AccountId: 011433970860 ContactId: eb900849-784e-43f6-b57c-09f3273f979c Channel: VOICE LanguageCode: en-US Total Conversation Duration: 218419 ms Total Talk Time (AGENT): 107539 ms Total Talk Time (CUSTOMER): 61028 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=0.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/02/eb900849-784e-43f6-b57c-09f3273f979c_20250102T19:59_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII]. I'm calling for uh claim status. [AGENT][POSITIVE] OK, well, I'll be more than happy to help you with the claim status, [PII], and how many claims do you have in total today? [CUSTOMER][NEUTRAL] Uh, just one. [AGENT][NEUTRAL] All right. May I have a good contact number in case we're disconnected and then the policy number? [CUSTOMER][NEUTRAL] Yeah, it's [PII]. [CUSTOMER][NEUTRAL] Policy number is 2248701. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][POSITIVE] Sure, thank you. [AGENT][NEUTRAL] You're welcome. And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] [PII], [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. And may I have the date of service for the claim? [CUSTOMER][NEUTRAL] It's [PII] for $983. [AGENT][NEUTRAL] OK, thank you. Hold on one moment. [CUSTOMER][NEUTRAL] All right. [AGENT][NEUTRAL] And can you verify the name of the provider's office on the claim? [CUSTOMER][NEUTRAL] I'm calling from Tanner Medical Center. [AGENT][NEUTRAL] Alright, so I'm showing received the claim on [PII]. [AGENT][NEUTRAL] And that claim number is 32089. I'm sorry, 3208897. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] And on [PII], we paid out on the claim to the provider a total of $50. [AGENT][NEUTRAL] Would you like to check information? [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Yes, please. [AGENT][NEUTRAL] Alright, so I'm showing it was a single check, um, issued on [PII]. [AGENT][NEUTRAL] It was mailed to [PII]. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] In the amount of $50? [AGENT][NEUTRAL] And it cleared the bank on [PII]. [CUSTOMER][NEUTRAL] Bye. [CUSTOMER][NEUTRAL] [PII], OK. [CUSTOMER][NEUTRAL] And what's the check number? [AGENT][NEUTRAL] Check number is 1745004. [CUSTOMER][NEUTRAL] I [CUSTOMER][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] And um is it possible to request for a copy of an EOB? [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] Sure, and what's a good fax number to send the EOB to? [CUSTOMER][NEUTRAL] Uh, it's 865342-9403. And if, uh, please attention it to my name. [AGENT][NEUTRAL] And that was 8653429403, attention [PII]? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] All right, so I'll go ahead and fax this over to you now. Is there anything else I can help you with today, [PII]? [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] Uh, just a reference number, please. [AGENT][NEUTRAL] So there's no call reference number, but you can use my name, which is [PII] The first initial to my last name is [PII], and then today's date. [CUSTOMER][NEUTRAL] No [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][POSITIVE] All right. Thank you, [PII]. That's it for me. [AGENT][POSITIVE] All right, you're very welcome and thanks for calling APL and happy New Year. [CUSTOMER][POSITIVE] Happy New Year. Bye-bye. [AGENT][NEUTRAL] Bye-bye.