AccountId: 011433970860 ContactId: c9eea254-1a7e-4a9b-8923-f0511e23e114 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 262929 ms Total Talk Time (AGENT): 92186 ms Total Talk Time (CUSTOMER): 86198 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/09/c9eea254-1a7e-4a9b-8923-f0511e23e114_20250409T12:22_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Oh [AGENT][POSITIVE] Thank you [CUSTOMER][NEUTRAL] Hi, my name is [PII] calling from provider's office to verify claim status. [AGENT][NEUTRAL] OK, [PII], I can help you. What is the policy number and a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, the policy number for the member is [CUSTOMER][NEUTRAL] It is 09. [CUSTOMER][NEUTRAL] 987 [AGENT][NEUTRAL] Can you repeat the policy number? [CUSTOMER][NEUTRAL] And the callback number is [CUSTOMER][NEUTRAL] Yes, it [CUSTOMER][NEUTRAL] It's uh [PII]. [AGENT][NEUTRAL] That's [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, thank you. And your callback number. [CUSTOMER][NEUTRAL] It is [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] [PII] is a direct line, no extension. [AGENT][NEUTRAL] OK, [PII]. [AGENT][NEUTRAL] OK. [AGENT][NEGATIVE] You're cutting in and out, [PII], so I'm not getting all the numbers. [CUSTOMER][POSITIVE] I'm sorry for the inconvenience. [AGENT][NEUTRAL] Could you repeat the phone number for me? [CUSTOMER][NEUTRAL] Yes, it is [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] and airline, no extension. [AGENT][NEUTRAL] OK, we'll come back to the phone number because you're still cutting out you said that you're checking claim status? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] What's the date of service and charge? [CUSTOMER][NEUTRAL] So it is a date from [PII]. [CUSTOMER][NEUTRAL] To [PII]. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] So [PII] through [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] And the the total charge? [CUSTOMER][NEUTRAL] 49,004. [CUSTOMER][NEUTRAL] $104.60. [AGENT][NEUTRAL] One moment. [AGENT][NEUTRAL] The patient's name and date of birth? [CUSTOMER][NEUTRAL] My name is [CUSTOMER][NEUTRAL] [PII]. Date of birth is [PII]. [AGENT][NEUTRAL] And your phone number? [CUSTOMER][NEUTRAL] Yes, it is [PII]. [CUSTOMER][NEUTRAL] [PII]. It is a direct line, no extension. [AGENT][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] OK. And could you please tell your name? [AGENT][NEUTRAL] [PII], first initial last name is [PII] and you'll use my name in today's date as reference for today's call. [CUSTOMER][POSITIVE] OK, thank you. [AGENT][NEUTRAL] So I'm showing that this is an inpatient claim. Can you give me the name of the hospital, please? [CUSTOMER][NEUTRAL] The facility name is HCA Florida, Northwest Hospital. [AGENT][NEUTRAL] OK, so I show the claim was received [PII]. [AGENT][NEUTRAL] Processed [PII]. [AGENT][NEUTRAL] And we're requesting a copy of the major medical explanation of benefits and when you're ready, I have the claim number for you. [CUSTOMER][NEUTRAL] Please help me with the claim number. [AGENT][NEUTRAL] 356-932-3. [AGENT][NEUTRAL] And [PII], you can also check status online at [PII]. And did you have any other questions? [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes. Could you please help me with the fax number to send the EOB? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] 942-3 attention claims. [CUSTOMER][POSITIVE] OK. Thank you for your time and assistance. Have a great day. Bye-bye. [AGENT][POSITIVE] Oh, you're welcome. Thanks for calling APL [PII]. Have a good day as well.