AccountId: 011433970860 ContactId: 1089d505-e45c-4ee8-8766-3e5bd07c195d Channel: VOICE LanguageCode: en-US Total Conversation Duration: 222009 ms Total Talk Time (AGENT): 70141 ms Total Talk Time (CUSTOMER): 59591 ms Interruptions: 0 Overall Sentiment: AGENT=0, CUSTOMER=0.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/26/1089d505-e45c-4ee8-8766-3e5bd07c195d_20250326T17:20_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, my name is [PII] calling from provider's office to check on eligibility. Could you please help me with that? [AGENT][NEUTRAL] Yes, I can help you with the eligibility, [PII]. Do you have a patient ID number or policy number? [CUSTOMER][NEUTRAL] 02, yes, 02550845. [AGENT][NEUTRAL] OK, patient name and date of birth? [CUSTOMER][NEUTRAL] Yes. [PII] The last name is [PII], date of birth [PII]. [AGENT][NEUTRAL] OK, this is not a guarantee of payment basic outline of the policy and you needed eligibility and benefits or just eligibility? [CUSTOMER][NEUTRAL] First eligibility and the in-network deductibles. [AGENT][NEUTRAL] Uh, he is effective [PII], and active. [CUSTOMER][NEUTRAL] May I know the plant types? [AGENT][NEUTRAL] This is a secondary or supplemental policy supplemental. [CUSTOMER][NEUTRAL] OK. May I know the group number? [AGENT][NEUTRAL] Um, group number [AGENT][NEUTRAL] 243-83. [CUSTOMER][NEUTRAL] OK, another in my deductibles. [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] May I know the in-network deductibles? [AGENT][NEUTRAL] Um, there's no network. [AGENT][NEUTRAL] And let me pull that. [CUSTOMER][NEUTRAL] Deductibles. [AGENT][NEUTRAL] Hold on one moment. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Is it for outpatient services or? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] OK. [AGENT][NEGATIVE] So this is, there's no deductible and there's no network. This plan will pay $750. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] Go ahead. [CUSTOMER][NEUTRAL] There is no network deductibles, right? [AGENT][NEUTRAL] No, do you need the benefit? [CUSTOMER][NEUTRAL] I want to know [AGENT][NEUTRAL] Oh [CUSTOMER][NEUTRAL] Oh [AGENT][NEUTRAL] Are you there? [CUSTOMER][NEUTRAL] Yes, is there any deductibles or not? [AGENT][NEUTRAL] No, there's no deductibles. This is a secondary policy, a supplemental policy. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. May I know the payer ID and mailing address? [AGENT][NEUTRAL] 60801 payer ID. [CUSTOMER][NEUTRAL] See you. [AGENT][NEUTRAL] The mailing address is APL claims. [CUSTOMER][NEUTRAL] Hello. [AGENT][NEUTRAL] I'm sorry? [CUSTOMER][NEUTRAL] Yes, continue. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] No. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] OK, may I know the subscriber relationship is like individual or family? [AGENT][NEUTRAL] Uh, this is an individual policy. [CUSTOMER][POSITIVE] OK. Thank you for your help. Have a great day. Bye. [AGENT][POSITIVE] OK, thanks for calling APL [PII]. Have a good day.