AccountId: 011433970860 ContactId: 891d4305-8728-41f6-b622-0e5acc0b85a9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 310059 ms Total Talk Time (AGENT): 79935 ms Total Talk Time (CUSTOMER): 95609 ms Interruptions: 0 Overall Sentiment: AGENT=2, CUSTOMER=0.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/11/891d4305-8728-41f6-b622-0e5acc0b85a9_20250611T20:10_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from provider's office. Before going further, this call is being recorded for quality and training purposes. Is it OK for you? [CUSTOMER][NEUTRAL] Yeah [AGENT][POSITIVE] I'm so sorry. What is your name again, please? [CUSTOMER][NEUTRAL] My name is [PII]. [AGENT][NEUTRAL] [PII], thank you. Yes, that's OK for me. What is your callback number? [CUSTOMER][NEUTRAL] OK. My callback number is [PII]. [CUSTOMER][NEUTRAL] [PII] [PII]. [AGENT][POSITIVE] Thank you so much. And what is your policy number, please? [CUSTOMER][NEUTRAL] What is the policy number? You mean member ID? [AGENT][NEUTRAL] Of the policy number. Some people call it member ID. I'll take that. [CUSTOMER][NEUTRAL] You need the member ID. [AGENT][POSITIVE] I will take the member ID. Thank you so much. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, it's 02597293. [AGENT][POSITIVE] OK, I have that as 02597293. Thank you. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Verify the patient's name and date of birth. [CUSTOMER][NEUTRAL] It's [PII] is that and the [CUSTOMER][NEUTRAL] Date of birth is [CUSTOMER][NEUTRAL] [PII] and the date of service is [PII]. [AGENT][NEUTRAL] OK. The date of service is [PII]. What is the total charge amount, please? [CUSTOMER][NEUTRAL] The total bill amount is $379. [AGENT][NEUTRAL] Thank you. I'm gonna place you on a brief hold, OK, [PII]? Thank you. One moment. [CUSTOMER][POSITIVE] OK, sure. Take your time. [CUSTOMER][NEGATIVE] You are on hold. [AGENT][NEUTRAL] Hello, [PII], thank you for your hold, patience. Uh, we received the claim on [PII]. It was processed on [PII]. We are requesting the explanation of benefits from the primary. [CUSTOMER][NEUTRAL] Well [CUSTOMER][NEUTRAL] Hey guys. [CUSTOMER][NEUTRAL] OK, just a moment, hold on. [CUSTOMER][NEUTRAL] Um [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] When you receive the claim? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] It's [CUSTOMER][NEUTRAL] OK, and you need the primary OB, right? [AGENT][POSITIVE] That is correct, yes. [CUSTOMER][NEUTRAL] OK. And could you please provide me the claim number? [AGENT][NEUTRAL] Certainly, it is 36066997. [CUSTOMER][NEUTRAL] Uh, could you please repeat one more time? It's 360. [AGENT][NEUTRAL] 669-7. [CUSTOMER][NEUTRAL] OK. It's 36066997, right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Oh, and could you please provide me the fax number? [AGENT][NEUTRAL] Yes, [PII]. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] 942 [PII]. [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] [PII], right? [AGENT][NEUTRAL] No, [PII]. [CUSTOMER][NEUTRAL] OK, it's 23. OK. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] OK, just a moment, hold on for a second. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. And could you please spell your name for me? [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] OK. And your last name initial is? [AGENT][NEUTRAL] [PII]. Anything else I can help you with, [PII]? [CUSTOMER][POSITIVE] Oh, no, thank you so much for your assistance. Stay safe. Bye for now. [AGENT][POSITIVE] Thank you for calling APL. Take care bye.