AccountId: 011433970860 ContactId: 7093996f-2ae4-44eb-8272-ee7bb7bc83b4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 484859 ms Total Talk Time (AGENT): 86550 ms Total Talk Time (CUSTOMER): 100868 ms Interruptions: 1 Overall Sentiment: AGENT=0.8, CUSTOMER=-1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/04/7093996f-2ae4-44eb-8272-ee7bb7bc83b4_20250404T18:39_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Yeah, hi, I'm [PII] calling for provider to check our client status. [AGENT][NEUTRAL] Sure, I can assist you with claim status and may I have your name again? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] My name is [PII] And uh I need a copy of EOB UOB alone. Can I provide the claim number? [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Um, bear with me just a second. I'll have to verify some information, Ms. [PII]. Uh, let me have, um, a callback number just in case we get disconnected. [CUSTOMER][NEUTRAL] Yeah, sure. It is [PII]. [AGENT][NEUTRAL] 44. OK, I need the policy number of the patient. [CUSTOMER][NEUTRAL] Sure. It is 01897877. [AGENT][NEUTRAL] OK. Thank you. One moment, let me pull that information. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] May I have the name and date of birth of the patient? [CUSTOMER][NEUTRAL] It is [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] OK, thank you. And what is the claim number? [CUSTOMER][NEUTRAL] Sure. It is 352-938-6. [AGENT][NEUTRAL] OK, thank you. Let me pull the image on that 11 moment. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Well. [CUSTOMER][NEUTRAL] You [AGENT][NEUTRAL] OK. And uh what is the fax number? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] The fax number which is [PII]. [CUSTOMER][NEUTRAL] Sorry, [PII]? [AGENT][NEUTRAL] OK, [PII]. [CUSTOMER][POSITIVE] Yes, that's good. And I have a specific attention. When you're ready, I can provide that. [AGENT][NEUTRAL] Go ahead. [CUSTOMER][NEUTRAL] The attention is [PII]. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] So the fax number is [PII] and it's gonna be attention [PII]. [CUSTOMER][NEUTRAL] Hello. [CUSTOMER][NEUTRAL] [PII]. That's right. And this one is denied for the office visit is not covered under the member's plan so we can uh bill the patient. [AGENT][NEUTRAL] It's up to the provider's discretion. We don't have any contractual involvement on the remaining of the claim. Um, let me go ahead and send this out to you while I got you on the line. Do you mind holding for me? [CUSTOMER][NEUTRAL] There [CUSTOMER][NEUTRAL] Um. [CUSTOMER][NEUTRAL] Yeah, sure. And when we can receive the EOB within this day? [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] Yeah, in a few minutes. I just need to send it right now, OK? One moment. [CUSTOMER][NEUTRAL] Yeah, OK. [CUSTOMER][NEGATIVE] You are on hold. [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][POSITIVE] Thank you for holding and being patient for Ms. [PII]. OK, I went ahead and send that over to you. It should be there in a few minutes. Is there anything else I'm gonna help you with today? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Uh, can I get the spelling of your name? [AGENT][NEUTRAL] Sure. That's [PII]. Last initial [PII]. [CUSTOMER][POSITIVE] OK, got it. Thank you for the assistance update you bye. [AGENT][POSITIVE] You as well thank you for calling APL. Bye bye, Miss [PII]. Have a good weekend. [CUSTOMER][NEUTRAL] You [CUSTOMER][NEUTRAL] Bye.