AccountId: 011433970860 ContactId: 463cfe99-7c0a-4014-a325-d0cf84f95a9a Channel: VOICE LanguageCode: en-US Total Conversation Duration: 246630 ms Total Talk Time (AGENT): 84760 ms Total Talk Time (CUSTOMER): 74792 ms Interruptions: 1 Overall Sentiment: AGENT=0.9, CUSTOMER=2 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/01/28/463cfe99-7c0a-4014-a325-d0cf84f95a9a_20250128T14:10_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL, this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hey, good morning. I'm trying um to verify the insurance for a patient. [AGENT][NEUTRAL] OK, and your name? [CUSTOMER][NEUTRAL] [PII] calling from University of Miami. [AGENT][NEUTRAL] OK, and you're needing eligibility and benefits? [CUSTOMER][NEUTRAL] Please [AGENT][NEUTRAL] OK, and is this for is it outpatient facility? I think that's what I heard you say. OK. [CUSTOMER][NEUTRAL] Yes, please. [CUSTOMER][NEUTRAL] Yeah. [AGENT][NEUTRAL] And what's the policy number, [PII]? [CUSTOMER][NEUTRAL] I have 01659149 M as in Mary, L as in Larry, number 8. [AGENT][POSITIVE] And a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK thank you give me one moment OK? [CUSTOMER][POSITIVE] Yeah, for sure. Thank you. [AGENT][NEUTRAL] And [PII], what's the patient's name and date of birth? [CUSTOMER][NEUTRAL] Mr. [PII], [PII]. [AGENT][POSITIVE] OK, thank you for that information. [CUSTOMER][POSITIVE] No problem. Thank you. [AGENT][NEUTRAL] Let me give you the current policy number. [CUSTOMER][POSITIVE] OK. I'm ready. [AGENT][NEUTRAL] It's 250. [AGENT][NEUTRAL] 566 7. [CUSTOMER][NEUTRAL] 4052. [AGENT][NEUTRAL] 250-56667. [AGENT][NEUTRAL] The policy effective date is [PII]. [AGENT][NEUTRAL] And the policy is active at this time. [AGENT][NEUTRAL] One moment. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] And is this for a future service? [CUSTOMER][NEUTRAL] Uh, patient is gonna be coming to see, uh. [CUSTOMER][NEUTRAL] a psychiatrist. [AGENT][NEUTRAL] OK. [CUSTOMER][NEUTRAL] So you guys have to cover mental health issues. [AGENT][NEUTRAL] OK, so I actually show that this policy is, is gonna, it's, it actually turned the end of [PII], so they do not have active coverage. [CUSTOMER][NEUTRAL] Oh, OK. [CUSTOMER][POSITIVE] Thank you so much for that information. I'll go ahead and terminate that. And um you don't happen to have any information as for the primary insurance, would you? [AGENT][NEUTRAL] For the primary? [CUSTOMER][NEUTRAL] Yes. [AGENT][NEUTRAL] Um, I don't, since this policy is not active anymore, um, the patient should have that information if there's a primary insurance company involved. [CUSTOMER][NEUTRAL] OK, yeah, I've, I've been trying to reach her and I'm like pretty much just calling PCPs and everything which other that we have on file. [AGENT][NEUTRAL] Let me see. Give me, give me a, give me a second. [CUSTOMER][POSITIVE] Yeah, no problem. Thank you so much. [AGENT][NEUTRAL] Uh, when the policy was active, it could be Cigna. [CUSTOMER][POSITIVE] You're very active too. OK, no problem. I'll, I'll go ahead and try to reach the patient again. Um, thank you so much for your help. [AGENT][NEUTRAL] OK. [AGENT][POSITIVE] Oh, you're welcome, [PII]. Anything else I can help out with today? [CUSTOMER][POSITIVE] No, that will be all for now I appreciate it. [AGENT][POSITIVE] You're welcome thanks for calling APL have a good day. [CUSTOMER][NEUTRAL] Oh, goodbye.