AccountId: 011433970860 ContactId: 11911f25-38c6-4790-a6d4-cb79aa769cee Channel: VOICE LanguageCode: en-US Total Conversation Duration: 478720 ms Total Talk Time (AGENT): 154715 ms Total Talk Time (CUSTOMER): 100666 ms Interruptions: 2 Overall Sentiment: AGENT=1.9, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/17/11911f25-38c6-4790-a6d4-cb79aa769cee_20250217T21:16_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good Afternoon thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Yeah, hi, [PII]. This is [PII] calling from the provider office to check on the claims. [AGENT][POSITIVE] Alright [PII], it'd be my pleasure to assist you with that claims this afternoon. What is a good call back number? [CUSTOMER][NEUTRAL] Yeah, callback number is [PII] claim. [AGENT][NEUTRAL] Thank you, [PII]. And what is the policy number for the patient, please? [CUSTOMER][NEUTRAL] 023893887 [AGENT][NEUTRAL] Thank you, [PII], and what is the patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] And what is the date of service please? [CUSTOMER][NEUTRAL] Yeah, the date of service for this it's gonna be [PII] for $106 even. [AGENT][NEUTRAL] What is the facility name? [CUSTOMER][NEUTRAL] Yeah, the first name it's gonna be. [CUSTOMER][NEUTRAL] Medical University of Hospital Authority. [AGENT][POSITIVE] All right, thank you. [AGENT][NEUTRAL] I'm checking on that claim status. One moment please. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Alright [PII], I'm showing that we did receive that claim. [AGENT][NEUTRAL] On [PII] [CUSTOMER][NEUTRAL] No, I just need a copy of your be able to send that. [AGENT][NEUTRAL] Now we do have our provider portal where you have 24/7 access to claim status. [AGENT][NEUTRAL] EOBs and claim submission, do you have an online account? [CUSTOMER][NEUTRAL] No, we don't have that, so that only we are requesting the copy of you. [AGENT][NEUTRAL] I can assist you with that setting up an account so you have that access. [CUSTOMER][NEUTRAL] We don't have the taxes. [AGENT][NEUTRAL] OK, one moment. [AGENT][NEUTRAL] Do you have the claim number? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, give me just one moment. [AGENT][NEUTRAL] Is your claim number 3529945? [CUSTOMER][NEUTRAL] Yeah. 3529945. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Alright, thank you [PII] one moment. [AGENT][POSITIVE] It'll take me just a few minutes to get this ready for you and then I'll go ahead and send it and get that fax number and send it so bear with me. [CUSTOMER][POSITIVE] Yeah. Yeah, no issues. Take your time. [AGENT][NEUTRAL] Oh, and [PII], can I put this to your attention? [CUSTOMER][NEUTRAL] Yeah, yeah, it's [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Before that, Kurish name. [AGENT][NEUTRAL] Sure. My name is [PII] [AGENT][NEUTRAL] First initial last name [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] And what is the fax number, [PII]? [CUSTOMER][NEUTRAL] [PII] with an attention chart. [AGENT][NEUTRAL] And just to verify that fax number I'm sending this to. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] 854 [CUSTOMER][NEUTRAL] 94535 with an attention. [CUSTOMER][NEUTRAL] Did you got it? [AGENT][POSITIVE] I did just getting it prepared for you. [CUSTOMER][NEUTRAL] Uh-huh. [AGENT][POSITIVE] Alright [PII], that EOB is on the way for you. If y'all can get access to that portal, you'll have instant access to EOBs. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] But that [CUSTOMER][NEUTRAL] Yeah, OK, good. How much does it take to receive? [AGENT][NEUTRAL] Well, I just sent it so it just depends on how long it takes to get from me to you, but it is on the way. [CUSTOMER][NEUTRAL] OK. Could you give a call reference number? [AGENT][NEUTRAL] Call reference number is my name and today's date and I, I think I spelled my name didn't I? [CUSTOMER][NEUTRAL] [PII], right? [AGENT][POSITIVE] That's right. [CUSTOMER][NEUTRAL] Yeah, I don't one more member with the same this scenario so the next one. [AGENT][NEUTRAL] Yes, sir, give me just one second. [CUSTOMER][NEGATIVE] Uh nauseous. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] [PII], I'm ready. Do you have the claim number or policy number? [CUSTOMER][NEUTRAL] The claim number for that, it's gonna be [CUSTOMER][NEUTRAL] Just a moment. 352-877-71. [AGENT][NEUTRAL] What is that patient's name and date of birth? [CUSTOMER][NEUTRAL] The patient's name is Madam [PII] [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Same build amount? [CUSTOMER][NEUTRAL] Yeah, $106. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And you just need this one faxed as well. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] All right, one moment. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Same same fax number correct? [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] It's just taking my computer a moment, bear with me. [AGENT][POSITIVE] I'll get you taken care of. All right, thank you. [CUSTOMER][POSITIVE] Yeah, I know issues, no issue. [CUSTOMER][NEUTRAL] Yeah, no, it's not. Take your time. [CUSTOMER][NEUTRAL] That's [AGENT][POSITIVE] All right, that one is on the way for you as well. Is there anything else I can help you with, [PII]? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] No, that's it. Thank you for giving this answer. Uh, with the same reference number, it's a different one. Yeah, your name is a reference number. Thank you for giving this info. Yeah. [AGENT][POSITIVE] Same reference number. That's right. [AGENT][POSITIVE] My pleasure, [PII]. Thank you for calling APL and have a wonderful day. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Bye bye. [AGENT][NEUTRAL] Bye bye.