AccountId: 011433970860 ContactId: 2e3e3221-7742-4ec6-a96d-906f61e3eced Channel: VOICE LanguageCode: en-US Total Conversation Duration: 178860 ms Total Talk Time (AGENT): 79655 ms Total Talk Time (CUSTOMER): 104873 ms Interruptions: 4 Overall Sentiment: AGENT=1.7, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/04/10/2e3e3221-7742-4ec6-a96d-906f61e3eced_20250410T14:09_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], it's [PII] calling from provide office for the claim status like for the benefit. [CUSTOMER][NEUTRAL] And eligibility also? [AGENT][NEUTRAL] Claim status, eligibility and benefits. [CUSTOMER][NEUTRAL] Yeah, yeah, actually I just wanted to know the uh eligibility for the member. [AGENT][NEUTRAL] OK, so you want the eligibility for a data service? [CUSTOMER][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Uh, it's uh [PII]. [AGENT][NEUTRAL] OK, and [PII], may I have a good contact number in case we're disconnected and the policy number? [CUSTOMER][NEUTRAL] Yes, it's [PII] and it's a direct line. And the member policy number starts with 025799973 M as in mango, L as in Lima, 8. Last number is 8. [AGENT][NEUTRAL] Thank you, hold on one moment. [CUSTOMER][NEUTRAL] I. [AGENT][NEUTRAL] And can you verify the member's first and last name and date of birth? [CUSTOMER][NEUTRAL] OK [CUSTOMER][NEUTRAL] Yeah, and the first name is uh [PII] and the last name is [PII] and the date of birth is [PII]. [AGENT][NEUTRAL] Thank you for that and all the information provided is a verification of benefits, not a guarantee of payment. So this policy is active, it's been effective since [PII], I'm sorry, [PII]. So it was active in [PII]. Is there a claim that you'd like me to check for that date? [CUSTOMER][NEUTRAL] No. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, no, no. Uh, actually, I just want to uh like BCSFL was, uh, process the claim and, uh, forward it to American, but, uh, I didn't, uh, I'm trying to pull the eligibility, but I didn't find to, uh, member is eligible or not, so that's why I call you. I just wanted the details like electronic ID to bill the claim. [AGENT][NEUTRAL] Oh. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] And the uh TFL time defining. [AGENT][NEUTRAL] So there's no timely filing as long as the policy was active on the data service, you can file at any time and our payer ID is 60801. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] Uh, it's 60801, right? [AGENT][POSITIVE] Yes, that's correct. Mhm. [CUSTOMER][NEGATIVE] And no, and no timely filing limit for this. [AGENT][NEUTRAL] Yes, as long as the policy is active on the data service, you can file the claim at any time. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] OK. Thank you, thank you, [PII], for helping me out. Uh, just forward me the call reference number for this call. [AGENT][POSITIVE] You're welcome. [AGENT][NEUTRAL] So there's no call reference number, but you can use my name in today's date. So that's [PII], first initial and my last name is [PII]. [CUSTOMER][NEUTRAL] I. [CUSTOMER][POSITIVE] OK, thank you, [PII]. [AGENT][POSITIVE] You're welcome, [PII]. Was there anything else I can help you with today? [CUSTOMER][POSITIVE] No, no, no, no. Thank you, thank you. I got the details. Have a great day. [AGENT][POSITIVE] You're welcome. Thanks for calling APL. I hope you have a good day. Thank you. Bye-bye. [CUSTOMER][NEUTRAL] Bye-bye. Welcome.