUTRAL] 324. OK, thank you one moment please. [CUSTOMER][NEUTRAL] Yes ma'am. Mhm. [AGENT][NEUTRAL] OK. Uh, was this with uh Lexington Neurology? [CUSTOMER][NEUTRAL] Yes ma'am, like the neurology, mhm. [AGENT][NEUTRAL] OK, got it. Alrighty. So I did find this claim, uh, we were unable to pay a benefit as office visits are not covered under this policy. [CUSTOMER][NEUTRAL] Oh, are you able to send me an EOB or? [AGENT][NEUTRAL] Of course, yeah, do you have a fax number? [CUSTOMER][NEUTRAL] OK, thank you, yes ma'am, it's um [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK and then would I just put this to your attention? [CUSTOMER][NEUTRAL] Yes ma'am, that's fine please. [AGENT][NEUTRAL] Alrighty, let me read it back to you, make sure I heard it correctly, uh, that was [PII]? [CUSTOMER][POSITIVE] Yes ma'am, that's correct. [AGENT][NEUTRAL] OK, alrighty, I will get that sent to you now. I should get it here in maybe 10-15 minutes depending on how busy your machine is. Um, did you have any other questions for me? [CUSTOMER][NEUTRAL] Yeah, OK [CUSTOMER][NEUTRAL] Do you have a reference number for our call today? [AGENT][NEUTRAL] A reference number would just be my first name, last initial, and today's date, uh, so my last initial is A. [CUSTOMER][NEUTRAL] OK, one more thing, Ms. [PII], I'm sorry, are you able to provide me the, the claim number? [AGENT][NEUTRAL] Sure. No, you're fine. [AGENT][NEUTRAL] Of course, that is 347 9. [AGENT][NEUTRAL] 010. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] OK, thank you, and I'll look for the facts so we can have it posted. Thank you. You have a great day. [AGENT][NEUTRAL] Of course, yeah. [AGENT][POSITIVE] You too thanks for giving us a call bye bye. [CUSTOMER][POSITIVE] Thanks bye bye.