AccountId: 011433970860 ContactId: 4133b838-8b09-4cbf-8f1d-5251804e75e1 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 257548 ms Total Talk Time (AGENT): 84952 ms Total Talk Time (CUSTOMER): 101537 ms Interruptions: 0 Overall Sentiment: AGENT=0.5, CUSTOMER=0.4 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/02/27/4133b838-8b09-4cbf-8f1d-5251804e75e1_20250227T21:43_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. [CUSTOMER][NEUTRAL] Yes, hi, my name is [PII]. I'm calling from provider's office to check the patient's medical eligibility. Could you please help? [AGENT][NEUTRAL] Yes, I'm happy to check on eligibility. [PII], what is the patient's policy number? [CUSTOMER][NEUTRAL] Uh, I do have the patient's ID number. Here it is. [CUSTOMER][NEUTRAL] That [CUSTOMER][NEUTRAL] 02493393 M as in Mike L as in Lima 8. [AGENT][POSITIVE] All right, thank you for that one moment. [AGENT][NEUTRAL] And if I can have patient's name and date of birth? [CUSTOMER][NEUTRAL] And. [CUSTOMER][NEUTRAL] Yes, my first name is. [CUSTOMER][NEUTRAL] [PII]. How do you spell out like [PII] and the last name is [PII]. It is [PII] [AGENT][NEUTRAL] Thank you. Date of birth? [CUSTOMER][NEUTRAL] Date of birth of the member is [CUSTOMER][NEUTRAL] Uh, just a second, please. [AGENT][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Yeah. [CUSTOMER][NEUTRAL] OK. Uh, you have the member's date of birth here. It is [PII]. [AGENT][NEUTRAL] Thank you [PII]. So the patient is active. The effective date on the member plan is [PII]. [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII] [CUSTOMER][NEUTRAL] OK, so the member's policy is effective from [PII] and now the policy is active, right? [AGENT][POSITIVE] Uh-huh. Correct. [CUSTOMER][NEUTRAL] Uh, got it. Thank you. If you don't mind, could you please provide me the group name and the group number for the policy? [AGENT][NEUTRAL] Uh, yeah, let me take a look here. [AGENT][NEUTRAL] The group name is Fortune Insurance. That's F as in Frank, O as in Oscar, R as in Robert, T as in Tango, U as in Uniform, N as in November. [AGENT][NEUTRAL] Insurance is the name. [AGENT][NEUTRAL] And the group number is 23205. [CUSTOMER][NEUTRAL] If you don't mind, could you please repeat the group name once again? [AGENT][NEUTRAL] Fortune Insurance. [CUSTOMER][NEUTRAL] Hello? [AGENT][NEUTRAL] Uh-huh, it's Fortune Insurance. [CUSTOMER][NEUTRAL] Yeah [CUSTOMER][NEUTRAL] OK. Could you please spell out the first word? [AGENT][NEUTRAL] F as in Frank. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] O as in Oscar. [AGENT][NEUTRAL] R as in Romeo. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] T as in Tango. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] U as in uniform. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] N as in November. [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] O F O R T U Insurance is the second word, right? [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] Got it. Uh, so the member's policy is effective from [PII]. Group number is 23205. Group name is Fortune Insurance. And, uh, could you please provide me your name? [AGENT][NEUTRAL] My name is [PII], that's spelled [PII]. [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] Mhm. [AGENT][NEUTRAL] My last initial is [PII]. [CUSTOMER][NEUTRAL] Mhm. [CUSTOMER][NEUTRAL] She hasn't [PII] is the last name initial. [AGENT][NEUTRAL] Yes. [CUSTOMER][NEUTRAL] OK, may I get the call reference please? [AGENT][NEUTRAL] Call references my name with my last initial than today's date. [CUSTOMER][POSITIVE] Got it. Thank you, [PII]. Thank you very much for the help. [AGENT][POSITIVE] You're welcome, [PII]. Have a good day. [CUSTOMER][POSITIVE] You too have a great day bye. Thank you. [AGENT][NEUTRAL] Uh bye-bye.