AccountId: 011433970860 ContactId: 5bc9a6fe-072d-4597-92cc-3f9d74dd4094 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 192259 ms Total Talk Time (AGENT): 49961 ms Total Talk Time (CUSTOMER): 88005 ms Interruptions: 0 Overall Sentiment: AGENT=0.6, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/25/5bc9a6fe-072d-4597-92cc-3f9d74dd4094_20250425T13:46_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Uh, hi [PII], this is [PII] calling for the provider to check on our payment status. Please be informed this call is being recorded and monitored for quality and training purposes. May I know if I can help you with the patient information or provide information? [AGENT][NEUTRAL] I need a callback number, [PII], and then I can check claim status. [AGENT][NEUTRAL] Do you have a callback number? [CUSTOMER][NEUTRAL] And the callback number is [PII]. [AGENT][NEUTRAL] OK, thank you. And do you have the policy number of the patient? [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] OK, the policy number is, uh, please just give me a moment. [CUSTOMER][NEUTRAL] Um, you need the member member ID number or the claim. [AGENT][NEUTRAL] Member ID. [CUSTOMER][NEUTRAL] Claim number? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK, the member ID is 02487902. [AGENT][NEUTRAL] The patient name and date of birth? [CUSTOMER][NEUTRAL] Patient name is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] The date of birth? [CUSTOMER][NEUTRAL] And could you spell your name? [AGENT][NEUTRAL] Um, it's [PII]. It's [PII] [CUSTOMER][POSITIVE] OK, thank you so much for that, [PII], and uh the date of birth is [PII]. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] Um, so it looks like for claim status on this policy, you would need to contact web TPA. [CUSTOMER][NEUTRAL] The [AGENT][NEUTRAL] I can give you their number and I can transfer you if you like. [CUSTOMER][NEUTRAL] OK, uh, could you please help me with the number? [AGENT][NEUTRAL] Yes, it's [PII]. [CUSTOMER][NEUTRAL] How you doing? How you doing? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Alright. [CUSTOMER][NEUTRAL] It's [PII]. [AGENT][NEUTRAL] Yes, and then do you want me to transfer you over there? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah, sure. Uh, they will be helping with the payment, uh, queries too, right? [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] Uh, they will be helping with the payment queries too, right? [AGENT][NEUTRAL] Yes, we don't have any claims status. Web TPA handles the claim status. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][POSITIVE] OK, OK, [PII], thank you so much for your assistance and have a great day. [AGENT][NEUTRAL] Hold on. [AGENT][POSITIVE] OK, I'll get you connected over. [CUSTOMER][NEUTRAL] Yeah sure. [CUSTOMER][NEUTRAL] Welcome to Web TPA.