AccountId: 011433970860 ContactId: 3c7581c1-dc26-4d34-bae7-586dee103c73 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 147770 ms Total Talk Time (AGENT): 46649 ms Total Talk Time (CUSTOMER): 51039 ms Interruptions: 0 Overall Sentiment: AGENT=1, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/12/3c7581c1-dc26-4d34-bae7-586dee103c73_20250612T19:35_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, [PII]. My name is [PII] and I'm calling from Evelyn Specialty Services regarding claim status. [AGENT][NEUTRAL] OK, [PII], I can help you with claim status. Do you have a good callback number? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you. And the policy number for that patient? [CUSTOMER][NEUTRAL] Policy number is 101791962. [AGENT][NEUTRAL] And what was the patient name and date of birth? [CUSTOMER][NEUTRAL] [PII] [PII]. [CUSTOMER][NEUTRAL] And I faxed the claim on 63 so just really calling to make sure you received it. [AGENT][NEUTRAL] Uh, what was the date of service? [CUSTOMER][NEUTRAL] The date of service is [PII]. [AGENT][NEUTRAL] And the total bill charges? [CUSTOMER][NEUTRAL] $2,695. [AGENT][NEUTRAL] OK, yes, it looks like we received it on [PII] and we processed it on [PII]. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] Uh, it looks like the maximum benefit payable for the date of service has been met. [AGENT][NEUTRAL] Let me see what their benefit is. [CUSTOMER][NEUTRAL] Maximum [CUSTOMER][NEUTRAL] Benefit [CUSTOMER][NEUTRAL] Payable for data service. [CUSTOMER][NEUTRAL] Max, is it possible that you can fax that EOB to me? [AGENT][POSITIVE] Yeah, absolutely. What's your? [CUSTOMER][NEUTRAL] It it's already [CUSTOMER][NEUTRAL] OK, it's [PII]. [AGENT][NEUTRAL] That was [PII]. [CUSTOMER][NEUTRAL] Yes. [AGENT][POSITIVE] OK, I'll fax that over. It just takes a few minutes. And is there anything else I can help with today? [CUSTOMER][NEUTRAL] Um, just a call reference number if you give call reference numbers. [AGENT][NEUTRAL] Uh, it's my name, [PII], first initial to last name, [PII], and today's date. [CUSTOMER][POSITIVE] OK, thank you so much, [PII]. [AGENT][POSITIVE] Thank you for calling APL. I hope you have a good afternoon. [CUSTOMER][POSITIVE] You too thanks bye bye.