AccountId: 011433970860 ContactId: 4670c251-bc05-4cdc-8497-6088fb1b2cd5 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 149410 ms Total Talk Time (AGENT): 57707 ms Total Talk Time (CUSTOMER): 62651 ms Interruptions: 0 Overall Sentiment: AGENT=1.1, CUSTOMER=0.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/05/07/4670c251-bc05-4cdc-8497-6088fb1b2cd5_20250507T14:22_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] APL, this is [PII]. How may I help you? [CUSTOMER][NEUTRAL] Hi [PII], this is [PII]. How are you? [AGENT][POSITIVE] I'm good how are you? [CUSTOMER][NEUTRAL] I'm very fine. Just asking. I will let you know if you could help. I need to try to check if we are in network out of network with insurance. [AGENT][POSITIVE] Good. [AGENT][NEUTRAL] OK, are you the policy holder or you're calling on behalf of a provider's office? [CUSTOMER][NEUTRAL] OK. [CUSTOMER][NEUTRAL] I am a medical provider. [AGENT][NEUTRAL] OK, what's the patient's policy number? [CUSTOMER][NEUTRAL] Uh I have here is 02281873 M as in Mike L as in Lima 8. [AGENT][NEUTRAL] And what's a good phone number in case we're disconnected? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] OK, [PII]? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] [PII]. Is that correct? [CUSTOMER][POSITIVE] That's correct. [AGENT][NEUTRAL] Can you spell your name for me, please? [CUSTOMER][NEUTRAL] [PII]. [AGENT][NEUTRAL] And [PII], did you say you're checking a claim status? [CUSTOMER][NEUTRAL] And [PII], did you say you're checking a claim status? Uh, no, I need to check network status. [AGENT][NEUTRAL] Oh, to verify if you're contracted with the network, if there be one for this policy, can you verify the patient's name and date of birth for me, please? [CUSTOMER][NEUTRAL] [PII], last name is [PII]. I can spell the last name if you need it. [AGENT][NEUTRAL] No, that's OK. [CUSTOMER][POSITIVE] Perfect. [AGENT][NEUTRAL] Date of birth? [CUSTOMER][NEUTRAL] Uh, [PII]. [AGENT][NEUTRAL] All right, so this is a secondary gap policy. Major medical would be the primary, so there is not a network of contracted providers for this plan. [CUSTOMER][NEUTRAL] All right. [CUSTOMER][NEUTRAL] OK, it's like a supplement something like that. [AGENT][NEUTRAL] A supplemental policy, supplement to the major medical plan. [CUSTOMER][NEUTRAL] Uh. [CUSTOMER][NEUTRAL] OK, OK, got it. [AGENT][NEUTRAL] Anything else? [CUSTOMER][NEUTRAL] Uh, no, what's your name one more time? [AGENT][NEUTRAL] [PII] A. Use my name in today's date as reference for today's call. And did you have any other questions, [PII]? [CUSTOMER][NEUTRAL] Uh [CUSTOMER][NEUTRAL] OK. [CUSTOMER][POSITIVE] No, that's all I appreciate it have a wonderful day. [AGENT][POSITIVE] Thank you. You're welcome. Thanks for calling APL. Have a good day. [CUSTOMER][NEUTRAL] Bye bye. [CUSTOMER][NEUTRAL] You too.