AccountId: 011433970860 ContactId: 00e0e464-858d-47e0-bfcc-1314bc6c5f35 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 324329 ms Total Talk Time (AGENT): 100354 ms Total Talk Time (CUSTOMER): 148752 ms Interruptions: 0 Overall Sentiment: AGENT=0.9, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/11/00e0e464-858d-47e0-bfcc-1314bc6c5f35_20250311T19:14_UTC.wav -------------------------------------------- [CUSTOMER][NEUTRAL] I will take, I will take. [AGENT][POSITIVE] Good afternoon. May I help you? [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] Good afternoon. [CUSTOMER][NEUTRAL] Hi, my name is [PII], checking on eligibility for the patient. [AGENT][NEUTRAL] OK, I can verify eligibility for you, [PII], and what is the policy number, please? [CUSTOMER][NEUTRAL] Yes, the policy number is, give me one moment. [CUSTOMER][NEUTRAL] It is 02463466. [AGENT][NEUTRAL] OK, thank you. And do you have a callback number in case the call drops? [CUSTOMER][NEUTRAL] Yes, it's gonna be [PII]. [AGENT][NEUTRAL] OK. And the patient's name, date of birth? [CUSTOMER][NEUTRAL] The patient's name is [PII]. The first name is [PII], and last name is [PII]. And the date of birth is [PII]. [AGENT][NEUTRAL] OK, one moment. [CUSTOMER][NEUTRAL] Actually, how is that your name. What was your name, please? [AGENT][NEUTRAL] It's [PII] last initial [PII] and I show her effective date was [PII]. However, her policy terminated [PII]. [CUSTOMER][NEUTRAL] So what is the effect, could you please repeat once again? [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK. And what is the term date? [AGENT][NEUTRAL] Uh, [PII] at [PII]. [CUSTOMER][NEUTRAL] [PII], right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] All right, give me one moment. [PII]. [CUSTOMER][NEUTRAL] Sorry, [PII] [AGENT][NEUTRAL] Uh-huh. [CUSTOMER][NEUTRAL] The last initial name is [PII] [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] All right. OK. Can I get the [CUSTOMER][NEUTRAL] Payer ID for this, to submit a claim. [AGENT][NEUTRAL] Uh, to submit claim 60801. [CUSTOMER][NEUTRAL] 60801. All right. Very good. And what is the mailing address? [AGENT][NEUTRAL] Uh, [PII]. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh, OK. Could you, well, hold on. Could you please go a little bit slowly so that I can make a note of it? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] Could you please spell it? [AGENT][NEUTRAL] OK, [PII] [CUSTOMER][NEUTRAL] Uh [CUSTOMER][POSITIVE] OK. Thank you. [AGENT][NEUTRAL] OK, [PII]. [CUSTOMER][NEUTRAL] Mm. Mhm. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] 731 [CUSTOMER][NEUTRAL] 8950. And what is the time of filing limit to submit a claim? [AGENT][NEUTRAL] Uh, there's no time limit. [CUSTOMER][NEUTRAL] All right. What is the call reference number, [PII]? [AGENT][NEUTRAL] We don't give reference numbers. If you like, you may use my name in today's date. [CUSTOMER][POSITIVE] OK, [PII], to your name and today's date. Thank you so much. Well, I do have one more question. Could you please help me with that, [PII]? [AGENT][NEUTRAL] One moment. [CUSTOMER][POSITIVE] All right. Take your time. [AGENT][NEUTRAL] OK, what's next policy number? [CUSTOMER][NEUTRAL] The next policy number is 02331550. [AGENT][NEUTRAL] One moment. [AGENT][NEUTRAL] And that patient's name, date of birth? [CUSTOMER][NEUTRAL] The patient's name is [PII]. Do, do you want me to spell it? [AGENT][NEUTRAL] You don't have to. What's [AGENT][NEUTRAL] Date of birth? [CUSTOMER][NEUTRAL] Yes, the first name is [PII]. Yeah, date of birth is [PII]. [AGENT][NEUTRAL] OK, I'm showing her effective date is [PII] and she is showing active. [CUSTOMER][NEUTRAL] [PII], right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] And still like you, there is no termination date. [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] And, and the payer ID and the mailing address is the same. [AGENT][NEUTRAL] It's the same, correct. [CUSTOMER][NEUTRAL] Mhm. And the call reference number is also the same. [AGENT][NEUTRAL] Mhm. [CUSTOMER][POSITIVE] All right. Thank you so much, [PII]. [AGENT][POSITIVE] You're welcome. Thank you for calling APLX. Have a great day. [CUSTOMER][NEUTRAL] You too. Bye for now. [AGENT][NEUTRAL] Bye.