AccountId: 011433970860 ContactId: 0938b1ad-56f5-416d-9f58-b536fac90f89 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 566409 ms Total Talk Time (AGENT): 121678 ms Total Talk Time (CUSTOMER): 155098 ms Interruptions: 1 Overall Sentiment: AGENT=0.7, CUSTOMER=-0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/07/0938b1ad-56f5-416d-9f58-b536fac90f89_20250507T14:47_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Thanks for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Yeah, this is [PII] and I'm calling from Tavara's office for the claim status. [AGENT][NEUTRAL] Can I have your name again? [CUSTOMER][NEUTRAL] Yeah, [PII]. [AGENT][NEUTRAL] Did you say [PII]? [CUSTOMER][NEUTRAL] Yeah, [PII]. [AGENT][NEUTRAL] Could you spell your name cause I'm not sure what it is that you're saying. [CUSTOMER][NEUTRAL] [PII], [PII]. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah, it's [PII]. It's [PII]. It's [PII]. [AGENT][NEUTRAL] Thank you. Can I have a callback number for you and that policy number, the member that you're calling to check the stats and I'll be. [CUSTOMER][NEUTRAL] Yeah, it's [PII]. It's a callback number and the policy number it's. [CUSTOMER][NEUTRAL] 2102180309. [AGENT][NEUTRAL] What is the member's name and date of birth? [CUSTOMER][NEUTRAL] Yeah, member's name it's. [CUSTOMER][NEUTRAL] [PII] [PII]. [CUSTOMER][NEUTRAL] Date of birth. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] So what is the first name of the member? [CUSTOMER][NEUTRAL] Um, first name of the member. [CUSTOMER][NEUTRAL] Mm just a second. [CUSTOMER][NEUTRAL] OK, uh, it's first name is. [CUSTOMER][NEUTRAL] [PII], it's uh [PII], and the last name is [PII]. [AGENT][NEUTRAL] And what is the date of birth? [CUSTOMER][NEUTRAL] Yeah, date of birth, it's, it's [PII]. [AGENT][POSITIVE] Thank you and you're calling to check the status of a client for what data service and I'll be able to assist you. [CUSTOMER][NEUTRAL] Yeah, the date is uh [PII]. [AGENT][NEUTRAL] What is your procedure called? [CUSTOMER][NEUTRAL] Uh, that is 99203 and 30. [CUSTOMER][NEUTRAL] 901. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] This claim was received on [PII]. It was processed [PII]. There was a payment of $278.52 made on this claim. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh. [CUSTOMER][NEUTRAL] Mhm. OK, so this is for like CPD 9920 0 sorry, yeah, it's for 30901 for CBD. So we, uh, $278.52 was that. And what about the uh CBD 99203? [AGENT][NEUTRAL] The member's policy does not cover office visits. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, does not go your office visit. OK, OK, mm. [AGENT][NEUTRAL] Is there anything else that I can assist you with today? [CUSTOMER][NEUTRAL] Yeah, just a second. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, so you have to help me out with all the, uh, like we need the facts. [AGENT][NEUTRAL] So the member's policy for the policy, the member's policy does not cover office visits, so office visits won't be paid. [CUSTOMER][NEUTRAL] Which [CUSTOMER][NEUTRAL] OK, fine. [CUSTOMER][NEUTRAL] OK, OK, got it. So I just need the um claim number. [AGENT][NEUTRAL] The claim number is 359-4705. [AGENT][NEUTRAL] It's 359-47005. [CUSTOMER][NEUTRAL] Oh, can you repeat? [CUSTOMER][NEGATIVE] It's too fast. Can you go slow? [AGENT][NEUTRAL] 359-4705 [CUSTOMER][NEUTRAL] Got it. And they provide the, OK, can you fax the UB to us? [AGENT][NEUTRAL] Yes, what is your fax number? [CUSTOMER][NEUTRAL] I wanna provide you the fax number. [CUSTOMER][NEUTRAL] Yeah, it's uh [PII]. [AGENT][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] So the number is [PII], correct? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] So may I place you on a brief hold while I send this over for you? [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Hold one moment. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] I've sent this information over for you by fax. Is there anything else that I can assist you with? [CUSTOMER][NEUTRAL] Oh yes, I only need uh the uh what is the check number for that like we receive the payment? Can I get the check number? [AGENT][NEUTRAL] 204-1306. That's 2041306. [CUSTOMER][NEUTRAL] OK, just a second, just a second. I think it's, uh, your voice is getting in and out. It's 208. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Hello. [AGENT][NEUTRAL] I said 204, 2041306. That's 2041306. [CUSTOMER][NEUTRAL] Yeah, could you repeat 208? [CUSTOMER][POSITIVE] OK, thank you so much. [CUSTOMER][NEUTRAL] OK, just need the reference number, that's it. [AGENT][NEUTRAL] We don't provide reference numbers [PII]. You can use my name in today's date as a reference. My name is [PII] and today's date. Is there anything else that I could assist you with today? [CUSTOMER][POSITIVE] No, thank you so much. Thank you so much. Bye-bye. [AGENT][POSITIVE] Thanks for calling APL. Have a great day. Goodbye.