AccountId: 011433970860 ContactId: 2edc6eea-e1d9-4d6f-8956-4717aa0c3b65 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 285200 ms Total Talk Time (AGENT): 103282 ms Total Talk Time (CUSTOMER): 96997 ms Interruptions: 0 Overall Sentiment: AGENT=1.6, CUSTOMER=0.6 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/30/2edc6eea-e1d9-4d6f-8956-4717aa0c3b65_20250130T16:33_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good morning. Thank you for calling APL. My name is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Uh, yes, I was just calling to verify eligibility. [AGENT][POSITIVE] It would be my pleasure to assist you with eligibility. May I ask your name? [CUSTOMER][NEUTRAL] [PII] last initial [PII] [AGENT][POSITIVE] Thank you, [PII], and a good callback number. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] Thank you, [PII]. What is the policy number for the patient? [CUSTOMER][NEUTRAL] D as in David 43510704 [AGENT][NEUTRAL] Our policies are all numerical. Do you happen to have another policy number for the patient? [CUSTOMER][NEUTRAL] Let me see. [CUSTOMER][POSITIVE] Oh goodness gracious. [AGENT][NEUTRAL] Hm. [CUSTOMER][NEUTRAL] Um, it says TRC and it has a D as in David, 43510704. [AGENT][NEUTRAL] Is that a 90 degree benefit card? [CUSTOMER][NEGATIVE] I don't know. It's a terrible copy of the card. [AGENT][NEUTRAL] OK, let's [AGENT][NEUTRAL] Let's do a name search. [CUSTOMER][POSITIVE] I'm doing good to read that. [AGENT][NEUTRAL] Well, we'll do a name search. What's the last name of the patient? [CUSTOMER][NEUTRAL] Uh [PII] [PII] is the first name. [AGENT][NEUTRAL] That's [PII]? [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] [PII] or [PII]? [CUSTOMER][NEUTRAL] Oh, I'm sorry. [PII]. [AGENT][POSITIVE] Got you, thank you. Let's see. [AGENT][NEUTRAL] And are you calling for medical benefits eligibility? OK. [CUSTOMER][NEUTRAL] Medical. [AGENT][NEUTRAL] And what is [PII] [AGENT][NEUTRAL] Oh, hang on just a second. I thought I found him. Hang on. [CUSTOMER][NEUTRAL] 92097. [AGENT][NEUTRAL] I'm checking, bear with me. [CUSTOMER][NEUTRAL] Mhm [AGENT][NEUTRAL] 9:20. [AGENT][NEUTRAL] 97 [AGENT][POSITIVE] OK, thank you. [AGENT][NEUTRAL] And let me check and see if he has a medical policy with us. [AGENT][NEUTRAL] Now with APL, he does not have medical coverage. He has dental and accident, but no medical. [AGENT][NEUTRAL] Now [CUSTOMER][NEGATIVE] Wow, you know, this is a sad story because I have a family member this happened to. People are being sold insurances and then they don't have insurance. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Yeah, so his, um, have you spoken with 90 Degree Benefits or let me ask you, did you call the [PII] number? [CUSTOMER][POSITIVE] Oh goodness, here's what I called hang on. [CUSTOMER][NEUTRAL] Oh, let's see. [CUSTOMER][NEUTRAL] [PII] [AGENT][NEUTRAL] OK. And you chose option 2 for medical, which sent you straight to us. What I can do is I can transfer you back to the 90-degree benefits. They can give you the benefits they have for the patient. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And that would be that policy number you gave me that started with the letter D. [CUSTOMER][NEUTRAL] OK. [AGENT][POSITIVE] All right, and I'll be happy to get you back to them. [CUSTOMER][POSITIVE] That would be great. Thank you. [AGENT][POSITIVE] It'd be my pleasure, [PII]. Thank you for calling APL. I hope you have a wonderful day. [CUSTOMER][POSITIVE] Thank you. [AGENT][NEUTRAL] Mm bye bye. One moment. [CUSTOMER][NEUTRAL] No, back to you. [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Hello? [CUSTOMER][NEUTRAL] Wellness MVP plans or COBR enrollment, please press 1. [CUSTOMER][NEUTRAL] For questions on the APL hospital indemnity plans or dental. [CUSTOMER][NEUTRAL] 90 degree Benefits. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi [PII], I just need to verify eligibility please. [CUSTOMER][NEUTRAL] Yes ma'am, can I get your name? [CUSTOMER][NEUTRAL] [PII], last initial [PII] [CUSTOMER][NEUTRAL] Thank you and what provider facility are you calling for? Moneyside Medical Center.