AccountId: 011433970860 ContactId: 35b2c194-be26-4322-8d80-57041a8ae4e4 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 165479 ms Total Talk Time (AGENT): 71158 ms Total Talk Time (CUSTOMER): 58614 ms Interruptions: 0 Overall Sentiment: AGENT=0.8, CUSTOMER=1.8 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/10/35b2c194-be26-4322-8d80-57041a8ae4e4_20250110T18:25_UTC.wav -------------------------------------------- [AGENT][POSITIVE] Good afternoon. Thank you for calling APL. This is [PII]. How may I assist you? [CUSTOMER][NEUTRAL] Hi. So, good afternoon. Uh, my name is [PII]. I'm calling from uh provider's office, and I just need to verify a um member's eligibility. [AGENT][NEUTRAL] OK, sure, I can assist you with eligibility, Ms. [PII], and may I have a callback number just in case we get disconnected? [CUSTOMER][NEUTRAL] Thank you. Sure. Uh my direct number is [PII]. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Thank you. And may I have the patient's policy number? [CUSTOMER][NEUTRAL] Uh, sure. It is 02555592. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][POSITIVE] You're welcome. [AGENT][NEUTRAL] May I have the name and date of birth of the patient? [CUSTOMER][NEUTRAL] Uh-huh, it's [PII], um, [PII]. [AGENT][NEUTRAL] OK, perfect. Thank you. And you said you need eligibility. We have an effective date of [PII]. It is active at the moment and this is one of our limited hospital indemnity policies. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] OK, perfect. Um, do you guys have an electronic payer ID? [AGENT][NEUTRAL] Uh, for this one, let me see which one it is. [AGENT][NEUTRAL] Electronic payer ID is 64556. [CUSTOMER][NEUTRAL] 645-556. And what's that payer address? [AGENT][NEUTRAL] OK, the claims will go to IMA for repricing. So that's [PII]. [CUSTOMER][NEUTRAL] What was the name of the plan? I'm sorry. [AGENT][NEUTRAL] This is a limited hospital indemnity plan. [CUSTOMER][NEUTRAL] And I know, before the PO box, you mentioned the name. [AGENT][NEUTRAL] Oh, IMA. [CUSTOMER][NEUTRAL] The clin [CUSTOMER][NEUTRAL] I M A O I M A. [AGENT][NEUTRAL] Mhm. [AGENT][NEUTRAL] Yes. [CUSTOMER][POSITIVE] All righty, perfect. And if you have a reference number that I can uh write down. [AGENT][NEUTRAL] We don't have reference numbers you can use my name in today's state if you will. [CUSTOMER][POSITIVE] All right, we'll do that. Thank you so much. I appreciate your time and your help with this. [AGENT][NEUTRAL] Mm [AGENT][POSITIVE] You're welcome. Is there anything else I may help you with today? [CUSTOMER][POSITIVE] Oh, that'll be all for today. You enjoy the rest of your day and have a good weekend. [AGENT][NEUTRAL] You also, Miss [PII]. Thank you for calling ATO. Bye bye. [CUSTOMER][NEUTRAL] Bye-bye.