AccountId: 011433970860 ContactId: 98a33abf-051d-4d77-a5f9-1eb27de3a279 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 314350 ms Total Talk Time (AGENT): 92470 ms Total Talk Time (CUSTOMER): 108251 ms Interruptions: 2 Overall Sentiment: AGENT=0.6, CUSTOMER=0.9 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/27/98a33abf-051d-4d77-a5f9-1eb27de3a279_20250527T15:35_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Calling APL, this is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi, my name is [PII] calling from office to check on the status for our client. Could you assist me further? [AGENT][NEUTRAL] Sure, I can assist you with that. I did not catch your name. Could you provide me with the spelling of it? [CUSTOMER][NEUTRAL] Uh that is [PII]. [AGENT][NEUTRAL] [PII] or [PII]? [CUSTOMER][NEUTRAL] Uh [PII] [CUSTOMER][POSITIVE] Ready. [AGENT][NEUTRAL] Can I have a callback number for you, [PII]? [CUSTOMER][NEUTRAL] And callback number is [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And what is the member's policy number that you're calling to verify benefits eligibility for? [CUSTOMER][NEUTRAL] Uh, that is. [CUSTOMER][NEUTRAL] You asked me the member ID, right? [AGENT][NEUTRAL] Yes, the members ID. [CUSTOMER][NEUTRAL] That is 02450555. [AGENT][NEUTRAL] [PII], what is this member's name and date of birth? [CUSTOMER][NEUTRAL] Uh, patient's first name would be [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] And the last name is uh [PII]. [CUSTOMER][NEUTRAL] And the date of birth is [PII]. [AGENT][NEUTRAL] And you said you were calling to verify eligibility and benefits. [CUSTOMER][NEUTRAL] Sorry? [AGENT][NEUTRAL] And the reason for your call was to verify eligibility and benefits. [CUSTOMER][NEUTRAL] Uh, no, claim status. [AGENT][NEUTRAL] What is the data service that you're calling to check the status of a claim for? [CUSTOMER][NEUTRAL] That is 9-19 2024. The total charge is $690 even. [CUSTOMER][NEUTRAL] I get the status through call, but I didn't get that EOB through fax. Could you please send this claim EOB through fax and fax number, ma'am? [AGENT][NEUTRAL] Sure, give me one moment. [CUSTOMER][POSITIVE] OK. Thank you. [CUSTOMER][NEUTRAL] 2 [AGENT][NEUTRAL] And [PII], what is your fax number? [CUSTOMER][NEUTRAL] Uh, that is [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] So I have [PII]. [CUSTOMER][NEUTRAL] No, I can repeat that. [PII]. [CUSTOMER][NEUTRAL] OK [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] Is there anything else that I can assist you with today, [PII]? [CUSTOMER][NEUTRAL] Uh, may I get your name. Could you please spell for that? [AGENT][NEUTRAL] [PII] and today's date as a reference because unfortunately we don't provide reference numbers. [CUSTOMER][NEUTRAL] OK, sir. And may I get your last initial? [AGENT][NEUTRAL] [PII]. [CUSTOMER][POSITIVE] OK, sir. Thank you. [AGENT][POSITIVE] You're welcome. Thanks for calling APL and have a great day. [CUSTOMER][NEUTRAL] You too. Bye. [AGENT][NEUTRAL] But [CUSTOMER][NEUTRAL] And I, sorry, say I have one more question. Hello? [AGENT][NEUTRAL] Yes, I'm here. [CUSTOMER][NEUTRAL] And, uh, when we, uh, may get it, uh, time, time to get the EOB? I mean, how much is to receive the EOB? [AGENT][NEUTRAL] I'm not sure how long it would take. I just know that I'm sending it over to you by fax. [CUSTOMER][NEUTRAL] So you mean uh 24 hours or like that? [AGENT][NEUTRAL] I'm not sure how long it will take for you to get the fax. Unfortunately, [PII], all I know is that once I fax it over to you, it sends me a confirmation stating that it was sent out successfully. [CUSTOMER][NEUTRAL] Oh [CUSTOMER][POSITIVE] OK, thank you. Bye. [AGENT][NEUTRAL] But you can go on to [PII] online. [AGENT][NEUTRAL] And pull up the claim to verify it if you really, if it's urgent that you received the EOB promptly. [CUSTOMER][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Uh, it's fine. So you can send this through fax, right? I can get it later. [AGENT][POSITIVE] Yes, that is correct. Alrighty, well thanks for calling APL and have a great day. Goodbye. [CUSTOMER][POSITIVE] OK, thank you. Thank you, sir. [CUSTOMER][NEUTRAL] You too. Bye.