AccountId: 011433970860 ContactId: a2da1303-f6b8-47ab-9053-4ba55bcfdce3 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 251600 ms Total Talk Time (AGENT): 53248 ms Total Talk Time (CUSTOMER): 137469 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/25/a2da1303-f6b8-47ab-9053-4ba55bcfdce3_20250625T19:17_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] speaking. I'm calling from provider office. I just want to check the status of claim. How are you today? [AGENT][POSITIVE] Good how are you? [CUSTOMER][POSITIVE] I'm doing well thanks for asking. How do you spell your name? [AGENT][NEUTRAL] It's [PII] Y. [CUSTOMER][NEUTRAL] [PII] and the first initial last name? [AGENT][NEUTRAL] Yes. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And then what was your name? [CUSTOMER][NEUTRAL] Uh, my name is [PII]. First initial and last name, [PII]. [CUSTOMER][NEUTRAL] Oh. [AGENT][NEUTRAL] OK, go ahead. And then do you have a good callback number? [CUSTOMER][NEUTRAL] Uh, callback number is going to be [PII] and it's a direct line. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] OK, and um for claim status, what is the policy number for the patient? [CUSTOMER][NEUTRAL] And the member ID is going to be 910113. [CUSTOMER][NEUTRAL] I [AGENT][NEUTRAL] Patient name and date of birth? [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Uh, [PII]. [CUSTOMER][NEUTRAL] [PII] and date of birth is going to be [PII]. [CUSTOMER][NEUTRAL] The. [AGENT][NEUTRAL] And the date of service and bill charges. [CUSTOMER][NEUTRAL] Uh, [PII] and the bill amount is $976.08. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] It looks like the claim was received on. [AGENT][NEUTRAL] 4 or 2 24 25. [AGENT][NEUTRAL] Process 225, 25. [CUSTOMER][NEUTRAL] May I have a claim number? [AGENT][NEUTRAL] Number 3568038. [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] And it looks like charges were applied to the policy deductible of 750. [CUSTOMER][NEUTRAL] See [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] 356-803-8. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Applied deductible. [CUSTOMER][NEUTRAL] Mm just a moment. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Uh, how much amount to apply deductible? [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Um, [CUSTOMER][NEUTRAL] I [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] 23235. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK, uh, do me a favor. Could you just fax me the EOB? [CUSTOMER][NEUTRAL] Uh, the fax number is going to be. [AGENT][NEUTRAL] Your fax number? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Yeah. [AGENT][POSITIVE] OK, I'll get that faxed over. It just takes a few minutes. Is there anything else I can help with? [CUSTOMER][NEUTRAL] And uh uh could you provide me uh the reference number for this one as well? [AGENT][NEUTRAL] That's my name and today's date. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][POSITIVE] OK, thank you so much, [PII]. Have a wonderful day. Enjoy the rest of the day. Bye. [AGENT][POSITIVE] Thanks for calling APL you too bye bye.