AccountId: 011433970860 ContactId: 03ce3f3d-5b5f-477e-8440-10d75de32a08 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 164889 ms Total Talk Time (AGENT): 54007 ms Total Talk Time (CUSTOMER): 69202 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/25/03ce3f3d-5b5f-477e-8440-10d75de32a08_20250425T12:37_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] How's it going? This is [PII]. I'm calling from Bravado's office trying to get claim status. [AGENT][NEUTRAL] OK, well, I can definitely help you with the claim status, and [PII], may I have a good contact number in case we're disconnected and the policy number? [CUSTOMER][NEUTRAL] so [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Policy number for the patient 02312664 M for Mary L for Lima 7. [AGENT][NEUTRAL] Thank you for that. And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] OK, so yesterday. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And may I have the date of service and the total bill for the claim? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] [PII] $41,853 even. [AGENT][NEUTRAL] OK, thank you, hold on one moment. [CUSTOMER][NEUTRAL] Yesterday I've been looking. [CUSTOMER][NEUTRAL] I got crazy and I got a Wendy's fish sandwich. [AGENT][NEUTRAL] And what is the name of the provider's office on the claim? [CUSTOMER][NEUTRAL] I haven't [CUSTOMER][NEUTRAL] HCA Florida Mercy Hospital. [AGENT][NEUTRAL] OK, hold on one moment. [CUSTOMER][NEUTRAL] Pizza [AGENT][NEUTRAL] Right. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Like a regular [CUSTOMER][NEUTRAL] like the sugar [AGENT][NEUTRAL] So we only received 2 claims for that data service, but none of them are from your provider, so there's no claim on file. [CUSTOMER][NEUTRAL] It [CUSTOMER][NEUTRAL] You mind giving me your payer ID? [AGENT][NEUTRAL] Sure, 60. [CUSTOMER][NEUTRAL] You get used to [AGENT][NEUTRAL] 80 [AGENT][NEUTRAL] One. [CUSTOMER][NEUTRAL] Thank you ma'am, is there any call reference number? [AGENT][NEUTRAL] Um, there's no call reference number. You can use my name in today's date. The first initial to my last name is [PII]. [CUSTOMER][POSITIVE] Thank you man I appreciate it. [AGENT][NEUTRAL] You're welcome, [PII]. Was there anything else I could assist you with today? [CUSTOMER][POSITIVE] That should be it thank you. [AGENT][POSITIVE] You're welcome. Thanks for calling APR. Have a great weekend. [AGENT][NEUTRAL] Bye bye. [CUSTOMER][NEUTRAL] Same for you. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] I. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][POSITIVE] Great conversation [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] Uh, yeah, yeah. [CUSTOMER][NEUTRAL] Well, who is telling [PII].