AccountId: 011433970860 ContactId: 1dfa0a08-8587-4c0e-9556-0e01e824a026 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 265079 ms Total Talk Time (AGENT): 127733 ms Total Talk Time (CUSTOMER): 145358 ms Interruptions: 7 Overall Sentiment: AGENT=1.3, CUSTOMER=1.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/03/17/1dfa0a08-8587-4c0e-9556-0e01e824a026_20250317T13:39_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you. [AGENT][POSITIVE] Yeah, this is. How may I help you today? [CUSTOMER][POSITIVE] Hi, good morning. [CUSTOMER][NEUTRAL] Yeah [AGENT][NEUTRAL] Morning. How can I help you? [CUSTOMER][NEUTRAL] I need to do a verification of 3 patients that you can help me to verify uh the patients are active. Thank you, my dear. [AGENT][NEUTRAL] I sure can. [AGENT][NEUTRAL] Yes, ma'am. Go ahead. Yes, ma'am. No problem. Go ahead and give me your name and the first member's policy number. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, my name is [PII], first initial and my last name [PII]. the first policy number I have 02. [CUSTOMER][NEUTRAL] 587805 [CUSTOMER][NEUTRAL] ML 8. [AGENT][NEUTRAL] Alrighty, [PII], thank you for that information. Now while I'm pulling this first patient up, go ahead and give me a good return telephone call number. [CUSTOMER][NEUTRAL] It's gonna be [PII]. [AGENT][POSITIVE] Alrighty, [PII], thanks so much for all that information. Now your patient's name and date of birth. [CUSTOMER][NEUTRAL] Ms. [PII]. Date of birth [PII]. [CUSTOMER][POSITIVE] And more good morning. [CUSTOMER][POSITIVE] Good good. [AGENT][NEUTRAL] Alright, looks like Tamara is a dependent on this medical supplemental plan. I do show the original effective date is [PII]. Patient is current and active, but I must advise that verification of coverage is not a guarantee of payment on a claim. But you said you wanted to just check if they're active or did you need any benefits, [PII]? [CUSTOMER][POSITIVE] good. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yes, that's all I need to know is the patient is active. [AGENT][NEUTRAL] OK, and your next policy number please, ma'am? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] Yes, that's gonna be number one. [CUSTOMER][NEUTRAL] Do we have a reference number for that patient? [AGENT][NEUTRAL] No ma'am, we don't give reference numbers, [PII], but you can use my name in today's date and my name is [PII] spelled [PII] [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Mhm. First initial, your last name if you can help me. [AGENT][NEUTRAL] It's [PII] [CUSTOMER][NEUTRAL] OK dokey, OK, 2nd patient is gonna be. [CUSTOMER][NEUTRAL] Um, policy number, I have 2509929. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] What, let's see. [AGENT][NEUTRAL] And your patient's name and date of birth. [CUSTOMER][NEUTRAL] [PII] Last name [PII] Date of birth [PII]. [AGENT][NEUTRAL] Well, looks like [PII] is the insured on this medical supplemental plan. They show the original effective date. It's [PII]. Patient is still current and active, but I must advise that verification of coverage is not a guarantee of payment on a claim, but patient is active, [PII]. [CUSTOMER][NEUTRAL] I. [CUSTOMER][NEUTRAL] Um [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK, that one we got it good and number 3 and last one is gonna be 3 and last one it's gonna be policy number 02549424. [AGENT][NEUTRAL] A what? [AGENT][POSITIVE] Alrighty, let's get that pulled up, [PII]. [CUSTOMER][NEUTRAL] He [CUSTOMER][NEUTRAL] Can a [AGENT][NEUTRAL] And your patient's name and date of birth? [CUSTOMER][NEUTRAL] [PII], oh sure there I guess. [AGENT][POSITIVE] Oh wait, you're getting a good man. [CUSTOMER][NEUTRAL] Um, date of birth. [AGENT][NEUTRAL] Yeah. [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] Oh [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Yeah [AGENT][NEUTRAL] It's alrighty. Alright, let's see. Looks like [PII] is a dependent on this medical supplemental plan. do show his original effective date is [PII] patient is current and active, but I must advise that patient's verification benefits is not a guarantee of payment, but patient is active, [PII]. [CUSTOMER][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] So we use. [CUSTOMER][POSITIVE] OK, sounds like I got a plan. That's all I need to know. [AGENT][POSITIVE] OK, OK, was there any, right, if that's all I can help you with then, [PII], you have a great [PII] and a great Monday and thanks for calling APL. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][POSITIVE] Thank you you too bye bye. [AGENT][NEUTRAL] Alright.