AccountId: 011433970860 ContactId: c6ae7ee5-a245-4022-915a-cc06b278f253 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 162279 ms Total Talk Time (AGENT): 55337 ms Total Talk Time (CUSTOMER): 51015 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=2.1 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/25/c6ae7ee5-a245-4022-915a-cc06b278f253_20250325T20:46_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi [PII]. My name is [PII]. I'm with the provider's office and I'm needing a little bit of clarification on a claim. [AGENT][NEUTRAL] OK, sure, I can assist you with claims Mr. [PII]. May I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. And may I have the name of the facility you're calling from? [CUSTOMER][NEUTRAL] The Eye Institute. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Certainly, the policy number is 02244903. [AGENT][POSITIVE] Thank you one moment. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] OK, what's the name and date of birth of the patient? [CUSTOMER][NEUTRAL] That is [PII] [PII]. [AGENT][NEUTRAL] OK, perfect. And may I have the date of service and the amount of the claim? [CUSTOMER][NEUTRAL] [PII] build amount $135. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, so this claim was denied because office visits are not covered by the policy. [CUSTOMER][POSITIVE] All right. That's what I needed to know. [AGENT][NEUTRAL] Is there anything else I can help with? [CUSTOMER][NEUTRAL] Um, may I get a, a, um, reference number please? [AGENT][NEUTRAL] We don't have reference numbers. You can use my name in today's date if you would like, Mr. [PII]. Do you need the spelling of my name or any other information? [CUSTOMER][NEUTRAL] Uh, yes, please. [AGENT][NEUTRAL] OK, the spelling is [PII], last initial [PII]. [CUSTOMER][POSITIVE] Thank you so very much, [PII]. You have a great rest of your day. [AGENT][NEUTRAL] You are so. [CUSTOMER][POSITIVE] Thank you. [AGENT][POSITIVE] You have a good day. Bye-bye, [PII]. [CUSTOMER][POSITIVE] Thank you bye bye. [AGENT][NEUTRAL] You