AccountId: 011433970860 ContactId: e03f91e0-f791-443e-8505-5bcd63c67e6c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 226729 ms Total Talk Time (AGENT): 86867 ms Total Talk Time (CUSTOMER): 73145 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/17/e03f91e0-f791-443e-8505-5bcd63c67e6c_20250117T15:21_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Hi, [PII], this is [PII] calling from Mount Sinai Medical Center, and I was calling about a claim process for one of our patients. [AGENT][NEUTRAL] OK, yeah, I can look at that claim for you, [PII]. Uh, first, can I get a good call back number from you in case we're disconnected? [CUSTOMER][NEUTRAL] Yes, [PII]. [AGENT][NEUTRAL] OK, thank you. And then did you have the policy number? [CUSTOMER][NEUTRAL] 01665208 [CUSTOMER][NEUTRAL] ML 7. [AGENT][NEUTRAL] OK, thank you. And then uh what was the name and date of birth for the insured? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] Alright, thank you for verifying that, [PII]. Uh, did you have a claim number? [CUSTOMER][NEUTRAL] Uh, let me see, give me a moment. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] I do not have a claim number, no. [AGENT][NEUTRAL] That's OK. Uh, what was the [CUSTOMER][NEUTRAL] Of the data service and the build out. [AGENT][NEUTRAL] Yeah, I could do the data service please. [CUSTOMER][NEUTRAL] Data service is [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Right. [AGENT][NEUTRAL] OK, and then uh the bill out please. [CUSTOMER][NEUTRAL] $9,632.90. [AGENT][POSITIVE] OK, thank you one moment please. [AGENT][NEUTRAL] OK, that amount, the $9,632.90 is that the amount, uh, before or after major medical paid? [CUSTOMER][NEUTRAL] That's before. [AGENT][NEUTRAL] Before, OK. [CUSTOMER][NEUTRAL] Yeah, because the week looks like we got a payment of 3893 back in September and I'm trying to verify if I can get a copy of the EOB. [AGENT][NEUTRAL] OK. You said this was Mount Sinai Medical? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK, yes, I did find that claim. All right, you're just needing a copy of the EOB? [CUSTOMER][NEUTRAL] Yes, please. [AGENT][NEUTRAL] OK, do you have a fax number? [CUSTOMER][NEUTRAL] Yes ma'am. [PII]. [AGENT][NEUTRAL] OK and then would I just put this to your attention? [CUSTOMER][NEUTRAL] Yes, please. [AGENT][NEUTRAL] Alright, I will get that sent to you. You should get it here in maybe 10-15 minutes depending on how busy your machine is. [AGENT][NEUTRAL] Did you want that uh claim number? [CUSTOMER][NEUTRAL] OK, may I have the claim? [AGENT][POSITIVE] Oh yeah, of course. [CUSTOMER][POSITIVE] Yes, thank you. [AGENT][NEUTRAL] Oh yes, OK, the claim number is 3473. [AGENT][NEUTRAL] 775. [CUSTOMER][NEUTRAL] OK, is there a reference number for this call? [AGENT][NEUTRAL] Reference number would just be my first name, last initial, and today's date. Uh so my name is spelled [PII] Was there anything else I could help you with, [PII]? [CUSTOMER][POSITIVE] No, that's all. Thank you very much. [AGENT][POSITIVE] Uh, yeah, thanks for calling [PII]. I hope you have a great rest of your day. [CUSTOMER][NEUTRAL] You too bye bye. [AGENT][POSITIVE] Thank you, bye bye.