AccountId: 011433970860 ContactId: fc5ff025-ad85-4373-91a2-48bf32e243a3 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 143570 ms Total Talk Time (AGENT): 38590 ms Total Talk Time (CUSTOMER): 45509 ms Interruptions: 1 Overall Sentiment: AGENT=2.5, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/20/fc5ff025-ad85-4373-91a2-48bf32e243a3_20250620T17:09_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thank you for calling APO. This is [PII]. How can I help? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII]. I'm calling from neurological Surgery specialist. We received an explanation on from you for a patient, but I, it doesn't have any information as to what you did. There's no payment. You're not saying patient responsibility. [AGENT][POSITIVE] OK, sure I can get clarification on that claim for you. [AGENT][POSITIVE] No worries. OK, uh, [PII], can I get a good call back number from you first in case we're disconnected? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you and then do you have the policy number? [CUSTOMER][NEUTRAL] Hold on. [CUSTOMER][NEUTRAL] See [CUSTOMER][NEUTRAL] Where is it at? [CUSTOMER][NEUTRAL] 01986560 [AGENT][NEUTRAL] OK and then what was the name and date of birth for the member please? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Um, [PII]. [AGENT][NEUTRAL] Perfect thank you for verifying that and then do you have that claim number? [CUSTOMER][NEUTRAL] 360-164-5 [AGENT][NEUTRAL] OK thank you one moment. [AGENT][NEGATIVE] OK, so we were unable to pay a benefit on this claim calling. [AGENT][NEUTRAL] Office visits are not covered under this policy. [CUSTOMER][NEUTRAL] Mhm [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Sure, was there anything else I could help you with? [CUSTOMER][NEUTRAL] Nope, that was it. [AGENT][POSITIVE] Alright, well thanks for calling API. I hope you have a great rest of your day. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you. Bye-bye.