AccountId: 011433970860 ContactId: 33b93928-c064-46b8-9805-f7ad4a6ea09a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 134949 ms Total Talk Time (AGENT): 54022 ms Total Talk Time (CUSTOMER): 52759 ms Interruptions: 2 Overall Sentiment: AGENT=1, CUSTOMER=0.3 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/18/33b93928-c064-46b8-9805-f7ad4a6ea09a_20250618T18:12_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] So I. [CUSTOMER][NEUTRAL] Hi, um, my name is [PII] with BGC Medical Group. I'm trying to verify eligibility for a medical office visit, please. [AGENT][NEUTRAL] Sure, [PII], I can assist you with that. Can I have a callback number for you? [CUSTOMER][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] Or what is the policy number of the member that you're calling to verify benefits for? [CUSTOMER][NEUTRAL] 02221072 [AGENT][NEUTRAL] Can you verify this patient's name and date of birth? [CUSTOMER][NEUTRAL] It's for [PII] [PII]. [AGENT][NEUTRAL] You're calling to verify benefits and eligibility for what place of service, [PII]? [CUSTOMER][NEUTRAL] Uh, primary care physician office. [AGENT][POSITIVE] Thank you. [AGENT][NEUTRAL] This policy has been active since [PII] and it's currently active. [AGENT][NEUTRAL] Mm. [CUSTOMER][NEUTRAL] Alrighty, what, um, so we are a primary care office um. [AGENT][NEUTRAL] Let me verify. [AGENT][NEGATIVE] So doesn't have office benefit. [CUSTOMER][NEUTRAL] Is that covered under the plan? [AGENT][NEUTRAL] I have office visit benefits. [CUSTOMER][NEUTRAL] I'm sorry? [AGENT][NEUTRAL] The member's policy does not cover office visits. [CUSTOMER][NEUTRAL] It is not OK, right, may I get a reference number for the call today and your name again? [AGENT][POSITIVE] That's correct. [AGENT][NEUTRAL] No. [AGENT][NEUTRAL] Um, my name is [PII] and unfortunately, [PII] we don't provide reference numbers. [CUSTOMER][NEUTRAL] OK, alright, I will go ahead and note the chart. [AGENT][NEUTRAL] Please use my name in today's date as a reference. [CUSTOMER][NEUTRAL] OK, and how do we spell your name? [AGENT][NEUTRAL] I don't know why I don't cover offices. [AGENT][NEUTRAL] [PII], today's date is the reference. [CUSTOMER][POSITIVE] OK, alrighty, [PII], thank you very much. [AGENT][POSITIVE] You're welcome. Thanks for calling ACL and have a great day. [CUSTOMER][NEUTRAL] You too. Bye-bye. [AGENT][POSITIVE] Thanks. Goodbye.