AccountId: 011433970860 ContactId: 139303c1-b803-4964-a27b-77f8d02f73a8 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 198029 ms Total Talk Time (AGENT): 59854 ms Total Talk Time (CUSTOMER): 94623 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=1.2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/21/139303c1-b803-4964-a27b-77f8d02f73a8_20250421T16:12_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Oh, good morning. My name is [PII]. I'm calling from the provider's office to check on the eligibility status. Could you ask me that one. [AGENT][NEUTRAL] OK, [PII], and you're calling to check for claim status, is that correct? [CUSTOMER][NEUTRAL] No, no, I'm not for the for the time so that we need to check the eligibility of the patient benefits. [AGENT][NEUTRAL] Eligibility? OK, thank you [PII]. And then what is the callback number sir just in case. [AGENT][NEGATIVE] Was disconnected. [CUSTOMER][NEUTRAL] My callback number is [PII]. [AGENT][NEUTRAL] Thank you and then what's the patient's name, date of birth, and policy number? [CUSTOMER][NEUTRAL] OK. I will provide you with the first, the policy number. The policy number, it is 021389. [CUSTOMER][NEUTRAL] 38 M as in Mary, L as in Lima, and 8. [CUSTOMER][NEUTRAL] And the patient name, I will spell the first name. The patient's first name, it is, it is [PII] The last name it is [PII], and then the date of birth, it is [PII]. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] OK, thank you so much. Let me look up that policy real quick. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] But you could choose a name. [AGENT][NEUTRAL] Uh [AGENT][NEUTRAL] Yes, it's [PII] [AGENT][NEUTRAL] And I do show that this policy for Dawn is no longer active. The policy terminated on [PII]. [CUSTOMER][POSITIVE] Thank you. [CUSTOMER][NEUTRAL] You [AGENT][NEUTRAL] And there are no active policies on file at this time. [CUSTOMER][NEUTRAL] Mm [CUSTOMER][NEUTRAL] Uh, may I know what is the, my details, uh, it is. [CUSTOMER][NEUTRAL] [PII] this year, the patient was active. [AGENT][NEUTRAL] No. [CUSTOMER][NEUTRAL] The patient, the last determination date is [PII], that is right? [AGENT][POSITIVE] Correct. [CUSTOMER][NEUTRAL] OK. May I know what is, may I know what is the effective policy, I mean, the, when the policy was started date? [AGENT][NEUTRAL] The start date was [PII]. [CUSTOMER][POSITIVE] Thank you so much, sorry. Uh, sorry, could you please um the fish uh the [AGENT][POSITIVE] You're welcome. [CUSTOMER][NEUTRAL] Yeah, and also the member have any other active insurance you are on file? [AGENT][NEUTRAL] No, sir. [CUSTOMER][POSITIVE] Thank you so much, sir. Please, can you please tell me the call reference number? [AGENT][NEUTRAL] Yes, sir, you can use my name, [PII], and today's date. [CUSTOMER][POSITIVE] Thank you, [PII]. Have a nice day. Bye-bye. [AGENT][POSITIVE] You too, [PII]. Thank you for calling APL. You have a wonderful day also. [CUSTOMER][NEUTRAL] Yeah bye bye.