AccountId: 011433970860 ContactId: 16c98e1f-5ad1-4b80-b950-2acf99e08a47 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 586270 ms Total Talk Time (AGENT): 103627 ms Total Talk Time (CUSTOMER): 57899 ms Interruptions: 0 Overall Sentiment: AGENT=1.3, CUSTOMER=-0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/17/16c98e1f-5ad1-4b80-b950-2acf99e08a47_20250317T16:08_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] And this is EMC with OST surgery and checking status of a medical claim. [AGENT][POSITIVE] OK Miss [PII], I can help you with client. [AGENT][NEUTRAL] Um, can you please give me your callback number just in case our call is disconnected? [CUSTOMER][NEUTRAL] [PII] direct line. [AGENT][NEUTRAL] Thank you ma'am and then what was the name of the facility you said you were calling from? [CUSTOMER][NEUTRAL] OSC surgery. [AGENT][NEUTRAL] Oh, I see. [AGENT][NEUTRAL] Surgery. OK, thank you. The patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] I'm [PII] [PII]. [AGENT][NEUTRAL] OK let me see if I can pull her policy up real quick. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You're very welcome. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] OK, I do show that [PII] um does have the policy. Um, can you please give me the date of service and the charge amount for the? [CUSTOMER][NEUTRAL] Um, [PII] for 470. [AGENT][NEUTRAL] OK, and then what is the charge amount after the primary. [CUSTOMER][NEUTRAL] Um 2249 11. [AGENT][NEUTRAL] OK, I'm gonna put you on a quick hold while I look up this claim for you and I will be right back. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] Thank you, Ms. [PII]. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Thank you for holding for me, Miss [PII]. So I've got the claim pulled up. The claim number is 353. [CUSTOMER][POSITIVE] No problem. [AGENT][NEUTRAL] 43. [AGENT][NEUTRAL] And the claim [AGENT][NEUTRAL] Had all payable benefits were applied towards the policy deductible. [CUSTOMER][MIXED] Deductible OK. [CUSTOMER][NEUTRAL] Are you able to fax me an EOB? [AGENT][NEUTRAL] Yes I can. What is your fax number? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, I'm gonna put you on another hold real quick while I get that fax ready for you and I'll be right back. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][POSITIVE] Thank you, ma'am. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Miss [PII], I wanted to let you know I haven't forgot about you. It's just take a moment for this to load so I can send it over. [CUSTOMER][POSITIVE] OK, wonderful, thank you. [AGENT][POSITIVE] All right. Thank you, ma'am. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Oh [CUSTOMER][NEGATIVE] You are on hold. [AGENT][POSITIVE] Thank you for holding for me. I have that on its way to you now, Miss [PII]. [CUSTOMER][POSITIVE] Wonderful. Do you get out call reference numbers? [AGENT][NEUTRAL] Yes, you can use my name [PII] in today's date. [CUSTOMER][POSITIVE] All right, thanks for your help. [AGENT][POSITIVE] You're very welcome. You have a wonderful day. Is there anything else I can help you with before we go? [CUSTOMER][POSITIVE] No, that was it thank you. [AGENT][NEUTRAL] OK, thank you for calling APL. [AGENT][NEUTRAL] Bye bye, ma'am. [CUSTOMER][NEUTRAL] Uh bye bye.