AccountId: 011433970860 ContactId: d20713f3-cd5c-43a2-84ba-8fc671fb9ecd Channel: VOICE LanguageCode: en-US Total Conversation Duration: 151570 ms Total Talk Time (AGENT): 58510 ms Total Talk Time (CUSTOMER): 44480 ms Interruptions: 0 Overall Sentiment: AGENT=0.7, CUSTOMER=0.5 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/10/d20713f3-cd5c-43a2-84ba-8fc671fb9ecd_20250310T19:44_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good Afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], my name is [PII], and I'm calling from the provider's office in regards to claim status. [AGENT][NEUTRAL] OK, well, I can definitely help you with the claim status, and [PII], may I have a good contact number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you for that and may I have the member's policy number? [CUSTOMER][NEUTRAL] 02134626 ML 8 [AGENT][NEUTRAL] Thank you, hold on one moment. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII], I'm gonna spell the last name, [PII] [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And I, um, and may I have the date of service for the claim? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And the total bills? [CUSTOMER][NEUTRAL] It is $37,0034. [AGENT][NEUTRAL] All righty. And can you verify the name of the provider's office on the claim? [CUSTOMER][NEUTRAL] HCA Florida University Hospital. [AGENT][NEUTRAL] Alright, so I'm showing the claim was received on [PII]. [AGENT][NEUTRAL] The claim number is 344. [AGENT][NEUTRAL] 2686. [AGENT][NEUTRAL] And on [PII], the claim was denied requesting the explanation of benefits from primary insurance. [CUSTOMER][NEUTRAL] Alrighty, I will go ahead and get the rebuild out to you all with the primary ELB. Is there a reference number for our call? [AGENT][NEUTRAL] So there's no call reference number, but you can use my name in today's date. The first initial to my last name is [PII], and my first name is [PII] [CUSTOMER][POSITIVE] Thank you so much, Miss [PII]. I hope you have a great day. [AGENT][POSITIVE] You also, and thanks for calling APL. Bye-bye. [CUSTOMER][NEUTRAL] All right.