AccountId: 011433970860 ContactId: 3956f448-09d1-43d9-922f-b0a712164bc9 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 235160 ms Total Talk Time (AGENT): 107092 ms Total Talk Time (CUSTOMER): 80786 ms Interruptions: 1 Overall Sentiment: AGENT=1.3, CUSTOMER=1.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/24/3956f448-09d1-43d9-922f-b0a712164bc9_20250624T16:54_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Good afternoon. Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, this is [PII] calling from provider's office. Wanna verify eligibility for a patient. Could you please help me with this? [AGENT][NEUTRAL] OK, did you say your name is [PII]? Is that correct? [CUSTOMER][NEUTRAL] It is [PII] SRI3. [AGENT][NEUTRAL] [PII], is that correct? [CUSTOMER][NEUTRAL] No, it is [PII], no, it is [PII]. Yes. [AGENT][NEUTRAL] [PII] [AGENT][NEUTRAL] OK, thank you and [PII], what is your callback number? [CUSTOMER][NEUTRAL] Yes, the callback number will be [PII], just a moment please. [PII]. [AGENT][NEUTRAL] [PII]. Is that correct? [CUSTOMER][POSITIVE] Exactly, yes, exactly. [AGENT][NEUTRAL] Thank you. And you're just needing to verify benefits. You do not need eligibility or you just needing eligibility? [CUSTOMER][NEUTRAL] No, I need the eligibility only, only eligibility, not benefit. [AGENT][NEUTRAL] Oh, OK. All right. Thank you. And what is the member's policy number, please, 3? [CUSTOMER][NEUTRAL] Uh, the member's ID is 02617174. [AGENT][POSITIVE] Thank you. One moment. [CUSTOMER][NEUTRAL] Sure. [AGENT][NEUTRAL] Entry any information provided will be a verification of benefits and not a guarantee of payment. What is your patient's name and their date of birth? [CUSTOMER][NEUTRAL] Yes, the patient's first name is [PII] initial [PII] and uh the last name is [PII]. It is [PII] [CUSTOMER][NEUTRAL] [PII] [AGENT][POSITIVE] OK, thank you. [AGENT][POSITIVE] OK, thank you. [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] So I do show that he is a subscriber on this plan and yes ma'am it is active. What's an effective date of [PII]. [AGENT][NEUTRAL] And straight if you all end up filing a claim with APL for this member once the claim has been processed, we do have a portal that you should be able to check claim status in and the website that you would go to for our portal is located at secured. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Sure. OK. [CUSTOMER][NEUTRAL] OK. And uh kindly help me with the claim address. [AGENT][NEUTRAL] The claims would be mailed to IMA. [AGENT][NEUTRAL] [PII]. [AGENT][NEUTRAL] Egan [CUSTOMER][NEUTRAL] Just a moment please. [PII], uh, can you, could you please repeat it again kindly. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mm [AGENT][NEUTRAL] Egan [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Hm, [PII] hm. [CUSTOMER][NEUTRAL] OK fine. [CUSTOMER][POSITIVE] Thanks for your help. Can you help me with the call reference number and your name? [AGENT][NEUTRAL] Again, my name is [PII], and my name and today's date will be your call reference number. [CUSTOMER][POSITIVE] OK, fine. Thanks for your help, [PII]. This is all for today. Have a good day. Bye-bye. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] OK. Well, I hope you have a good day too, sure and if that is all I can help you with, thank you again for calling APL. [CUSTOMER][POSITIVE] Have a great day bye bye. [AGENT][POSITIVE] Bye-bye. You too